11960 SW KING GEORGE DRIVE x F�
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11950 SW KING GEORGE DRIVE _
KING CITY
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- --
p BUP
/Date Requested . 7� ,'+ _K_PM BLD
Location (t —
_
ktln 2 St ite — _ MEG _ 9 33
Contact Person Ph _ PLM -- _
Contractor �C/�J,I"Y? I`-i Ph Z2_ 2_-- q&5 SWR
BUILDING l enant/OwnerELC
Retaining Wall — ELR
Footing ,access: —---
Foundation FPS _
Fig Drain -----_ ---- SGN --
Crawl r -, Inspection Notes. — --
Slab _— _ -._ _ — SIT
Post& Bee m ---- -
�" Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation i
Drywall Naiiing
Firewall
Firs Sprinkler
Fire Alarm
Susp'd Ceiling
Roof _�- ---- --- ._--_ _-_--- --------
Final
PASS PART FAIL—1
PLUMBING
Post& Beam
Under
— ��- ----- --..— —.------ _._ -- - -
Under Slab
TopOut _------ - ---- ----_---------__--______—
Water Service
Sanitary Sewer - --- —------_- _
Rain Urair-
Final
PASS PART FAIL
Dost& Bearn 0) --- _ ----- - - - - - --------------— --
Rough In 4-14.
Gas Line' DSI(,' - ------- - ---
Smoke Uampers
5 ` DART FAIL
ELECTRICAL ---
Service _
Rough in --------------- — -------
UG/Slab
Low Voltage
Fire Alarm
Final -----------
PASS PART FAIL
SITE
Backfill/Grading -- -- -
Sanitary Scwer
Storm Drain ( ] Reinspection fee orf$ required before next inspection Pay at City Hall, 13125 I'M Hall Plvd
Catch Basin ( )Please call for reinspection RE: _— — f ]Unable to inspect-no access
Fire Supply Line -- ---
ADA
Appi oath/Sidewalk c�
Other Date Insperior +il �.— Ext
Final
.-PASS -PART—FAIL DO NOT REMOVE this i.nspectit,ln record from the job site.
A
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . . : MEC96-0331
DATE ISSUED: 08/10/98
PARCEL.: 2SI1ei-A-03200
SITE ADDRESS. . . : 11960 'SW KIN(3 GEORGE DR
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURTSDICTION: KIN
CLOSS OF 61-RK. . :ALT FLOOR FURN. . . . 0 EVAP COOLERS: 0
TYPE.
i OF USF. . . . -SF UNIT HEATERS. , : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . : R3 VENTS W.10 W:,PL- 0 VENT SYSTEMS: 0
'--;TOR I ES. . . . . . . . : 0 BCJILERS/COMPRt-'SSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : I DOMES. INCIN: 0
:GAS 3-1.5 HP. , . . 0 COMML. INCIN: 0
MAX INPUT: 0 B'T U 15-30 HP. . . . .. 0 REPAIR UNITS: 0
F I RE DAMPERS'?. . : 30-50 PP. . . . : 0 WP 'IDSTOVE(-;. . .- 0
GAC PRESSURE. . . :
50-+ fiP. . . . : 0 ':LO DRYERS. . - 0
NO. G UNITS--------- AIR HE,,NIDLING UN IJ S OTHER UNITS. - 0
F(A R 1\1 < 100K PTU: 1 10000 cfm: 0 OUTLETS. : I
TURN ) =1.00W, BTU: 0 > 10000 cfM : 0
Rema--ks : Addition of gas litir, furnace 6 A/C unit to residence.
Ov-iler: -.--— FEES
VIRGINIP BLADHOLM type amol.tnt by date rerpt
11960 SW KING (.)EORI-JE PRMT $ 25. 00 DLH 08/ 10/98 KING CITY
TIGARD OR 97224 5PCT $ 1. 25 T)LH 081101738 KING CTTY
Phone #:
Contractor: ---------__----_------.----_-___.
