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13648 SW Feiring Lane
CITY OF TIGARD
MECHANICAL PERMIT
DEVELOPMENT SUIVICES PERMIT#: ME02002 00553
/02
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/1
PARCEL: ?S 133C3CD-057Uf1
SITE ADDRESS: 13648 SW FEIRING LN
SUBDIVISION: COTSWAI_D MEADOWS ZONING: R-25
BLOCK: L.OT: 055 JURISDICTION: TIG
CLASS OF WORK.: ALT FLOOR FURN: EV:.r COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/0 APPL: VEN'r SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
_ FUEL TYPES — 0 3 HP DOMES. INCIN:
LPG] 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: REPAIR S:
OVES:
GAS PRESSURE: 50 + Hp: COD
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfrn: v
> 10000 cfrn:
GAS OUTLETS:
Remarks: Replace gas furnace.
Owner: � FEES
WALKER, GAEA J Description Date — Amount
13648 SW FEIRING LN �`—
TIGARD, OR 97223 1ME011I Permit Fee 12116/02 $72.50
ITAXI 8 Slat,-Tax 12/16/02 $5.80
-�,
Phone: Total $78.30
-- —— -- -
Contractor:
ROBBEN + SONS HEATING
2214 bE 8TH AVE
PORTLAND, OR 97214 _—! REQUIRED INSPECTIONS_____
Phone: 233-5841 Heating Unt Incl,
Final Inspection
Reg#: LIC 1884
This permit is issued subject io the regulations container] in the Tigard Municipal Code. State of Ore
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not Farted within 180 days of issuance. or if work IS Suspended
for more than 180 days. ATTENTION Orr-yon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA's
-0100 You may obtain copies of these rules or direct questions to CUNC by calling
(5x;3)246-669`
Issued By: � � , . / , Permittee Signature:
Cail (503) 639-4175 by 7:00 P M. fur inspections needed the next business day
FROM :ROAESN&SONS FAX NO. 5032388849 Dec. 05 2002 12:29PM P1
Mechanical Pero-Y_it.Application
(� t7+tenrce)ve i,
rfnil nu.:/)lam,
City of Tigard V I v E D Ftuject/appi,mo,: &pirc d rte•
Citye!ffih rrd Address: 1312:5 SW Hall Blvd,Mgard,OR 97223 --
Phone: (503) 639-4171 Dateinsucd: � By: V Receipt no
Pax: (503) 598-1960 Oft U ) 1002 rAa.gar no.:
Payment type:
Land use approval: CITY OF TIGARp Buildingpennit no.:
1 8r:7.family dwelling or acceii8ory U C0mmerciaUin4+ nt itd O mull]-fatttily O Tenant improvcrnen!�
New constmuion O Addition/altemuon/tepinc,rent U Other.
Job addreos: L&Lm J1 ' E,j r 1PIndicate equipment quantities in boxes ttelow. Indicate talc d,;Nur
Bldg.no.:_ Suite no.: value of all mechanical materials,equipment,lat,ur,over liesK,
Tax Ina tax lot/account no.: _ profit.Value$
Lot: Block; Subdivision: *See checklist for important application information and
Tax
name: U� jurisdiction's feo schedule for resid mtial permit fee.
City/coun N ZIP: _,.
Rijn
Descriptio and location o work an premises: AWIL41110 191111til Evil FJ 101 1M 1
Set date of completionrnapeection: - fkw�rtion /�lv Rog Rrs.onl
Tenant improvement or change of use! - X7� _-Pe - --
Ie existing space heated or conditioned?{ Yes U NoLpM -
Is ealadng apaoe insulaird?,W Yos U No a conditioning site on r. urr
Astern'ono cxinung s stem --
u Tcrkotnnressors ---
susineaa name.-- c State boiler permit no.:
IL Addt,z^9: _ Tons BTU/tt
trRvu—(8-110-45n
u cr Arnpers!can mo a etcctors
Ci State: k ZIP: rct�umphvttc aTn--cqu ro
Phone; r3�" Fax: $ma!!: Tn»sT(IrrryTnce urnsc urner
CCB IIO,: Including ductwork/vent linor O Yes q No
City/Aletfo tic,no.: r� - inirtnTTD►cp7nre i7c ocate ewers--suspen ,
_ wall.ar floor rnountul
Name( ease print): ,f , ear cit=snpiinricc ntier�t ion it a�ace-
e gent nn.
