11975 SW KING GEORGE DRIVE STE 11 v�
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11975 SW KING GEORGE DRIVE #11
CITY OF TIGARD BUILDING INSPECTION DIVISION MST _�-
24-Hour inspection Lin 639-4175 Business Line: 639-4171
� BLIP--Date Requested �l AM-- — -PiA —�''� _ BLD
Location �'� F;_ Solite -- MEC —�--�-
Contact Person v Ph —� — PLM
Contractor Ph SWR
BUILDING Tenant'Jwner _-- ELC _
Retaining 01all EL.(
(Footing Access-.
Foundatien FPS
Fig Drain SGN
Crawl Drain Inspection Notes: - ---
SlabSIT
Post& Beam -•--._.- -- -
E Sheath/Shear
Int Sheath/Shear -
Framirig _
In�r'ation
Drywall Nailing -
Firewall -TT-- --�
Fire Sprinkler '-
Fire Alarm ; /• -t�
Susp'd Ceiling - -- --- -- ~ - - - - ---
Roof
Misc: --------- ---- -.____
PASS PARI FAIL --- ---- -
PLUMBING --�_---
Undir Slab
Sanitary Sewer
Rain Drains
ASS J RT _FAIL
MECHANICAL --------- .__-_--.�-�-_-_ __--
Post& Beam
Rough In
Gas Line - -- - ---- -- _ .
Smoke Dampers,
Final -
PAS' PART FAIL
ELECTRICAL --- -- - - ------ ------ —
Service
Rough In
UG/Slab
Low Voltage
Fire Alarm
Final ---- --------- -- -- ------- -
PASS PART FAIL
SITE:
Backfill/Grading - ----------- ---- ----_ _-.�------�_-..__- --
Sanitary Sewer
Storm Drain [ ] Reinspection fee of$- _-required before next inspection Pay at City Hall, 13125 SVV Hall Blvd
Catch Basin
Fire Supply Line ( ] Please call for reinspection RF: _ [ ]Unable to inspect ^.o u,.cess
ADS', .,-, /( �
ApproarhlSidewalk 1 _ I
Other Date __�.�=1'1 _ Inspector -_ —_ Ext
Final
PASS PART FAIT_ DO NOT REMOVE this insptction record from the job site.
�'' CITY OF TIGAR
DEVELOPMENT SERVICES PLUMBING PERMIT
A0 PERMIT 4. . . . . . . . PLM99-0038
o 13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 DATE ISSUED: 02/18/99
SITE PDDRESS. . . : 11-975 SW KING GEORGE DR #011 PARCEL: 2S110CP-00200
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . JURISDICTION: KIN
CLOGS OF WORK,. . -ALT GARBAGE DISPOSALS. : 0 MOBILE HOME i-3)PACES. : Vi
TYPE OF USE. . . . :MF WASHING MACH. . . . . . : 0 BACKFLOW r,REVNTRS. . : 0
-),
OCCUPANCY G9P. . : R1 FLOOR DRAINS. . . . . . . 0 1 RAP` . . . . . . . . . . . . .
STORIES. . . . . . . . . WATER HEPTERS. . . . . : 0 CATCH BASINS. . . . . . . 0
F I X TURES--- LAUNDRY TRAYS. . . . . : 0 SF ROIN DRAINS. . . . . 0
SI NKS. . . . . . . . . .. 0 URINALS. . . . . . . . . . . : 0 GRF ASE TRAP'S. . . .
LAVATORIES. . . . : 0 OTHER FIx-rUPNES. . . . . I
T(.JB/SH(.)WF-RS. . . : 0 SEWER LINE (fl, � . . . : 0
WATER CL.05ETS. : 0 WATER LINE (ft ) . . . - 0
DISHWASHERS. — 0 ROIN DRAIN ( Pt ) . . . : 01
RemRr-[(s : Replacing i.tnder—,lab coldwAter piping. Installing new pipe above slat).
