12422 SW KING GEORGE DRIVE-1 rr-
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ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION NOTICE ''t+
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Inspection Line: 639-4175 Business Phone: 639-4171
• ,� Teri"�` r�����"r1�'
" t d Footing Rain Drain Cover/Service IN p....
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Foundation Water Line Ceiling Plumb,
Post/Beam Mach, Shear/Sheath Framing
Plbg.Und/Flr/Slab F,'-,- Top Out Insulation Elect.
" Post/Beam Struct. Mach. R:)ugh-in Gyp. Bd. Bldg.
i1
San. Sewer Gas Li Appr/Sdwlk Reins.
Other:
Date:_— A . _ P.M. Entry:
Address:
Tenant- _— ___ St �. MST: _ ■
BUP:
j Oo ('/Own: 5:2 61 _ MEC:
PL"1:
ELG:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector. � -_-- — —
Date:
APPROVED_ _DISAPPROVED/CALL FOR REINSP. CF CO
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0 CITY OF T MECF•IAN I CAL.
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PERMIT #. . . . . . : MEC97-001?,
DATE: ISSUF ): 01/24/97
PARCEL: 251 1OCC-- 19000
ST.TE ADDRESS. . . SW KTNG GEORGIA DR
SI_1BDI V ISION. . . . . ZONING-.
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CI._AS:3 OF WORK„ . :ADD FLOOR TORN. . . . : 0 EVFff-' COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS, . : 0 VENT FANS. . . : 0
OCCUPANCY GRP., . :R3 Vr.NTfi W/0 APPi.._: 0 VENT SYSTEM`?: 0 4
STORIIIS. . . . . . . . . 0 DOILE:RS/COMPRESSORS HOODS. . . . . . . : 0
FUEL_ TYPE,_..__..-.—___.—_-- 0 DOMES. 1 NCIH: 0
: /WOD/ / / 3-15 HP. . . . 0 COMML... I NC I N: it
ih.gX 1 NPU`: 0 STU 15 -:30 [A P. „ . V1 REPAIR UNITS: 0 �
FI RE: DAMPER;",?. . : 30•-50 HP. . . . : 0 WOOD13TOVE S. . : 0
GAJ PRU3SURE. . . : 50+ HP. . . , 0 (J..O DRYERf_;. . : 0
1\10. OF' lJkl I TS------ ---- AIR HANDLING UNITS OTHER LJN T Tc. : 1.
F'URN ( 1.001-/\ BTIJ: 0 (== tuiO0O r. fm : 0 GAS OUTLETS. : i
TURN ) =1Oot< B-ru: 0 > 10000 cfm: 0 r
Remarks : in�tl fireplace insert R-
Owner;�1 FEES
STANLEYMIF ^EN tYpp
amo�..rnt by date r t _
f 12422 SW DING GEORGE= DR F''RMT $ 25. 00 TAT 01./24/97 CITY
';C--'CT 1, 1. 25 TAT O1. /;-4/97 KINC CITY
TIGARD nR 97c',2z,
Phone #:
s
Cont;
iIMO K.ORKEAKOSKI
311.50 S DRYLf1ND RD
CANBY OR 972r-,6
Phone #- $ 26. 25 TOTAL 1
Reg #, . : 000478
........._..___ REQUIRED INSPE.CTTONS -------
This permit is issued subject to the regntz.tions contained in tht Post/Beam l n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanicc-tl Insp
applicable laws, all work will be done in accordance with W o o d s t o v e I n s p
approved plans. This permit will expire if woi', is not started Misr. Inspection V �
within 180 days of issuance, or if mark is suspended for more Final Inspect ion
than 198 days. —'� --
per^m i t t e e S i g n a t;U r
I s s i-red Ry:
ZA�.
C;al. fear• inspection •- 639-4175
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JM!!-24-'2 FR I 2--,:46 I P,: --AX IJO: 467 P02 1
Mechanical Permit Application Recd By
CITY OF TIGARD Date Rec1-�L�
d� �
13195 81N HALL BLVD. Commercial and Residential Date to P.E
TIGARD, OR 97223 Date to DST
(603) 639-4171, x304
Print or type caked
low
Incomplete or Illegible applications will riot be accepted
e •ropm•nvpro Description �• ��� QT{ - PRICE AW
Table 1A Mechanical Code - ly 10.r10
Job streeSunea A) Permit Fria
t Addles ,
Addmss ( i�,22, `S 3.00
eagrf CrryrsUare Zip B) Supplerr>antal Permit
Nerve(or none of euarneea) 1.? r Umacs to 100,000 pTU
1 iC L�� incl.duds 8 vents
Owner 1 �- ✓ 7.z4
Mailing Aeere, 2.) Furnace 1 0,000 BTU+
n ,L(�� ���,r incl.ducts A Vents 6.60 a
c� - home 3` ) door Furnace
CltytCrau Z incl.vent
4,? uspondeo heater,wall heater 6,00
erne- ( m w aheaai or floor mounted heater
• •--'.__' 3.00
Mailingax •_ 5� vent not incl.in
Mailing of � ��� a piiancp Permit 6.00
1� p Phone 3.) Boiler w camp,heat pump,air coed.
