11945 SW KING GEORGE DRIVE STE 4 N
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11945 SW KING GEORGE DRIVE #4
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CITY OF TIGARD BUILDING INSrcCTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 MST
BU3
._[fate Requested_ -IAM—_ PM —v. BLD —
Location_',! itP -
-_ MECContact Person _ �� I-11 PLM
Contractor Ph SWR
BUILDING —J — Tenanl/Owner ELC
Retaininn Wall ELR
Footing ----- �--
Foundation Access: FPS
Fig Drain I -
Crawl Drain Inspection I''otes: SGN
Slate SIT -
Post&Beam --`-
Ext Sheath/C'•ear
Int Sheath/Shear Framing
Insulation
/ -
Insulalion -
Drywall NailinL
Firewall - -- --
Fire Sprinkler I ----------
Fire Alarm Q C_ ---
Susp'd Ceiling -,--
Roof
Misc.
Final —
P _-± T FAIL i 1
NUMBING
Pos 8-Beam --- -- -----��' ^-e
Under Slab
Q, Servide-` r
Rain Drains
ASS PART FAIL _
MECHANICAL —~ -
Post& Beam
Rough In
Gas Line --- ----- ----- - _ _
Smoke Dampers
Final ---- -- _
PASS PART FAIT_
ELECTRICAL --
Service
Rough In - --- . - ---
UG/Slab
Low'Joltage —---- -- -- - -— -- —
Fire Alarm
Final
PASS PART FAIL
SITE _ - -- ---- -
Backfill/Grading -- -- -- ..-..------ __
Sanitary Sewer
Storrs Drain ( I Reinspection fee of$— requireu before next inspection Pay at Cit,,Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ] Please call for reinspection RE:_ -
pp y _ __- — [ ]Unable to inspect-no access
ADA
Approach/Sidewalk Date
Other -----_---- Inspect r ; �_-- --- - Ext
Final
PASS PART FAIL. 00 NOT REMOVE this Inspection rek-nrd from the job site.
CITY GF TIGARD PLt'MNING PERMIT
PERMIT #� . . . . . . . PL.M99--0041
DEVELOPMENT SERVICES
13125 5W Hall Blvd.,Tigard,OR 97223(503)639.4171 UATt ISSUED: 02/ !R/99
PARCEL: 2.S 1. 10CA-00 '00
SITE ADDRESS. . . : 11945 SW KING GEORGE ER #004
SUBDIVISION. . . . : ZONING:
JURISDICTION: KIN
BLOCK. . . . . . . . . . : LGI.. . . . . . . . . .
CLASS OF'WORK. . :ALT
_ �~— -rr+RBAGE—DISPOSALS. : — 0� MOB I L-E• HOME SPACES. : 0
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : Q BACKFLOW PREVNTR S. . : 0
OCCUPANCY GRP. . : R1 FLOOR DRAINS. . . . . . Qi TF,APS. . . . . . .. . . . . . . . . iP
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : 0 CATCH BASINS. . . . . . . : 0
I_I X TURES- .- ----------_ -. LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . . : 0
INKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRPPS. . . . . . . . 0
LAVATORIES,. . . . , 0 OTHER FIXTURES. . . . : 1
TUB/SHOWERS). . . : rh SEWER LINE (ft ) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . : 0
DISHWASHERS. . . . : 0 RAIN DRAIN (ft ) . . . : 0
Remarks : Replace Under-slab cold w4iter^ piping. Install new pipe above lal).
FEES
AMERICAN PROPERTY MANAGEMENT type amol.int by date r-acpt
1_ 126 NE 28TH PRMT $ 25. 00 B O4,/18/99 KING CITY
PORTLAND OR 997232 5PC7,T $ 1. 25 B 0.'/ 181 *99 KING CITY
Phone #:
Colit ractor------_--
HYDRO TEMP MECHANICAL.. INC
E'8465 SW BOBERG RD
W I l_SOhIV 1 LLE !.,R 970,-0
Phone #: 592--8525 26. 25 TOTAL
ReGI #i. . s 000639
-_.___..._.__.. REQUIRED INSPECTIONS
- -- -
This permit is issued subject to the regulations containei in the Water Service In — _
Tigard Municipal Code, State of Ore. Specialty Cades am Al other FILM/Underf 1.oor^
applicable laws. Al l work wi11 be done in accordance w+,h Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is susp,oded for morethan 180 days. PTTENTION: Oreqon law requires you to follow roles -
adopted by the Oregon Utility Notification Center. Those r,:ees are ---
set forth in OAR %2-0801-0010 tnrough OAR 95^. @881-e880. You may -----•—
obtain copies of thPSP rules or direct questions to OUNC by calling(503)246,-1987.
