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15244 >W ALDERBROOK PLACE a
T
CIOFTY T IGARD PC F? IC IL
PERMI
M I_r #. . . . . . . : MEC95-0,-,j7O
COMMUNITY DEVELOPMENT DEPARTMENT DAVE ISSUE-1): 10/26/95
13125 SW Hell Blvd. rigard,Oregon 97223*8199 (503)539-4171
FARCEL: 2S1 _, 1DB--04600
ADDRESS. 15t"'44 Sid fA-.DLPBROOV, PL
'3U8I."I V I C'I ON. . . . : SUMMERFIELE, NO. 7 ZONING- R-7
BLOCK. . . . . . . . . . :* LOI.. . . . . . . . . . . . . ..414
(:LASS OF WORK. . -FILT FLOOR BURN. . . . : EVAP COOLERS:
TYPE OF' UEE. . . . :9F UNIT HEATERS. VENT FANS. . . -
(71("XUPANCY GRP. . : R3 VENTS W/O ADPL: VENT SYSTEMS:
GY OR I ES. . . . . . . . : BOILERS/C001PRESSORS HOODS. . . . . . . ;
1-*-'UEI-. -- 0-3 HP. . . . : DOMES. IIVC IN:
- /ELL/ 3-15 HP. . . . : COMML. INCIN:
HA INPUT: 15-30 HP. . . . : REPAIR UNITSz
I- IRE DAMPERS". . : 30-50 HP. . . . : WOODSToVES. . -
(3(-)S PREGI-'URE. 50+ HP. . . . - CLO DRYERS— z
NO. OF UN I 9-- A I R FIONDL I NG urii,rs 01HER UNITS.
FURN < 1001-IN ETU: 10000 --,-I:M . I GAS 00TI-ETS.
TURN ) =10171K BTU: i 10000 C-fin :
Re.-.ay,ks : One residential alter-ation of ;..A elf*ctvic sir^ handling 1.mit to 10, 000 CA-
ryl.
(JWner: f7EES ---------------
i:RED AUGER t ?Pe amoi.mt by date r-ecpt
15k`z'44 SW (4LDERIAROOK PL PRMT $ 25. 00 CJS 10/26/95
5PCT $ 1. 15 CJS 10/oP-6/95 95-2721 ".
TIF44RD OF. 97i.?"213
Phone #:
C'ontractor-.
THE HE-ATING SPECIALIST
9300 NE HALSEY
PORILANT) OR 972,20 ------------I------- ---------
Phnne #: 5 7-71-710 0 r'6. 25 TOTAL
Req #. . , 56628 REOUIRLD INSPECTIONS
This pervit is issued subiect to the regulaticlis contained in the Mechanical Insp
Tigard Municipal Code. State of Drp, Specialty Codes, and al) other Mi sc. In sppr-t i cm
applicable laws. Ail work will be done in accordance with Final Inspection
approved plans. Thi,, permit will expii e if work is not started
within 180 d— of issuance, or if work is suspended for vorp
than 180 days,
Issued By I
Cal I for inSDeCt ion 639--4175
City of Tigard ME,"'-,HAN ICAL. PERMIT- PlancwRec. # 9S--2 �7aiS`�
13125 Slr`.r Hall Blvd. APPLICATION Permit # o S moo_
Tigard, OR 97223
(503) 639-4 171
r �.NDescription _
Table 3A Mechar cal Code CITY PRICE AMT
Job (5,;j Lt y S LA_) 1�� cx,I< P( 1) Permit Fee -0- -0- 10.00
Address —
�lr .:-ex-ti<j 5 -12-1 Y 2) Supplemental Permit 3.u0
-- «••�• Furnace to 100,000
"he 'i 1) incl, ducts &vents 6.00
• w ••• urnace 160,,0�T+'
Owner 1.5 1 LI 4 `s c.,v GLIt��t a��7r,cx.,k L 2) incl. ducts &vents 7.50
Floor Furnance
7 i L-v 3) incl. ven' 6.00
—— •• >4—.1 bu.*") Suspendiid heater, wall eater —
4) or floor mounted heatwr 6.00
••a :•+ ^• ent not incl. in
Occupant 5 appliance permit 3.00
�� •• -- epair of heating, re ng.
6) cooling, absorption unit 6.00
��• t3oiler or camp, heat pump, air cond, -�
7) to 3 HP; ibsorp unit to 100K BTU 6.00
a ••• poi er or comp, heat pump, arr con .