Owner:
AMERICAN PROPERTY MPNAGEIY,ENT type amol-Int by date rpr-pt
1126 NE 28TI-I PRMT $ 2'5. 00 B 02/18/99 KING CITY
PORTLAND OR 97232 5PCT $ 1. F5, B 02/18/99 KING CITY
Phune #:
Cont raft ot--------------------------------
HYDRO TEMP MECHANICAL INC
28465 SW BOBERG RD
WILSONVTI 'Tri 97070
Phone #: 58,�',---6525 $ 26. 25 TOTAL._
Reg4. . : 000639
REQUIRED INSVIFCT112NS
This ppra.t is issued subject to the regulations contained in the Water Service In
Tigard Municipal Code, State of Ore. Specialt, Fodes and all other PLM/Undprf 1 oar
applicable laws. All work will be done in acer,rdance with Final Itispretion
approved plans This pereit will expire if work is not started
within 180 days of issuance, or if w7 is suspended for more
than 180 days. ATTENTION; Oregot, law requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR throuqh OAR 952-MI-00N0. You eav
obtain copies of these rules or direct questions to DLINC by calling
I s so ed F.y : Permittee S i gnat Lire r 6%/kwk-I
91! _4
++++++.4.4+++-+-+++++4-++-+++++-4 +++++.+++++............L*+++++++++-++++++++++4+i-++++4 1
Call 639-4175 by 7:00 p. m. for An inspection needed the next bi-tsiness day
4-4-+++++-r++++4++4+++++++++•+•+++++++++++........4-+++++++.+.+++•++•.........4-++4+++++-I-++
FAY. NO: 9209 PO:3
j:
CITY OF TIGARD
Plumbing Permit Application
13125 SW HALL BLVD. Commercial and Residential Plan Ch"'-�IT4-
TIC^' RD, OR 97223 Rac'd By
(503) 639.4171 Date RHC'dL-
Dale to P.F.
Print or Type Doti to
Incomplete or illegible applications will not be ac,CgNrmitpted 0
Related SWR v
Job
Address caA
d Mi -suit
'
Too
oymMTub or Tun/shower 6 S to ---- 0) I 1 - -
*hu.dr Only
9.00
Water Closet
Dichwashar
OwnE,r M are e
Garbage tNepeart 0.1 v
Washing aiTchl";
Ph 9.11k)
21 2 Pox al jllorrs)4 2
9
Nn—riw
cant PaIfinQ-jX-;;—na - 9.
Wafer Neater O rbnvenbn 5 1 o-kind -30
Cliv/SlAte lop —-2-
Gns i i tires a separate mechanical
I.aundry Room Tray
9.00
urinal -
.00
M.er FFm—,e.�(Specify)
Lnntrxrrn7 mail MOMS 9.00
Prior to permit (C I -late- Sewer- i at I oo O'CO
isaunnu..A copy --i-
0
loo,
�Slul: ni,vo M Lic.41 Arl gFe , sorer ea -=VU
water iber�--T.Fr.T�
M 30.00
Water Service 7 In COT Plumb C 11� �il!3111-oarh addI1161111111 200' —00
dl.:�eb". - ' " 1� 25
Name Storm&Fta;r Drain 1ai,im -io—00
SFO-&—Rin Droln--aseh—PddkionsT1-jt)T0,-- ---
Architect Mobile n- Pam 25,00
or Walling jA-dd—rvs,; 9,ifa 25.00
cornmpir;tl—Badc—Flew
:^"av*mfiWM twice ur 25-60--
Pollution L)"cis
Enalneer sityidtatm- Llp hone DerrAe neer CaekMwr;;;; on Ocrlar .
(Irrigation Nelfrig davings na4uirt,a separate reslridAd�Sbow-ortio"jlone.
vi!
Nowi C) Re _mTy_perrn
IP?k X Replace v hf�like kind: Yarr 0 No 0 Any Trap or Wealia-iNot Cnnrwe.-ITA in a vb—dwe
ResMerfial Comm"nuial 0 9.00
AdglItIonal desc;ipbun of war�k� 0,
uO
(Lk kk- k;t-G"X�-C4'- nap.Gat -r4-1
40.00
im
fiX
Are you eippling. Moving or rLpladIng any tUrG67 Rein singl6firl'117w011inp
Yes 0 9.00
If Yes, Sao back of form to indicate work performed by
fixture. FAIT URE TO ACCURATELY REPORT FIXTURE dUA—NT1T-i TaTAL
WORK COULD RESULT IN imr-RF-&9FD SEWER FEES.
M.2112
16t-mbY OcknOwindge that I have rtea-d-Nau- I the inf—opm—alin'n- "SUB OTAL
niven is WrMd.that I am the own gent of the ownor, and
at Plapiksubmillea are In Mnl t"' —51/6—SURCHARGE
lh 'recon Stat
Laws.
70ynur 0%,ner/Age"t
kr=V C'7vV 2P- -S OF-j—UBf6TAL
inid If
-7
qntact Pers orne Phone----- -M TA-L-
71 --rg---- I
A�yw 'Minimum penult fee 1 5%sui�ha e ext-tot Res outset Beck}IoW
Pf"vnn*,Jrv'Device,which la$15+s%su"arge
All New Correnal,clal Buildings fvmniro plans whh Isonletric 01 rimir M
and plan ravlaw tw