C' Ismta D to 3 HF';absorp unit to 100K QTU
N �� (�= 11.ua
Nwne t.) Boller o�comp�PUrnP�air Gond.
y�a j�• �, 3-15 HP;absorp unit to 600KIBTU 1500
M•Iling d ro•a SRYV� B,) Boiiar or comp,heel pump,air cond-
CorltractC~ / jZ�, 15-30 HP:abso 5 unit.5-1 mil BTU
9.) Boiler or co
0 r61�e 2rP phone 22 50
y comp,heat pump,air Gond.
Attach copy of �� 0 �s �h 30-50 HP;absorp unit 1-1.75 mil BTU 37.50
Current Licansr+s `t-� a—ir
regon C nt.Board Llr•.X ,CAP/41n
t � 10.) �50 HP;brio heat
1.5pmit STUB ((
r LLE, 94,50
'� t t ) Alr hendlln unit to COT nushelia Ta+s M arlo,000� CTM
7. 0
idame - 12.'1 Air handling unit
Architect 10,000 CTM+ 4.50
13.) Non portable
OP Maiuna"t-sh
evaporate cooler 3.
cny.stm-a!-� �71� ph`"i° tA.) Vent fan wnnected I
Engineer to a single duct — 50 i
15.) Ventilallrin system rot
Daecrbe work Now ration O O Additisn O 05 pepait O included in applian a perrnit
to Be done Residential O Non-residential 0 1h,) Hood served—by �— C
1 addkbna 9uiptlon of work mechanical exhaust
17) Domestic In Jnerators 7.50
=
- 30.00
1�j Commercial or industrial
Nisting Use o} /� t �� � incinerator _buildingor properh L� type 4.50 i
19.) Clott+?s dryers,etc.
4.50
20) Other writ! 1 I
Proposed use of r ��� h:;
building or property 1-t'r'y .j)
rine In tout WINK
, 2.00 O ekrcKnc O �i) Gas piping
Type of f�ol�� e!it O natural ga F'G J _ ---
' _ (each)
I hereby acknowladye that I have reed this applieatilin,that the 22) Mvre than 4 C•.outlet
information given is correct,that I Am the owner or authorized Agent of _-----QTM SUBtUTAL ;�°
the owner,that plans submitted ere in crlmptlance N1th Oregon 5t-ti. ;T
laws. "pateJ�'a76
-'
5^/, CHA
•URSUS101AL. r
.:
gnature OwnerlAgent AL
Phon� ---�-----
IT A4 d Ar�r f� r TOTAL
'Minimum r ermit fvip is7V25+5%surrharge
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INSPECTION NOTICE
T
city of igan Builling Department
13125 SW Hall Blvd. Tigard, Oregon 97223
Inspection Line 'Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underelab Mach. Rough-1n Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mach. Rain Drain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Hach.
Date Requested: ___—Timet —AM __,—PN 1
l SEG
Address: �/��=�i✓./Ji.�.�Ci �_71:''._? j&rmit
Bu Llder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ �T— 7 Date:
_APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log--note Fee Doc Tag Misc Xit
List related cases In project group # 880875 1
6AmECHANICAL
' :MEC92-0185: PROJECT: STATUS:F UPD:12/02/92: :3CR:
PERMITTEE:WIVIAN E SCHMITZ PRIM. . :ME'C92-0185: `
SITE ADDRESS:12422 SW KING GEORGE DR
o-
UADESCRIPTION OF
2T AIR CONDITIONER NOISE READING REQUIRED
CLASS OF WORK. . :ADD: FLOOR FURN. . . . : EVAP COOLERS: '
' TYPE OF USE. . . . :SF ?. ?IT HEATERS. . : VENT FANS. . . : °
OCCUPANCY GRP. . :R3 VENTS W/O APPL: VENT SYSTEMS. °
' STORIES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . .
