12425 SW KING GEORGE DRIVE • a/4Mtb'vwa•karormu' 'pry�� AIY.:,.�MIMp'gM11MwIpIMtk"^'Nn' '�`saamaaawMttm+�Pt+Y /'4'«•w�.,• rr�m'��iyo-a+.M
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CITY OF TIGARD BUILDING INSPECTION NOTICE �, r
Inspectirn Line (Rec-O-Phone): 63S-4175 Business Phone: 639-4171
inspection:
Footing Susp. Ceiling Sprink. Hough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-inFINAL:
r /
r Post/Beam Mech. San. Sewer Gas Line Bldg. )
t" Plumb.
Plbg. Undertla r Rain Drain Framing
y �
Water Line In
Alarm
Underflr. Insul. Shrar Wall Gyp. Bd. Elect.
Date Requested:_ � .�- ./ �.S Time:� AM PM
Address:_ cQ t.�a e�%J'l ■
�3/ Ccs__ /
Builder:,— /�CX.,yl��Z _PLormit #:THE FOLLOWING CORREFTIONS ARE REQUIRED: UCJ3_ l
�/�f;�. ML✓ 1 i�c[ ��aa i 1' [ �7 iL T'C�
i [v 4 T3 > i Nom:Ld i—�liL wi G_s
APPROVED DISAPPROVED `=PPROVED�UBJECT TO ABOVE
Call For Re nsp.
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ITY OF TIGARD ME:GHANT[�AL
COMMUNITY DEVELOPMENT DEPARTMENT PhRM1 '
13125 SW Hall 91vd.Tigard,Oregon 97223.9149 (503)630.4171 PERMIT . . . . . . . : MEC'94-0303
639-.41 DATE IS; ULD: 11/08/94
`'ARCEL: S110CC-16100
„i SITE. ADDRESS. . . : 12425 SW KING GEORGE DR
y SUPDIV'""CON. . . . : ZONING:
CLASS OF WORK. . :ALT FI...00R FURN. . . . . EVAP COOLERSa
-i YPE. OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . a
OCCUPANCY GRP. . :R3 VENTS W/O Af"PL_: VENT SYSTEMS:
STORIES. . . . . . . . : 2: BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES--- _-_— --- 0-3 HP. . . . . DOMES. I NC I N:
: /GAS/ / / 3--15 HP. . . . : COMML. INCIN: `t
MAX INPUT : B*T'U 1,5-30 HP. REPAIR UNITS:
1 FIRE DAMPERS? . : 30--50 1•IP. . . . WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP,. . . . : CLO DRYERS. . :
" NO. (3f UNT f5-- --- ---- - AIR HANDLING UNITS OTHER UNITS. i:
TURN ( 100K BTU: 1 (= 10000 cfm: GAS OUTLETS. :
FUNK > =100K BTII: > 10000 cfm:
i
Remarks : REPLACE GAS FURNACE
Uwner: -__________.___.___.__--__.___._._._...___--_.__._.__.__.___________. FEES
EILEEN CNGLE.DINGER type tam0UT"tt by date rec:pt
1241i�5 SW KING; GLORGE DR PRMT $ 25. 00 JF 11 ;09/94
5PCT $ 1.. 125 JF 1 a /99/94 -
KING CITY OR
Phone #:
Contractor: _—_---------------------_.------
A--ACCURATE OIL CO
6732 NE 47TH
PORTLAND OR 974:18 _____.—__--_-_----_--__—_-_--_—_.-------_...
[thane #: 281--6212 t 26. E5 TOTAL
53391
REWIRE.D IN 1PE.CTIONS
This permit is issued subject to the regulations contained in the Mer..Jharnical Insp _
Tiyard Muricipal Code, State of Ore. Specialty Codes and all other ''ictal Inspection
applicable laws. All work will be done in accordance with
approved plans. This perLit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
�R
Permittee SigTi at+..tr,el.
s s t_t e d B y :
r.
Call for inspection - 635-4175 i
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NOV-07-'94 MON 15:30 IU:CITY OF KI16 CITY FAX NO:503 639-3771 073 4
Gity of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATION Per # __
PO Box-2-9897
'Tigard, OR 97m � , ,,
e,(503) 639-4171
rnrA D094;1rhpbon `.
