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12369 SW KING GEORGE DRIVE N W a) to (n G a (n G) O CQ cp O 1 L 12369 SW King George Drive �\ CITY OF TIGARD MECHANICAL PERMIT - DEVELOPMENT SERVICES PERMIT#: MEC2002-00112 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/20/02 PARCEL: 2S110CC-15300 SITE ADDRESS: 12369 SW KING GEORGE DR SUBDIVISION: KING CITY NO. 5 ZONING: BLOCK: LOT: 007 JURISDICTION: KIN CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O ADPL: VENT SYSTEMS: STORIES: �BUILERS/COM,-IRESSORS i GODS: _ FUEL TYPES_ _e 0 - 3 HP 1 DOMES. INCIN- LII , _ 3 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS: I IRE. DAMPERS?: 30 - 50 HP: WOODSTOVES: GAS PRESSukE: 50 + HP: FUP.N < 100K BTU: 1 AIR HANDLING UNITS CLO DP.YERF FURN >=100K BTU: c- 10000 cfm:� OTHER UNITS: > 10000 cfm: GAS OUTLETS: 1 Remarks: Replacement of gas furnace and add A/C. 1 gas outlet. Owner: FEES DON FABER Type By Date Amount Receipt 12369 SW KING GEORGE DR. PRMT BLD 3/20/02 $72.50 KING CITY KING CITY, OR 97224 5PC'f BLD 3/20/02 $5.60 KING CITY Phone-503-639-7864 Total $78.30 Contractor: SPECIALTY HEATING & COOLING 9528 SW TIGARD ST TIGARD, OR 97223 REQUIRED INSPECTIONG Cas Line Inst Phooe:620-5643 Mechanical Insp Reg #.LIC 66578 Heating Unt Insp Cooiit Unt Insp Final inspection This permit is issl ed 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 fellow rules adopted in the Oregon Utility Notification Center. Those rules are set for',h in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to OUNC by calling Issue By: L y 1 Permittee Sigrature.4-,� Call (503) 839.4175 by 7:00 P.M. for inspections needed the nixt business day 03/20/2002 0'3:52 5036393771 CITY OF KING CITY PAGE 02/02 I KI-C.UUNTY SERVIaaNTER Nlechan,�ca1 Permit Application city of King City 1�received' -w- Permit no.1�1C� ti +� 13 2.5 SW Hull Blvd. I'ro)=t/appl.no.: Expire date Clackamas Tigard, OR 97223 Dale issued: By Ratxipt no.: �lultnotnatl Phone: (503)639-1171, PAX: (503)684-7297 Care file no: s Payment t rpe: Washington ----- u U t , e s Land use apk,roval: Building permit no.: l & 2 family dwelling or accessory Q Commercial/industna O Multi family O Tenant irnurnvernent U New construction ddition/altcmtion/replacemer,t 0 Other: _ JOB SM INFORMATION COMMEkCUIL VALUATION SCIMIDULE Job address' hQ � [r,.i:,.ue equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechanical materials,equipment, labor,overhead, Tax map/tax lot/account no.: �- profit. Value S Lot: —�la lock: �ub ,u,ton "See checklist for itnporrant application information and Project name: -� jurisdiction's fee schedule for residendal permit fee. city/county: ' �4S �. _ ZIP: 7d__ t ' t Descriptlon and Icxatio '`�f work oa re ses;�- t t l I r s 3 t t a F'eelet.) Total ,sL dat�lletionrnspection: ,�� Deaa•I dou , , tiet�.Cilia Ree.Holy tenant improvement or change of use: H1 AC: fs exisdng space heated or condit)onedi� Yes 0 No Air handling unit CFM Art con r "T'- (site Ian requtr ) _ Is existing space insnlatrti" 1'e, Nr, A tendon ofexist:ng AC systtm CONTRACTOR of erlcompresso s ILLSIness name: C_ ,�ti�jidd ' � y1L State boiler perm t no.: �`�`- Sr � -- �� HP Toas $TUMkddress:q5�; W Flrelsmoke darnpers/duct smoke