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12413 SW King George Drive
CITY OF TIOARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST _ _-
�/—/� BUP
Received — Date Requested__ ` AM —PM—_ -_ BUP
Location __ , ! /
�'` `iJ Suite �L _ MEC _ - -
Contact Person Ph(—) _ 1 _/�' �2 PLM —
Contractor - - - -._.. -------- Ph(-) SWR -- ---.
BUILDING Tenant/Owner ELC
Footing —
Foundation Access: ELC —
Ftg Drain ...
Crawl Drain ELR _
Slab Inspection Note SIT
Post&Beam A —
Shear Anchors _ s --- --- —
Ext Shbain/Shear c 2-L
- .— -----
Int Sheath/Shoat
Framing ---
Insulation
Drywall Nailing
-- ----------
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling
Roof _ ��-- --�--- _—
Other: —
Final
PASS_BART FAIL
PLUMBING
Post&Beam - -
Under Slab
Rough-In --- -_--V—
Water Service
Sanitary Sewer -
Rain Drains - - ----- _
Catch Basin/Manhole
Storm Drain --- / -- ---_-- -- —
Shower Pan - _
Other:_- -- - - —.---
Final
PASS PART FAI' --- —-
&1ECHANICAL—
Poet&Beam
Rough In r
Gas Line
a j�e Dam ----- — - - -
r
T FAIL - --__ - ._
AL
----
S vice - - - -
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 FART FAIL
SITE _ [_[ Please call for reinspection RE: - — Unible to Inspect--no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector -- - -.- --- - Ext _--
Other: _
Final O N T REMOVE this inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD
MECHANICAL. PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2003-00196
13115 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 4/18/03
PARCEL: 2S110CC-15900
SITE ADDRESS: 12413 SW KING GEORGE DR
SUBDIVISION: KING CITY NO 5 ZONING:
BLOCK: LOT: 00 JURISDICTION: KIN
CLASS OF V1.1ORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VEN,SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES DOMES. INCIN:
____.V ------ 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 1001K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN -100K BTU: <----f MR 9 Gam: GAS OUTLETS:
> 10030 cfm:
Remi,rks: Replace lurnacc
Owner: FEES
I OUCH Description Date t -w int
2413 SW KING GEORGE DRIVE
d ING CITY, OR 1;7224 MI:('IIJ Permit 1'ce 4/18/03 72.50
(TAXI 8%State"I as 4/18/03 $5.80
Phone:
Total $78.30
Contractor:
S HEATING INC,
023 MEADOWVIF.W COURT
FST LINN, OR 97068 REQUIRED INSPECTIONS
Phone: 503-657-4137 Mechanical Insp
Reg #: LIC 00070720
This permit is issued subject ,o the regulations contained in the Tige rd Municipal Cocle, State of Ore.
Sper—alty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not stated 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
952-001-0100. You may obtain ;opies u, hese rules or direct questions to OUNC by calling
(503)246-6699.
s:.ued By: �(�.{°jYi'l, .•C�E-_•.-- Permittee Signature: f✓
Call (503)b9-4175 by 7:00 P.M. for inspections needed the next bu in ss day
04/11/2003 12:55 5036393771 CITY OF KING CITY PAGE 02/02
rRILrJCJNiY 7p�i
tRVIG.CENTtR Mechanical Permit Application
Ogre rcrer.,ed; n"L' -pv
City of King City — Projecrlappl. ao_ _13125 SW F?all Blvd.
rigard.OR 97223 Date issued: By:_— Receipt no,: —
Claekamas Phone: (503)639-3171, FAX: (503)684-7297 Case rile no.: Payment lypr: —
Multnomah
Washington Land use approval:
F�uilding
O U r• T r. 4
0 Tenantimprovement
2 fnmlly dwelling or accessory 0 CommerciaYindusTiai �(ulti-family
.] Nrw(.cxi.;"-ucuon O raddition;alteration/rep lacement Q Other: _ ___---- -- —
Job address: I �,, GE? �� Indicate equipment quantities in hrixes below. Indicate the dollar
1-Y1_�. _ � � �-a�---------
Bad r4Gitc no.' -- value of all mecharucal mattaials,equipment,labor,overhears,
�' — __ ------ prof). Value ii --� - - --
'rax map/taz lotlaccount no-: _
Lot; �Bhx k: — Sutdivtsion _ "Sec checklist for irnp0r1ant ctpplica1V ^relation and
F'roaeet ramex _^ _ jurisdiction's fee schedule fcr resides it fee.
City/county: ZIP
•--� t '
I
[kscription and tocadon of work on premises: ---�_ _ t d
_ Fes(ea.) Total
Dew-iipt3oo Qt . ReL!n!E Res only
Est,date of completiorviospection: --��_— VAC: -- -
Tenant Improvement or change of use: Air handling unit -- CFM
Is existing space heated or :onditloned°®Yes ❑No Air conditioning(_site plan
Le existing spaME-rC insulated' Yes ❑No Aternu—on of Busting RV AC s)siem_v
ofer/compressors
State boiler permit no.:
Usines name: _ t _ _
_ _ �� _,c HP To H�
Address —t I t ' a�� (ter r, C FirrJsmoke datnperslduct smo�a etectars _
Heat ump)kite Ian re uued)
City: �F��r lath State: „, Ep: � � r p y
Phone: ( � Install/replace furnarr/buline D I'11N
f t Email: I
lnc.luding ductwori�lvent liner Ca Yes®No _
CCB no.: 10 ��_ �— _- nT—staU/replace/nlocate heaters--suznended.
Citi/metro tic. no.; — — wall,or floor mounted
Vame(please ring pct ( ;P� Veni for appliance other than�t'rnace
OTACT PERSON Absorption units ,— BTT_J1FI
c, Chillers HP _
Com p r°ssors Hp_
Address! (��—fy� ( 1�— — _.. Fnvtr On nental extimist and v+•nt�otl n:
L , _ S�ate:pR_ Z.IP:9�pbd__— Appliance vent
tty: I,ve S� L�yrlJrysr exhaust
Phonejjj Fax E mtul: _
Hoods.Type%I/les.k.itclien/i.urtat
hood fire suppression system 1
Exhaust fan with single dutct(beth fans)
�tailirig addre_ � �, N
Exhaust system apart rom heating or Ar --~ —
uelpiping an rihrtioa(:rp to 4 outlets)
t� _ct
'State: zI�: _ r I-pC N pia
T— Furl piping eac�t ad iuonal over outlets --�—
Phone: 1 ax ma : _
Ptocm piping,(schematic required) —
Numher of outlets —
vame: UTer hste,nppttenae or rrquT>>tuent: -- -
>dtiress: Decorative fireplace
:sty State:
LZIP. neer,-r
---._. ..__.— --_--- oo stoke!peletseore _�
'hone; Fax: L-mail: pt cr. - — — — I
t pplicant's signature. Date: _ Other:_ -
ame(print►: -
__- Permlr fee...............I.....S
A all fUr1YrICllQa4 aCCCPt credit Cards.pl,;Ma call NriadietW`1 fee mWa 1"VWudoa ;vatire�: Tk,is permit application Minlmorn fee .•S
Visa ❑MdsrcrCuder
r if o i
`r— exprcpmit is not obtained
were numncr: __ ����L._ Plan rev(cw(at _.__- 96) S
cu.t _�.�-----
�— Ares within 180 days offer it has been $L1te s:lrr:h.Ugc(80'1).....S
Name of Mr older as! own ca credit card accepted as crnrplete, TOTAL 61-0
S
Cardholdcr4i`noturc �--~Amouatq tT( � M