12327 SW KING GEORGE DRIVE N
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12327 SW KING GEORGE DRIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Line: G39-4171 MST --
oBUP
2. Z 11,53 Date Requested_ -/ " AM ��_PM _ BLD ---�' —
Locatio,t_ I Z 93417_J" K,E/)'1 _ Suite
Contart Verson Ph PLM
Contractor � ,��c A4"[w Q,,,J— _ Ph 2,'4V—_
S'NR
BUILDING _ Tenant/Owner ^_ _ ELC — —
Retaining Wall -
Footing ELR
Foundation Access
FPS
Ftg Drain —
Crawl Drain Inspectioo Notes.- SGN
Slab I _ SIT -
Post& Beam !/
ExtSheathiShear �, GI " , �"� >n(pF
Int Sheath/Shear — - ----
Framing
Insulation
Drywall Nailing At,) r_
Firewv II -
Fire Sprinklers-SAS fu
Fire Alarm --
Susp'd Ceiling _--
Roof
Mi'r
Final
PASS PART FAIL /�9S611AZ-S rV A-,"
PLUMBING
Post& Beam '�-
Under Slat,
Top Out --
Water Service
Sanitary Sewer
Rain Drains
Final ---- - ----- - ----._. - --- -- -
PASS PART FAIL
MECHANICAL
Pasl& Beam
ou n'k �.t-CT_
as Lin i -
---- --
Smke Dampers w/�
ins , -
/ .ASS PART FtiiL r- -
ELECTRICAL --
SerVICP_
Rough In
UG/Slab
Low Voltage �- —- -
Fire Aiarm
Final
PASS PART FAIL
SITE
Backfill/Grading -
Sanitary Sewer — -----�- --
Storm Drain ( ]Reinspection fee of$ _ required before next inspectir i. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ] Please call for reinspection RE _ _ [ ]Unable to inspect-no access
ADA
Approach/Sidewalk
Other Date Inspector ------ -- Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection recond fronts the job site.
CITY O F TO G A R D
DEVELOPMENT SERVICESf,".,ERMTT �k PERM T T
13125 SW Hall Blvd., Tiqard,OR 97223(503)639-4171 DnTF ISSL)EDg 09/1FI/98
2SIA. 10CC... 14500
P in P PT S. :i 7 9)W K G Fr)RG F PR
I 15ION. . . . T 1,1 CITY N 10 Z nN I NO
TIJRIL'DTCTjnN-. KIN
0 C I LOT. . . . . . . . . . . .. . 04 5
F"I ('K"S 0!- WORVI. . :OTP rt..onp FLIRM. 0 EVAP COOLERS: 0
rlr- LISE. . . . SF L.JNTT HEPTERS. Z. VENT FANS. . . : 0
'-I W,/CIt'-)PPL.-.-. 0 VENT SYSTEMS: 0
JPANCY CRI'. . :: R7 VEIN!-S W
ORT ES. . . . . . . . t 0 POT LERS/COMPRESSOPS I-innm;. . . . . . . . o
0-3 HP. . I DOMES. TNCIN: 0
3-15 HP. 0 C'OMIIL,. TNC'TN.- 0
MAX TNPLJT. Qi 9TIj 15- :30 1AP. . . . 0 REPOTP tJNITS: 0
FIRE DAMPERS"..: 30-50 IAP. . . . 0 WOODPTOVES. . : 0,
50+ l-IP. . . 17! CLO DRYER- S. . 0
OF UNITS.- --- - ATR HANDLING LIN I T S fD'rHER LJNTTS). e
9N < 1001' PTL!: 10001r--r-m . 0 GAS OIJTLFTI�-"). 1
R11.) ) r-100V PTL!: 10000 rfm - 12l
marks ., Installation of furnace, heat puto gas piping. Conversior frog
-zctric to gas,
r-F.FS
AIN ri-ARMS type amr3i.tn'c by d at P recpt
3 1 T'). 00 DEB 09/16/9S KING CITY
'P 7 5'
3 )W 1S T. (3EnRC)r-- PRMT
17.. (7TTY OR 97i-,,-:'114 DEP 09/1.6/913 1,TINIG CT"FY
r")-iarie #-
T')t r,to r. a r-
1,7.PGY MnSTERS jjr"rjTjI\IG tt A/C
70 GW 76TH
26., 25 TOTAL
RTLAND OR WE"',
'-LiBso
RE'C',[JTRr-,'D T.NSPECT Tm
is Irisfi ---- —
pervi s issued subject to t4 regulations contained in the G s
,4rd Municipal Code, Sl,'ate of Ore. Specialty Codes and a, other Mr-&ianiral, Ir)sr,
c.;plicable 1p,.s. All i4ork will be done in accordance with Heat i.ng Llrit Ivisp
-,roved plans, This pervit will expire if work is not started (7 11 ti I i ii g 11yi t I Ti p
11in 90 days of issuance, or if work it I(Ispen". for ycrp '-'4 nal. InsipectioTi
- 180 days. ATTENTION: Oregon law requires you to follow roles .........
