12452 SW KING GEORGE DRIVE-1 -
ADDRESS:
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CITY OF TIGAM BUILDING INSPECTION NOTICE
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Inspection Line (Rec-O Phone): 639-4175 Busiress Phone: 639-4171
!,Ispection. rte,, .�Cc. Xo zG v._ �!`
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mach. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec, Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mach.
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Underflr. Insul. Shear W II Gyp. Bd. -EIecc ■
Date Requested: C j r. Time: APM
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Address:_ - L �--- ,�C.- �( ,�>; � ■
Builder: (dl /1 � er
V L�rt�s At =nL mit #:�� � .33�0
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector. Date:
_APPROVED DISAPPROVED /--DROVED SUBJECT TO ABOVE I :',n
_Call For Reinsp.
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MECHANICAL
CHANICAL
CITY OF TIGAR PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT #. . .. . . . . : MEC93-0336
13125 SW Hall Blvd.Tigard,Oregon J7223.81603� '-hi--4171 DATE ISSUED: 12'/07/93
PARCI'}_.: c S 1 1 OCC-181 O0 M
SIFE ADDRESS. . . : IL452 SW K114G GEORGE DR `
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLW OF�WORK. . :ALT FLOOR F URN. . . . : EVPP COOLERS:
TYPE
OF USE. . . . :SF UNIT HEATERS. . VENT FANS. . . :
OCCUPgNCY GRP. . : R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYRES- _..__-_.__._._.__. _ 03 HP. . . . : 1 DOMES. I NC I N:
: /GAS/ELE/ / 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. . :
NO. OF UNITS- - - -- -- - AIR HftNDL I NG UNITS OTHER UNITS. :
FURN C 1O0K BTU: 1 l= 10000 cfm : GAS OUTLETS. :
FllRN >=1O0K BTU: > 10000 cfm :
Re marl<t; : REPLACE FURNACE:, ADD AIR GOND T•I ONI V'R. NOISE READING REQUIRED
Owner-.- ---____-- ---.-_-_----___-_.____.___.__._____________.---_-___ FEES
SCHEF7KY type amoi-int by date rec�pt
?.':452 SW KING GEORGE PRMT $ 25. 00 JH 12/07/93
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5F'CT $ 1. 25 JH 12/07/93 - 1
KING CITY OR 9722:4 MIsr, $ 2:0. 00 JH 1:=:/07/93
Phone #:
Contractor:
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COLUMBIA HEATING
89O0 SW BURNHAM
SPACE E--11O
TIGARD OR 97223
Phone #: 624•-2704 $ 46. 25 TOTAL
c Reg #. . - 76359
---- -- - REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical I n s p
Tigard Municipal Cide, State of Ore. Sp.cialty Codes and all other Final Inspection
applicable laws. All work will be dor in accordancc with
approved plans. T'iis permit will expire if work is not started
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within 180 days of issuance, or if work is suspended for more
than 180 days.
Permittee Signature : 'h
I s s i_t e d B y .
Ca for inspection 639-4175
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C.:T'rY; or -I loARI) Rl l..TAVII C.tp. t'!AYMI' 1'41 kl- ( f•APT NO.
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VAMC. COLUMP I A I-1N:AT I NH CASH NMUON r 0 00 F.
,.+ faT7f.1R1-fi P0Yh•IF:N"T UATF. x 1r?/0 7 p:j,,
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fy1..IFlt�'CJ iE; t.l� t�f4Y'Mt'.N'I" AMOUN1' Poll) NL.Ikt'CJ'7f: I!(' t-,oYmi,PJI 1-aMIJUN'r t•Oli►
ME•.0;I-:ANI CAI.. F'F :'ty, 00 ML(";HAN 1.C;1 a1 Pt-, c?"r. 00 � +
t3 1 . BUILD PF:f4
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SM KING 131 rlR(A:
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TOTAL AM(:)CJNr PAID 50 j
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DEC-06-'93 MON 14:02 ID:CITY OF 1!ING, CITY FAX NO:503 639-3771 4175 P01
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Post-It"brand`ax transmittal memo 7671F or P;;-
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KING CITY
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1!200&W. 116th Avenue,King City,Oregon 97224 Phone: u•pl. •r, Phone M•!r �,—
COMMUNITY D _ FAX M �-,5
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APPLICATION FOR 'LZ_= -z -- --- --
(lostructioas on r� . o,
DATE
1. NAME OF APPLI � � Phone No. - I
ADDRESS'. — --
ADDRESS OF PROPOSED IMPROVEt4F3dT --
2. TYPE OF CHANGE„ IMPR0VD0V OR CONS"t'RUCPION FOR WHICH PERMIT IS REQUESTED. 0
DESCRIH? BRIrFI.Y - A 'IW9PIES P S..OR DRAWINGS O� f 1
PROPOSED JECT' ��
3. NAME ADDRE55 OF 0."1NTfZACTOR-4��1.0 '
PHONE NO(�. I CENSE NO,
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT (�R HER/HIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING COMISSION
METING NEXT HELD ON _ - -
REMESENTATIVES MMT,— --
NO
(The King City Planning Commission vill const er only those applications received it least five (5) days
prior to a
SIC3IATURE
APPLICATION PECEIVF.D BY DATE
APPL I CABLE FEE RECEIVED TO'TAL--Z—aZi_.
PLANNING OOMISSION DECISION: Approved` _ Denied
CONDTTIc7NS
ppr c pplica i valid for s months Gal
Signature
J Datiy
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NOTE: Volterid
n got ebuil ers Lar requires that all persons who confor ark an t eir resi ence be
with the Builders Board which means the contras bonded an insured on the job site, ;
For your protection, be certain your contractor is registcalling C ty Ball Ph; 639 4082
NOTE.: A permit must also be obtained fVn the City of Tigard Department of
Commmity Development Yes No._
CITY OF TIGARD INSPECTION REPORT
The above listed project has been inspected and Approved denied _
Datee ,_ Ccxrtnents
Signature
(abUding 4mpeatm ptea,&e fin. me (1) copy ,to King Uty)
CD 2-81
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