13065 SW CARMEL STREET J
13065 SW Carmel Street
' s
LUMBIiJG PERMIT
CITY OF TIGAR.D PLUMBI
DEVELOPMENT SERVICES PERMIT#: PLM?.002-00481
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/12/02
SITE ADDRESS: 13065 SW CARMEL S'r PARCEL: 2S116AD-21300
SUBDIVISION: KING CITY NO. 19 ZONING:
BLOCK: 25 LOT: 014 JURISDICTION: KIN
CLAS: OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WATER HEATERS: 1 CATCH BASINS:
_
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN. ft
Remarks: Water heater replacement.
FEES
Owner: — -
- -- Description Date Amount
LANA SAWYER -"--
13065 SW CARMEL (PLUMB) Permit I-ee 12/12/02 $72.50
KING CITY, OR 97224 (TAXI R";,State Tax 12/12/02 $5.80
Total $78.30
"'hone :
Contractor:
COMFORT MFCHANICAL
17936 SE DIVISION
PORTLAND, OR 97236 REQUIRED INSPECTIONS
Phone : 503-761-1500 Top-out Insp
Final Inspection
Reg#: LIC 79558
PLNI 26-55OP14
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. Thi-, permit will expire if work is not started within 180 Clays of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires YOU to follow rules adopted by the Oregon
Iss4d By: 1 ;+�g( ( f _ Permittee Signature: ,_
Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day
12/09/2002 12:18 5036393771 CITY OF KING CITY PAGE 02
•.r ver•wv� ♦v.ww •VJVJJJr l i 4/I r U1' r,11VU 411 Y r-H!lt 04
TRI-COUNTY
SfeVI�E(7 Plumbj Perna t Ap; katian
'
5 Riau received: Permlr no.: /
u� Kind City -�' ----
I 1115 SW Hall Dlvd � S Sewer permit rro.: Buildins pemlt tm.:
rigruYt,UK 47123 ' e f'� PmlrxVappl.no Ercpire date:
Clack= phone; (503)6.1q 4171,FAX.' ( 6 7Z9 �'N t -
Multnorn , D cs Irtued: BY Realyt no..
Washington "`— --�"'� '��Jl -
Land use approval: . — _ L� _ l'tse file no:: _ Payment type'
C A V M ♦ l e l �
An rj
1&2 fiitNly dwetlllns or aecaeaory _ aiaLindustna► ❑Multi•femlly U'renanr impn,vemnra.
D New eons4w1on Q Aridifirm/tlteranon/replacement ;;J FcMd service U Other;
Job address: !�� � it,�� A_ tion _ _ Cyt . Fee, m� Total
Hldg, no.: Suite no.: New I•and z-family dwe 'in Dido
»– - -- (IsrJwte►trio it roe each etwelf amnae-M)
Tax nu hax lodaccount no.: SFR(1,)hath
L"; nlock: JiUbtllyt S
Protect name: _3FR QYWW - -- - -
'City/aatmty: 'I' ' �^vt4 M.° a c - _ h additicetal bat i/c�ltt:t
Nvuipooc UW lociaAl&n of work an nreM Site utttitles:
Caicb Meinlar+ea brain
Est.date of corn leboMns #on elta/laeh LrneJnrnc n
Fexrtirtg drain(tTa.Un.�)��
�► -VIanufactumd hee utilities M
Rumneas name: _ –'
_ ttntroletr
Address' e'V ndiaen connector -
City: r)10 Z[P: sauitwy sewer(rto.lin.ft ^ —
Phoue_3-t, PI-C,71 If -mil: Statmxwer no. tt) _
star wrvice(rro.lin. —�
CON no.: '� Plumb-bus.rle .ao: 1 �.�..
