13465 SW BARNAM DRIVE-1 i
ca
cn
F
a)
ti
c
v
i
f I
13465 SW Barnum drive
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line- 639-4175 Business Line: 639-4171 MST ----- -
BUP
—DateRequested_ < _ AM PM BLD _ - —
Locatian Suite &-z nnEc
Contact Person ��� Ph . 46 —(c Lt PLPA
Contractor Ph SWR
BUILDING _ Tenant/Owner ELC
Retaining Wall ELR
Footing Access' - ---..----- __,.�
Foundation FPS
Ftg Drain —� SGN --- ----- --- --
Crawl Drain Inspection Notes: e, - -- --
Slab C�_ 0._� .�-r�.-�-r :- /M
Post Beam --- _------ --- _- - -- -6 SIT ----
V
Ext Sheath/Shear
Int Sheath/Shear s - - --
Framing �I :.r� �c�G.a� �7 /`12; e �1 -
Insulation
Drywall Nailing
Firewall ----------------_ ..__._--_ ------ -----..
Fire Sprinkler
Fire Alarm
Susp'd Ceiling - _... ---- ------ — - ---- ----
Roof
Misc: ---___
Final
PASS PART FAIL PLUMBING
Post
- �---- -- --
ost 8 Beam
Under Slab
Top Out
Water Service
Sanitary Sewsi -- - --
Rain Drains
Final -
P_ART FAIL
MECHANICAL,_) -
----
Rough In
Gas Line -
Smoke Dampers
F 1
ASS PART FAIL
ELECTRICAL — — -- --
Service
Rough In
UG/SIvb
Low Vo;fage
Fire Alarm _
Final
PASS PART FAIL _ y
SITE
Backfill/Grading --
Sanitary Sewer
Storm Dram [ ]Reinspection fee of$_ - -required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Sasin [ ]Please cal!for reinspection RE:
Fire Supply Line -- ( ,Unable to inspect no access
ADA
Approach/Sidewalk
Other Date C4 7 - `� Inspector 1�,�_ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
i
^� CITY OF TIGARD MECHANICAL-PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00278
13125 SW Hail Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 08/03/2001
SITE ADDRESS: 1346.5 SW BARNUM DR PARCEL: 2S 102CB-04100
SUBDIVISION: BARNUM PARK ZONING: R-4.5
W BLOCK: LOT: 01 12 JURISDICTION: 'rlr:
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT ::EATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORSHOODS:
_ FUEL TYPES — _ 0 - 3 HP: � DOMES. INCIN:
3 - 15 HP: COMMI_. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + Hp: WOODSTOVES:
FURN < 100K BTU: _ AIR HANDLING UNITS CLO DRYERS:
FURN >=100K BTU: <= 10000 cfm: --- OTHER UNITS: 1
> 10000 cfm: GAS OUTLETS:
Remarks: Installation of wood stove insert.
Owner: _ _ ^Y_FEES --
WINTER, LARRY D + SALLY M Type By Date Amount Raceii t
134655 SW BARNUM DR PRMT CTR 08/03/20( $72.50 2720010000
TIGARD, OR 9723
5PCT CTR 08/03/20( $5.80 272001000C
Phone: Total $78.30
Contractor:
LUDEMAN'S FIREPLACE + PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005-2129 REQUIRED INSPECTIONS
Woodstove Insp
Phone:646-6409 Fir. ,I Inspection
Reg #:LIC 51469
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Certer Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0080 You may obtain conies of these rules or direct questions o OUNC by
calling (503246-918
Issue By: ';� _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
Mechanical Permit Application
"' �-� 13aterecctvedM1. � (' ) Perndtao:� � �
City O 1�gardd'roject/eppl no_ Expire date.
