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15495 SW ALDERBROOK DRIVE
CITYOF TIGARD
DEVELOPMENT SERVICES FILUMPINE-) PERMIT
,A—:2,IHM 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 r,ERMTT #. . . . . . . PLM07 01?,
r)nTr- ISSUED: 02/25/97
ITF ADDRESS. . . : 15495) SW ALDERDROnK DR
SlNKS. . . ' ' . . 0 URINALS. . . . . . . . . . . : 0 GREASE TRAPS. . , . . . . : 0
� LAyATORI[S. . . . . : 0 OTHEP FTXTURES. . . . : N
�
TUB/SHOWERS. . . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. . : 0 WATER LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . , . : 0
RemarkGAS WATFP HFPTER ( IN KIND REPLACFMENT)
SUMMERF1n'D
nwner: ---------------------------------'--------------- FEES
nOROTHY FRANZ FRANZ type amount by date recpt
549n SW ALDERPROOK DRIVE PRMT $ 25. 00 JMH 02/25/97 97-290837
5PCT 1 1 . 25 JMH 02/25/97 97'290837
'IGARD OR 97224
nne #: 63T 8291
�EURG17 MORLPN PLUMBING �
� FJORTI.,')ND OR 97206
'his permit is i!sued subject to the regulations contained in the Top—cii-it Insp
Igard Municipal Code, State of Ore. Specialty Codes and all other Fin,11 TnSfIer-1. i OTI
pplicabif laws, All wor� will be done in accordance with
,�proved plans. This permit will expire if woO is not st�vted
Ithin 180 days of issuance, or if wo6 is suspended far more
"on 18e days,
639-4175
�
�
i
CITY OF TIGARD Plumbing Application Recd By
13125 SW HALL BLVD. Commercial and Residential Cate Recd
TIGARD, OR 97223 Date to P E int
(503) 539-4171 I �� �j �� Date to DST
Permits 7-C J5 7
Print or Type Related SWR 4_,1 ylGi
Incomplete or illegible applications will not be accepted Called_
Name of CeveiopmenuProlect FIXTURES (Individual) QTY PRICE AMT
JOtJ / !?L41�Pn S nk — � - 900
Lavatory -
Address Street Address , Swte _ 900
C ( (��clerbra�k(7i, Tub or TubiShower Comp `- 9.00 I
Bldg a C,tyr5tate Zip Shower Cnly-- -_- J
A7� QRZ ���^ Water C1, el 9.G0
Name 9.00
Dishwasher
Owner Maduhq Address SuiteGabae Disposal I Tor
---
� l.,J tv �t� br, Nasrnnq Machine -+
CltyrState 9 u
Z)p Phone (f Floor Drain~ 2'_ 9.00
i%ar
Mame3' _ 9.00
Occupant Marrrip Address Su,te Wirer Heater _ °- 9.00
900
Laundry Room Tray 900
GtylSwis Zip Phone Ur,nal
_ 9.00
Name Other Fixtures(Specify) -
+ 9.00
900
Contractor �Zdlnd Addros� n � � Butte 900—�_�_ — 9.00 -
7TS
S ; r Ate ' w
CityrState Zip Phone -- 9.00
rGaftf LIX 1722 (-,a 3ol-�zc�l 9.00
Oregon Const.Cont.Board Lic_0 Exp.Date _ — 900
AffAtich Co"of 02-17 u) � i, -
1 4 1 _ 900
curnM Pturtlbl g i O Exp.Date Sewer- is it 100' ---- — ---
100J0 00
ltc.n..e b -1
Sewer-eacn addilior 1 100' - 25 UO i
COT Business Tax or Metro a Exp.Date
Water Servk-a- 1 st 100' 3000
e
� Water Service•facn additional 20u 2,500 -�
' Storm rain-tsl 100'
Architect _ '� � _ t Rain D_ _ 30.00 �
Nadi AaCress Storm d.Rain Crain-each additional 100'
or I n9 St.•e _ I 25 00 I
\ MobJe Home Spacer I 214 00 7
Engineer rC.ryrStat Zip Phl-arnI, Commeraal Back Flow Prevention Cewce or Anti- 25 00 T
Pollution uevtce
tio
Jasa>be+oorlt e+. O Addition O Alteran Reoau • Residential Backflow Prevention Cevice' 1500
"o be done. Reside ntial O Von-residential O �_. Any Trap dr Waste Not Connected to a Future 900
Addr61"desrnpt:on of*oil, _ —�
/ Catch Basin 900
Inso. of Exisurg Plumbing 70 00
Ams iiv _ onnhr
.x=song use of r Seeaaity Requested Inspections 4000
or propertY- __ oeuhr
-- -- Rain Crain. single family dwelling I 3000
Prvoosed use of Grease Traps I 9.00
Wilding or property_--
CUANTITY TOTAL
r�uprzm .t recuvea t Cuanrtv Tolal,s
e yc' apping , moving or reolaang any fixtures? Yes p No t] Isometric
ee or no >9
`(If yes sback o}form) 'SUBTOT..Al-
ArI hereby acxnowleage'hat I ha,.e read this application 'hat the;nforma6dn
given.s:3rrect, !that i am the owner or authorized agert of the owner and 5% SURCHARGE
that Gans submitted are n:omotlance with Ore_on State Laws.
