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15605 SW Alderbrook Circle
CITE' OF T I GA R D —+ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2001-00434
" 13125 S1':Hall Blvd.. Tigard, OR 97223 (503) 639-4,i ri DATE ISSUED: 11/29/01
SITE ADDr:ESS: 15605 SW ALDERBROOK CIR ! AF;r.;E i_: 2S111 DC-02900
SUBDIVISION: SJMMERFIELD lq0.8 ZONING- R-7
BLOCK: LOT: 476 JURISDIC'rION: TIG
CLASS OF WORK., ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE:: SF UNI" HEATERS: VENT FANS:
OCCUPANCY GRFI: R3 VENTS W/O AP11L: VENT SYSTEMS:
STORIES: BOILERL,t.;OMPRESSORSHOODS:
FUEL TY_P!:.S — 0 - 3 HP: DOMES. INCIN:
� s - 15 HP: COMML. INCIN:
MAX INPUT: B,rU 15 - 30 HP:
FIRE DAMPERS": 30 --50 H?: REPAIR UNITS:
GAS PRESSURE: 50 + lip: WOODSTOVES:
FURN < 100K BTi1: 1 _ AIR HANDLING UNITS CLO DRYERS
FURN >=100K BTI1- <- 10000 cfm: – OTHER JNITR:
> 10000 cfm: GAS OU[LETS:
Remarks: Install f-jrnace.
Owner: r.- ----_—. __ _ _ FEES -- ------�
BETTY HEINE Type By Date _ ~Amount Rece pt
15605 SW AL DEF BROOK -
�f'RMT CTR 11/29/01 $72.50 27?0010000
TIGARD, OR 97:24 5PCT CTR 11/29/01 $5.80 27200 it1MC
Phone:503-639.1578 v__ _Totall� $78.30
Contractor:
JACOBS HEATING +A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED INSP'E::TIONS
Mechanical Insp
Phone:503-234-7331 Heating Unt Insp
Reg#:LIC 1441 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of Ore.
Specialty Codes and all other zppli(—ble la' �s All work will be done in accordance with approved
plans. Th-s permit will expire if work is not started within 180 days of Issuance, or if work is :suspended
for more '.0an 180 days. AT FENTION: Oregon yaw requires you to follow IUles adopted in th,, Oregon
Utility No,! ication Center Those rules are set forth in OAR 952-001-0010 through OAR 952-G01-0080.
You may obtain.c;opies of these ales or direct questions to OUNC by calling (503)246-9189.
C
Issue By: 4, Permittee ,Signature: L7L.�C_i
Call (503) 639-4175 by 7:00 Ph1. for inspectinns needed the next business day
IVov--28-O 1 12 : 36P P . 03
MechaiticalfRfiWIAEan
—�� Datercccivcd; j L r Permitnn.: - �K.�3
f
� i
�iy .._ 7�lg,ard NAV � 8 �f)�l Tl� �ect/appl.no.: 5xpircdatc:
City alTi,.2rd Aef,l cess; 13125 c W Hall Blvd,Ti+ Pru
ant, j Z
Phunc: (303) 639-4171 CLTY __1 Due isxucd: Hy:(? Reccipt no
Fix: (50i) 198-1960 BUILDING DWMM C26C file no. Payment type: -
Land u$C approval; Buildini,venni(no.:
lmTITE OF PFRIVIIT
U!& 2 family dwelling;or accessory U CummcrciaUindustnal ❑Multi-farnily U Tenant impr.vemenl
Nrw construction ❑F,AAitiorVnllrraliunlrc.placcrncnl U Other:
Joh address: Indicate equipment quantities in Oozes below, Indicate the doll;u
Bldg.no.: Fuite no.: ^ _ — v 11un of all mechanical Inalctials,equipment, labor,oierhead.
Tax malVtax lot/account no.: --- prolit. Yawe$
Lot: _ Block: Subdivisinn. •See checklist for important application Information a,d
Project name. juris'iction's fee schedule for residential permir fee
City/county: ,,„J I Z['•�lr _ _ t t r g
Draciiptio nd location of work nn premises: CC
F.qL date of complction/insWtion: De"ption o(y. Rea.F.
T n
onttly R,'�..ig(yl
Tenant improvement ur change of use;
Is existing space heated or conditloned?U Yes D No Airhandling unit _ CRI
Is existing space insulated'?O Yes Cl No Air cor iuuning Rue p an requ rcd) ..
tPralion ofexistingTlVAAC system
of cr compressors -
flusiness nano: Ck < ho State boiler permit no.
