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12905 SW KING RICHARD DR
CITY OF TIGNRD BUILDING INSPECTION DIVISIONT
2.4-Hour Inspection Line: 639-4176 Business Line: 639-4171
MSLB P
Date Requested_ 1 AMl�o
M BLD
ation •Cz�( Suite -
Contact Person -- /L �1c.-% ph 7J� CF!CM _-!-
Contractor Ph SWR
BUILDING _ Tenant/Owner _ EL~ Y
Retaining Wall EL_R _
Footing Access:
Foundation FPS
Fig Drain
C awl Drain Inspection Notes SGN
Slab — -,u✓� „pz� SIT
Post& Beam
Ext Sheath/Shear ,;. + C•' floc L- _ _
Int Sheath/Shear —
Framing - - --- - -----.. _.
insulation
Drywall Nailing ^� V' l - - _ �Q � \ �/�_Qr __ C✓ _
Firewall
Fire Sprinkler L
Fire Alarm
—
Susp'd Ceiling _� --_ -----_--.- --
Roof
W'sc--
(ir
PART FAIL
UM
Post& Beam ------- --- _ --- -----—--_—��.
Under Slab
Top Out
W'ater Service
Sanitary Sewer — - ---- ---T
Rain Drains
Fin
ki'ART FAIL
ECH -------
,tA
c15-t�&X am
Rough In
Gas tine - ---- ------ ---- — —
Srnoke Dampers
Final _ _....- -------------
SS )PART FAIL
ELECTRICAL -
Service
Rough In
UG/Slab
Low Voltage _ ---
Fire Alarm
Final - ----
PASS PART FAIL --- --------------------_-. -- ----SITE
Backfill/Grading ----- ----- ----- -- ------ - _�. -- ----- ---
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( J Please call for reinspection RF _ , - ( )Unable to inspect-no access
ADA
Approach/Sidewalk Date J / ' Inspector .__ � Gti_ L� Ext
Other __ --- F--- -- - - —
Final —
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY OF TIGARD PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #. . . . . . . .. P,I_MgB 0 L4!F)(.1
13125 SW Hall Blvd., Tigard,OR 97223(503)639.4171 DATE ISSUED: 12/1.0/98
PARCEL: 2SI16A)i-20400
SITE ADDRESS. . . : 12905 SW KING RICHARD DR
SUBDIVISION. . . . : KING CITY NO. 18 ZONING,;
BL 'ICK. . . . . . . . . . : 25 LOT. . . . . . . . . . . . . :001. JURISDICTION: KIN
----------------------------------------------------------------------------------
CLASS OF WORK. . :ALT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. - 0
TYPE OF USE. . . . :SF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . : 0 TRAP'S. . . . . . . . . . . . . . : 0
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . : I CATCH BASINS. . . . . . . : 0
FIXTURES------.---'---- LAUNDRY TRAYS. . . . . : 0 SF RAIN DRAINS. . . . : 0
SINKS. . . . . . . . . . 0 URINALS. . . . . . . . . . . . 0 GREASE TRAP'S. . . . . . . . 0
LAVATORIES. . . . : 0 OTHER FIXTURES. . . . ; 0
TUB/SHOWERS. . . : 0 SEWER LINE (ft) . . . : 0
WATER CLOSETS. : 0 WATER LINE (ft) . . . : 0
DISHWASHERS. . . . : 0 PAIN DRAIN (ft ) . . . : 0
Remarks : Install new 50 gal qas water- heater.
