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12000 SW KING JAMES PL
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CITY OF TIGARD BUILDING INSPE(:TION DIVISION
24-}lour Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: 3 —30 -- ?S A M. _ P.M. MST:q '7-OS 7/
Location: BUP: —
i
Tenant; Suite: Bldg: NEC:
Contractor: Phone: PLM:
Owner: Phone; T Ill ELC:
_ J � ELR:
r)qa� �� SIT: — —
BUILDING / BLBLDGon't) PLUMBING e MECHANICAL ELECTRICAL SITE
siteoP sT713eam Post/I3cam Post/I3cam Cover/Service Sewer/Storm
Footing Root' Undl'1/Slab Rough-In Ceiling Water Line
Slab I'rar7ing 'Top Out (ins Line Rough-ht IKi Sprinkler
Foundation Insulation Sewer Ilood/Duct Reconnect Vault
Bsmt Damn Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Thain A/C UG Slab
She:u/Sheath Fire Spklr/Alm Crawl/Found Ih l lent Pump Low Volt
I�W Approv q Approved Apprcved Approved Approved
Appr/Sdwlk _$ ,,roved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL
710&..) g;FXf IZZAc .7 0 • —
ts�`��7 L'�2Ci 5.'�f-rte_ G' :moi �`/�G► •vc �i�la.�tRL. . --- ----
if 3 e'v 4,e S�rz��..-'�`ti /}�C G- TZ �_0/f-
O Cell for rein pecti,o,,/ / CI Reinspection fee of S _required before next inspection C1 Unable to inspect
Inspector:__ _ '-,r� Date:--.,3 �� '7,!1— Page of
A CITY CSF TIGARD MASTER r,ERMIT
DEVELOPMENT SERVICES r-,FRMI T #. . . . . . . : MST97-0571
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 DATE I SSLiED: 12/26/97
r"ARCEL_.: 2S 1 1`PA--02400
SITE ADDRE:SS. . . : 1 c'00V_M SW KING
SL.IBDIVISION. . . . : ZONING:
131_.Of..K. . . . . . . . . . I._0 . . . . . . . . . . . . . . TLJRISDICTJON: KIN
Remarks: Enclosing patio - Non Habital area - Use intended to be a wind beak only.
►,jlls will be open at the top
--------------------------------------------------------------- BUILDING -- ------------------------------------ --------------------
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS-- - REOUIRED--------------
CLA% OF WORK.:ALT HEIbHT........: A FIRST....: 150 sf GARArf..... : a sf LEFT....... ..: 0 SMOKE DETECTRS:
TYPE OF IISE...:SF FLOOR LOAD....: 0 SECGND...: 0 sf FRONT.........: 9 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 0 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH. 0 TOTAL------: 150 sf VALUE..1: 1000 REAR........... 0
--------------------------------------•----------- ----------- PLI.IMBING ------------------------
SINKS.........: 0 WATER CLOSETS.: 0 WASHING MACH..: 0 I_AUNDRY TRAYS.: 9 RAIN DRAIN ft: Q TRAPS.........: 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 51: RAIN nRAINS: 0 CATCH BASYNS... 0
T,B/SHOWERS...: a GARBAGE IIISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PRFVNTR: 0 GREASE TRAPS—; 0
OTHEER FIXTURES: 0
- ---------------------- - --- ------ --- --------------- 14EL '.MICAI- -------------------------------------------------- ---
FUEL TYPES------------- FURN ( 00K .. : 0 BOIL/CMP ( 2T.: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
FURN )-1001; ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 BTU FLOOR FURNA(ES: 0 VENTS.......... 0 WOODSTOVES....: 0 GAS OUTLETS...: 0
----.-_-------- ----------•------------- - -----------•---- ELECTRICAL --------------------------
--RESIDENTIAL UNIT---- ----SERVICE/FF_EDrR----- --TEMP SRVC/FEEDERS-- ---BPANCH CIRCUITS--- -----MISCELLANEOUS—- --ADD'L INSPECTIONS--
1000 r,F OR !LSS: 0 0 - 200 amp..: 0 0 - 200 asp..: 0 W/S_ OR FOR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: B
EA ADD'L 5W.: 0 201 - 400 amp..: 0 201 - 400 asp., : 0 1st W/D SVC/FDR: 0 SIGN/OUT LIN LT: A PER HOUR......: 0
LIMITED ENERGY.: 0 401 - 600 asp..: 0 401 - 600 asp.. : 0 EA ADDL BR CIR: 0 SIGNAL-/PANEL...: 0 IN PLAN. ....: 0
MANE Hi/SVC/FDR: 0 601 - 1000 amp.: 0 6el+a1ps-I000 v: 0 MINUR LABEL -10: e
1000+ asp/volt.: 0 ----------- -- ---- --- - -------...- PIAN REVIEW SECTION -----------------------------------
Reconnect on:v.: 0 )=4 RES UNITS..: SVC/FDR)=225 P..: > 600 V NOMINAL: ILS AREA/SPC OCC:
u'-.---- ------------------------ -------- - -- 'ELECTRICAL - RESTRICTED ENERGY ---------------------------------------------------
A.
