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15?40 SW ALDERBROOK CIRCLE
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CITY OF TIGARD BUILDING INSPECTION DIVISIO14
MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171
�[/f / (/ n BUR
_—�7 y2i—Date Requested C '�-� / M —PM — _ BLD ---- -------
Locatir ,-� W /-1h� —
Contact Person _— � — Ph — PLM —
Contractor — i/) _ Ph — SVVR — —_
BUILDING Tenant/Owners ���Q ' 70 ELC
Retaining Wall ELR
Footing Acce,s:
Foundation EPS - ---
Fig Drain 1 LK 1 K SGN
Crawl Drain Inspection Nctes:
Slab ---_--_ _ ---_ SIT
Post&Beam ---------------
Ext Sheath/Shear
Int Sheath/Shear ,
Framing -
Ipsu;ation
Drywall Nailing ci L' L.. i it I ci 2`•• � q"L�_�Y17 y
Firewall -
' Fire Sprinkler �.�.�-_ --
Fire Alarm
Susp'd Ceiling -------_----- - - -
Roof
Misc _. - ----- - —
Final -
PASS PART FAIL ------------
PLUMBING
----PLUMBING
Post 8 Beam -----_.- __---- ------- -- ---- — ---
Under Slab
Top Out - -------___ - ------ - --
Wpter Service
Sanitary Sewar - ----------- --- —
Rain Drains
Firal
PASS---"P'AfIF FAIL
'MECHANICAL-'
Post& Beam - -- - ---- ----- - --- ---
Rough In
Gas Line -----
e Dampers
SS ' PART- FAIL
ELECTRICAL --------
�.;ervlce
RoughI;• _ ---__--- --------------------- .—
I1G/Slab ----- - ---- -- -- --..
Low Voltage
Fire Alarm - - --- --. - - -_ -------- ---- --- -- __
Final
PASS PART FAIL __ --_ ---- --SITE
Backfill/Grading --"-- --- --- ------ -- � -------
anitary Sewer
Storm Drain ( ) Reinspection fee of$ _—_ iequired before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE. — -- [ )Unable to inspect-no access
Fire Supply Line
ADA '
Approach/Sidewalk C _ 3
Other
Date �- ! U Ext
Inspector 1', —
Final
PASS PART FAIL J DO NOT REMOVE this inspection record from the job site.
— J
F
CITY Q F T I C A R D MECHANICAL
RM 1
DEVELOPMENT SERVICES DE PERMIT #. . . . . 1'
. . : MEC98-0445
13125 SW Hall Blvd, Tigard.OR 97223(503)639.4171 DATE ISSUED: 10/02/98
PARCEL: 2SIlIDB-0080(b
SITE ADDRESS. . . : 15340 SW ALDERPROOK CTR ZONING: R--7
SUBDIVISION. . . . : F,'.IMMERFIELD N0- 8 JURISDICTION: TIG
BLOCK. . . . . . . : LOT. . . . . . . . . . . . . :436
CLASS OF WORK. . iOTR FLOOD FURN. 0 EVAP COOLL:2S: Vi
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
nCCUPANCY ORP. . :R3 VENTS W/O APDL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES------- ----- 0--3 HP. . . . 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . - 0 COMML. INCIN- LA
MAX INPUT: 0 BTU 15-30 HP. . . . " 0 REPAIR UNITS: 0
r'IRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . 50+ HP. . . . : 0 CLO DRY1--RS. . : 0
NO. OF AIR HnNl))-ING UNITS OTHER UNITS. : I
1::-LJRN ( 100K BTU: 0 1.0000 cfm: 0 GAS OUTI-FTS.
1-URN ) =1001J BTU.* 0 > 1.0000 cfm : 0
lie mar-ks : installation of gas stove insert I gas piping,
FEES ------------
WILLIAM BURGESS type amoi-int by date recpt
1.5340 SW ALDERBROOK CIRCLE FIRMT $ 25. 00 DEB 1171/0;: /98 98--3096'74
TIGARD OR 97224 5PCT $ 1. 25 DEB 10102198 98-309674
Pho,ie #- 639-3816
Cont r-act or-: ---------------------------------
G P & W
73P MARBLE RD $ 26. 25 TOTAL
WASHOUGAL WA 98671
Phone #: 360-835-3516
Reg #. . - 108176 REQUIRED INSPECTIONS
This perii! is issued sub)pct to the regulations contained in the Gas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other ME:&,anical Insp
applicable laws. All work will be done in accordance with Mi 5c-. Inspection
approved plans. This persit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for sore
than 180 days. ATTPITION: Oregon law requires you to follow rules
adopted by the Oregon utility Notification Center. Those rules are
set forth in GAR 952 through OAR 952-001-0080- You IdY
obtain copies of these rules or direct questions to OuNC by calling
(503)246-9187.
