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11955 SSW KING GEORGE DRIVE #7
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Flour Inspection Line: 639-4175 Busines, Line: 639-.1171 ---
/
— Date Requested 1�� �AM _PM L BUPBLD
location_ �_`� `� L Suite _— MEC
Contact Person PLM �C
Contractor Ph _ SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR _
Footing Access:
Foundation FPS
Ftg ' )in SGN
Crawl Drain Inspection Notes: -- -- — —
Slab -----_._-__ SIT
Post& Beam - ---
Cxt Sheath/Shear
Int Sheath/Shear - ��-
Framing _--- - -- _ _— -- -- ------
Insul cion _
Drylvall Nailing -------___ _-- - - ___-_--__—_-- -
Firewall
Fire Sprinkler -_
Fire Alarm
Susp'd Ceiling _—
Roof
Misc: -
Final
P RT FAIL - --
PLVMBINT
o eam -- -- - -- -- —
Under Slab
er 8 icy
Sdnitarv- ewer - - ----- - ---
Ro Drams
}.
S / P/`RT FAIL
MECHANICAL
Post&Bearr, - - - --- —
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL ---- -- ------_---
Service
Rough In - ---_ - ------
UG/Slab
-_----- ------ - - - ---------------
Low Voltage --------�__-.._.
Fire Alarm
Final - -
PA..S PART FAIL -- --- ------- --- ----------- -- ---
SITE _
Backfill%Grading ----- -- -----f- - ---_- --
Sanitary Sewer
Storm Drain ( ] ROnspection fee of$ _ -_ required before next inspection. Pay at City Hall 17'..15 SW I-all Rwd
Catch Basin
Fire Supply Line I 11'',zdse call for reinspection RE' — ( ] Unable to inspe;t no access
AV
ADA , I/Approach/Sidewalk ''L 1-�-�� -—
Other Date � I..rspector_ `�-�—� _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the jua site.
C.0ITY OF TIG ARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . : PILM99-0040
13125 SW Hal!Blvd., Tigard,OR 97223(503)639-4171 DAIE ISSUED: 02/1.8/99
PARCEL: 2S110CA-1710200
ETTE*7 ADDRESS. . . : 1. 1955 SW KING GEORGE DR #007
SUBDIVISION. . . . : 97 ON I NG-
FLOCK. . . . . . .LOCK. . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: KIN
CLASS OF 0ORK. . :ALT GARBAGE DISPOPAL.S. 0 MOBILE HOME SPACES.
TYPE OF USE. . . . :MF WASHING MACH— — : 0 BACKFLOW PREVNTRS. . : 0
occuPnNCY GRP. . : R1 FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : 0
sTORIE-.:S. .. . . . . . . : 0 WATER HEATERS. . . . . : Q1 CATCH BASINS. . . . . . . : 0
F-I XTIjRES-----,-------- J-AUNDRY TRAYS. . . . . : 0 SF PAIN DRAINS. . . . . : 0
SINKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 0
LAVATORIES. . : 0 OTHER FIXTURES. . . . : i
7'0b,/c-1-A0WERS. 0 SEWER LINE (ft ) . . . : 0
WATER CLOSETS. 0 WATER LINE ( Ft ) . . . - 0
DISHW(49HF-RS. . . . : 0 RAU.' DRAIN (ft ) . . . : Q1
RemarE(s : Replac-e v-idev-rslab cold water- piping. Inst-111inq new pipe above
Owner: FEES
(-IMERICAN PROPF-RTY HONAGEMENT type amoi.knt by date r,ecpt
1126 NE 218TH PRMT $ 25. 00 EA 02/18/99 KING CITY
PORTLAND OR 97232. 5PCT $ 1 215 B 02/18/99 KING CI7Y
Phone #:
HYDRO TEMP MECHANICAL. INC
P8465 SW POSERG RD
WILRONVII-LE OR 97070
, Pf-ione #-, 58,2-8525 $ 26. 25 TOTAL
Req #— : IP006-39
REQUIRED INF;PECTIONS
This permit is issued subject to the regulations contained in the Water, Sei-vir-e In
Tigard Municipal Code, State of 0-. Specialty Codes and all other PLM/Underfloor ___ _„_ v_____.
applicable
LM/Under-floor-
applicable laws. All work will be Jane in accordance with Final Inspect ion
apprived plans. This permit will expire if work is not started
within 180 days of issuanf or, if work is suspended for more
than 180 days PI7EN7lnN- Oregon law requires you to follow rules
adapted by the Oregon Utility Notification Center. These rules are
set forth n OAR 952-0001-0010 throu,in OAR 952-908I-0080. You may
obtain copies of these rules or direct questions to 01 1 by calling
(503)246-1987.
