11965 SW KING GEORGE DRIVE STE 8 d
V�
z
O
O
m
O
O
m
v
z
m
00
i�
r
I
,yt
11965 SW KING GEORGE DRIVE #8
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour inspection Line- 639-4175 Business Line: 639-4171 MST tri
BUP
_Date Requested �' _ AM PIS. _ BLD `
Location-_— i `_, 7D �f i �' %� , Suite _ MEC
Contact Person — ' Ph PLM
Contrac!or —_ Ph SWR
BUILDING — Tenant/Owner _ ELS
Retaining Wall — ELR
Footing s --- ---
Foundation
Access: FPS _
Ftg Drain
Crawl Drain InsF,�ction Notes: SGN �-
Slab
Post 8 Beam
--- m_____---------_-_ _---___--- ----- ...------------_ SIT ---
Ext^heath/Shear
Int o,leath/Shear - --
Framing
Insulatir n
Dryw all Nailing -"
Firewall - -----_---- _� ___
Fire Sorinkler
Fire Alarm i
Susp'd Ceiling
_Z Roof
PAqS---PART FAIL ----
UUMBII
Po &8_eani —
Unde, Slab
70 k-_ ---- - - - — _ -- -
tpr
a el
Rajmprains
Fin --- _._.----------- ----.— --__— — — -- --
S PART FAIL
MECHANICAL_ —,--
Post& Beam --
Rough In
Gas Line --------- _
Smoke Dampers
Final -. -- - ---- - --- _ ----
PASS PART FAIL
TLECTk-K;AL
Service
Rough In ----- -- __-- --
Uv/Slab _
Low Voltage
Fire Alarm
Final
PASS PART FAIL_ _---__----- ---__---- — _
SITE
rBackfill/Grading
Sanitary Sewer
Storm DrainI I ] Reinspection fee of$ required t,efore next inspection. Pay at City Hail, 13125 SW Flail Bird
Catch Basin
Fire Supply Line i I )Please call for reinspection RE: -- ( ]Unable to inspect- no acr•Prs
ADA I �.
Approach/Sidewalk
Date ate __ AInspector `_ _ _Ext
Final -�
PASS PART FAIL DO NO REMOVE this inspection record from the job site.
CITY OF TIGARD
DEVELOPMENT SERVICES PLUMBING PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT # . . . . . . . P L M 9 9 017, 9
DATE ISSPFO: 02/18/99
PARCEL: 21S110CA-002,00
Gi"rE ADDRESS. . . : 11965 SW KING GFORGE DR #008
St.)BD I V IS 1 ON. . . . : Z ON I NG:
BLOCK;. . . . . . . . . . . LOT. . . . . . . . . . . . . .. JIJRTSUICTION: KIN
CLASS OF WORK. . :i)LT GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. : 0
TYPE OF LJSE. . . . :MF WASHING MACH. . . . . . : 0 BACKFLOW PREVNTRS. . : 0
OCCUPANCY GRP,. . : Rl FLOOR DRAINS. . . . . . . 'T, TRAPS' . . . . . . . . . . . . . . 0
STORIES. . . . . . . . . 0 WPTER HEATERS. . . . . . 0 cwrui �ASINS. . . . . . . : 0
FIXTURES.------- LAUNDRY TRAYS. . . . . : 0 SF RI;IN DRP INS. . . . . : 0
SINKS. . . . . . . . . . 0 (JRINALS. . . . . . . . . . . : 0 GREA,5E TPPPS. . . . . . . . 0
1-.AVATOR I ES. . . . : 0 OTHER FIXTIJRES. . . . : I
Tl_1B/S11OWE,`S. . . : 0 SEWER LINE. ( ft ) . . : 0
WATEP CLOSE 'l-S. : 0 WATER LINE (ft ) . . . : 0
DISHWASFIERS. . . . - 0 RAIN DRAIN fft ) . . . : 0
Remarks: Replace i.mder-slah cold water- piping. Installing new pipe above slab.
Owner-: FEES
AMERICAN PROPERTY MANAGEMFVT type amol.tnf. by date r e c pt
1126 NE 28TH PRMT $ 2ti. 00 B 02/18/99 KING CITY
PORTLAND OR 97232 SPCT $ 1. 25 B 02/18/99 KING CITY
Phone
HYDRO TEMP MECHANICAL INIC
28465 SW BOBERG RD
WILSONVILI. v OP 97070
Phone 4: 582-8'--i25 f 26. 25 TOTAL..
Reg it. . . 000639 RE01_JIRFD INSPECTIONS
This perm. is issued subject to the regulations contained in the Water- Service In
Tigard Municipal Code, State of Ore. Specialty Ades and all other FILM/Underfloor
applicable laws. All work will be done in aerwdance with Final Inspection
approved plans. This pervit will expire if worm is not started
withit, 180 days of issuance, or if wnt' s suspended for acre
than 180 days. ATTENTION- Oregon lar requires you to follow rules
adopted by the Oregon Utility Notification Center. Those rules are
set forth in OAR 9524MI-00IO through OAR 9521-0001-0@89. Vud may
obtain copies of these rules or direst questions to UK by callii
(5031246-1987.