detectors try: i1 !M�^ State:GMS ZIP: y7�3 eat ump Cs to plan required) -" !1oneyJ Fax:.igfr�J� E mall: natal replace mac urne� _ Including durtwork/vent liner es❑No CB no.: &6-5-1 f1 ityime[to lie. nn : elmlocale eaters-suspended. _ wail,or floor mounted ame(f•!ease print) ` 0/'�_/ q- ent or ep lance o er than ace CONTACT PERSON efrigerration: Absorption units I1TU11I true;: Chillers — _HP Jdress: p d%t��- v Compmsson _HP - Eo onmea exbomt and veatila oa: Appliance vent F_-mai): Dryer exhaust _ oo vpe 1 Ccs.k tcheni a27nat hood fire suppmssion system Exhaust fan with single duct(�baLh fannss) __� ,Uintr address;a-V Sail �lF7? G f'/ x gust system apart from heatin or AC- 9 I - - �� �� d T,: N G�7" SW ZIP _-j 7 Tire piping anL�stt;- ygon(up to Outfit J) me: � Fax: 1 E•mall: zl {/ NG Oil' il _ ur piping ach a d done over s outlets Proms piping i schematic required) Number of outlets ne: — - --- — --.- Other ItsW appiUnce nr equ pmeat: Decorative flrt tlatx TState. 21P nrcrt-type ; ___, •._dx I E-mail: oo�stage/pellet stove - t5rher. 1 -- iiccrnt's stgnnJure.: (,� -�(/� )ale. D f7'�• C�thrr• �_ un*aietwou.icccot crWit cads pl&aac calf iurivl,cdun for mare inriml-At,on R!rmit fee...................... .:J i,tatterCard h'orur rhi.r;•r mit appltcddon Minimum fee ................S l txrplres if a pern.:t it not obrditned arJ numherl � ,� r_� Flan review(at — %) S Eip,rn Wlt/tllr 18/1 dayr after it hot been ,. 89c ,tate surcharge( ).....S _— Name Or wilhoWer ea tho-ii no cred.t card acrtpted at complete. C•udhulderaI=nature Am CITY OF II OA R D __ ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT#: ELC2002-00117 DATE ISSUED: 3/20/02 13125 SW Hall Blvd., Tiqard. OR 97223 (503) 639-4171 SITE ADDRESS: 12:69 SW KING GEORGE DR PARCEL- 2S110CC-15300 SUBDIVISION: KING CITY NO. 5 ZONING: BLOCK: LOT : 0017 JURISDICTION: KIN rProiecl Descri-fiom Electrical to gds furnace and A/C. I ^!_RES. UNIT TEMP SRVC./FEEDER_S MISCELLANEOUS 1000 SF OR LIE.,& 0 �- 2.00 amp: PUMP/IRRIGATION: EACI4 ADD'L 500SF: 2.01 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL./PANEL: MANF HMI SVC/ FDR: 15501+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER_ BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/0 SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ArD'L BRNCH CIRC: I IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: :>=4 RES UNITS:a� > 600 VOLT NOMINAL:— Reconnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC UCC: _ Owner: Contractor: DON FABER SHARPE ELECTRIC INC '12369 SW KING GEORGE DR, 22605 SW RIGGS KING CITY, OR 97224 BEAVER'ON, OR 97007 Phone: 503-639-7864 Phone: 642-7937 Reg#: LIC 81518 SUP 3344S ELE 34-2170 _ _FEES _ Required Inspections Type By Date Amount Receipt Wall Cover PRMT CTR 3/20/02 $53.50 2720020000( Elect'I Final 5PC T CTR 3/20/02 $4.28 2720020000( Total $57,78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. 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 by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature: ri `J t -j, Issued Issued B OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ — DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:_. LICENSE NO: - Call 639-4175 by 7:00pm for an inFpection the next business day s■tll�� Electrical Permit Application — Drtereceived.] 