Clty/mAtm lic,no.: pUG U "t Finure or Item:
Contractor's ra tive si nXIMM Gam .y� - Absor�doa valve 4. -
Print berme: �, Dam: � gack flow pmvtnter
'Y r Backwater valve
-
Natne: ahwashClothes washer
Addnas:
iar
_ -- - _ . ...—
WMnil
CI _ State: ZIP eeto_rs/su�m _n s --
Phone Pax: rnail: E>< nc�ttt*
txtttiuonwererete � -_ --
I�Se�me dreins/floor si Ci15W
Aiming address, -- b�posai - -
City. State. 171V —
cam ar
Photic: Fax:
I<i-mail torte or/ twee"F
Owner/nsrnLkuionhrsldewrid eeaintemwee orgy: -nut Mcn al tttaw llatien Prime
WW be made by me en the mainarmwts and repair made by my iegulsi Roof&iln(cotmrne:teiel) __–
employee on the property I own as per URS Chapter 447 itTkN),bnstn(f). av s)
Omwr's ii nature.: Date: um
-- T�Ws ewex/shotwer pen _^_
Nerne: rin4l
Address- —-- star cl wit
ss
_s___ Water heater
City' _ 3tatc: 2.ir Other;
phone. Fax: E-mail
Vn1■mount an elrra r rd.,pin■r r■I11nriMicdOe Mr mise IrrMMllne. Narlict: r/ItJ ptrwrtt erMlptteaM�ew Minimum AW . ............. f �
a via Q Mastercard erpWo 11 permit it plot obtA*dd Plan Mview(at 96) S
State seuc V"e(8%) ... S
bwarr with 1A /do deyt 4fter it ho Ieerr O
Ivey of crd n r as sw4 eMh It ems'._
ererpird as remptsm Tl7Cll.L. ................ ..
c■rThOI Mni inure AMMAI 4111N1a1trteMt10M1
it
�,A CITY O F T I GA R D MECHANICAL PERMIT
I)EVELOPIMENT SERVICES PERMIT#: MEC2002-00562
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/12/02
PARCEL: 2S116AD-21800
SITE ADDRESS: 13065 SW CARMEL ST
SUBDIVISION: KING CITY NO. 19 ZONING:
BLOCK: 25 LOT': 1.114 JURISDICTION: KIN
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS'
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS:
S TORIES: BOILERSICO_MPRESSOR_S _ HOODS:
FUEL TYPES _ 0 - 3 HP: DOMES. INCIN:
Lf�G 3 - 15 HP: COMML INCIN:
MAX INPUT: BTU 15 -30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP:
OD
GAS PRESSURE: 50 + HP: CD :
YER
FURN < 100K BTIJ: 1 AIR HANDLING UNITS (.LO DRYERS'
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Furnace conversion and gas piping.
Owner: FEES
LAr4A SAWYER Description Date Amount
13065 SW CARMEL
KING CITY, OR 97224 Ih11a'll) Permit Ice 12/12/02 $72.50
�TAX1 H° StatcTax 12/12/02 $5.80
Phone: Total $78.30
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET
PORTLAND, OR 97236 _ REQUIRED INSPECTIONS
Phone: 761-1500 Gas Line Insp
Heating Unt Insp
Reg #: 1-10 79558 Final Inspection
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 be done in accordance with approved plans. This permit will expire if work is
not started 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 952-001-00
Issued Byt
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
12/09/2002 12:18 5036393771 CITY OF KING CITY PAGE 03
rRirounlry
---- WA,+ 6rnAwa t.t I r PAGE U?
iRVIaaNTFR _Mechanical Fermi
�It Of -,. - - Dile mceivetS tsCRTtIt no � ('� r
K�s>Ig City ----- a
` - 13125 SW Ball Blvd. �E� �� n Project/appl no, Eapite dale:
Llackarn�s regard. OR 97223 C ' ' 20u2 Pale issued: 1 �_- a ---r--ecelpt na.:
Multnomah phone; (503)639-4171, FAX:(503)W:V29F EIGARD Cane fila rIo„ Psrm_en—e type:
,la.0ilu;ton V3UILDING DIVISION .-.—_
o i, + e : Land use approval; Building permit no.:
1
2 family dwelling or acccss.try J Ct,mmeft:ial/indumnal J Mu11i family 17 Tenant improvement
�New uotretruatian U hAdltioNNtersuoNtYpl;ecement CJ Ihltec I
lob address: ly(p Lam-
ir'\C.{ lndirete evluiptnrtet gtUrd"As tri boxr's below, Indreale the iolLu
31d no. Suite no.: value of all medlxrueW msletisl r. rgmrm.cnL lalx,r.overhecd.
fat fl W MX lot/account no.: — profit. Value S
_MC Bloel. Subdivifi0n.' "See checklist for important anpolcafton InforniLM0n and
er0 act(tate: Jdrirdictlon's/6e xchedule for re ritleruwl prrnllt fi+r.