Contractor Aj E — :2s7 7a a 8) 3.15 HP; absorp unit to 500K BTU 11.00
•• ;10 Boiler or comp, heat pump, air cond.
vi,,- Ctyv °)yu-1.4+ 9) 15.30 HP; absorp unit .5-1 mit BTU 15.00
•• •ti•••� Boiler or comp, heat pump, air cond.
s 1b 10) 30-50 HP; absorp unit 1-1.75 mil BTU 22.50
ereoy ac now a ge that I have read this app rcadon, at the Boiler or comp, heat pump, air cond.
information given is correct, that I ani the owner or authorized 11) >50 HP; absorp unit 1.75 mi; BTU 37.50
agent of the owner, that plans submitted are in compliance withAirrhiann ling untt fn
State laws, that I am registered with the Construction Contractor's 12) 10,000 r"m 4.50
Board, that the number given is correct. (If exempt from State it handling unit
registration, please give reason below.) 13) 10,000 CTM + 7.50
nn
portable
14) evaporate cooler 4.50 j
Vent fan connected —
15) to a single duct �^ 3.00
Ventilation system not
s;-5 16) included in appliance permit 4.50
.,. Hood served
Y
17) mechanical exhaust 4.50
Describe work new addition a terata repair t "ommercial or industrial —�
to be done residential non-residential O 18) type incinerator 30.00
Existing use o ter i.e., wo stove, water
building or property 19) heater, solar, clothes dryers, etc. 4°0
Proposed use of 20) Gas piping one to four outlets 2.00
building or property 1
21) More than 4-per outlet
Type of fuel -oil Q natural gas Q LPG ZJ electrt�-C` — —i
---I - -
Minimum Fee S25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION —
AUTHORIZED 15 NOT COMMENCED WITHIN 180 DAYS. OR 51,10 SURCHARGE f 15
If' CONSTRUCTION OR WORK IS SUSPENDED OR _
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIE=W 250,1* OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL
Special Conditons
Date issued by LS
%.ME Cj41V T
rsdconnw
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 F'lart.A/Ftw. . # 7,2�A0
.,n Nerwit # ,1 95- CY99 --
Phone (503) 639-4171 Date 1,-Sued 10- ,;t7-9,FAX (503) 684-7297 11Sc31 i:!CI tlyC hQ'!Pt' 5,—Aly �crf
CITY OF TIGARD TDEI No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: f 4. Ccomolete Fee Schedule Below:
I
Name 0} Development _ _ l-
`K �H Number of b*spections per permit t lowed —
Address +rv_�inr,'icJr+c1 Items Cost(ea) _ Sum_
City/State/Zi 9 ` _ 4a. Residential-per unit
1000 a It of 1068
$11000
Exch additional EX aq It or
Name (or name of business)-f _ portion thereof 525 00
I im4sd Energy o25 00
Commercial ❑ Residential r� Each Manurd Home or Modular
Dwelling Service or Feeder woo
2a, Contractor installation only: 4b.Services Feeders
Installation,aterauon,or relocation 2
Flectrical Contractor J\ ^ _ 200 amts or less $6000 2
201 amps to 40t,amps $8000
Address ch L,:�7N -re'r- . _ ._ - — 401 amps 10 000 amps $12000 2
City StateQx4_ Zlp l`l as 601 amps to 1000 amps $111000 2
Phone&b,
Over 1000 amps or vote $94000 2
Contractor's License No. - Reconned only $50 DO
Board Reg No 4c.Temporary Services or Feeders
installation,alteration or relocation
Signature of Supr. Elec'nx 200 amps or less $5000
—
201 amps l0 400 wogs $750000
License rlo, y/(/ �, hone No.mit34,[I 401 amps to 000 w ps i_ $10000 --_ `-
-- Over 000 ai ps 10'000 volts
2b. For nu,ter installations: sea•b-above
ZDAP 4d.Branch Circuits
Print Owner's Name _- Now,alteration or extension per panel
Address ___-_ a)The lee for branch arcute with
purchase o/sank$or Murder fee.