;,ted by the Oregon Utility Nctificatior Center, Those rules are
forth it OAR 92-01-0@le thro.'h OAR Ynu gay
iin copies of these rules or direct questions to M by calling ..........
/ /�_ C� (�;y�'o-�A-f !�'F",I-m n a I-e
1 .1-A I , 1-4 {..+ I 1 1 4..1 ,}.++ 4 4-4,..+.4....H +4 4
f•-,,1- ; *r+: - ' ;i ,, ;( , r-r rl 0(1 ! 1'�r, 111, t I')I.(C, i n v i,
L "L I. L 4 t 4 ! -t.4 1 i i t 4..x-.F.-L,-1 J t.4 4. L.+.4'4.+ 1.4.1 J.'4-..1-4-4 '� j 4
_.._.- '',FF'-1F;-'9R THI I I1':i:SR l Ii: F-R7C NIJ: ktb53 P07
ec
CITY OF TIGARD Mechanical Permit Application Plan Ch
Reed h ac,.c
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.F. y
(543) 639-4171, x304 0jte:to DST
Print or Type Permit#—
Incomplete or ille ible applications will riot be accepted Called
Name of De-elopm�;•oit:J Oescnption �1I
1 V AL) (,r/`5iy--(c Table 1A Mechanic'..Code � Ory nce Amt '
)On rwertAddress sv;t.,r �A) Permit Fee
`LZ�.! l.v I~l� 1) Furnace'-.) 100,000 BTU /
Address _ Including duds h vents 6.00
Braga ctryrstate 71P 2) Furnace 100,000 BTU 4
includinu ducts&vents 750
Name for nNrn of bwinaes) �T 3) Fluor Furnace
Owner t V s'N C(-t-k 0 Including vent _ 9.170
malting nddr.ss — --- 4) Sunpended heater,wall heater
or floor mounted heater 9,00
5) vrani -rot Included in appliance permit
Cnyl9lale -Zip Phone 3.00
r IcrLd. c 47774 X84 3 rHE(C AU_ Roller MeatTAii:
- --
Name ter Warne of twsuiess) TIIAT APPLY, or Punip Gond qty Prlra Amt e)-3HComoG111gP;absorb unit to ----+--- -_ -
Mailing Adss dre
Occupant � 100K BTU _ ti 00
-7-)--%--1 5 HP;absorti unit
—� -- C310to `- - lir - -pt,�RF 100k to 500k 8TU 11.00
H) 15-10 HP. absorb
unit-5-11 mil BTU 15On
contractor "iTe �- - —
Cl til . , C- u 30-50 NP;absorb
ry r unit 1-1.751 iii BTU 22.50 _
Prior to permit Meiling Address 10)s50HP, absorb unit
issuance,a coPY 7Q�-AWA r'4 :-I.Tb rnil 8TU -- 37 50
of all Ilrt nses Cltyr"tale io 'nand �— 1 1)Air handling unit to 10,000 CFM
err required if gZ�7-3 . :a6
expired in COT orison C C9ppr i rr r •p nsre 12)Air handling unit 10,000 CFM*y
database SL
Arr.,hltACt name 1.3)Non-portable evapnr-le cooler
4 50
MelikV Address J -� -� 14)Vent fan ronnerted to a single dura
er j,00
____ �___ 15)Ventllatlon system not includr.'in
Engineer rdyrslet�� `liP ahnne appliance. srmil 4 K0
16 Hood served 1�y mechanlrAl ext ,,i, +
C1@SC11be wntk to be dune -- — -- 4-1
17)Oume®tic incinorsloro
New A Repair O RaplarA with like kind YesNo O 7.50-
ResldentlaNt Cornmerr_ial 0 1 H)Commercial or industrial type incinerator -
/ ` 30.00
Additional infonnatlon or description of wcrk— 19)Repair units
1�
rr t„t.Z--�/-"1 r'L C t �i � S C �f l" 20)Wood stoic;
71)Clothes dryer,etc. 4.10
4.50
Type of fuel; 011 p nalural gas jc LPG O electri T� 22)00her units J
'
I hereby acknowledge that I have read this applinaNnn,that the in(rnTnatinn 23)Gas pipinq nnp to four outlets �O
! given is corned,that I am the owner or authorized agent of
I the owner,that plans submitted are In rcimpliance with Oregon State laws. 74)More than 4-paroutlet(each)
SI rur-of owned ent - — Dat"
,L � .-G3� Minimum Permit Fee 549.0_0_ SUBTOTAL .(.�
5^,.SURCHARGE
Contar,t F" on Nanle Phone TAN REVIEW 25%OF WEITOTAI
Rnqulred for ALL commercial permits only
TOTAL
'Stale/toiler CenificAtion required
"'Residential AH:requires site plan showing placemenl of unit
1 lniechperm doc: rev 07/20/98