Signature of OwnenAgent Data - PLAN REVIEW 25% OF SUBTOTAL I -
���- ��_ured mM i torture qty �cial s:_3 __.
�rt✓..�_- C L 2 5 l i TOTAL I
Zontsct Person Name Phone
✓. _Kl 'Minimum permit permit fee is S25• 5%surcharge except Residential Backflow
G2 l-7SP•evenuon Cevice.wnich is 5t5 .5"S surcharge
'dststplmapp.doc 8/96
1
P E,a$E COMP--,El-F. A$ APRR— P I T-ETO.PR_4J-E_CT:
Fixtures to be capped, moved or replaced Qty
Sink _
Lavatory
Tub or Tub/Shower Combination
Shower Only
Water Closet _
Dishwasher
Garbage Disposal _~ _
Washing Machine
Floor Drain _2"
3"
Water Heater _
Laundry Room Tray
_Urinal
Other Fixtures (Specify)
i
(COMMENTS REGARDING ABOVE:
CITYiTY O F T I G A R D -MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00139
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/8/02
PARCEL: 25111 DB-07600
SITE ADDRESS: 15495 SW A.1-DERBROOK DR
SUBDIVISION: SUMMERFIELD NO.7 ZONING: R-7
BLOCK: LOT: 370 .1UR13DICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP 000I.FRS-
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILERS/COMPRESS_O" _ HOODS:
FUEL TYPES _ - 0 - 3 HP: DOMES. INCIN:
I-PG 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
WOODS i OVES:
GAS PRESSURE: 50 + HP. CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <- 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace gas furnace with like kind
Owner: _ --_ _ ----- FEE$
CRUTCHFIEID, EDNITA BETTS Type By Date �Arnount Receipt
15495 SW ALDERBROOK DR PRM1 CTR 4/8/02 $72.50 272002000C
TIGARD, OR 97224 5PC'1" CTR 4/8/02 $5.80 272002000C
Phone:
Total $78.30
--
Contractor:
PERFECT CLIMATi-- INC
PO BOX 3176
GRESHAM, OR 97030 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:503-695-3203 Final Inspection
Reg #:LIC 118424
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will he done in accordance with approved
plans. This permit will expire if work is not starteJ within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling
tF,n'A)?ds-a1Ro ,
Issue\oy: ;� 0 i;4 -t .' `/ Permittee Signature: , 1 ��r__
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
041/05/2002 05:02 5034914849 PERFECT CLIMATE INC PAGE 01!01
Mechanical Pern it',A,pplication
City of Tigard Llerateceived: s G?- Permit
n0.-
-n
Cu trigard Address: 1312$SW Hall AF91MOfi"97''9-' Aoiccdrtppl.rto,: Eitpirv; ro:
Phone; (503)639-4171 Datoissued. b Rcaoiptno.: ,_
Fax: (503)598.1960 Case tale no.; ent type:
ym Yp :
Land use approval: But)dingpuni,ltno,:
1 &2 family dwei"119 , a.•cesyrry 0 Comttt4tcial/industrial O Multi-fam 13, J tenant itnproverrtent
U ew construction O Add].don/mlteratlon/rnptncement 0 Other:
lug
Job address:
_ , Indicate egCi)rvent qu u,tiocs m Fx�,�c,tv tow. Iudicare the dc,llac
Bid .no_; Suite value of all mechanica I matiryals,equipment,labor,overhead,
Tart snap/tax lodaccount no.; -" profit, Value$
Lot: Block: —FS bdivision: *See checklist for impprtant� application information and
Pro ect name: jurisdiction's roe schcuulc fbr residential permlt fee,
city/county: ZIP: ---- - -----_ ---- .
