Case File 1
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158?5 SW ALDERBRCCK CIRCLEf
CITY OF TIGARD BUILDING INSPECTION. DIVISION MST
24-Hour Inspection Line: 639-4173 Business Line: 639-4171
q/ p BUP
Date Requested / Z,1�J AM PM _�_ _ BLD '---
Location _-
Contac; Person - P'. PLM - , "—
Contractor - h- Ph ��) - SWR
BUILDING Tenanunwner F.LC
Retaining Wall ELR —
Footing Access
Foundation FPS
Fig Drain SGN
Crawl Drain I,ispection Notes. - - -
Slab ---- -- ---- _-- -- ---- SIT —- --- —
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framiog
Insulatit ' G
Drywall Nailing fa/L'
Firewall
Fir--Sprinkler
Fire Alarr,,
Susp'd Ceiling _-- - —.-- ---- —
Roof
Final �—
PASS PART FAIL j ----
FLUMBING
Post& Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains —
Final
PASS PART FAI;_
HANG
Post& r2 am
Rough In
Srrg Dampers
S PART FAIL
I ELECTRICAL - - ___-- - - --- -------____---___---
Service
Rough In
UG/Slab __-
Low Voltage
Fire Alarm ------.-------._�—
Final
PASSPART FAIL _....-------_�__— __ ------------ --- ---__-- ------_______—�
SITE
Backfill/Grading --
Sanitary Sewer
Storm Drain ( ] Reinspection fee of$—---- required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Lire ( ] Please callfor reinsf a. ion RE:_—_ --. ( ]Unable to inspect-no access
ADA
Approach/SidewalkDate � �a
Other -�_ _�r Inspector _ _ Ext
Final
PASS PART FAIL_j DO NOT REMOVE this inspection record from the job site.
---
CITY OF TIGARD MECHANT(-PIL
PERMIT
i ��~~° «~"~��" "°"°~"° ° ~^~~" " = "~�°~-, PERMIT * . . - , . . ; ,/��ro-x'�' �
/3125SM/Hall!Blvd- Tigard,OR0722 (503)6394171 DATE ISSUED: 08/27/98
PARCEL: 2S111DC-02100
SITE ADDRESS. . . : 15825 GW ALDERBROOK CIR
SUBD [VISION. . . . : SUMMERFIELD NO. 8 ZONING: R-7
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :468 JURISDICTION: TIG
CLASS OF WORK. . :ALT FLOUR FURN. . . . : 0 E'vAP COOLERS: 0
� TYPE OF USE. . . . :CF UNIT HEATERS— : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W/O APPL: 0 VENT SYSTEMS: 1
� STORIES. . . . . . . . 0 BOILERS/COMPRESSORS HOODS. . . . . . . : N
| FUEL TYPES------------ 0-3 HP. . . . : 0 DOMES. }NC}N: 0
| :GAS 3-15 HP. . . ' : 0 COMML. INCIN: 0
|
MAX INPUT-. 0 BTU 15-30 �r^ ^ ^ ^ : 0 REPAIR UNITS: 0
|
| FIRE DAMPERS?. . 30-50 HP. . . . : N WOODSTOVrS. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRY[ 'S. . : m
NO. OF UNITS---------- AIR HANDLING UNlT6 OTHER UNITS. : t
FURN < 100K BTU: 0 (= 10000 cfm: Q GAS OUTLETS. : 1
FURN > =100K BTU: 0 > 10000 rfm: 0
Remarks : Turnep - installdvfireplacenmgaspipefrommter
Oo"ner: - ------------------------------------------------ FEES
MARIA TURNER TURNER type amount by date rpcpt
| 15825 SW ALDERBROOK CTR PRMT $ 25. 00 J9D 08/27/98 98-308643
� TlGARD OR 97Pp4 5PCT * 1' P5 JSD 08/27/98 98-308643
� Phone #: 624-7920
Contractor: -------------------~'--------
T K K MECHANICAL
TIMOTHY S WYNNE -----------------
11525 SW SW CANYON N 26. 25 TOTAL
BEAVERTON OR 97005
� Phone #: 626-4652
------- REQUIRED INSPECTIONS
This permit por it is issued subject to tho regulations contoinm6 in the Bes Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Hea� i-,y Unt I n s p
applicable laws. All work will be done in accordance with Final Int-per--tion
apcnovod plans. This permit will expire ,f work is not started
within 100 days of issuance, or if work is suspended for worp
than 180 days. ATTEN7lDN' 8reUno }ow requires you to follow rules
adopted by thp 0,oUon Utility motlfiLatlm Center. Those rules are
set forth in OAR 9521-1014010 through OQH 952-NI-M. You *ay
|
obtain copies of these ro|,* or direct questions to 0X by calling _
| -----------------'- ---�--
. (503)246-9187.