4"' Permit City Of Tigard Project/appl.no.: Expit a date: Crtynf'Pigard Address: 13125 SW Wall Blvd,Tigard,OR 97223 Date issued: By:(J6 1 Receiptno.: Phone: (503) 639.4171 — Fax: (503) 598.1960 "fes. Case file no.: Payment type: — Land use approval: 1-YPE OF PERMIT �1 &2 family dwelling or accessory U Commercial/industrial Q Multi-family ❑Tenant improvement U New construction Addition/alteration/replacement U Other: U Partial lob address: /�t.30� j14� t✓ C p t Bldg. no.: Suite no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: 'fl !e Description and Ito ation of vacrk on premises: [j ct-'JGt i )'10 r' ! C_ Estimated date of completion/iii Lection: CONTRACTOR 1 1 Job no: G% ,( rer Max Business name: 5/xrpeL-le�crP_k -_1_[L�- - Description Qtv. (ea) total nu.Insp New residential-single or multi-family per Address: dwellinganiLIncludes:dtacbedgarage. City: ° �� 1 t�'r►t.- later ZIP: 97c(- Serviceinclurkvl: Phone:Sc 3 ✓r Ljj 7?411 Fax I E-mail: 1000 sq it or less .1 CCB no.: Elco.bus. lie.no: 3q — Each additional 500 rq.ft.or portior thereof 5 j / C i Limited energy.residential 2 City/metro lie.no.: rj),5.3/ — Immicdenergy,nun-residential � Tach manufactured home or mo(mlar dwelling Si ntiture of supervise g electrician(required l Date Sen ice and/or feeder 2 Sup.elect.name(print): l.-� ` �� License no, c S ServIcesorfeeden-Installation, alteration or relocation: PROPIE�Iry OWNER 200;unps or Icss 201 am s to 400 am s Name(print): .��,�l � f�-_ �_ _ P p 401 amp.;to 600 amps — Mailing address: t '(, , t- 6�9 �'� '/y-r" / - err! ;imps to 1000 Imps — City: Ifln (4 — Slate:(",tZIP: U/2 2 UvcrIOOOarnpcorvolts Phone: /p_'3Y �; F'ax: E-mail: ttecomrectonly 1 Ulmer installation:The installation is being mate on property I own Temporaryservicesorfeeden- which is not intended for sale. (case,rent,or exchange according to Installation,alteration,orrelucation: ORS 447,455.479,670,701. .'00 amps or less 2 2nl amps to 400 amps 2 OwSI nature: vale: JUln,(,00.un+s 2 Branch&cults-new,aUeralion. or extension per panel: Name: A Fee for branch circuits with se purchaof Address: service or feeder fee,cacti branch circuit ' 2 - --- —7- --------�r-- Clh cit:ttty' ZII'' ){ Fee for branch circuits without purchase / -- - --- - of service or feeder fee,first branch circuit: 2 I'Ir ,ii I i I nail. Each addnuunal branch cucuul. 1:0 AAA 111"11 W Misc.(Service or feeder not included): U Sen ice ucer 2 .unps-wnumeta,d Iealth-cine lacil ty @udl pumpor irrigation circle J lien ice over 120 amps•r,ung of I+\2 i I lazatdous location leach sign or outline lighting _ I t,unfly dwellings J Huddmit over IIi.mo square feet tour or Sigcal+.ircuul s)or a limned energy panel. J"'vstem over mix)vr{ts nonunal mare residential units in one structure I J Ituddutg nverthn,e stones J Feeders,41x)amps or mitre 'Descnoti.ut J r kcunant load s er tnr;+er,mr; -1 Manufactured structures or RV park LAch additional Inspection over the allowable in anv of the simse:— J I rcavheinml,plan -i other __------__---- I':nuspcen,n Submit —.vets of pians with any of the above. Insesngatran teeThe above are not applicable to temporary construction service. I