Issr.ted By:..�� �"'� _�._____._ Permittee Signat 1..ire :�'L1.�{�
U�
++++++++++++•+++++++++++++++-F++++++++++� ++++++++++++•++++++++ s-++++++++++++++++4
Call 639--4175 by 7:00 p. m. for an i.nsper^tion needed the next br.isiness day
++-+•+•++++++'...-F•+'++ +++'t..#.+++++++++� � ++++= F+++++++++++++++++++++++++++-F++++++++ i
TPN-07-'"06 SRT 00:49 IU: FAX NO: y P05
CITY OF TIGARD PlumhilnD Pormit Application
Plat)che
13125 SW HALL BLVD. Commerc'al and Residential Recd By
hal � ;
TIGARD, Or, 97223
oae9 Rev'd - t 11 Fit
(503) 639-4171 Ddle in RE, _
Print ur Type Dat"to DST
Incomplete or illegibly applicationst will not be accepted Permit!- P
Related SWR as
,.aped ----,--..
Name of Dr.xlopmenVi5rolect -
Job 51n1r
9,00
Ar�ffrP.Srr A dn;sc A, sun 'l Laval"y u ar ower Comb.
91d9 a! 1 Stale ) _ _
Shower Only 0.00
Npint
r r n U Water Closet 9.00
s rresl-wr - 9,00
Owner a"irtqAy1drex(,,1L ,�j� din Car6aNe Dos►user g.00
.- rr-•lYv, �Jl.�� __— wool+��0 Moehkte g;"
/71 e e [ hvn _
FI3or DrolrwFioor Sink 2. 9.00 y..
Name 9,00
Melling Addmsa Suite Witter Heater O wnvrrsion O like klld .00
Cas I n re Mils a separate rnerhanigt permit.
jy/Stole Ilp Phone Laundry Room Tray 900
9.00
N Othe—er Ures(Specify) 9,00
Contractor if Adress ul:e ILLa ✓f -
9,00
Prior to permit
msriance,a copy `.����`/ r, i�7� �� r4•(wJY - reg iou 30.Q0
r ""���5 Sewer-each additional 100' 25.00
el all licanaat are Oregon onst. cent, oard Lic.0 xpt
mclinted If f
_--- Water Servlai 1st 10n -- - 30.00
expired In COT Plumbkt LIC, Water SaMce-each additional]Od
xp 9 F�r�.oats 25,00
-
-database--��, ,� ��_I�_ Slotm 1L Rein-
Drain•ial 100' 10.00
Name Fterm s Pain 1`ie■In-.A•r. ..t.K:er+an root 00
Architect Moblle Home 9102ca 29,00
or Mailing Addreea suite rommencisil Bark Flow Prevvihon Da+lc*or AAndW-4- 25.00
PnlliAlnn rL.w.q
r npinaar rrmr tete 3fn` vhane nentuenoar naunow,Prevar enTSevirs- 16,00
(Irrigation timing dnNcrs rwquina a w.par. i
Uearwitm work to A Lara - --- e'rlr}dcd o grey
Now O Rep Ir" Replace
with like kind Yes O No O Any Trap or Waste Not Connected tv a Flit_t,, 9.00
keslOaMlAI' ommarrJal V _
�.___ - Inttch BExIxOn Plumbing 1 Lace
A ifinnal escfiption of work• � _
lCt_C1t. _ L cold p e g
Specially Requester. mclions 40r0 r
,.16�, ilyd.rre ng 30,00
per/hr
_---
Are you Capping,moving or re lacinRakt brgln,single fitm
g any flxtureelti'orGrease Traps
Yen O No 9-
It yes,see back of form to indicate work pormed by - QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Ioometricorrimer rl lit TgwinrlIfQlt Totalis ,s
WORK COULD RESULT IN INCREASED SEWER FEES. '.9_—_
9UrOTAL
I
i1o�n�ecknrn+wogcithat r hav+r reit jils appNcatlen,Ihet—the infortnsllnn
givnn Is oorrecl,OW I am the yawner or authortznd agent of the owner,and 5%SURCHAROE
that p!a nn 9u�bmitted are n with Ot on State Lows.
S (yF0 of Ow�HAg Data -PLAN REVIEW 25%OF SUBTOTAL.
_. C� �� Raqulne only N I'Mure tt _k_rtal ls;9
�G I l - rOTAL
Cnnw<at•e.aun ilia Phons .
= l 1�p �� 1� t/l�. Fi )_ �7 f'Minlmunt permit fes is 3?_+B%+urrharge,except osidential Baddlow,
ProveOon Device,whlrh Is 11.13%surcharge y
— �- "Ail Now Comrtwnclal Bulldings require plans With Isomebu or Ater diagi!m
and plan review
'•`� C