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12422 SW KING GEORGE DRIVE A I N N N 7: H 7 G) 5 c� rTj d N 12422 SW KING GEC)RGF DR CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 - BLIP —_-- Date Requ,,ctDd_ Z- AM PM -- ESLD _ Location �� Z Z_ '�' uite — MEC Contact Person h PL.M Contractor ---� Ph - _ SWR _ RBUILDING Tenant/O.vner s. � u t,�, J Z ELC -------_ etaining Wall _ ELR Footing FPS Foundation -- Ftg Drain SGN Crawl Drain inspection Notes --- S ab -__. ----.:�. �_.s�� ll��t-� -._���� ----- SIT Post&Beam G Ext Sheath/Shear --- ------------ - Int Sheath/Shear Framing Insulation Drywall Nailing -- ------ Firewall Fire Sprinkler ----- Fire Alarm Susp a Ceiling -._-_-_-_- Roof Misc: -- ----- ---- ..-_ - -- --- Final ---- PASS PART FAIL - -- --- -__ - PLUMBING Post&Beam --- --- --__. _ Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final - PASS PART FAIL. MECHANICAL Post& Bean, -- - - -----_ ---- --- - .. -- Rough In GasLine --- ----..._---- ----_-------- _ --_.._ - SmUKe Dampers A ART FAIL ELECTRICAL -- - ---- - _- _- -- -------- ---- -----—- —-- Service - - --- ---- -- - --- -- Reugh In I IG/Slab -� -- - ------- _ ---- ------ --- - - I ow Voltage Fire Alarm -- --- -----..�_---- -- - -- - - - -- Final PASS PART FAR SITE - - -_ -- - --- -- ---- --------.. - �.. - - - -- SI'T'E Backfill/Grading -------- --- ------------ -- -------------_ —_ Sanitary Sewer Storm Drain ( J Reinspection fee of$ _required befc a next inspection. Pay at City Hall, 13125 SW Hall 131-1 Catch Basin ( ]Please cal!for rernspecti RE: _- _ ____ ( J Unable to inspect-no accesr; Fire Supply Line -- -- ADA 1_ Approach/SidewalkInspect n Ext Other mateor-� _ __---- - Final PASS PART FAIL rPO NOT REMOVE this inspection record from the job site. CITYOF T I G A R D MECHANICAL PERMIT C1EVELQPMENT SERVICES PERMIT#: MEC2001-00293 DATE ISSUED: 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 2S51I l0CC- C- PARCEL: 19000 SITE ADDRESS: 12422 SW KING GEORGE DR SUBDIVISION: KING CITY NO. 5 ZON!NG: BLOCK: LOT: 067 JURISDICTION: KIN CLASS OF WORK: ALT FLOOR FURN: EVA0 COOLERS: TYPE OF USE: SF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS/COMPRESSORS _ HOODS: _ FUEL TYPES _ 0 - 3 HP: DOMES. INCIN: GAS 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 < 100K BTU: 1 _ AIR _HANDLING_UNIT_S___- OTHER UNITS: FURN >=100K BTU: <= 10000 cfin: GAS CUTLETS: 1 > 1000u Cf m: Remark rnace replacement and add gas walei heater. Owner: FEES _ r,,IELEN, STANLEY J + ELAINE J –Type By Date Amount Receipt 1242.2 SW KING GEORGE DR PRMT 1313 08/17/20( $72 50 KING CITY TIGARD, OR 97224 5PCT 1313 08/17/20( $•,.80 KING CITY Total $78.30 _ Phone: r— ---.� +--- __ -- Contractor: ENERGY MASTERS HEATING+ A/C 7470 SW 76TH PORTLAND, OR 97224 —v ?EOUIRED INSPECTIONS _v Gas Line ►asp .lone:244.8880 Mechanical !nsp Reg #:LIC 58556 Final Inspection PLM 26-476PI3 Final Inspection This permit is issued subject to the regulations contained in the -Tigard Municipal C-de, State of Ore. Specialty Codes and all other applicable laws. All work will he clone in accordance with approved plans. This permit will exp re if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. A FTF-NTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Fhose rules are set forth in 'JAR 952-001-0010 through OAR 952001-0080. You may obtain spies N thesp rules or direct questions to OUNC by calling (503)246-9189. Issue By: Permittee Signature: 1, 1,�`2/ ---� Call (503) 639-4175 by 7:00 P.M. for inspe0rins reeded th" next business Jay 09/16/2001 111: 41 5036393771 CITY OF KING (:ITY PAGE 02 ERVIaCTN TRI-COUNTY Mechanical Perm;t Application ' IM,eived: .