---- -- -
A. SF RESIDENTIAL----------------------------- B. C(WRCIAL----------------------------------------------------------------------------------
AUDIO 6 STEkEO.: VACUUM SYSTEM..: AUDID d STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER....... .: HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNI_:
GARAGE OPENER. CLOCK..........: INSTRUMENTATION: MEDIr,AL......... OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL. A SYSTEMS: 0
Owner: ------------------------------------Contractor: ----------------- ----------- TOTAL FEES:$ 42.50
PAUL WILSON OWNER This permit is Subject to the regulations contained in the
12000 SW KiPIri JAMES PL Tigard Municipal Code, State of Ore. Specialty Codes and all
KING CITY OR 91224 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone N: 639-4648 Phc,e A: not started within 180 dabs of issuance, nr if the work is
Reg A.. : 0iw0Vi00 suspended for more than iN days. ATTEN AN: U-egon law
---'.--_-- -------------•--------- -- -------- -------- - ---- requires you to follow rules adopted by the Oregon Utility
Notifi-ation Center. These rubs arr set forth in LIAR 95:2-001-0010 through DAR 952-001-0080. You may obtain copies of these rules or
direct q,,estions to OLW by calling 15031246-1987.
---------- ----- -------------•-------------------------- REQUIRED INSPECTIOW -- ------ ------
Fniming Insp
SuAdinq Final
Issued fly : Permittee SignatMar,et —Ll� -,
_
++++++++++++++++++++•++ +++++++++•� .-•4++++++4-++i•++i-+++i-++-I —++++f+ ++++4•+++++i +
Call 639---4175 by 7:00 p. m. for an inspection nee-ded the next bllSlness day
Plan Check
CITY OF.TIGARD Residential Building Permit Application Recd By _
13125 SW HALL BLVD. New Construction Additions or Alterations Date Recd
TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date to P.E.
V 503-639-4171 Date to DST
F 503-684-7297 Permit#!j IK -
Print or Type Called _'.°l,- -}
Incomplete or illegible applications will not be accepted 9—j 1 1 a
Name of Proiect N p A./ Name
Job , V L f � o� /f;I B;)y l- Mailing
Address Site Address Architect g Address
,
—_— C e s CitylState--�2i Phone
Name _
/ Name
Owner Mailing Address
Ve G Ie
En ineer Mailing dr ss
i ISt � Zi Phone � Engneer ty �Lp• 2 ' ,f `�� city/ ate Zip-P one
Genera. Name i
�
Contractor (_ �� f ,`__ l t. L. 1 r�►(
� Describe work New O Addition O AlteraUca O Repair O
Mailing Add ~rt s to be done
Prior to permit Additional Description of Work:
issuance, a copy CitylState Zip Phone
of all licenses � I _
are required it Cie-3n Const.Etnt--B.ircf— Exp Date PROJECT
^Yoired in COT Lic.# VALUATION $ / � F/ O
iatabase / _
I" �chanical Name "� ^NEW CONST,','JCTION ONLY:_
Sub- Sq Ft. House: Sq. Ft. Garage
Contractor Mailing Addresssl
Prior to permit Corner Lot YES NO Fla Lot YES NO
issuance, a copy CitylState.' i zip PhoneW - (check one __ (check one) _
or an quire Ps Restricted �I Aud.o/Stereo Burglar
are required if Orogon Co sh t.Cort.Board Exp. Date Energy System _ _ Alarm _
expired in COT Lic.#
_ database Installation Garage Door HVAC
Plumbing Name--�— —__ _ Opener -` Systems
check all that
Sub- ( Other.
Contractor Mai Ing Address apply)
�, Will the electrical subcontractor wire for all YES NO
restricted energy installations? _
Friar to permit CitylState `Zig Phone ---1
issuance,a ropy �Has the Subdivision Plat recorded? N/A YES NO
�
or all licenses are Oregon Const leo Ejoard Exp Date ____
required if Lic.# , - Reissue of MST#: Solar Compliance
expired in COT (Calculation Attached)
database Plumbing Lic.V
Exp Date hearby acknowledge that I have read this application, that the
information given is correct, that I am the owner or authorized
Name i ��- - agent o`the owner, and that plans submitted are in compliance
with nregnn State!aws.