•^. } Absurptlnn units p�M
Name: � ' -r IP �rF i(�f7 Chillers- _,--
Addre_sa: ` '� �� tbm rs NP
HP
City: e _ state: LII'; aaat tuts . to er
A lianeevent
Pax R-mail er oust "
s, ype re,i. Ic c szmat'-
Narne: hood fire uuppnasion system
-- -- ---- ExhAmt fan with ningle duct(t,th fans)
Mailing adJteas: — Ii.tTut-'c Ati In aper- -
-- eoeTnit or-�°
City — I Slntc: ZIP: - 'Oe piping an int,n Mil cn out ets
NO 011
uel T-m cAch W�{it—i,—n—ni+n—ver ,iTcts
piping -`
roc- pip , r.nlAfl 11('ft(�ulret
Name. Number of outlrtA
OfWl�stedsp`plfinceoregMh►tnenf:
-- -- 1]ccarstivefireplace
State: ZIP: riaert=ty - -
� --
mail: 0901110yarpelletstove
Applicant's aignnhm&_: '(Q v r
/'Zr '.� Date: ✓(J
Name - -
+ee q,trnitAlcAem Rr re lac earth,fdnre ruIT—t�dktlnr nv waft hRomnwm Permit fee.....................S -
u Vine U MnrteK srrt Notice:niq permit application -"---
expires If a permat Is not obtained Minimum fee..............•
r-rodu N,tt"rAerw.: _. ."- - _ - - ,sL Plnn inview(nt 7F,)
c�oiridc.,TiA n An e a Zthin 180 drys After it has been
ace,eptednoomplete, State nutrhnrQc(R91)... S
TOT ,
140.4617(&mWWM)
CI VY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)F39-4175 MST
INSPECTION DIVISION Business tine: (533)S39-4171
77 BUP —
Received Date Requested�a `—AM PM.-- BUP
Location _1 1!0 41�gi irI a w Suite 00
Contact Person __ — Ph PLM
Contractor—_— — Ph(—__ ) SWR
BUILDING Tenant/Owner _ _ ELC __-
Footing - ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchor,
Ext Sheath/Shear
Int Sheath/Shea,-
Framing
heath/Shea,Framing
Insulation
Drywall Nailing ---- __-
Firewall
Fire Sprinkler ----- - ----
Fire 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 FAIL ------ ----- - - _ - --- - -----
CHANICAL ---- ---- -- - -- -—
o UM T---
Rough-In - -- ----- ------- --
Gas Line
Smoke Dampers ___. --------
PART FAIL -- ---- - - - ---
E _ R_ICAL-
Service ___------- - ------ ---- ----- ---- - ---
Rough-In - --- — - --- -------- - _—.
UG/Slab
Low Voltage ------T-__-- —_-- ---- __
Fire Alarm
Final Reinspection for of$__-`_-required before next Inspection. Pay at City Hall, 13125 SW Hail Blvd.
PASS PART FAIL
SI-T_ _ -- Please call for reinspection RE: _—_ __—_-_._ Unable to Inspect-no access
Fire Supply Line
ADA �„
Data_�� / _� /d Inspector _ Ext
Approach/Sidewalk ---- - -
Other
Final -- DO NOT REMOVE this Inspection record from the Job site,
PASS PART FAIL
a
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-1175
Type c f Inspo"icin '4�',aj
Date Requested Time A.M.
Address
P3rmit
Owner
Lot
Builder
The following Building Corle deficiencies are reqiAired to be corrected:
Presented to XApprov@17
Disapproved
Inspector
Date
CALL FOR REINSPECTION;
YES JW No
INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone.639-4175
Type of Inspection ------_—=r� ---
Date R,,quester: TimeA.M._6!="=P.M.
Addre%s _ � ZS� `� —.. Permit
1 �.l
Owner �� 1 — —-- Lot ---
guilderThe following Building Code deficiencies are required to be corrected:
i
C.
kL l ✓t ;7t; T Pa L c —f `/��T L-0I`Z.J4A �.--
Z:7 yr'/i1//N,1
91
-
Presented to _. _ __ r Approved
Inspector Disapproved
Data �j_=LJX —
CALL FOR REINSPECTION'
YES ❑ NO
INSPECTION NOTI X
City of Tigard Building DepartmFnt
12420 S.W. Main St.
Tigard,Oregon 97223
Phone: 639-4171
)'ype of Inspection - E .� ��(_/✓�_����d/v
Date requested-_ �'� Time_— A.M. P.M.
Address if'i r✓ �/✓ "'�U 1 S rsCP/-
J _ ermit
Owner—— �! C"O.�✓���'L�i��/ /'lJ
��__ Lot #
Builder
The following Bu'!ding Code deficiencies are required to be corrected:
Presented to
C'I Approved
Inspector
❑ Disapprerred
Do
to
CALL FOR REINSPECTION
YES L-1 NU
oto
CITY OF TIGARD Plulmhing Permit
ulldinp Department No. 4/Z
l ial ❑ Commercialf.