Table 3A Moehanieal Corfu OTY PRICE AMT
I) Perrnh Fee i1- •0- 10.00
Address -�
T_ J ry L y 2) supplemental Permit 300
rn v roftFurnace
.I % Ft_c nJ 1) unci.ducts 4 vents 6.00
Furnace IODAW 8 +
Owner 2) into.duds a vents 7.50
.� Floor Fumance
3) Ind.vwtt 6.00
�-T- c tvr,k ootor
4) or floor mounted hoator 6.00
Vent not ind,in
OCCUFlar11 5) appilanoe pam.h 3.00
+ Repair o bny,re ng-
6) cooling,absorption unit 6.00
comp 3TTp ---`—
7) absvrp.unit 10 100,000 BTU 6.00
Ushl «• Boiler or comp to 3 HP- 1 s HP
N 1. ��`Tf �� �J - 8) ab5orp-urit to;00,000 E3TU 11.00
CiOnuactur • it or comp
,,, -
*( jigh T?o 6 9) absorp.unit.5- 1 nuilion BTU 15.00
•• u Met or comp to 30
9-0 117-
10)
ab�corp.unit t - 1.76 million BTU 22.50
a1 I hAve read this Qp;AX--a l; �71 Ql� r BMW or amp to
intomtadon g&w%In conMd,that 1 am Me owact or aullwmizoil agent 1 1) abcotp.urJ1 1,760,000 BTU 31.50
of the owner,that h,tans submiWd aro in comphanoo with State _ r r mg unit to
laws,I at I am repistrimd with the State Buil tars'Board,slut dw 12) 10,000 CFM 4.50
number given is cnrtr_t (If orrompt from Stara rogictmtion,picnaso Air ing unit
s
Rive reason below.) 13) 10,099 CIM r 750
-
Non
14) evapornto coolot 4.60
Vint wnne•c� __—_
15) lu a single dud 3.00
en son N"em not
16) include-4 in appiwncp permit 4.50
• r -_ n- Hood-sw-4;TIW
17) mechanicnr exhaust 4.50
now U addition aharation repau mask type
to be done residential non-residential Q 18) Indneratar 7.50 t
rhg me nninm or industrial----
bolding or property --- --- — -- - --- 19) typo incine-alor 30.00
Or le., stove,Wator
Proposed use of 20) heator,coLu,clothes dryarc,am A..50
but7drng or PrePeRY___
-- - ----- -- Z 1 j Gas,.rpirtg one m four outlet. 200 '
Type of foot-rA Q natur Al g"® LPG O Vilactric U — —
22) More Via,4•pw Oudot
O` Minimum Fee to r>� U TOTAL — 14 ,7
PERMITS BECOME NULL AND VOID IF WORK OR
CONSTRUCTION Atr HORI%FD IS NOT COMMENCED 5%SURCHARGE
WITl-IIN 190 DAYS,OR oF CONSTRUCTION OR WORK IS �.
SUSPENDEv OR ABANDONED FOR A PERIOD OF Iso PLAN REYIEIB 257t.OF SUBTOTAL
GAYS AT ANYTIME AFTER WORK IS COMMENCED ----
TOTAL
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NOV-07-'94 MON 15:29 ID:CITY"OF KfNG fffiY ' FAX N0:503 639-3771 8733 P03 ,
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KING CITY
15300 S.W.116th Avenue,King City,Oregon 97=4 Phone;639.408L
i
MECFIAZ•l I CAL PERM I T APDL I CAT I ON
DATE.._ li- 7 K_INO CITY BUSINESS LICENSE NO. � �O
•
NAME OF APPLICANT: PHONE :
ADDRESS:----
NAME LNDADDRESS OF PROPOSED JOB : / Z Y Z S. ssv
-- .rK-'-L� ------- - PHONE: -
NAME OF CON TRACTOR : Q n uV PHONE: i=sem Z
ADDRFSS: � /�` _ Yf4191mCCB LICENSE NO. � 33 �
DESCRIPTION OF WORK TO BE DONE
��,��„�._Lam,-�yA�_�.ar -F-i•r n�t.��.
FOR INSTALLATION OF AIR CONDITIONERS PLEASE FILL OUT THE FOLLOWING
AND ATTACH TO THE APPLICATION A DIAGRAM OF WHERE THE COMPRESSOR IS
SITUATED ON THE PROPERTY. j
BRAND OF AIR CONDITIONER:
BTU'S:_ _ NO. C
SIGNATURE OF APPLICANT: _ -_ j
**APPROVED APPLICATIONS ARE VALID FOR SIX MONTHS ONLY**
NOTE: Oregon Homebuilders Law requires that all persons who Contract for work
on a residence be registered with the Builders Board which means the
contractor is bonded and insured on the job sit. For your protection, '
be certain your contractor is registered by calling the Construction
Contractors Board at 1-503-378-4621 Extension 5000.
FOR OFFICE USE ONLY I
APPLICATION RECEIVED BY _ �sf-1ti�� �� ' DATE__JJ_ 7-/q . - G
APPLICABLE FEE RECEIVED S CONS/COMMENTS
APPROVED BY,_`--�- -� - —�- -DATE_
Note: A. permit must also be obtained from the City of Tigard Department of
Community Development Yes ✓ hi
CITY OF TIGARD INSFECTION REPORT _
This project has been inspected and Approved- --Denied
Comments _ �
Signature
_-- Date
(City of Tigard please return one copy to K--ng City)
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