� -�( Permit no,1� j/ --LVr3Cf 3 City of King city 13125 SW Hall Blvd. erpple no.: Expire dam: CIdC{Ca(nds Tigard,OR 97223 Data issued: 8y: Receipt no.:i Multnomah Phone' (503)639-4171, FAX. (503)E84-7297 Case NO:no.: Payment type: WashingtonBuilding permit nn.: JdY" N T r E r. Land use approval: -- ---- _-- _-_ r 1 1 & 2 family dwelling or accessory A C'onirnricsal/indrl:tnal ❑Multi-fanuly O'T. nant improvement O New construction tJ .kdditiotdaILLniion/replacenienr 0 other: ME 1 I 1N . CO'NINIERCIAL VALUAlw^ SCHEDULE Job address: I Z1 J N 2! { /�' , Indicate equipment quantities in boxes below. Indicate the dollar Bldg no.: — Suite no., _ value of all mechanical materials,equipment, labor,overhead, Tax maphaa lor/aceount no.: —_�`- profit. Value S Lot: Block Subdivi.!on: 'See cherklisr for important application information and Project name: r jurisdiction's fire schedule frr residentinl permit free. City/county: (C.I^l(,-- G(-('` ZIP:_ Z r'�►:' r 1 Description and location of work on premises: _L'Z.1tj7_lA: t 1 1 ©F -V {4-01'7 Fei(esijj Total Fest date of completion/inspectionDe fl tion_ Q Res o d Re&ouly� Tenant improvement or change of use: RVAC1 Is existing space heated or condttrhne.0' "i O No /•ir handling unit CFM T Air conditioning(site plan uired) Is existing since instilated?�'Qrs U Nr, Alteration of exiscin 'AC system —� NIECIIANICAL CONTRACTOR oiler/rompressom Business name: AJ C Stam boiler permit no.: HP __ Tons B'IU/H Address: '7-( -7 D 5W lr rrJsme a damperslduct smoke drtacion City: -(yTL1-) State ZIP: eat pump(s_rle��-_r�s,��uur ) Phone 3 Z - 0 Fax _ Zg� E-mail., _ InitalVireplacu Nrmce/burner TfU Including ductwork/vent liner O Yes n CCB no.: r,� r:7o / "ti� 1 ��' 4 1(� nstall/replace/re ocate erars-suspended, City/metm lic. no.: Ek-31 c' 1 wall,or floor mounted Name( leaseprint): RgAA ll > Er",J Vent for appliance other iEan fumace CONTACT PERSON Re etsatioo: Absorption units _ _ 87U41 'Mame: Pt'T Cr_l(._1 A S I tr_/(7f- Chillers __ - HP - �dt.rcss: 7 D ,5 W 7(P = Com res9ot9 HP n enrnae a aunt■n ventilation.- ty: -P-M- State ZIP: Z 3 Appliance vent Phoneme117.1 -r,w() rAp-,- riE-mail: _ Dryer exhaust OWNER Hoods,Type 17tes. tc aannl t{�' of y hood fire suppression system 'Jame: ^/L S I q,7 Lk Exhaust fan with single duct(bath fans) vlaLling address: ( Z .5 y 1G r+v jr 2 G C p Exhaust system art from cat,n or Ar pity, lL, t tU(r l state 2iP: ZZ Fuel piping and ttictrihuri n(up to 4 outlets) Type: LPC - ✓ NG Oil 'hone 'S by - Fax:_-__- E-mall: ug i 1n eac addiuonal aver 4 outlets orm piping(schr"ma(ic required) Jar n�C,P ti1S Number of pullets i O sr listed app ace oT equipments De Decorative ftreplarl 'ity: I)_0110 State:Q ZIP: Z 3 nseri-type J- •�m � - � oo strve et shove hnne.� ��rSr p-1)"a>4 +'12 E-mail' �---- � pplicrtnt's ri nrshsie--% ' to O Other. _ J_ Ot er: Jame(print). t 1��� ;71 iuHtdiellons accept",40 oardt,p1wae calllurltdictlon for mora Infomtadon, Permit fee,... ................,S _ Vita O MasterCard Notice: This ermitii rnot o.,,'n•1 Mlnlmum fee ................S :d1i card numher, _ / erpDes if n permit!r not obras,:eo VI;n review(at _ %) S _ E__L within 1,410 4ap after it hue been S -r aerr red ac complete- State surcharge(Brio)..,..S Flame,o eardhelder a Chown ea credit card n � ---- s TOTAL ...................... . Cardhnlder silauure amount