oil 3
Deacript n and location of work on premises__
Est.date of con ledon/ins aectipu: � - llivsuipl Inn Raw.tenl Res,only
Tenant improvement or chmge of usc: _ o
Is tsxistmg spare heated or conditioned?❑Yet Cl No Air handling unit CFM
10 misting space insulated?U Yes 0 NotcOn than ng(sale plan mqu r )
Alteration of existi�-n N�AC tystom -
� oar cempre6aorr —`
Business nand."�� Stitt.boiler Mn-dt no.:
Address, O . Oy HP T.ins BTU/H —
strso e amp uc•smo a oetccWill
i City: state: E-10 GVp�Urnp��� situ plan i'die
Phone: 1 � Fax: &mall: i numb 0plaare fumace/6 rnee `R-'CI —
CCB fro,: ♦,( e° y Zt.� - Including ductwork/vent liner Q Yes O No
----� lnsul ryrlaceheloca :eters-suspen
City/metro Iio_no.: �ptj� wail,or floor mounted
Name(please print): ,ant e o -to h-aRu ace-
+ Absorption units_ — BTU/H
NamL: \ Chillus Hp
Address: -- Cu ressura _ HP
I_
Cit - 'ovnmetrta exa one•rnt oat__Y' State: 2�': Apphancevcni
Phone: 4q, 4 Pay 1 E nod: - ----�—
rycr ex gust
I�uo3•-7'yve�i res to fie aunat
howl fire suppression syt tern _
Name: Exhaust fan with single a uct(bath fins)
tilniling address! Exhauatsyctern at�uti;;i,,i heat n otT�*— �"1
Cit : Statc: ILP: ,o p p ng as i"vitil a oa up to 4 outlets) --j
7yp< _I.PG ,, NO Oil
Phone: Fax: 'l.mali: Fue Bac a, ,Uors Over leauoilfall -
pipteg(schernat,c-mqu rod)
Name: Number of outlets
Addm-,&: rW- ice cr eqn mtm: -
Decoratrven tate
Cif _ 5t Zlp: naort-t� .•--- -^
Phone:
mall' peU
Applknnt's signatu �T tfe. th
Name (print);
Np,a lundtOku wr"M trod%,cards,plum pati,,uric6cdon fu marc infomw on permit fix. .,
O Vt,a a Murercud uo 10 Notice This permit application 141nimunt fee................$ ,S�
CrNh a"mom: J 4 � 1. 5�,0 2 l�M ._I i i n3 expires if a permit is not obtained elan review(at � qh) $ -
.p within 180 days after it has been
;tate surchar a 896 S 5 U
"on ucdlt cud U accepted as complete. S ( )... __.._
3 'TOTAL .....•.................$
AdWW
.,,u..a„t~c4t,
I .d WGa� NVEZ 1 i ooz-t0Z--9
■
CITY OF -TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION BL:siness Line: (503)639-4171 MST
BUP
Receivedr Date Re ested_— -�� -_ AM —PM ____ BLIP
Location . __ '�-Suite - MEC
Contact Person — Ph(—) — PLM
Contractor— Ph.('_—, ) �i r' SWR
BUILDING Tenant/Owner C�ly1�. re ,L �`� L
_ _ ELC
Footing (o �r `l ELC
Foundation
Ftg Drain c s� ELF!
Crawl Drain -- -
Slab InspeaktNotes: SIT
Post 3 Beam
Shear Anchors -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing ---- - -----
Firewall
Fire Sprinkler --- -- -----.-_.. --- --- ---
Fim Alarm
Susp'd Ceiling -_ -_ ------ --_---
Roof
Other: --
- ---
Final
PASS_ PART FAIL --- ___--_- -
PLUMBING
Post& Beam
Under Slab .�—
Rough-in
Water Service ------- _
Sanitary Sewer
Rain Drains --- --- —
Catch Basin/Manhole
Storm Drain - --- -
Shower Pan
Other: --- -
Final
PASS PART FAIL — -"
_MECHANICAL
Post&Beam i
Rough-In
Gas Line
Smoke Dampers
------ ---- —_ _
rF
FAIL -- -- --- --
ELECTRICAL
Service -------------- ---- -- ---
Rough-In -
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: —_ Unable to Inspect-no access
Fire Supply Line
ADA Date / !> `L-
Approach/Sidewalk inspwctor _ - . .- _ _- Ext
Other:
Final CIO NOT REMOVE this Inspection) record from the job site.
PASS PART FAIL