❑
New Installation [J Replace El Addition El Alteration [] Date 12" .29
Licensed
Riumbet' * '� _ Owner �' Cb-►U�,
Address _�'� � t r Job Addle 1�1,�j `�L�I u� �.►y
Applicant _ 144 -_----__--
�: CITY Bi ISINESS LICEN iE REQUIRED FOR ALL CONTRACTORS AND SUB CONTRACTORS
ITEM NO. FEE TOTAL ITEM NO. FEE TOTAL
_.— ------- - ` ----
es-Trape _-_ Y�( ' 7.50 % }z Sewer.First 100 ft. -- — — :' 3000
Obhwaeher 7.50 Each Addit.100 ft.
Garbage Disposal _ J 7.50 _ a Z Ejector Pump v - - - 7.50
Water Heater --_ _ - J 7.50 _ Water:First 100 ff. - i 20.00 ;) c
Baddlow Preventer 7.50 �' Each Addit.200 ft._ _ 15.011
.--� Storm 8 Rain Drain:First 100 ft. 30.00_ -
_ - -- Y Each Addit.200 ft. 15.0J
Mobile Horne Space
Other(Specify): —' _ - Rain Drain-SI le Fam.Dwelling 1500
PERMIT FEE Comments:
`-
STATE Issued By:.---.-- -__--- -
� %
- - W Receipt No _---'___--- Applicant _-
a TOTAL rs
-- - — For Plumbing Inspection Phone b39.4171
r
For iappectious Ce!l t;..',.--*41,a 5714 7�I1�t/�
CITY OF TIGARD 639-4171 �iecetaioer �' :' tis i
BUILDING PERMIT DATE
Willitrm Snell L:0n5tCUCti0n TAX MPP _LOT NO. .. 55 SUBDIVISION VaCe.rta!'"
OWNER JOB ADDRESS 16b S1v c i rinsr La[l!!._ '°{Et�ic,v;.ss
BUILDER _Will Lam Spall Ci mat. 643b_SW_ZUhPtf-A SPATE REG.NO. 2884 `__-EXP.DATE-___-
BUILDER'S PHONE 245-85642 o i 21,1
ARCHITECT _Kpi ,iit $frig• SeTV. PHOIJE ___OTHEF
STRucruRE K NEW ( REMODEL. ADDITION REPAIR MOVE OTHER DEMOLITION
RESIDENCE COMM ❑ EDUCATION IND_ RELIGIOUS [� ACCESSORY GARAGE OTHER FENCE
OCCUPANCY':3-. I LAND USEZONE k` `"s' B[,DG TYPE FIRE ZONE PLAN CHECK RY '__HEAT_
-T^_ Single Family aasidential with attaches garage
Subject. to Amart/Wedgwood $360.00 & I.eron Heights ;;150.00 erwer Char::es
SEWER PERM11 rr )b!0b4 �(1 _ _ L§il'wx 412 3 iittttts
OCG.LOAD FLOOR LOAD LI HEIGHT it NO.STORIES 2 AREA 15/4 NO.tlf:DROOMS 3 VALUE 54.934
BUILDING DEPARTMENT_ SET BACKS FRONT ' REAR 1/4 LEFT SIDE RIGHT SIDE
P9tm11 290.U0 __ THIS PERMIT IS ISSUED SUBJECT TO THE REGIILATIONS CONTAINED IN THE BUILDING CODE, ZONING
193.70 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
Plan Check WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE
WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
PI.Ck.Flre "U" _ RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
State Tex _ 11.102 1A.►�,E,ERILISSOSF&& HATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING.
SDC�BOO.trU
r L
Total 503.02
PD
Bel.
$ 15u.Uo rPPL�CANTORAGENT -'
Prepd.b80Y IU0.00_^._..
Bal.Due
403.62 Receipt No. PP-0-4f ._�.
,
Issued By_,Ido ----Approved by— _--
.......... . . -- ..4�-..—:1w+.i►11kM �N.�:YW+►...rM;.nwr....,r..+..u,n....»...r.,
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—DATE INSP. TYPE INSPECTION REMARKS PLUMBING _r DATE
Contractor
Permit No.
` �--� 411 —e-�ee►� Rough-In
Fixture
Final
2—y HEATING
Contractors..G�
—�— ��.��.1��.4,• �,� 1�L�,,,��. .._ Permit No.
Gas or Oil
Finat
saw
SEWER
Final
r DRIVEWAY
/ 4> � tQZ�— Final
— ---
_— " J t. Storm Drainage
D -- -- --
////••// J (Pain Drain)Final
Sidewalk
C Curb 8 Street Final
— itLrW�-
-_ Approach
BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTFICATE OCCUPA►' — ——
Landscaping
Zoning Final
3��// �L T/-/" /!*c- �— g •,,o✓6c9'' .—.�s,v .... .��x,eyyrtiv�r�^ �...vv-t