Electrical _ Sigr:,iire owner/A ent r Dace —
Sub- Mailing Address ''1-sA�. J ��� J ]t I
Contractor '.;o tact Per,on•Name /Phone#
City/State ! Ir` v Phone
Prior to permit ) �l I ^FOR OFFICE USE ONLY:
issuance, a copy (_ Plat : Map/TL#: I
of all licenses are Oregon Const Boari Exp. Date 1 �+
required it Lic# v "�I , =-Y'�--
b��ks;� Zone: , Solar:
expired in COT _ ._ ! �.� A f 1 �' ���
database Electrical Lic.# Exp Date — 1
n ' g Appro al Flannij?r—'Oval: rl
lJ r
� A� LSFREM DOC (DS'1-) 4197
KING CITE"
16:300 SW.116th Avg-nue,King Cite,Oregon 97224.2653
Phone:(603)6.49-4082•FAX(60;)639.3771
Notice To Contractors Working Iii King City
Due to an intergovernmental agreement with the City of Tigard, many building related permits
for projects in '..ing City are issued and inspected by the City of Tigard.
If your permit application DOES NOT REQUIRE PLAN REVIEW. simply comple+e the
appropriate application legibly and submit it to the King City staff. The King City staff will
collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create
the permit, issue the permit, and perform inspections. Please indicate on the permit application
whether you would like the Tigard staff to call you whto the permit is ready for issuance or
whether you prefer it to be mailed without any notification. Any incomplete or illegible
application will be returned to King City staff for correction and no processing will occur until a
complete, legible application is received.
If your permit application DOES RF,QUIRE PLAN REVIEW, this form must be signed by a
King City staff person. King City staff will simply sign this form indicating land use approval.
Take this signed form to the City of Tigard Development Services Counter located at 13125 SW
Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are
available at 639-4171 Ext. 304 should you have any questions concerning submittal
requirements. All permit fees will be assessed a id collected at tht: City of Tigard.
The City of King City hereby authorizes applicant to pursue permits at the City of Tigard
G
Building Department for the following project: _ C `Ic
located at: , '_�_
King City Representative
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\ CITY OF TIGARD _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-00009
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 1/7/02
PARCEL: 2S1 15BA-02400
SITE ADDRESS: 12000 SW KING JAMES PL
SUBDIVISION: ZONING:
BLOCK: LOT: JURISD"CTION: KIN
CLASS OF WORK: REP FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS_ HOODS:
FUEL TY_PES 0 3 HP: DOMES. INCIN:
3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP:
WOOD
STOVES:
PRESSURE: 50 + HP: DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO UNITS:
GAS OUTLETS:
FURN >=100K BTU: <= 10000 cfm: _ OTHER LETS:
T
> 10000 cfm:
Remarks: Replace furnace in garage.
Owner: — FEES
WILSON, PAUL A + BARBARA C 1 ype By Date Amount Receipt
1200 SW KING JAMES PLACE PRMT DEB 1/7/02 $72.50 KING CITY
KING CITY, OR 97224 5PCT DEB 1/7/02 $5.80 KING CITY
Total $78.30
Phone: --- --- ---- --
Contractor:
CLIMATE CONTROL INC
16500 SW 72ND AVE
PORTLAND, OR 97224 REQUIRED INSPECTIONS _
Heating lint Insp
Phone:453-4822 Final Inspection
Reg #: LIC 62196
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-0080. You may btain copies, of these rules or direct questions to OUNC by calling
(r;()'1 AR-01 RO /� ,!
Issue By: — �1 Permittee Signature: i�t� 4
;�s2Gf �rrr ct-' L-
Call (9)'M/639-4175 by 7:001 F.M. for inspections needed the next business day
F11/07/2002 13:29 5036393771 CITY OF KING CTT`,-' PAGE 02102
Mechanical Permit Applieatila
i)atereceivcd: Permitno.:
City of Tigard �� ���� Pro;ecdappl.no.;
Expire dal-:
CtrvofTigard Address: 13125 SW Hall Bl Datailiaued: By I Receipt no:
Phone: (503) 639.4171 -
Fax: (503) 598-1960 �-, Case file no: Payment typc:
jAN ,1 7 20
Land use approval' 13ullding permit ua _
T
mid"-
tI &2 family drv:lling nr accessory LJC'r,rnrnerr:i illindustrial D Multi-family :l Tenant improv anent
ew constniGion Al Adisltion/alterationlreplacement ❑Other;
IRSUE INFORMATION
.Tuft uddress: 12 ego �ht�flA,l7 Indicate equipment quantities in boxes below.Indicate the dollar
value of all mechanical materials,equipment,labor,overhead,
Bldg.no.; Suite no.:
Tax map/tax lot/account no,: profit.Value$
Lot; Stock: Subdivision: *See checklist for important application information and
Project rattle: _ jurisdiction's fee schedule for residential permit Fee.