�
Coil 639-41. 75 by -7-00 p. M. foy- insper--tion3 needed the next bl-tsiness clay
CITY OF TIGARD Mechanical Permit Application Plan Checklr
PP Recd By
'463125 SW HALL BLVD. Commercial and Residential Date Recd_
TIGARD, OR 97223 Date to P.E..
(503) 639-4171, x304 Date to D 7
Print or Type Permit t7� i
_ Incomplete or illegible a mllications will not be accepted called
Name of Development/Proled Description
Table 1A Mechanical Code at Price Amt
A
Job Street Address SUReN
Permit Fee 10.00
,, 1) Furnace to 100,000 BTU
Address $ Z J<//Q' roo1C G 'rIncluding ducts&vents 5.00
Bldg# CltylStale zip- 2) Furnace 100,0(j0 BTU+
including ducts&vents 7.5(1
Name(or name of business) 3) Floor Furnace
Owner Wj^L
including vent 6.00
Mailing Address 4) Suspended heater,wall heater
_ _ or floor mo rated heater 6.00
`J $7 �j�-✓ �_�a ���� �'2 5) Vent not included in appliance permit
CMylSlale Zip Vhrinn3.00
11 0 !ZCHECK ALL 'Boiler Heat Air
Nema(or name of buslneas) THAT APPLY. or Pump Cond Qty Price Amt
_ Com
6)<3HP;absorb unit to
Occupant Mailing AddreW 100K BTU 6.00
7)3-15 HP;cbsorb unit
City/State Zip Phone 100k to 500k BTU _ 11.00
8)15-30 HP;absorb
Unit.5-1 i-til BTU _ _ 15.00
Contractor Name 9)30-50 HP;absorb
Te_C'WC_.# 'C mac_ _ unit 1-1.75 mil BTU __ 22.50
Prior to permit Maillog Address A 10)>50HP;absorb unit
issuance,a copy Zf� _ S L./ Tv. Hwsl3% >1.75 mil BTU 37.50 _
of all licenses CRylstate q Zip Ph a 11)Air handling unit to 10,000 CFM -�
are required If L C) U / / 7UC)K- 6 ty- 3 _ 4.50
expired in COT Oregon Const.Cont.Board Lic N Exp.Date 12)Air handling unit 10,000 CFM+
database tv 'I -e7 U 750
Architect Name 13)Non-portable evaporate cooler
4.50
Mailing Address 14)Vent fan connected to a single duct
Or 3.00
15)Ventilation system not included in ^
Engineer City/Stale zip Phone appliance permit I 4 50
16)Hood served by mechanical exhaust
Describe work to be done: 4.50_ _
17)Domestic incinerators
New O Repair O Replace with like kindYes O No O 7,5C
Residential- Commercial O 18)Commercial or industrial type incinerator
_ 30.00
Additional information or description of work. 19)Repair units
4.50
,/1 OVA / !Z q_ q C 4 /2ur7 _
20)Wood stove
21)Clothes drier,etc. - 4.50
_ 4.50
Type of fuel oil G natural gasX, LPG O electric O 22)Other units
Gu.) FQ 5 r,r2 e j ke 4.50
I hereby acknowledge that I have read this application,that the information 23)Gas piping one to four outlets
given is correct,that I am the owner or authorized agent of _ 2.00
the owner,that plans submitted are in compliance with Oregon State laws. 24)More than 4-per outlet(each)
_ .50
Signature of Owner/Agent Date z
Minimum Permit Fee$25.00 SUBTOTAL
� 7- `i b- 5%SURCHARGE /
Contact-Person Name Phone PIAN REVIEW 25%OF SUBTOTAL
_Required for ALL coinmerclal permits o AI �f(
TOTAL 7 k 7
'State Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of writ
I mechperm doc rev 07/20198