' FUEL TYPES------------- 0-3 HP. . . . :2 DOMES. INCIN: °
/ELE/ / /: 3-15 HP. . . . : COMML. INCIN: s °
° MAX INPUT: :BTU 15-30 lip. . . . : REPAIR UNITS: e
' FIRE DAMPERS?. . : : 30-50 HP. . . . : WOODSTOVES. . :
°
GAS PRESSURE. . . : :H/M/T 50+ lip. . . . : CLO DRYERS. . ! °
NO. OF LNITS---.------- AIR HANDLING- UNITS OTHER UNITS. : °
FURN < 100K P1J: <= 10000 cfm: GAS OUTLETS. : °
° FURN -100K BTU: > 10000 cfm: °
ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log-note Fee Doc Tag Misc Xit
List related cases in project group # 880875
O$ME:CHANICAL
:MEC92-0185: PROJECT: STATUS:F UPD:12/02/92: :SCR: °
° PERMITTEE:DIVIAN E SCHMITZ PRIM. . :MEC92-0185: °
SITE ADDRESS:1'!422 SW KING GEORGE DR °
QADESCRIPTiON OF
2T AIR CONDITIONER NOISE READING REQUIRED °
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ty
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TN-r?I!ECTION NOTICE
City of TL,;u-d Building Department
13125 SW hall Blvd. Tigard, Oregon 97223
Inspection Line (Roo-O-Phone): 639-4175 Business Phone: 639-41 _
Inspection!_ --
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Past/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.�
Date Requested:-_ ___?/� _• -Time: AH _ PN
Address: c� I _ i it
1
Builders_. C_ *�L�/,���j`L L
THE FOLLOWINCs CORRECTIONS ARE REQUIRED:
r
Inspector: — — DatesY �
APPROVED ii DISAPPROVED — _ APPROVED SUBJECT TO ABOVE
Call Far Reinap.
CITYOFTIGARD
r� �� MECHANICAL �
COMMUNITY DEVELOPMENT DEPARTMENT ooN PIE RI►IIT
13126 SW FWl Blvd. P.O Bax 23397,Tiga d,Orqpon 97223(603)639-41'76
F'EF%1+1IT #. . . . . . . hIEC9:�- 185
639 •.4171 LATE ISSUED: 09/18/92
4 E=
SITE ADDRESS. . . : 12 2 SW KING GEORGE DR PARCEL: c:?S 1 10CC;-1�301z10
SUBDIVISION. . . . : ZO "ING:
BLOC LOT. . . . . . . . . .. . . . .
CLASS OF WORK. . :ADD FLOOR F'URN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATE;RS. . : VENT FANS. . . : �
OCCUPANCY GRP. . :R3 VENTS W/O APPI_: VENT SYSTE=MS:
STORIES. . . . . . . . : BOILERS/COMPREC'-SORS HOODS. . . . . . . :
f-UEL "FYF!ES._.____.._.__._._._..__-- IZi--,3 HP. . . . .` DOME=S. INC11V:
:/ELE/ 1 / :3-15 HP. . . . : COMIdL. INCIN:
MAX I NPU I : BTU 15--31z, Hf-'. . . . : REPAIR UNITS:
F'I:RE DAMPERS'.". . : 30--50 HP. . . . : WOODSST'OVE:.S. . :
j GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYE::RS. . :
! NO. OF UNITS--- -- -_— — AIR HANDLING UN I O FHE R UNITS.
FURN ( 100FC BTU: (= 10000 cf m : GAS OWLETS.
TURN ) - 100K BTU: > 1111000 _fm :
Remarks : 21 AIR CONDITIONER NOISE RE:AWNG RE.WIRE_D
Owner,: -___.._ ...._._____..__...._______._______ __.___..__ ___._.___..___.__ __.___.__ FEES
1)1VIAN SCHI+tITZ typo amor.rnt by cute r•`ecpt
12422 SW KING GEORGE PRhI'T z 2j. 00 JH 09/18/92 —
51='CT 4, 1. L:t,) JH 09/18/92 -
KING CI I Y OR 9 7224 IgISC 14F '0. 00 JH 09/18/92
Phone #: 439-6372
Luntract or- ------------------_—__.—_-.---_.__-
ROBBEN AND SONS HEATING
E300 SE 7TH AVE::
P. 0. BOX 14867
PORTLAND OR 97214 ___.____—__—__"------_--__.__—_--_—__.-.-_._
Phone #: 2:33--584.1 b 46. 25 TOT(,L
Rey #. . : 0188 +
REQUIRED I WiPECT IONS .._______.....
This permit is issued subject to the regulations contained in the F inal Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. A11 work will be done in accordance with
approved plans. This permit will expire if work is nA started
within 180 days of issuance, or if work is suspended for more
than 180 days.
P e r n;i t t e e
B y :
_
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11 or` insfaec.:t i. n 6,39 -41 , �
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t.-ITY OP TIGARI) RECEIPT OF- PAYMENT RECEIPT NCO. 0901—P311~315
'dAME; a TRAPF', ��I�I LI...I r� CHI C1, AMOUNT a 46. 25
"ODRt`SS c POR F-OBBEN & GC)l\t, Hf--' aTYNG CASH AMOUNT VA, 00 �.
PAYMENT DATE. 0 9,'1 ti
St.I-DIVISION a
'URPF]SE OF PAYME.N 1- AMOUNT PA I n PURPt:IS'F., OF PAYMENTa
AMt]IJNT PAID
, IC::CMAN I CAL PI:. .._....__........�.
�''5. 00 1411 SCE:1_LACJECIU
f. BUILD _...._....__. ��, �4�
F�E:k 1 . 2re, I
W KING G'.ORUE•
TOTPL AMOUNT PAID
? 46.
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