RP Togs EITUAf
Addross: �. .r '¢— r tsmo c aokedewctors
City: ZIP tfaat um (site ian reywrr - --"
PhonC' Fax I-Itiai,: lnsla rep ace o rac urncr__HT1
Cr'II no.: Including ductwork/vent liner U Yes D No
City/tn „,r lic.no.: ---- _.__ wall,or cctcrs-suslicn c , ---
Name( lacepont): t �, vim, em ora liancc other than furnace
ltefl igera ,n:
Ahcnrptiorunits__ OTIi/II
Name r Chillers- HP
Address: Com,��+_t_eV. lip
1 virrortaueatal exLauai an tent l nni
City: �-_ � State:_ I ZIP; Appliance vent
Phone: lax: �-mail: 'yeti r�iaust
Ro`fds�f yp TTires, tc eMr.F;riat
hood fire supnression system
Namr: _ _ Rithaust fan with single duct(bath fine)
Mailing address: a p ,, iaust s stem n from hes'ni j_o_r�. .
--- - it
City: '' Stat 7.tP tic pipi
ng an Rt u a(uF to aulleh)
-- - —- Type - --,-LPG No _ UII
I'hon far. N.-mail: act , to.each additional over out eta
rocesxpipiag(sctentattcrequrrc )
Name. Numberof outlets
——- - - 1 ter IW*d appliance or equipment t --
Alh11Ca87 DecorattYC flreplac;r.
City: 7.IP: nsert-rype
Phone; ----- 1 dY E-mail: Wtov pe.ccT'Ttstove— -
Applh:anCs Sig a u Da
Narnr (mint)_ __,
Ja—
Permi(
..
Nat all turd lk',imt ercga creJH earth.rievn cnir jtui"r*w rw�t infarmattan. fee.....................s
Wear O M rCard Notice 7%k permit application Minimum fee........ .......$ --
Crrdn cudaurnher expires;.f a permit i�nobtained ut obtd
ar Plan review(at _fit,) 5
Within 490 days after it hu.been
Cit
'( State Surcharge(IM)
14tL p( ,O ►,—�u+f wn.m CRdn fr`d accepted as conitilcte. R 1' "
(- (� otuer n uTmi —�,�trN 449+a.,,, .. .,
CITY OF TIGARD BUILDING INSPECTION ')IVISION MF;T
24-Hour Inspection Line: 619-4175 Business Line: 639-4171 --- -- -`
BUP
Da Requested__ ? / ,_ AM_ PM BLD
Licatlor.—�y�-� �� � � �!_`A.e'-6-_& Suite -- — 'ME`' 6.42+
Contact Person —_ Ph PLPrt —
Contractor Ph __ SWR —
BUILDING Tenant/Owner _ ,Y 7 ELC —
Retaining Wali c — _ ELR ..--
Footing Access: FPS
Foundation -_--.--_---_ --
Fog Drain SGN
Crawl Drain Inspection Notes. —----- --
S161, S17
Post Beam ------'--
Ext Sheath/Shear
Int Sheath/Shear
Framing
Irsulation
Drywaii Nailing
Firewall _--_-
Fire Sprink ar
Fire Alarm
Susp'dCeiling
Roo`
Misc: -- -- -- ------ -- -
Final _-----
PASS PART FAIL.
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final - -
PASS T FAIL
Pest&Beam
Rough In
Gas Line -- ------- -- ---- -- -- - - -- - - .
Smoke Dampers
incl - -- -- -- - ---r -.----_ -_
ASS PART FAIL
fttwaTRICAL
Service ^� ------�-_- ----- ---_- _._ _ - - --___--
Rough In
UG/Stab ---
Low Voltage
Fire Alarm
Final -- -- ---- - - -.- -_- ----- - ----
Final
PASS PART FAIL
SITE
Backfill/Grading .-_--
Sanitary Sewer
Sto in Drain [ ) Reinspection fee of$- required before next inspection Pay at City Hall, 13125 SW Hall Blvd
Cal,h Basin
Fire Supply Line ( )Please call for reinspection RE _ [ j Unable to inspect no access
ADA - � -
Approach/Sidewalk pate V/ e'l InspectorExt
Otherr'ZfS ____ _
Final
PASS PART FAIL DO NOT REMOVE this inspection+ record from the lob site.