City- State zip ___ Each branch grant
Phone No. _ b)The lee for branch dreuds without
The installation is being made on property I own which i; pun:he"of somks or feeder fee c ti'0i
Fore branch circuit $3500 35•—_
not intended for sale, lease or rent. Foch additional branch arcut $500
Owner's Signature 4e. Miscellaneous
kService or feeder not included)
3. Plan Review section (i/ r,-qulred): Each pump or irrigation circle -- $4000
Each sign or outl,na lighting $4000
Signal Nmuit(s)or a lensed energy
Please check appropriate item and enter tee in section 5B. panel,aterstron or extension $4000 _
4 or more residenbal units in one structure Minor l Ahmis(10) $10000
�~Service and feeder 225 amps or more
4f Each additional inspection over
System over 600 volts nominal
Classified area or structure containing special occupancy the allowable in any of the above
"'' $'neon
as described in N.F.C. Chapter 5 `"'ho
Submit 2 sets of plans with application where any of the above _
apply. Not required tot temporary construction services. 5. Fees: Q�=
NOTICE Se• Enter total of above fees $ _35'
5%Surcharge(.05 X total fees)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b, Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review It required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED LI Trust Account M $
Balance Due $
reufmnrM•dr ryrm wr,
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hell Blvd.Tigard,Otrpon 97213.8199 (503)839.4';71
PLUMBING PERMIT
PERMIT #. . . . . . . . PLM94•--0i 3't
6)39-41 71 DATE I S`:)ULD: 10/ 12/94
PARCEL: �_::i 1 1 1 DH IC46v'�Ir
1I'TE- ADDR":JC 15C-_'44 SW ALDERBROOK P'L
.A.1BL" IVISION. . . . : SUMMERFIELD NO. 7 ZONING: R-7
PLOCK. . . .. . . . . . . . C..UT. . . . . . . . . . . . . :414
,LASS Of' WORK. . :ALT GARBAGE DISPOSALS. . : MOBILE HOME SPACLS. :
TYPE: E:)F USE. . . . :SF WASHING MACH. . . . . . . . BACKFLOW PREVNTRS. . : 1
CCUI'ANL:Y UK,. . :R3 FLUOR DRAINS. . . . . „ . : T'RAPS. . . . . . . . . . . . . . :
1�,fORILS. . . . . . . . : WATER HLArE:RS. . . . . . : CATCH BASINS. . . . . . . :
LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
INE;fa. . . . . . . . . . URINALS. . . . . . . . . . . . . GREASE:: f'RAPS. . . . . . . .
L.AVATORIES. . . . . : OTHER FIXTURES. . . . . :
fUB/SHOWEIRS. . . . : SEWER LINE (ft ) . . . . :
Wf1TER LLUSE:.TS. . : WA-"ER LINE (ft ) . . , . .
I.)1 SHWASHE RS. . . . : RA.I N DRA T N (ft ) . . . . :
lemar~k% : BACK 17LOW DEVICE:
)wner: FEES
!ANDA SNYLE.:R •t ype amu:.lnt by dat e recut
5x'44 HL.DERBRUUK PLACE ='RMT $ 15. 00 JF 10/ 1:"x!94 -
5PCT $ 0. 75 JE- 10/ 1.x194
auARU OR
,hone #.
ontr-actur:
IVVII�CI1�IMk NT0L LANDSC::APING
480J. S GRE:ENTREE DR
1R[--GON CITY OR 97045
'holie ffi : 650-9539 $ 11`. 15 TOTAL
'erg #. . : 5042 _......__ ._.
RF'GIUIRED INSPECTIONS -_
his permit is issued subject to the regulations contained in . RP/Sackf low Prev
igard Municipal Code,- Stat:- of Ort, Specialty Codes and all other Fi.naJ Insper_tion
ipplicab.E laws. All wG•k will be done in accordance with _.........
___ --
approved plans. This permit will expire if work is not started ---
within 162 day° of isivanct, or if work is suspended for mere
than 182 days,
er'mlvtee :ilgnit .i,rF'
Call for inspection - 639-4175
City of Tigard PLUMBING PERMIT APPLICATION Planck/Rec. #
13125 SVJ Hall Blvd. Permit #
Tigard, OR 97223
!303) 639-4171
MINIMUM $25.00 PERMIT FEE + S f. SURCHARGE
"^' New Single Famll�t Residences Only
"d"•" ❑ 1 BATH HOUSE$140.00 ❑ 2 BATH HOUSE$195.00
❑ 3 BATH HOUSE$225.00
Addressr. rb Fee includes all plumbing fixtures in the dwelling and the first 100 feet
`� of water service, sanitary sewer and storm sewer. See fees below.