5esedpdon and IQcs ort of work on premises:l - t
10—k
�tiate of cam feoonlirut _ p�rte.) Tor,tl �
p_ tion:
Rte.n Ret only
cnnnr improvement or change of uw: HVAC.:
Is cutting Apace heated or conditionel"O Yes Q No Air handlin troll _ M-1
L%Exiatin Air con tjOrlui (site pp-en requir,ij -
t3 pees irtstti+tfedT l.1 Yes Cl i to A tention of existirip HVAC sysoern.
of!r/Camprcasen —` -
usinm DUN: State boiler pettrtir no,:
ddrcas: _ _
To BTUM
— • - -- tl� ire/unake dun duet smo a euioson
dr,", _ Stats: zll�' ` emit um s re pin require —
hone: I-/ Fax; �_m�i. soli/rep ace MAMburner Jill
CB red.. �e}S -- Iecludin ductworkNant finer C9f. U Na -
Ity/metro tic no.: - —_ ewIVrcplac ti acate hesten -elr1prnded,
_ D O 2_ r� wail,or floor mounted
ame(please print): ,{ _ enc or spp Imct otherthan uuca --
R4lieriNoa;
Ahmrprion units _f3TIPH
AMC: -� Chillers -HP
ddrm; ^.�_ - compressors .. maao - 11111 --
- --- sNreamcntal exhaust sad vest t
_H__
ZlT" A Ilanre vont
lone: f ItL' E mall: yet ex awl —�—
Hoods.Type res. tehen/hannstt �`--
ime,
hood fUr.suppmssion sytu ir" _
Exhaust fwith single duct�lams) 1- t
allin a esst + s gust s stem art rvm adln or lz
;tn e.. 7Tr T me plplog as (up to er etre
-- _, ._--- -- - T - r-_LPG No
onf: Fax 1 F-rrywil us i in each a d trona owr utlxt
octad p pend f-��mar requ
love: Number of outlet _
Other e or ega7peet4at _
Idress: Ncaratiw:fiteplsat
y, State. ZIP:
cove: - Fax: E-m iL trava�(' nava —�'
pheant's signature. Date:
me(print)-
'11
print).{I lutlWlelrttes e.•eev ne/p eerds.place exllotwictloe ter eyN 100MMtiee.� - - Pormit fee.................
....-S
w 7 61411n1'r-ed Nortemi. Thu pet-milt&pphl.adore Minimum fee ................5
and•umber &*JP"-'fNi perqut ii net 01114010d Plan review(at 96) ri
pimp riAhintrpt Ida do lote.er it hat Irrin State sumbarge
KaMc-7�e1 er p,�" tAvWe�+e`"Tca�T—' steepled as rotnp/ete.
-- s TUTAL ................... ...