Pet-mi Lt ee 9i gnat,-Pre
I s s!.t e d P.y "— f L(A
+ 4-.4-+++++.L.-I,++++f•++•+-+++++++f++++++++++++++.+++4.+++4•++++.++- .4-+•+++++++•++++4+++++i•+
Cal 1. 639-4175 by 7:00 p. m. for an inspection nee.-jed the next b1_ASi ness day
+++..... ..+++++....4-++A-++4-++++++++i-+++.+++++++++++++,++++++++4-+4L'+-+++-4 4+4+4L+4++++4
--'•""" TH11-07--'00- SHT 00:45 1D: FAX NO: 4009 1•104 _
CITY OI- TIGARD Plumbing Permit Application r,a,,
t 3120 3W hALL BLVL). Commercial and Residential Rev'd By >>
TIGARD, OR 97223 Data Recd I,- '
(603) 634-4171 Data to P.E
Print or Type ante to DST
Incomplete or illegible applications will not be accepted Related SWR
Related BYVR!_
Galled
- -�- Name of UeveiopmenUPfolr,l
.Ia.v _ 9.0 t
Adda'ees St ACdre Sukya avatory
s �d-_ -- Tub or Tub/Showrar GomD.l 9.00
Dldf, Stale nyhawar Only _ -- - 0.00
►:at�-- _ Water doe•_t
Dlehwastxwr� 0.00 I
Owner /Pipe:-Q j�ddre - Mile Garbage Disposal A M
Washing Machine 900
21 P p Fioar Omin/Fleor Sink 2'-- 9.00
Names 3" 9.00
•' o on ,e
Occupant
Melling Address Dude -- —
P Wall r fitatar C mnvemlon O Uka„^d V.00
Gas�,Ipi r,rqulreo a separsto metha:"lpem�l.
Clty19tale lip Phone laundry Room Tray - 9 n0
0.00
Olfwr -1wre,(Spad►Y)
0.00
Contractor M i / resb - e � � - `� SIM
_ 9.00
r'rio,to permit GI / tela i �� P ne
I � Sewer 161100' 30-00 ,
inYuan�e,a copy vl�l� /LJ G �
of all Mcr:nsea nre Orepe Gonpl nt Boar”t is a Erse Sm.er each zd4h nal 100' s5.00
rwrtrdrad a �p�� J -4�� '}� water Service•1a IOU'
expired in COT Plum LJc ! 1pyla C�_ WAler t3ervkr-exch adjlW ivl 200 —2E 00
AatoDasa G�s,rL Rain Draln-161 100' 30.o0- I,
Name 9torm� in all ren oacnseeliional,00' 2S•00--
Architect Mobile Home 34bee — —� 25.00
Or Melling AUdrttas Suite comnlerdal 8aRaw ow Prevention Dwvioo or Anti- 2r 00
_ Pollut)nn[.�evica _
Engineer City,191a1e ?JP Phone tPeldentlal Aac"aw Prewntfon Device' 1300
(Irrigation dining devices mqu..,a tleparalw
Uescrlbe work M Wone:— rtsVir3ed Evlergy permltj
New O Rep Ir Repleoe with like kind. Yes O No O Any Trap or Wasre Not Conrterl_o ro a redure f%00
FeslAanYal ann,err�al O Catdr Bain Soo
ad��d))itional esrAplion of Worn: IMp,of 6tlstin Plumbing -- au 00
F:X _)AGI �. job w o (.(X� g rrmr ' .r':
�I I '�� � �� ApedaAy f2r urea Insl>9ctione — An^0
Are you capping,moving or rep awing any fhfturec? - - eln�stnpie ramlly AwQlling 30 tl0
Yes O No (3rsaae traps 9.D0
it yes,sea back of form to indlcafe work performed by - QUANTITY TOTAL
fixture. FAILURE TO ACCURATELY REPORT FIXTURE Isomylric a,riser diii9fam is roqukna n Chiwft Tom)Is .9
WORK COULD RESULT IN INCREASED SEWER FEES. _ - ^aut�TOTAL
ithPiebyirhnnwiedpe that I have read this appiCralion.that the Information _
qwr-n Is correct,than I am thw o,finer or authorized apwnt of the owner,and 5%SURCHARGE
�,hpen7)rriftfed arein compliance wilh Ores n Stele Lows,
Own /Agent Dates "PIAN REt/IFW 25X,OF SUBTOTAL
,�� �J�/; �"f-•) �/1�� R..t9phaA sgly htlai ro s_a
I U I AL r.
irjgctlrwrnnn ar Phone
/)i ) � .- "Minimum porrnit fee is$25+5%surcharge...rx AM asidential 0ackfaw,1'.'.
1. It j / "�(� -� Prevenlion revise,which la$15+!l%surrhargP
"All New Commercial Dulidinge require pians with Isometric or tiaar d a to 11
and plan review
TrMa
1t'•
h. -