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COMMUNITY DEVELOPMENT DEPARTMENT \ DATE ISSUED: 08/18/95
1o1usaW Hall Blvd. Tigard, Oregon 97223°8199 (503) e39-4171
PARCEL: 2S110C[)-1f96a
SITE ADDRESS...: 12457 SW KING GEORGE DR
SUBDIVISION....: ZONING:
BLOCK......,...: LOT
CLASS OF WORK..:ALT FLOOR FURN....: EVAP COOLERS:
I TYPE OF UBE....:SF UNIT HEATERS..: VENT FANS...:
OCCUPANCY GRP..:R3 . VENTS W/O APPL: VENT SYSTEMS:
STORIES........: BOILERS/COMPRESSORS HOODS....
FUEL TYPES ---- 0-3 HP....: COMES. INCIN:
:/GAS/ / / 3-15 HP....: COMML. INCINs
MAX INPUT: BTU 15-30 HP....: REPAIR UNITS:
FIRE DAMPERS?..: 30-50 HP....: WOODSTOVES..:
GAS PRESSURE...: 50+ HP. .. . : CLO DRYERS.:
NO OF UNITS AIR HANDLING UNITS OTHER UNITS.:
FURN < 100K BTU: 1 <= 10000 cfm;1 GAS OUTLETS. :1
FURN >=100K BTU: > 10000 cfm:
Remarks:
Owner: ------ FEES ------- --
3 NICHOLS type amount by date recpt
12457 SW KING GEORGE PRMT $ 25.00 CTR 08/18/95 KING CITY
5PCT $ 1.25 CTR 08/18/95 KING CITY
KING CITY OR 97224
Phone #: 503-624-2704
Contractor: -----
COLUMBIA HEATING
PS BOX 230397
TIGARD OR 97281 ----
Phone *: 624-2704 * 26.25 TOTAL
Reg #..: 76359
------- REQUIRED INSPECTIONS —
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code State of Oro. 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 183 days of issuance, or if work is suspended for core
than 100 days.
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Permittee Sj
Issued By: _____ _— -_-
Call for inspection — 639-4175
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COLUMBIA HEATING 1 / mi l
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2 ‘ & C®OLING INC. ,�
. to. Bag 130397, Tigard, OR 137123
1!) . --"'-- 624 -2704
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,.., _ . ...... , FY 4- 039 -377?
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
i BUP
Date Requested I y) / I I AM PM BLD
Location I - oZ 5 7 /-< Gite � 5---o° ..-I--7
Contact Person G. "tA z r a Ir Ph (4 4 - k, 45 er qS ,0 a .D-
Contractor Ph SWR
EP' , . Tenant/Owner ELC _
- Re - -inn Wall ELR
Footing Access: (� , ,�-}^
Foundation `i �i 1 � `= V , ;� FPS •
Ftg Drain `` -- SGN
Crawl Drain Inspect' Milk equested
Slab I Found Durinr SIT
Post & Beam
Ext Sheath /Shear No insnecti In' File ,�
Int Sheath /Shear AN
Framing 1i „i-, ;l / =_c1LcvS --�_ cam `
Insulation -
Drywall Nailing' `"� j _.
Firewall
Fire Sprinkler
Fire Alarm (V \r 4- ��
Susp'd Ceiling � �i - �.��/` '--
Roof 1) \ • S ev
Misc:
Final c / 1 S ( � - . C / 3 G �
PASS _ T FAIL , �
Pos & Beam 7i) S t � — ® € u s
Under Slab i■-.S 6-- Cam. Z�-✓•- - `Li
Top Out - (]
Water Service (�,i'N C.A...--4" C - 5 - v ( 0 0 - e �=, a- Q
Sanitary Sewer j
Rain Drains A y'
Final
S P ART FAIL
HAN
Post & Beam
Rough In (7() S j, " r Q� Gas Line -
Smo - Dampers
Fi.
PASS PART FAIL
E • RICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm it
Final
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA i
Approach /Sidewalk Date ` 0 5 Inspector \�\ L 9
Other EX
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.