CirvnJTigard Address: 13125 S`�� Hal Blvd.TI$itiCiftM23 Dare,s�ucd:_-- ~Y By: Rtxe?ptno.: III
Phone: (503) 639-41 '1 ---- — —
Fax: (503) 598-1900 Case file no. Payment type:
Lind use approval: _ 1,1„(ding p rmit no.:
U,
I 'I
& 2 family dwelling or accessory U C,)mmerciaUindustrial 0 Multi-family U"tenant improvement
Ca New construction A A.ddition/altcration/replal.emcnt U Other:
J011 SITE INFORMATION VALUATION SCHEDULE
Job address: 1 .;.Xi,,,it 1� `' Indicate equipment quantities in boxes below. Indicate the dollar
1_ .
Bldg.no.: Suite no.: value of all mechanical materials,equipment,labor,overheats,
Tax map/tax lot/account no.: % profit. Value$
Lot: Block: Subdivision: •See checklist for important application information and
I-rojec:t name: '� • ,,-/ > "i_ jurisdiction's fee schedule for residential permit tee.
City/county: e,-,/t,Q �L7.IP: }_3
Description and location of work on pr,rnises: e' !LLy F &v-CT1iWr1—j'1TFA oily
t
Est.date of cornpletion/inspectiow ?s' y _ De1!: m11s:"na . Res.00l Res.only
Tenant improvement or change of use: Air handling unit __ _—('FM
Is existing space heated or conditioned"U Yes Cl No Air con itioning st et( plan teq to red)
Is existing space insulated?U Yes U No Alteration of existing system
lKiltt cr comprnscrs
Business name:)_. PeMAr_I� Ft ELP_r �_NCE i� PAr10 State boiler permit no..
` `. __— HP Tons BTU/II w
Address: -1 S t e4(V 0rcid/h Rc0d Fire/smoke dampers/duct smoke detectors
City: 'eState: p-I ZIP:qJ00 fleat pump(site p an requt )
Phone: r3 ' Fax 5d yb E-mail: -- nate tepiace urnac umer
Including duntwork/vcnt liner U Yes O No
CCB no.: - _ 3 ns repaT a re ocate heaters-suspen
City/metrolic.no.: wall,or floor mounted _
Name(please ptiet): { SLC 1 H A� ens orapplianceof ter thin furnace
-rat
Absorption units � BTUIH _
Narr. /�il If1f(J Utillm. H"
Address: �' - - E Co ressors _ HP I
nme nta ex ust■ Tint t oa:
r ity: State: ZIP Appliance vent _ 1
Phone: Fax: TE-mail: erexTiausi �� �t
ype era. tae azmat
hood fire suppression system
Name: �J7/�t� �U �J c'/�_ Exhaust fan with single duct lbath fans)
Mailit:oaddress: �Exhaust system:,aromfiicati o AC _
Fuel piping and distr�itt os up to ou ets)
City: State: :)/-' ZIP: 7 3 Tvpe: IIri __ NO Oil
Phone: Fax: E-mail: uc tin eac>sti ition over 4 outlets
ilrocen piping(sc ematic require )
Number of outlets _
acne: ter I a eq pinesst:
d ss: Decurativefir lace
C : Sate: ZIP: neer-type %� �c� _ i O C
Usttail: -Woodstov pe�tstovc
er.
App tgrw,� _ Date: 7 30 U/ er.
Ge- — n
>7m7irrWard,
mt � �t-:.. � _ Permit fee.....................Notice:This permit application Minimum fee................$
expires if a permit is not obtained Plan review(at %) $Fipi 1•— within I g0 days after it has beenacceptedas complete. State surcharge(89b) ....$�hgwn o n,.r Ifs" ,em ane r.«: TOTAL .......................$s wanR..a,r...c nasal
dder a lt"Mre trt tr so ow 440-017(610dt'OM)
7 IMpKMu h wf1aY,,w t..r a0.c*08y.x"W lmYUaan '�haul
172 70 w;
1 Ad&b"01an n WWW by MWV" 610bv,.o/,M.aYN u 01Ma 1�
1%M0-+u11 Mur s72 5n ow I.ou
stat.Contnttor 8.1W c.roek.eee Mo,dr.d to,unld»roe a^.