T s s i-t P d 1A y P e I-rn i t t e e Si g-1 a t 1i V-P-
4 1.4+4+4-++++++++++4+++4-+4-++++4......4-++-1-++++4..........4-+-1........4....... ++++++4
Ca 1. 1 639-4175 by 7:2121 p. rn. for an inspect ; on n et.ded t h e next bl.tsiripss day
t-++.4-,+++++++++++++++++++++++++++++++++++-1-+++++++++++++++++++++++4•+++++++i
TAN-07-r00 SAT '60:47 ID: FAX NC: #009 P05 _
CITY OF TIGARD Plumbing Permit Application Plan Check,
13125 SW HALL BLVD. Commercial and Residential Itel:'d 9y,.
TIGARD, OR 97223 D10"oac'd_-(z qq F��'C..
(503) 639.4171 Date to P.C. _
Print or Type Data to D T
Incomplete or illegible applications will ret be accepted Permllll _,40 l
�7elatet' SwR,
Called � .
---- Name of�Pttilnrmr.nl/ornln�!-""'•-�--
Job Sink o nn
Address d es �� --- Suite Lavatory — - goo
Tub or TWShower Comb. a nn-~
1/ 7 Shower Only 9.00 -
— walar e3r,e r �a.ve
Dishweaher 9.00
Owner gDing Id a Suit Gamage Ctsposal 9.00
washing MaLftm9.00
�ty M 7.1Sd.Y�c Pho '37
Floor Onalrl/Flodr Sink 2' - —� 0.00
Name a3' 900
h - -- oA8.00 ----
Occupant Mailing Addresa sure water Hfer n nnnvrn.inn n ako kine
Gaal i iree a separate ma
requchanC�
r (pWrmh
�
Cltyr;tate Ilp phone Laundry Room Tray
Uri.al 9.00 - -
N
T�- e �t/►/1 �/ Other Fim me(Specify) 0.00
i-ontracror drdya i/I 1i ��y/
vrl.r to pow.a oly m1p zl �'n10A Sewer•1st 100'
iaan.nr•� .rY '�^.;�%Y1Lil�I - � O d J - - ---- -
ul all licenses ars Oregon C NoO�d I_fcs P"paw Sewer-each additional 1000' �y 25.00
re0uiriad K „n -"h��J� 1A/erne Oe..Inn 1 N 100' �U UU
exolred In COT P41ma I ir• `I Wei.,On—ire -eaJ,�JJNv11e1 200 l5 -
-"1� Storm d Rain Drain-1st 1n0' .10 M
Storm A Rain Drain•each additional 100'--- 25.00 -
Architect Mobile Home Space 250o
or Mailing Address - Su to -- 1.:9mmercta1.-ink Flow Prevenilon 25.00 -
_ Porutla_n_Devk ii
Engineer Cl1y/51a1e Zip Phone -- Residential Mr�A"aw Proventlon OvAce• - 16.00 -
(Irrigation bring devtbea require a separaif;
Describe work In b
e no. -J restricted error ormit�.�� _
Inw ern d. r'1cpl.._,wlll�IIA.Au W. its v 1,40 V /My Irap Of W PROsr`nnnaC�efj lu a FirhaR 9.00 ---"-
Realde_ntial O Gatch Basin J--- - 9,00
Itional assn oon or work:' Insp.of Eul+Ung Plumbing �- -4000
ar111f
Specially RNveeted Inspgrlionn 4000
Mir
. _ ---- -r.mnvinln,n ng—T 1�reinTj� � 30. -�
f'ae roil vaMy ng, movui9 or replacing any flx-furos3
Yea Q No C3reaae TYapr; 9.00
II yes, sea back of form to(ndleato work porformed by OuANTITY TOTAL -
Cl IL'ro. FAIL AL TO AAOURATCLY FCCFORT rl K I Limb Irrnrloia or dyer dia rem is required k Qusnl Tad Is >9
WORK COULD RESULT IN INCRFASED SEWER.FEES. -err rc,rnZer
gi"'an in,nrted•thml I am the owl Ke ur eu orized again of the owner,and -� � 6%RUNCHARCCF
th�f ria 1l1 mm Ibrnnn ti o1 1���-�. r.
Slnryrfu eI Ow HAg nt- uate -- "PL RN rZEV1F.W 2554 Of 9i18TATAL
/� �� 0 1.r�.1 r n e, .n, 1.r.11.• o k,
c:�ira�r r erisen erdAa Phone _ --
.5(1�- ♦cTj 'Mlnlaun.p�rmlr M�to iui• 9 M eulGlslwr-afrmrS"P310ential rtacxnaw
Fnvvenllon Device.WNCh Is$15 4,5,�curaharp� �":
AII New Commerclal Bulidlnes ran i"Plane wilh icnrnalrin n/ A.. /Ilw Ii.�,�
n1n1 phn ravlr.l °`'r ,y
rtHppxlldpp rb:7/7/A1r ,°•L`: ,1''•�r1. '.n,.,j','� '
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