°r""""•I FIXTURES QTY PRICE_ AMT
jf Sink - 9.00
M...Q�°°«• - *�• Lavatory 9.00
Owner -yt t= 1'Lb or Tub/Shower Comb. 9.00
""'�"• �^ Shower Only 9.00
Water Closet 9.00
Nem•Ia ram•°I Mnnml Dishwasher 9,00
Garbags Disposal 9.00
Occupant M.Og Afnw °• Washing Machine 9.00
Floor Drair. 9.00
""'"'"• Water Heater 9.00
Laundry Room Tray 9.00
"'°• Urinal 9.00
Other Fixtures (Specify) 9.00
M.Mg A"*" °n°" 9.00
Contractor
C 1 -.0 r�'� G 9 _ 9.00
'�"• a0 __ 9.00
-Sewer 1st 100' 30.00 _
G^'s" T.N• Sewer-ea. Addit. 100' 25.00
Water Service 1st 100' 3000
I hereby acknowledge that I have read this application, that the Water Service ea. Addit. 206' 25.00
information given is correct, that I am the owner or,authorized agent of
the owner, that plans submitted are in compliance w,th State laws, that Storm 6 Rain Drain 1st 100' 30.00
I am registered with the Construction Contractor's Board. that the Storm R Rain Drain Addit. 100' 25.00
number given is correct. (tf exempt from State, registration, please
give reason below.) Mobile Home Space 25.00
Back Flow Prevention
Device or Anti-Pollution Device 9.00
Any Trap or Waste Not
Connected to a Fixture 9.00
Describe work new O addition U alteration Ci repair (,l Catch Basin 9.00
to be done residential 0 non-residential Insp. of Exist. Plumbing 40,00/hr -
-^ Specially Requested Inspections 41.00/hr
Existing use of - -
building or property -_ Rain Drain, single family dwelling 3000
Residential backflow prevention
devices 1500
Proposed use of -�
building or property !_ - ---- (Except residential backflow
prevention devices)
NOTICE 'Minimum Fee $25.00 SUBTOTAL S& j
PERMrrS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5'!,, SURCHARGE '
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED - -- ---
FOR A PERIOD OF 180 LAYS AT ANY TIME AFTER WORK IS
COMMENCED. PLAN REVIEW 25% OF SUBTOTAL
--^TOTAL �J<�
Special Conditions -
Date issued _ by
i
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I
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CITY OF TIGARD BUILCING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 6X 41'71
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech, San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Inulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested: ��U��
�_1 _— �� Time: AM PM
r
Address:_
Builder: OLA-c. L� / c'` 5/ Permit e
THE FOLLOWING CORRECTIONS ARE REQUIRED.
Inspector:" a Date:
,DISAPPROVED �APFROVED SUBJECT TO ABOVE
AAPPROVED
,Call For Reinsp. '>
MECHANICAL
PERM IT
CITY OF TIGARD
PERMIT #. . . . . . . : MEC95-0370
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/26/95
13125 SW Hall Blvd.Tigard,Gregon 97223@8199 (503)639-4171
PARCEL: 251 1 1 DB-04600
SITE ADDRESS. . . : 15---J/4 SW wLDLERBRUOK Pi_
SUBDIVISION. . . . : SUMMERFIELD NO. 7 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :414
CLASS OF WORK. - :ALT FLOOR FURN. . . . : EYAP COOLERS:
TYPE OF UNE. . . . :SF UNIT HEATERS. . : VENT F-INS. . . :
OCCUPANCN GRP. . l:R3 VENTS W/O APDL: VENT 3YSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0-3 HP. . . . DOMES. INCIN:
. /ELE/ 3-15 HP. . . , COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . - REPAIR UNI'rs:
FIRE DAMPERS?. . : 30-50 HP. . . . - WbuDSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNITS. :
FURN ( LOOK BTU: 10000 cfm : l GAS OUTLETS. :
FURN ) -IOOK BTU: 10000 cfm:
Remarks - One v•esidentia. alteration of a electric air- hArdling .(nit to
Owner.: ---------------------------------------------------------- FEES
G---RED AUGER type amoi-int by date recpt
15L44 SW ALDERBROOK PL i:,RMT 25. 00 CJS 10/26/95 95-272151%.
5r-,C-. 4A 1. 25 CJS 10/26/95 95-27215;
T`IGARD OR 97223
Phone #.-
Contractor,
THE HEATING SPECIALIST
()300 NE HALSEY
�,ORTLAND OR 97220 -----------
[.,horie #1 257-7000 $ 26- 23 TOTAL
12eg #. . : 56628 REQUIRED INSPECTIONS -------
This pervit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Misc. Inspection
applicable laws. All work will Lt done in accordance with Final Inspection
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
than Is@ days.
1-,erm i t t e e S i gnat+.(r-e : "01/10
ISSUed By -
call for inspect ion 639-4175