Owner: --------------------------------------------------------- FEES
EDWARD WHELEN type amotmll- by date recpt
374 NW 60TH PRMT $ 25. 00 GEO 12110198 KING CITY
NEWPORT OR 97368 5PCT $ 1. 25 BEO 12/10/98 KING CITY
rione #:
Cont race
JIM' S PLUMBING
PO BOX 7160
ALOIAA OR 97007
Phone #- 649-4034 26. 25 TOTAL
Reg #. . : 71860 ------- REQUIRED INSPECTIONS
This persit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All wnrk will be done in accordance with
---
approved plans. This pewit will expire if work is not started
within 180 days of issuance, or if work is suspended for eore
than 18.1 days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon utility Notification Center. Those rules are
set forth in OAR 952-Q!081-0818 through OAR 952-8081-0888. You 1AY
obtain copies of these rules or direct questions to OUNC by calling
193)246-1987.
..........
Issmed By:I Per-mittee Signat�_ire:
+++.............4•.............4-4-+++4...4.........................................4
Call 639-4175 by 7:00 p. m. for- an insper-tion needed the next bl-Isiness day
.......................4......4......4•...........4-4•............4................
1)F(--10-'9e THU 11:34 II): FAX N0: 4010 P02 ---_
CITY of TIGARD Plumbing Permit Application Plan Check 9
13126 SW HALL BLVD. Commarrial and Residential ftdd e,,_
TIGARD, OR 97223 ate Recd
(503) 6394171 Dow to p•C
Print or Type Date to Dsr
Incomplete or Ille�giblo applications will not be accepted -
RelatW SAAR a,
titled_.
Nam or�ve op
Job , w, sir�t 9.00
Address `'Addi""• Lavoory e.00
Toe or TublStwwer Como. 9.ou
949-i- catymtete 21p shawer(wy
r — weer(�oael A,nO
G 9.00
Owner WAV Address Subs (3meapo Llspasel —_ 9.00
t1141e _ '�t0
0W01ft
1� ' 1PPeon / - r-Im DrahMww Sink z` �`-- - 5.00
Dlarnr 13' 9.00 -
A' 0,00
occupant MaWnp Acdrees- _ SuIN tivatr Hao r5onvar ion O like" 9.00 .
Oas v a ae�.aralo medank>al itILI
C�!y%Sla1s ` " P -- Prlone l WOrp Rbom�y - 6.ou
� Ulwwl 9.00
' 1 Jf-rhm',%,
1� CWw Rdures(Spw fy) 9.00
� � - 9.00
Contractor _ -- -
_ X11( 9.00
Mor to per"* j Fewer-1st 100' ]0.00
lzlrle/rnre.a ceP1� ` ( �' 1 1M of fosrraee are Depen ' Sewer•escfiaddisjoru ar � 26 00
Wit-W -1a 1p0 W00
eawtred n l OT (f'' Lk R nte wafer service•each addrdonal PW 25.Ci0
eslaEese "�-}-W-I��i/ins 11% Shane A t%aln-1d fOG^_.._.•-_ afL00
�Re1^"-� 9h=trr R rtaln n�I each additional 100" 12noo
Archftect _� .. �_.._.. Mets a i+ame sura or _ Camrietri-jam*Fanw Wtovoninn Dada%or An&PnWYon Devke
�nylneer Rad*"W Bodtnw PmvwMan Duvka —
Q:dghDon frrrtap devfaec require a aepars*
Werk to bellow. �Y ,A
N .10 Rep"Mo f e 0w. YGO.0 :Ns D A;j Trnp Or waab NO CorvroeleA to a FbQVra GM
aren D
Ccatch 84-Al 9.00 -
A4eldorrd dWVWM dwerk .:EaMWrp Plurr"M 40.0u
Loc'j-'O'.\ he'r -4 8paet VL PA4U tW In3P"4CVV . 40.00
Are you dpplltq, �n9 or frlplaein{-any t9xtures7 R,k,oraM,arrreia tarNy nwemno so m .-—
Ye No O �maae nips 9.00
K YMa„ass fleck of"to fe "to wo*,perfonned by TiTY 107/11.