c nrler --- — Permit fee........... ; Not.tq cep+ctedir cards,please call)unsdredon for more mtorrnatam Notice. Illy,nerrllll application --------"�"-- review(at J vis:. J�fastcul:anl expires.t,r nenn)t is not obtained Plan rev — - -------- rredn c,ad mitithm --i----_—_--- --- r / within 180 da%s,.fitter it has been State surcharge(l' t i rxpir's accepted as complete. TOTAL ,. Name of cardholder as shown on credit raid S _ Cardholder signature �� Amount 4-U)4615 rrytxl/Ct)bb i CITY OF TIGARD 24-Hour BUILDING In-;pec;ion Line: (503) 639-4175 INSPECTION DIVISION Burin ss Lina. (503) 639-4171 MST 2 BLIP Received 3��7 Date Requested �+ J _ AMPM Location .,IoZ3 �w tt-I�J-�o cow, _Suite MEC Contact Person _ Ph ( -- - ---) �-j�� PLM Contractor �l-1�Lat,+_� �c Phl---) _ �0�4-78� _ SWR - - BUILDING Tenant/Owner ELC Footing Foundation Access: E LC Ftg Drain Crawl Drain ELFT Slab Inspection Notes: SIT Post& Beam - Shear Anchors Ext Sheath/Shear Int Sheath/Shear Frarring I! — ---- - - ---- ---- Insulation -- Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other:_ Final PASS DART FAIL PLUMBING Post&Beam Under Slab Rough-In Water Service _ Sanitary Sewer Rain Drains -- Catch Basin/Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL - --.. - - .. -- --- MECHANICAL Cogg m -- --- S e Dampers m _ A'S T FAIL 6LEC RIC L Service -- Rough-In UG/Slab -`- - Low Voltage Fire Alarm �_-- - - Final Reinspection fee of$ required before next inspection. Pay at City Halt, 13125 SW Hall Blvd. PASS PART FAIL [� Please call for reinspection RE: — Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date _ ___ Inspeetor__� Ext Other: _ Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received , Date Requested_ BUP _ Location —1�'� 9 �at� Kt tJ22 �' '� --Suite _ MEC Contact Person 1 q-70-L�1:63 Ph(. ) t�� —56 q 3 PLM Contractor 9,:�tziio w Ph( —) � - � g�� SWR BUILDING Tenant/Owner __—.� _ _— —____—____.. ELC - �O�r Footing — Foundation ELC — Ftg Drain ACC@SS: ELR — Crawl Drain Slab Inspection Notes: SIT Post&Beam — ---- _--------____-- -- _--.-__. _^_ Shear Anchors Ext Sheath/Shear Int Sheath/Shear — Framing - -- --------In zulation Drywall Nailing — t`-u- -- -� Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling -......... __ ---- - ----- - ------ - .__._.. ... Roof Other: Forel --------- _ PASS PART FAIL _�._--- --____ ------ ---- - ----- -- -- - ----`..___._- -------- PLUMBMNG_ —_— - -- - - _ Post& Beam Under Slab ------------- _. Rough-In Water Service --- -- ------ _ _ _ -_ __. .._..._.._ Sanitary Sewer Rain Drains Catch Basin r Manhole Storm Drain - --- - - Shower Pan Other. --------- Final PA:SPART FAIL MECHANICAL — Post&Beam - - Rough-In ----- - - ---- Gas line ----------- -- — __, Smoke Dampers Final PASS PART FAIL - --------- --- _.-_ _ ELECTRICAL Service — __— ___-�_ -------- - — ---- -- ---- - Rough-In UG/Slab Low Voltage ------------ ---— --- ------ -- Fir larm PART FAIL FIReinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. Please call for reinspection RE: — �— _ Unable tc,inspect-no access Fire Supply Line ADA _ •� rd Approach/Sidewalk Date -sem. _- .— Inspector _tltt Other: Final -- - DO NOT REMOVE this Inspoetlon record tom tho b she. PASS PART FAIL