HARDY PLUMBING & HEATING
14689 NE COUNTRYSIDE -_---__---._.__--__-_.._-----------_----
$
-------------------------------------$ 26. 25 TOTAL
PURJRA OP 97002
Phone #: 222-9654
Qeq 000609
RE0.111RED INSPECTIONS
This permit is issued subject to the regulations contained in the Gas Line Int.;p
igard Municipal Code, State of Ore. Specialty Codes and all other Meehan i.cal Insp
applicable laws. All work will be dr ie in accordanre with Heating Hnt Jnsp
approved plans. This permit will expire if work il not started Cooling Unt Insp
within 180 days of issuance, or if work is suspended for more Final Inspection
th3n IN days. ATTENTION: r on law requires you to foilow rules
adopted by the P-egon Utility Notification Center, Those rule; are
set forth in DAR 952--001 WIC through OAR 95P-001-0080. You may
jbtain copies of these rules or direct questions to OUNC by calling
(503)246-9187,
I -s s 1-i e By Permittee Signati-ire:
++++++++++++++.+++++++++++++++++++++++++•++•++++++++++++-1.+++4+4.............. +++++++
Col. l. 639-4175 by 7:00 p. m. for, inspections needed the next bLisiness day
.......4+++�-4-++++4....4-4++-4-+4.+4-+++-4.......4++4.............f-4.++4.++4-f......4-+++.++4-4
TO : T T G ARD DST
Ir, 1FI- 'NF1 hlr7F•1 11:0" 1D: FW NCI: 4027 x'02
CITY or TIGARD Mechanical Permit Application Peen Check a__'
PP Rec'e By
13125 SW HALL BLVD. Commercial and Residential !3aie Rec'd��o
TIGARC, OR 97223 Gate In P
(503) 639-4171, x304 �P D,,« OSTi--
Print or Type 1 / Permit 9-�c'1G'33/
Incomplete or illegible applications will riot be accez ted Called _
iiiarno co ba,ale pmelvpro(ea - -��- --- Descrlptlon -�--- -- j"-
_� Table to Mechanical Code _ at Prise Arnt
.)ub Rt,.ol Add,— - � D �r,�•,i-i A) Permlt Fee _ 10,00
1) Furnace to 100,DDO 13TU
AddtP,ss / includi j ducts&vents 6.00
pings syr 'ate zip 2) Furnace 100,000 BTU+ --- — --
`r
including ducts &vents 7,60
-- Nom.(a"Me of budneas)l LW 31 Floor Furnace --
Owner Includln vent 6.00
Malling Address 4) Suspended heater,wall heater
or Boor mounted hr ater _ROU
( 11. ri) Vent not included in appliance permit
r_rryrslate zip Penn" : 00
611koiler HHut Air ---- — ---
r
erne fa r,rnt�business) P Y-- THAT APPLY' or Pum Cond Ot I Prica Arnt
Comp
to -
Occupant Mairnp nefrwr,. _-� 100K BTU _ _ 000 -_
7)3-15 HP.absorb unit -
eltylswte Zip I Phnne - 100k l0 500A BTU 11.00 _
I B) 15-30 HP;absorb
unit-5.1 mil BTU _ - 15.00_ —_
Contractor Name 9)30-60 Hr; absorb
14 r,-� unit 1-1.75 roil BTU 22 50
Prior to pemmd Monw Addroo) 10);-.,OHP;nb3orb unit
I3suanoe,a copy V 1&5!'-? /J1 _S/ a1,75 mil BTU ___37.50
of all licenses rhy/state,�I%�1�jr lip Pah] 11)Air handling unit to 10,000 CFM
Afe i1 required l( -/9 �-QA 40
expired in CUT OrMJnr•mM
n . C t SnataI_I,.s Fop Dole 12)Air handling-snit 1o,ono CFM+
dalabasn Q ,- /.SO
Arehitdet Nen'^ // j 13)Non-portable evaporate cooler
e 50
or
Mailing Ar1Ar..o 14)Vent tan connected to a singlo dur1 - -
3 00
15)Ventilation system rr,%t Included in
Fnpineer r'Ifyl9tne ilp Pnens appliance permit --- 4.50
----
16)Hood served by Imi hanlcal exhaust
work to be done-7
17)Domestic it,4nerators - —
Nawj-- H
`n .
pair Q Replace with like kind Yes O No O - 7.50
RHSit nti r6al 0 -18)Commerciai.,r!ndustrial tvpe indnerator
30.00
Additlonal In rmatlon or descAption of work: - _ 1 )-65 it unitsW v--
4.5v
V'S ro/f"'_/W r 20)wuW stove
/ --—-- 4_60
21)Glolh9 dryer,etc.
(((
4.Su
Type of fuel oil O natural gas — 1_PG O electric O 22)Otho "nits
II hereby ar;cnowledge that I have read thlr,application,that the information 73)Gas piping one to four pullets
give ner1,that I em the owner or authorized agent of 2.00
the wt a Ind) tor+suD Ild a�_In oornpllsn xr with Oregon 1et�Ieplawn 24) ore than 4-per outlet(each)
.50
91. 1.of Ot.anerlAt�ent Dabs rl'J
Minimun,Permit Fee$25.00 51.19TOTAL
, I_ 5%SURCHARGE -
Contact Person Name Phone PLAN REVIEW 25%OF SUTi TOTAL y�
Required for ALL commercial permits only /
---R-TAt 35
- 'State Contractor Boller ani tcati.+n reaulrod
-PrAsldential A/C requires site piton showing pw ,rent of unit
1:1mPchperm.doc rev 07/20/98