5 S 1.1 e Permittee Signati.ii-e-
..............I.............................. ..4•....................................
Call 639-4175 by 7:00 p. m. for- inspections needed the next bi.tsiness day
+++++*...................*..............................4.............................
Plan CUTk a.
Cl TY OF TIGARD Mechanical Permit Application Recd ?
13 125 SW HALL BLVD. Commercial arid Residential Date Recd /o-a-
TIGARD, OR 97223 Date to P E.
(503) 639-4171, x304 Date to DST__
Forint or Type Permit x'
Called
Incomplete or illegible applications will not be accepted
Noma of OevelopmenUPraiect Descnption
Tabla 1A Mechanical Code oTY PRICE AMT
Job Street Address 5uif , A) Permit Fee a -0-
Address /15 3
91dga city/Stale. zip 1.) Furnace to 100,000 BTU �. 6.00
including ducts&vents -�
Name oar name of business) -- 2) Fumacr; 100.000 BTU+ 750
Owner 5 _— ncluding ducts&vents
Mailing Address 3) Floor Furnace — 6.00
includin vent____
City/State Z p Phone 4.) Suspended neater,well heater
s.on
_ (a or floor mounted heatei ____
Name(or name of business) 5.) Vent not included in appliance permd 3.00
Occupant ng Address 5.) Boller of comp,heat pump,air cond 6.00
__ to 3 HP:absorb unit to 100K BUT'" _
Ciryl5late Zip Phnne 7.) Boller or comp,heat pump,air sand. 11 00
3-15 HP;absorb unit to 500K BTU"
Contractor Name ,/� B) Boiler or comp,heat pump,air Gond. 15.00
IZ4 ���� �!� 15-30 HP:absorb urrt.5-1 mil BTU**
Prior to permit M�'..Andress 9) Boiler or comp,heat pump,air cond. 22.50
Issuance,a copy 30-50 HP;adsorb unit 1-1.75mil BTU"
of all licenses cityistate 4 n Phone 10.) Boiler or comp,heat um
are required if (cl,q Ci fr P. pump,air cond. I 37 50
-_ 4. —___.___� � � >50 HP,absorb unit 1 75 mil BTU"_ _ _
expired in COT vregon r,�n n��r joie a e.p 11.) Air handling unit to 10,000 CFM � 4.50
database �V 4 ,
Architect Name 13.) Non-portable evaporate cooler 450 or Mailing Address _�� --�� 14.) Vent fan connected to a single duct pp —
Engineer CRY/State Zip Phone 15.) Ventilation system not included ir, 4 50
_ aupliance permit __ _
Describe work New Addition O Alteration O Repair O 16) Hood served by me:hanical exhaust 4 50
to be done Resid ntial O Non-residential O
Additional Dgscnption of work: l 17) Domestic incinerators 7 50 -
.�L�Yt77hef.:
Y3 �� 18) Commercial or industrial type — 3000
_ _ Incinerator
Existing u of ^-- t°; Repair units 4„50
building or property_..._
-- - 20.) Wood stove �P L� 4.50
Proposed use of 21 ) Clothes dryer,eft. lh1U 4.50
building or property
22.)
_
22.) Other units 450
Type of fuel-oil O natural g�LPG O electric,O 21.) Gas piping ane to four outlets —/ 2 00
I hereby acknowledge that I have
read this application,that the 24 1 More than 4-per outlets(each) r 50
information given is correct,that I am the owner or authorized agent of
the owner,that plans submitted are in compliance with Oregon State _ QTY SUBTOTAL
laws.
Signa tur, �rs
er/Agent Date •SUBTOTAL
5%SURCHARGECon .t eon Name —Phoi.+ PLAN REVIEW 25%OF SUBTOTAL
_ _ 3Go�-QJ S-3 s"6 — —— —TOT G^
I ec.n doe (rev 9 'M(nirrtumo
permit fee is 525+5%s,ircharge
Residential A/C requires site plan showing placem nit.