flXWM. FAILURE TO ACCURMTL.YREPORT FIKTURE i�ai,eMoa,riw mhr.�c#M/LIUAANM rhAIM ►e
WORK rCOUL.D'RESULT IN INCR[ASED SMER PEES. _ •avBTUiu
7�ar�ry ePlor h4 flit 1 hw"*j;-W VW cep a�rir~lfral the nriiiatlan
9"n h aorMCL Ilan 1 am ON OMW a*%M'In so*%of kfiR orrtr,r,and - _ .___.__� 5%BIrRCHAROE
lMd Plane subw fltad am In coffQAWnoa Vft Or £tate ltwa. .
d l�vrr,s C Mss -"' "f'l J1lV REVIEW 21191 OF SUBTOTAL
_L1hj> 'k�U �_- a*r'M'a".ftLala!Ir'a TCFTAL
C slat of Person Naar - Phons�
�����r/ par M fee b$25*S�mepl RAs' endal bar
Preveri5on Device.whlct,is 515 4 6%t rrlurpe
"An Wow Cenxrrtbtel NuNdinya rfq*9 pltlrM wllh WWOW n riper dlagrnm
seed plan rev4rw
I .f1W RAM
CITY C F T I G A R D MECHANICAL.,
DEVELOPMENT SERVICES PERMIT
13125 SIV Hall Blvd., Tlard,OR 97223(503)639.417i PERMIT #. . . . . . . : MEC98-0552
DATE ISSUED: IE/10/98
PARCEL: 2SI16AD—C'.'0400
SITE ADDRESS. "W KING RICHARD DR
SUBDIVISION. . . . : KING CITY NO. 1,13 ZONING:
BLOCK. . . . . . . . . . . 25 I-OT. . . . . . . . JURISDICTION: KIN
CLASS OF WORK. . :AL-T FLOOR FUPN. . . . : 17.1 EVAP COOLERS: 0
TYPE OF USE. . . . .SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL-: 0 VENT OYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL 0-3 HP. . . . : 0 DOMES. AINCIN: 0
3-15 HP. . . . . 0 COMML. 111CIN: 0
MAX INPUT: 0 STU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOLIDSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 171 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDL INF, UNITS OTHER UNITS. : I
FURN ( 100K BTU: 0 10000 (:,.Fm : 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 10000 rfm : 0
Remarks : Install gas line to stave,
Owner.: ------------------------------- -------------------------- FEES
EDWARD WHELEN type amot.int by date recpt
374 NW 60TH PRMT $ 25. 00 GEO 12110198 KING CITY
NEWPORT OR 97368 5pur s 1. 25 GEO 12/101/98 KINC-' CITY
Phone #:
Contractor:
ADVANCED HEATING & AIR COND.
691.8 SE 48TH ---____—_--__------.------------.________
$ 26. 1--_'5 TOTAL
PORTI-AND OR 97206
Phone #: 0:1,35-0060
Reg tf. . : 000985
REQUIRED I NSPECT I ONS
This permit is issued subjert to the regulations contained in the Gas L.ine Tnsp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection
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, or if work is suspended for more
than 180 days. ATTENTION: Oregon law reqjires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in DAR 952-MI-WO through DAR 952-001-0080. You may
obtain copies of these rules or direct questions to OUNC by calling
Ppv-mittep SignatLire-
y - ................
I P
.......... ++4-4-++++4•................................4-++4•......4............... 4-
Call 639--41'75 by 7:00 P. M. for inspections needed the next bi-Isiness day
....4-4•..............4-++4-++4...................4-4..............4........4-+++4-++-+-4--4-++4
-- - DEC-10-'9R THU 1 t:35 i D: FAX NO: 0010 FET'
CITY OF TIGARD Mechanical PermitPlan Check
ApoR cation Recd By
13125 SW HALL BLVD. Gcmmercial anResident 4 ial — Data Redd 12-10
TIGARD, OR 97223 -.- Date to P E.