City/county.j<1
Description and location of rk on pre-mises,�?
Est.date of completion/inspection; _ -� _ __Des million lir M.onl' Res,only
Tenant improvement or change of use: C.
endlin unit
Is exisUn heated or conditioned?13 Yes ❑No Air h —CFM
—
Is space A r eattdltion ng site-plan re utr _
Is existing t.pac�e insulated?U Yes O Na lterat" o exisun N tem
Boiler/compressors
Eiusiness name, State boiler permdtnu..
_ HP Tone $TU/H
Address. �{�J s[� JZ d• _ rrc/smo e�da_m-�ers7cluctsm-- oTcedetee[ors
City: ,:G12 _ � State:4 ZIP: I eat pump site pfilnre3ul
Photlu:Fe 3-qV.7- Fax:�o3 7 mail: Ines replace umac urner fU/
�- -- --- including ductwork/vent linet o Yes O No
CCB no.: G,z 1 qro _ _ Instal rep ac relocate icaters-Fuspended,
City/m stro lic.no.: /�{ _ _ wall,or floor mounted
Name( leaseprint)- /,;,•7/4�6 entforappilance ot er ilian>urnace
Reffigerat[on:
Absorption units BTU/1.1
Name: Chillers
Address:
— - — - Com resaors_ 111'
_ Environmental exist and vent aHon:
City: $tntr. ltf', �_ Ap lianrcvent __
T_ ---1• ----
Phone j63- Fax: 1 l:-mniL Ciryerexhaust
ands, ype res.kite en hazmat
hood fire auppresaion system
Name: AW& q$� _ff—G�/G-S�a�( -_ Pxhai nt fan with single duct(bath fans) _
- xhaust B stem apart from heatingor AC
Mailing address: �,20Gb C �[ +1� ur1 piping and il vin to on(up to 4 outlets)
_City: C/ ate:� UP:St472Q4. Ty LPC+ ..._ NO Oil _
Phone: )-4 -YG .F Fax: E-mail: vel piping each additional over 4 outlets
rocewpiping(sc teinaticrequ te ) _
Name. Number of auticta
- -
_____ or cry-ulpment:
id_d ss_ Vecotativefire lace
City: State; ZIP:
oo slsave
-Phone: �- I+ - & ail' ftov a�''--ett
o er.
App'licant's signal e: Date: /7"77,727-7 ert
Name ( ring:
Not wit Itriadlctlons woeir credit card-,piety.rail JueiAlcdon forma, infotrnadoo. Notice This permit a
� .;;,tit tee.....................$
Cl Men U tvInsterCwd perpplication tMinimum fee. .....•..•.....$ _
Credit card number_ ^ � __— expires if a permit is not obtained Plpr.trwiew(at _ 4'c) $
.rte within 180 days after it has been State surcharge(8°b) ....$ 5
game o ca o r as a own nn rre it card accepted as complete.
__ g '�'e?TAL .......................$
-'WTI rilFa-iurn— ---•—, Amoum�
440.1R17 f6,'nC11CW
CITY OF TIGARD 24-How
EUiLuiNG Inspection Line: (503)639-4175
MST
INSPECTION F)IVISION Business Line: (503) 639-4171
BLIP
Received Date Requested 2 _AM-_v PM ___ _ BU P
// .A Ova G160 d
Location uii�.- MEC
Contact Person Ph( ) -_`f_5_._ � �'� PLM _
Contractor_ — _ ___. Ph(--) SWR __—
BUILDING Tenwnt/Cwner __ _-- ELC _
Footing
ELC
Foundation
ACCRSS:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- -- -- --
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler -- - - -
Fire Alarm
Susp'd Ceiling —
Roof
Other:---- - ----
-anal
PASS PART FAIL
PLUMBING
-- -
Post&Beam
Under Slab - --
Rough-In f
Water Service - -
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain - - - -�
Shower Pen
Other:-- - -
Final
PASS PART FAIL —
MECHANICAL
Post 6 Beam -----------
Rough-In
Gas Line
Smoke Dampers
m
PART FAIL _- - - — -- --- - - -
_1_ RICAL -
Service - — —
Rough-In -
-
UG/Slab
Low Voltage
Fire Alarm
Final [� Reinspection fee of$ �- required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL.
SITE �� Please call for reinspection RE:--- Unable to inspect-no access
Fire Supply Line <
ADA (...1 ( �___ ---
Approach/Sidewalk Date --� u - Inspector _ EiCI�
Other:
Final DO NOT REMOVE this Inspection record from the fob site.
PASS PART FAIL