12437 SW KING GEORGE DRIVE l
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12437 SW King George Drive
CITYOF T I C A R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002-00312
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 7/1, '02
PARCEL: 2S110CC-16400
SITE ADDRESS 12437 SW KING GEORGE DR
SUBDIVISION: KING CITY NO. 5 ZONING:
BLOCK: LOT: 036 JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR F URN: EVAP COOLERS:
TYPE OF USE: SF UNI1 HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS WIO APPL.: \ENT SYSTEMS:
STORIES. BOILERS/COMPRESSORS HOODS:
FUELTYPES 0 3 HP: DOMES. INCIN:
--- - — — —_---- 3 - 15 HP: COMML-. INCIN:
MAX INPUT: BTU 15 - 30 HP:
TIRE DAMPERS?: 30 - 50 HP- REPAIR UNITS:
OD
GAS PRESSURE: 50 + HIP CLU DRYERS:
FURN < 100K BTU: I AIR HANDLING_ UNITS CS:
OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace furnace.
Owner: -__----- ---- -- _ FEES
GERALD OUTSLAY `Type By Date Amount Receipt
8762 SW FIRVIEW PL. PRMT BB 7/18/02 $72 50 KING CITY
BEAVERTON, OR 97006 5PCT BB 7/18i02 $5.80 KING CITY
Total $78.30
Phone: - ----
Contractor:
SNL HEATING INC.
2u',80 SW SANURA CT,
BEAVERTON, OR 97006 REQUIRED INFPECTIONS
Mechanical Insp
Phone:503-591-5083 Final Inspection
Reg#:LIC 147035
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, of If work is suspended
for more than 180 days ATTEN f ION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
J _
Issue By: Permittee Signature:
Call (503) 639-4175 h.y 7:00 P.M. for inspections needed the nex 0business day
07/16/2002 08.15 50363937.'1 CITY OF KING CITY PAGE 02/02
Mechanical-Permit Application
IDateeceived: PermIt no.;City of Tigard
Address: 13125 S W Flall Blvd.-ri and OR 97223 ProJect/epp{.no.: Expire date:
Cfryaf7Ygard — -
Phone: (503) 639-4171 B bate issued: _ By: Receipt no.;
Fax: (503) 598.1960 Case file no,; Payment type:
Land "se approval: -_ _ Building permit no,:
2'anti1v dwelhr4,ru acresscuy i.J Commercial/indus. -til U Multi-fluiril
Y O Tenant improvement
Q New ci nstnlctinn
Addition/altrretiurt,replarement Ll Other.
NJ
Job address: IZyY-11 srw N i s �,, Indir.;.te equipment quantities in boxes helots. Indicate the dollar
Bldg.no.: — -
Suite value of all mechanical materials,equipment labor,overhead,
Tax map/tax lot/account no profit, Value$ _
Lot _ Mock: Subdivision; +See checklist for important application information and
Project name: jtuisdiction's fee schedule for residential permit tee.
City/county: k,Na C-J41:9 ZIP: "I IMM, IN 1AUQUOMM
Description and locarf6n of wor on premises._ yr-Rl" -
Fee(".) Tow
Est.date of conmpletioti/inspectio.1;
(jt1. Hcx.only Itev,ani}
Tenant improvement or change of vie: -
:,existilig space heated or con altioned?U Yes 3 No Air handling writ CFM
Is existing spare Insulated'?U yes U No Airconditaning site plan required)Alteration of exiggi -jz lVA_xyetern
LIME it myrill Hoiier%mnptessors
Business name: - Stite boiler permit no,;
,C—
Address; C)��� .✓ w~.,.a.� C 4�• - HP —. Tons BTU/H
--�►-�- ___ _ r ae�mo�cedam`e�uctamo a etecto�- '—
rrty, state: 1L I Al'
�. � i �1 ctCX, eat um (site p an required)
Mone: !y �i, ?j max; Email: _ - Install/replaceturnace/tturri
CCB no.: including ductwork/vent liner LI Yes KNo
nstall/rep a-i ceJrclocite'TieatCrs-suspen ed, —
C.; //ntc.o li no" wuil,or floor mounted
-- -
i p (> J �r� entfors Hancem eIFtrnuhrrnace
'�nmP OIrrtsr :int): ,
gedl oto
1 Absurprinnuuils-_ BTUM
Name: t�,�a d _ Chillers
HP
Address: -T tCnnrll5__ —— Hp
¢'" nv ronmenU exhaust and well apt
City: vyr�e^, State: o R ZIP: dk146 L Appliance vent
?Itone:So a I"nx: F-mail: Dr erex suet
Hoods, t•pr res. irhenTta2msr--
hood fire suppression system _
Name' � K1NClt_ �' ' r( Exhaust fan with single duct(bath fawl
Mailing address' SfaN di_ ( , Exhaust pystr•nt a Aft=Min r�orAC f--
city! .\ State: 0{_ L1P:gyl 0j ue P V ng tin st► «I on(up to ou eta
f�LLri[. _ _ Typo: , LPG NG _. nil
phone: d7 - ,t I'nx: F trail:
Fue piping enc a c ihans over ouuets
Procevrp p ng(schemati• required)
Name: Number of owlel.s
Address: -- t tetII-e�S-PP an-1r ce or eqqulpmrnf!
-City:
-- -- Decorativeflr lace
State: ZIP: '-
Ween-ty o -
Phone0i4lie
go
Applicant's sige: bate n �tfirr:
_ '�-
natur16 _L other:
- application Na VI IuriWlcrloro xcepr credo rads,picas sill)urlydlenon(w more inra+rutlon. Permit fee '
Notice:Thl� ................$
❑Vt�n ❑MmterCatd permit licetion Minimum fee..,...,. ...$ -
Crcbt cera numtror,— _ �- expires if a pemtit Is not obtained Plan review(at %) $ $�
cp t!r within 180 days after it has been --+ ---
-r a or cZZ-01& u e g;n,onaccepted as complete. State surcharge(8%)....$
c.ra�idcki ainaurc _ s A,raua— TOTAL ................... ...
44OA817(&WCOM)
CITY OF TIGARD 24-Hour
BUILD#NG Inspection Line: (503 r9.41 _
INSPECTION DIVISION Business Line: (5031
Received Date Re uested_ ) AM PM IP
Location �% 13 uite ' -
Contact Person Ph(._ ) 7_- PLM
Contractor Ph( ) SwF'
BUILDING _ 7anant/Owner _ ELC
Footing
Foundation ELC
Ftg Drain Access:
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post&Beam
Shear Anchors �-
Ext Sheath/Shear L.L 1 Ll
Int Sheath/Shear
Framing _ --- - — --
Insulation
Drywall Nalling
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Other: --
Final
PASS PAR f FAIL -
PLUMBING
Post&Beam
Under Slab _
Rough-In
Water Service
Sanitary Sewer
Rain Drains --- -- --
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
*P.A�.. FAIL
L
Rough-In
_-- �- - ---—
Gas Line _
Smote Dampers
A
S_S PART FAIL
RICAL
Service ----
Rough-In
UG/Slab - --
.ow Voltage
Fire Alarm
Final 0 Reinspection fee of$_ required before next inspection. Pey at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE -+ n Pease call for reinspection E: ^-__--� � Unable to Inspect-no accesr
AIDre ASupply Line 1.0.�IVZ- -
Approach/Sidewalk dry— Insperttor _ tivitt
Other:_
Final DO NG r REMOVE this Inspection record from the Job site.
PASS PART FAIL