(503) 639.4171, X304 Date to DST M-W. e
Kermit ARIFe 4 Y-c7 57
Print or Type
Incomplete or iliaplications will not be accepted Called
--- -_---- Name or DevekTmmLMmMe Description
Table to Mechanical Code 0_1Y PRICE AMT
.lob saeetAddr•ea y� ulr,al A) Permit Fat fi- -0 10.00
Address G14 r-A
eidavcoy/ Zip 1 1 ) pumaoeto 100,000 BTU R.ou
_ 111 induding ducts A vents
Came(a name a cuss as) 2.) Furnace 100,000 BTU+ 7.50
Owner � Ineluding ducts&vents
I .r
M•iwiu nnaeae �y 3,) Floor Fumaoe — -- 6,00 t
f OD includln vent
cityrsrxia, n came 4.) Suspend,:hector,wall heater 6.00
car floor mounhoul heater _
Nwne(car n a
of eurWn• i (L, 5.) Vent not included In eppfAnne permit __T00
Occupant Mailing Adaven -� - f) boiler or crop,heat pump,air cond h 00
to 3 HP;absorb unit to TOOK 81rr-
Cdyrsrxi.��___ 21P r hone 7) Roller or comp,heat p•rmp,sir cond. -� 11 00
315 HP;ehanrb unit to 500K ATU-
Contractr Name 8) Boiler ur comp,heat pump,air conA 15.00
-_��� 1530 HP;Asorb unh.5-1 mil BTU-
.....__.._ ...__....—_.� ��_.
Pno•to permit ddr r 9.) Boiler or comp,heat pump,air gond, 22.50 -�
"auancig,a copy �� l J 30.50 HP.absorb unit 1-1-73m11 BTU"
of all Ilrensenud Phane;T 1-- 10.) Boiler or Comp,;text pump,air=d. W-- 37.50
are reg0vo it +50 HP;absorb unit 1 75 mil 13fj-
,xpirRl in iA7 ore c�s�,ard ' ruc�.�-- lP o•r. 11 )yAli handling unit to 10,f)00 CFM — 4..50
r1r�l:ihasc
Architect Norm yW - - - 12.) Air handling unit - i 50 i
10.000 C_TM+
or i Moiling Areas 13.) Non poAable evaporate cooler - 430
Engineer 14) Vent fen cnnnodsd to a skigte dud 300 �l
'.Y..— rtlo--._ ....�J
D.-scnbe wnilc New Aedn O Afteratlon O Repair O 15) Ventilation syah!m not Included 4.50
_m tic done R,ivldenfiw�, Non-residential O in appliance permit
Adrtionnal Cbsct, ban of worlt-?"n-?T._)l l u� �,�✓�C._ 19) Hood served by mechanical exhaust 450
---_.- ,_.—_ �_ 17) Uomeslic Ir,Cinprxtors 7.50
Ex;stinq use of 18) Commercial or industrial
ro a 30.00
building or P i
0 r1Y � type indnarstor
19) Repair units - --� -- 4.50 -�
Proposed use of 20.) Woof stove - 4,50
D ldinq or property
21,)-Clothes dryer,ate 4.10
1'ype of fucrt-oil O latural pa; _ I_PO O electric O 27.) Olher units q
I&i4b_ acknov.ledge lhst I have reed!his appl(u�tion,Nat the intomtatian 23.) Ges piping one to four outlets2.00
given In comm,that I am the owner or xuthorlxed agent of W
the owner that plans vibr,nitteid are in cnmpllance with Oregon State Inwa 24.) 1Aon±then d per outlet(each) .50
Slgnailurw of 5w-;-w rlAgeM Date 'RUPtOTAI.
r
•�If. ___t �__ / �.�� - -__ Vii"A SURCHARGE --
._ I
c!Pmratan Plam� Phone PIAN RFVIEW 251%OF SUBTOTAL
Required for all comrrrr:rcial permits onTOTAl
-Minimum permit fee is 525# 5%surcharge
Residenlial A/C requires site pian showing Dlacement of unit
t:vrrecltpttnRdsn feM4/16198