wn' 'elA6:aapalure ••�._ Anwuet
" '� tJpJa 1 s 1eAtLCOM i
j,
CITY OF TIG,AIRD 24-Hour
BUILDING Inspection Line: (503) 639-4175
MST
INSPECTION DIVISION Business Line: (503) 639-4171 BUP
Received �7 Date Reques d l� �/
AM PM ___ €3UP
r _ � Suite
Location — __— __..___._ MEC
"7
Contact Person _ —__ - __._ _-___ Ph( ) _.___7��1 _d C7 PLM
Contractor_ __ Ph(--) _
SWR
BUILDING Tenant/Owner —_—___ __ ELC
Footing ELC -- -_ .--
Foundation Access:
Ftg Drain ELR -_--
Crawl Drain
Slab I Inspection Notes: SST
Post&Beam ------ ----- - - ---
Shear Anchors
Ext Sheath/Shear -
Int Sheath/Shear
Framing ---- - - - -- --
Insulation
Drywall Nailing —
Fi-wall
Fire Sprinkler - �`+�"
Fire Alarm
Susp'd Ceiling -- - --
Roof
Other. --- - -- -- _—
F;nal
PASS_ PART FAIL
PLUMBING
Post&Beam
Under Slab -
Rough-In
Water Service -
Sanitary Sewer
Rain Drains
Catch Basii,/Manhole
Storm Drain
Shower Pan
Other:
Final
PASS _PART FAIL
MECHANICAL -.-._-- ----- -- --
Post& Beam
��R >
mpers - -
Fi _
P PART FAIL - —
.LECTRIC_A_L ___ _
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
Approach/Sidewalk 1 Inspector _, � ------- -
Other: -- ------ -
Final DID NOT REMOVE this Inspection record from the!ob site.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST _
BUP
Received _ __ -Date Requested-_ 2 �'L _ AM PM BUP -_- —
Location (a 5' �r SuiteA�lj ____ MEC
Contact Person —_ _ "�'�-'► Ph( _—) �<t!- ,Sao PLM .Z J6:1 q91 _
Contractor_— __ Ph( ) _ _ SWR
BUILDING Tenant/Owner _-_ ELC
Footing --
Foundation ELC
Access:
Ftg Drain a'g" AL
ELR
Crawl Drain '
Slab Inspection Notes: SIT _
Post&Beam
Shear Anchors ----
Ext Sheath/Shear
Int Sheath/Shear --
Framing ---- ---- ---- -.._- --
Insulation
Drywall Nailing --- - --------------
Firewall
Fire Sprinkler - - --- - - --------- ---
Fire Alarm
Susp'd Ceiling --- - ------ -- - -------- ----
Roof
Other: ---
Final Y-
PASS PART FAIL
PLUMBING
Post 8 Beam ------ -- - -�- - —
Under Slab
Rough-In
Water Service ------- ------ -----
Sanitary Sewer
Rain Drains - ---- -- ----- -
Catch Basin/Manhole
Storm Drain --------_._. - -__-- -.- --
Shower Pen
Other: - --- ----
PA PART _FAIL ------- - - - - -- --__ -- --- --------- ---
_ CHANICAL
Post&Beam
Rough-In ---- -- --- - --- ------ --. -
Gas Line
Smoke Dampers --_ ------ --- ---------
Final
PASS PART FAIL - - --- _... -.---- -- ------- -------
ELECTRICA_L -
Service ---- --- --- --- .- -..-_--____-
Rough-In
UG/Slab
Low Voltage --_-._-
Fire Alarm
Final Reinspection fee of$ - required before next ins
PASS PART FAIL
L� - - 4 Inspection. Pay at City Heil, 13125 3W Hall Blvd.
SITE ( ] Please call for reinspection RE:_--.-- - [i Unable to inspect-no access
Fire Supply Line
ADA
v� ZZ
Approach/Sidewalk Data 1 lespeelOr M �
Other: It
Final ---- ------ - DO NOT I AMM lhle Inspeadon reeerd hem the job o t 6
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503) 639-4171 MST
BLIP
Received —_ Date Reque ted AM—.. _ PR1 BUP _-
Location Suite _ 0EC 2
Contact Person —_ ( J -- _-- Ph(-- ) �"(oL�S"Di'� PLM
Contractor _ Ph( - _—_) _ SWR
BUILDING Tenant/Owner ELC _
Footing
Foundation ELC
Ftg Drain Access:
L ��6) u ,`'�� ELF!
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors - -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof /
Other:
Final
PASS PART FAIL — —
PLUMBING - '' �p
Post&Beam
Under Slab -
Rough-In
Water Service
Sanitary Sewer
Rain Drains
CF1tch Basin/Manhole
Storm Drain -- — - _
Shower Pan
Other: --
Final
PASS PART FAIL -
MECHANICAL^�—
Post& Beam
Rough-In L..-._ -
Gas Line
Smoke Dampers
A ART_ FAIL -- — —---- --EEECTRICAL
Servico -
Rough-In
UC/Slab — - --
Low Voltage
Fire Alarm
Final FI Reinspection fee of$__.___ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL_
SITE _ F� Please call for reinspection RE: _ ❑ Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector
Other: _Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL