12020 SW KING GEORGE DRIVE 12)2(7 SLS KING GrJRGE DR
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INSPE�("T ON X16
City of Tigard Raildtag IMparlasent
13125 SMI Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec--n-Phonw): 639-4175 Busin^ss Phone: 639-4171
Inspection:____ Ci�� - �G. 1'�� r�J7??L ,�,. A _
Footing P1bg. Underalab tioch. Rough-in App Sdwlk
Found. Plbg. Top out Cas Line FINAL:
Pont/Beam Struc::. San. Sewer. Framing -Bldg.
r -c/Boam New'i. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. B(4. -Nech.�
Dstr Requasted:_ Timet Ak, iN_PN
r--
Address?_
Builder:
ej
THE FOLLOWING C'^')NS ARE REQUIRED:
'i,spectort_ �--/
._-- Date: _
.._JIPPR01 RD DISAPPROVED AppMrED &dBjECI, To Apf)VE
_iCall For Reinap.
MECHAN I r,kL
CITY OFTIFARD PF!-,'M I T
-
WY TWRD 'ERMIT #. . . . . . * MEC91-0048
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW HWI Blvd, P.O.Box 2.wjj,j qk-d,Or"m grM(sW)g3g.417S 71ATE ISSUED: 03/v'= 1/91
FJ-(.i VIINC -:,EORGE DR PARCEL 2F:-110CD-06ECA0
USDIVISION. pfi-/ ZONING-1-
'LOCK. . . . . , . . . . LV . . . . . . . . . . ..
LASS OF' WORK- - sADD FLOOR FURN. . . . ; EVAP CLOLERS:
'CCUPANCY GRP. . R3 VENTS W/O Ai`PL: VENT SN'STEMS.,
TDRIE'-,. . . . . . . . 001 L.ERS/--1O11PRE-,:SSOR'; HOOD y. . . . . .. . .
TYPE's--.. 0-3
HP. . . . I DOMES. INCIN:
3-15 HPI. . * 1. CHMMI— INC I I':.
'Ix INP07 : B-Fu 15-30 HP. . . . a tir.PAIR UNITS-
''E DAMPERS?-- 30-50 HP. . . . .- WJODSTOVU-. . -
t,-,A5, PRESSURE. . . a 50+ HFA. . . . : CLO DRYERS. . :
NO. OF PANI'LING UNITS OTHER UNITS.
TURN ( 100K BTU: 10000 efr': GAS OUTLETS.
F'URN /-100K BIO: 1017100 r-f m:
'-?emLm,kv, : Installation c)f' air- conditioner 7L, 6 decibel rating $20 fee for- noj ,-,-,
r,e ad i rig. May need �Ier.,tt,.icaj P?r-n1,,t; fr,�rp Wash C(junty
Uwr Pr-: F"E'ES
EDWARD MAIN yrze cA In 0 1A 11 t by d--:t e r,e c r-i t
12020 SW KING GEORGE F'PMT $ 116. 00
`i CT $ 0. 80
RING rTT1y' 0R 97 2 1-:1 o4 HIST: $ P0. 4'0
36, 80 JL.H 0,-6/2t/91
6PRUkEN ENERGY CO, INC
39"75 SW 113TH
SFAVER7UN OR, 97005 -------------
r'h(J T I e #-, b41l --0389 36., 80 T(3TA1-
Req 0— , 431c'4
REOUIRED INSPECTIONS
is vervit it issued subject to the regulations contained in the Final Inst:)eutiall
Tjga,• Municipal Coda, State of Ore. 5QLA<V Codes and all other
JPPliCa-'@ laws. All work will be done in accordance with
approved ,lai- This perrit rill empire if work is not started
within J&. days of issuance, or if work is suloended for vorp
180 days.
I 9sued 13vi
Call fOt' irnsPectioil 639-4175
GITY OF TIGARD RF('l-El(-`T OF PAYMENT RECZIPT NU. :9 1-E I x Qle,5
AMC)UNT s c EZt. 00
NOME z MAIN, ED14ARD CASH AMOUNT 0, 00
ADDREGS i B61 KING GURGE DR PAYMENT DOTE a 0.3/''1191
(;Ijsn I V 19 1 ON
TIGARD, OR 97P14--
lJW*,cK-iE- OF PAYMENT omouNT PAID PURPOSE OF' PAYMENT ViMOUN T PA 11)
...........
MISM.LANEPLIS 20. 00 I.
I.
NOISE READ Il'-IG
T'LlTi-Al., AMOUNT t'."WD 00
CITY OF 11GARD R (-F-. Ir'T OF- PAYMU-NT RE X-Ir'T NO. 02.6
It"i Wc. 1MOUNT r 16. 81A
NAMF x GAROKFN ENFERGY CI NC,O, At'sH HMOUNT 0. 00
ADDRESS R ;3975 133W I t 3 T 1.1 PAYMENT rpmr i o3/pi/91
9[je1)I V I V.ION I
SEAVERTONt OR 97005- KING GEORGE
P1,IRPOSSE (IF POYMENT AMOUNT PC)I D PURPOSE OF PAYMENT AMnLINT PAID
PU- MFC1,91-41048 16. 00 ST. BUILD PSR ot 8k7i
't'I'M41- (4MOUNT PAID
U I Y Ut- I IUAKU I L(;HANIGAL PERMIT I'�rmrt N _
_.De.crlouon _
Table 3A Mecrranlcal Code — J _GTY PRICE_ AMT
,Ay of Tigard
1312.5 S.W. Hall Blvd. 1) Permit Fee -0. 0 1000
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223
639-4175 1) Furnace to 100,000 BTU 600
incl.ducts&vents
2) Furnace 100,000 BTLI + 7.50
_ incl,ducts R vents
Name or V_:elopmenl 3) Floor Furnace 6.00
- Incl vent.. _.
Job Address — ) Suspended heater,wall heater
� 6.00
Address C. 0Lty or floor mounted heater
Tax Lot M67T 5) Vent not incl.in 300
apphanco permit
-
Name
'„ulxiwteton ----- -
Name(or name of business) 6) Repair of heating,fell ig., h•(10
cooling,absorption unit
Mailing Address Phone - - 7) Boiler or comp to 3 HP G 00
Owner absorp.unit to 100,000 BTU
C1p e) Boller or comp to J HP 15 HP t 1
Otyrstete (I-
/ ' absorp ;mit.0 500,000 BTU
Now �- ----f{ �l Boiler or comp 15-30 HP 15.00
absorp.unit /a-1 million - -
c a'�i r4, X1''1 � l�Q�.-,�y t%� `u�J� Boiler or comp to 30-50 HP
Maf V Address Phone 22.50
i absorp unit 1 -1 75 million
Contractor - _ I Boiler or comp to 50 HP 31 50
City!"'I'll do i I !1)
ebsorh unit 1,750,000 BTU
`--= Air handling unit to a 50S
late Illiegiatration No C-iv Rus Tax No 12)
10,000 CFM
Air handling unit - tilt
I hereby acknowtadge that I have read this application that the information grvan is 13) 10,000 CFM f-
correct,that I am the owner or auftnzed agent or the owner,that ps,:ns subm-tied sre in — -- --compliance with with State laws.that I am rogrstered with the State Builders Board,that the 14) Non portable 4 50
number given Is correct III ei empi from State registration please give reason below) evaporate cooler
--- -----__-.._-------
Vent fan connected 300
__ _--__ _.._.__--•- 15) to a single duct
16) Ventilation system not 4 50
included In appliance permit _
17) Hood served by 450
mechanical exhaust _-
Stpnatiwe(owner or Grant) baa !8) Domestic type - T iso
Describe work IJ addition I 1 alteration C] repair F”]
to c'•e clone --residential GSI noa,I:eAy;Iqn0&I _ 19) Commercial or industrial .40 00
type Incinerator
Existing use of r � ---- _-- _._
building or properly _- � �.-__ 20) Oil`Tr Le ,woodstove,water � 50
heater,sola►,clothes d ars,etc.
Proposal use o1 - —
building or property _ - 21) Gas piping one to four outlets 200
Type of fuel oil 1 1 natural gas r-1 LPG Cl eiltr'ctric ❑
22) More than 4-per outlet
NQTtQ9 SUB-TOTAL.
THIS PERMIT BECOMES NI1LL AND VOID IF WORK OR CON-
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SU&TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER -� -- TO TAI D
WORK IS COMMENCED _ _
Special Conditions
- -. --- Date issued _ by
r
CIT)' OF TIC 0C PERMIT c
13125 SW HALL BLVD. Permit # ----------------
P. O.—BOX 23397 Description - -
T I GARD. OR 97223
Table 3A Mechanical Code _ T CITY PRICE AMT—
(503)639-4175 J` , (O 1) Permit Fee -0- -0- 10.00
Name of Devolopment 1 2) Supplemental Permit J 3.00
---- - Furnace to 100,000 BTU
Job 'address vents 6.00
wJ incl.ducts 8 ts _
Address
Tax tot Map No Fu,nace 100,000 BTU 1 -
2) incl.ducts&vertts 7.50
tot Block Subdiviskm --- --- -
Na jor name of busines ► —' --� -3 7loor Furnace 6.00
__?4,f " ) incl.vent ---- --- - - -- -
Mailing Addrew prone — Suspended heater,wall heater
Owner �. 4) or floor mounted heater 6.00
CayfState /� 5) Vent not incl.in 3.00
-- �/ -- appliance permit
Nam (or name of hoslness) 6) Repair of heating,refr ig., 6.00
_ cooling,absor 3tion unit
Mailing Address Phone - )7 Boiler or corp to 3 HP 6.00
Occupant absorp.unit to 100,000 BTU C�')
City State Zip 8) Boiler or cornp to 3 HP-15 HP 11.00
_absorp.unii to 500,000 BTU
Name �„ Boiler or cornp 15-30 HP
9) absorp.unit 14,-1 million 15.00
Melling roti 10Boiler or comp to 3C-50 HP 22.50
77 /t �f ) absorp.unit 1 -1.75 million
Contractor City/stat",, Zip GLC 1 1) Boiler or comp to 50 HP 31.50
absorp.unit 1,750,000 BTU
Stale Registration No. City Bus.Tax No 12 Air handling omit to 4.50
10,000 CFM
Air handling unit
I hereby acknowledge that I have road this appB:ation that the information given is t 3) 10,000 CFM i r.50
correct,that I am the owner or authorized agent of the owner,that plans submitted are in -- — — -- -------- -
compliarse with State laws that I am registered with the State BuildersBoard,that the14 Non portable
number given is coned (l,exempt from State registration pl ease give reason below). ) evaporate cooler 4.50
) Vent fan connect3d
- to a single duct 3.00
--_ -- Ventilation system not
-1(3) included in appliance permit 4.50
17) Plod served by 4.50
mechanical exhaust
Signature(owner or magent) - _ baleDomestic type
Describe work Eladdition C_I alteration ❑ repair ❑ 113) Incinerator-`� _- - 7.50
to be done __ residential ❑_ non-residential C1 _ ) Commercial or industri8l 30.00
Existing use of 19 typo incinerator_
building ur properly ) Other i.e.,woodstove,water 4.50
Proposed use of 20 heater,solar,clothes dryers,etc
building or property_ 21) Gas piping one to four outlets 2.00
Type of fuel- oil f 1 natural gas l 1 LPG f 1 electric f !
—'- — 22) More than 4-per outlet
NOTICE SUB-TOTAL
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 188 5%SURCHARGE U
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR I)1 c� pLAµ�}�r , gb.gE.s;,{ 1 r C"Z;
ABANDONED f OR A PERIOD OF 180 DAYS AT ANY TIME AFTER - ---- - - - - - -
WORK IS COMMENCED. TOTAL �L)
Special Conditions
------ ___ Date issued - ----—by
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