11985 SW KING GEORGE DRIVE STE 12 -�....:;.... ....,;�:,: .,. . .. .,.;„.:, ,.�,. ,::::,_., .. i,. ,..:_�,.. _. � ,�,..�.::ro;L�� �,.. .;:'�.._ ..:. ..,,. .,. _,,,...�ati.wl.,i...w.;..w�a:br�:r14�.4.�di ii.;,�ii:.u`wi.b.•
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11985 SW KING GEORGE DRIVE #12
CITY OF TIGARD IJUILDII'G INSPECTION DIVISION MST '
24-Hoer Inspection Line: 639-4175 Business Line: 639-4171 —
/ BLIP
Dute RegLJPSted ! 1 G� AM PM BLD
Location jr C' >�;.� a tt'l{ Suite MEC _
Contact Person Ph _� PLM
c
Contractor Ph Swit
BUILDING Tenant/Owner _ FLC —
Retaining Wall — El R
Footing Access:
Foundation FPS
Ftg Drain ---- SDN ---
Crawl Drain Inspection Notes:
Slab ---- -- ------- SIT
Post& Beam -- --
Fxt Sheath/Shear
' ;t Sheath/Shear —�
Framing
Insulation
nr wall Nailing
Firewall —
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc
Final ------------__ -- - — -- ��
r-FT FAIL
MBIN
AR
NU � —
Post eam - — —
Udder Sh;b
Tom- - ---- - — - -- —-
Sa •fewer ___.__. _.-----------___--
Rain Drains
rQS .) PART FAIL
NiCAL —
Post& Beam - --- --------------_ — -- - —
Rough In
Gas tine
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL - ----- --- - -
Service
Rough In
UG/Slab
Low Voltage ----- -- ---- - ----------- — —_—_.—__
Fire Alarm
Final
PASS PART FAILSITE ------ -- --_ _------ ------
Backfill/Gradiny _—_ ---.--------------- _-- _
Sanitary Sewer
Storm Drain ]Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 S'N Hall Blvd
Catch Basin Fire Supply Line ( ]Please calf for reinspection RE: __ - __ — ( j Unable to inspect no access
ADA
Approach/Sidewalk G'
Other Date `_ �� Inspector w_ _Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CITY CSF TIGARD
DEVELOPMENT SERVICES PLLJlyli?TNG PERMIT
13125 SW Hall Blvd., Tigard,OR 97223(503)639-4171 PERMIT #. . . . . . . : FILM99--0037
DATE ISSUED: 0&'/1.8/99
PARCEL: 231. 10CA-00200
SITE A D 1)R 1"S G. . . 11985 SW KING GEORGE DR #01
S I
IJBD I V i S I ON. . ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . JURISDICTION: KIN
-------------------
CLASS OF wnRK. . :AL-T GARBAGE DISPOSALS. : 0 MOBILE HOME SPACES. ,. 0
TYPE OF t.)SE. . . . -MF WASHING MACH. . . . . . : 0 PACKFLOW PREVN'rRS. . : 0
OCCUPANCY ',:;RP. . R I FLOOR DRAINS. . . . . . . 0 TR-APS. . . . . . . . . . . . . . . o
STORIES. . . . . . . . : 0 WATER HEATERS. . . . . . 0 CA':CH BAS T NS. . . . . . . 0
FIXTURES----------------- LAtJl\ll)RY TRAYS. . . . . - 0 PF RAJ1\1 DRAINS. . . . . : 0
E31 NKS. . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE IRAPS. . . . . . . . 0
LAVATOPIF:D. . . . : 0 OTHER FIXTLJREJ. . . . I
T L)B/ES H 0 W E REE). . . : 0 SEWER LINA (ft ) . . . 0
WATER CLOSETS. : 0 WATER LINE (ft ) . . . 0
DISHWASHCRS. . . . ; 0 RAIN DRAIN (ft ) . . . 0
Remar[<- .- Replace 1.tnders1F,b cold water pipi* g. lnsL-alling new pipe above
Owner. FEES
AMERTC'AN PROPERTY MANAUENENT type amol.trt by date reept
1126, NE 26TH PRMT 1 25. 00 B 02/18/99 KTNC3 CITY
P(IRTLAND OR 97232 SPOT 1, 1. 25 B 02/ 18/99 KING CITY
Phone #:
HYDRO 'TEMP MECHANICAL INC
28465 Sk, BODERG RI)
WILSONVILLE OR 9-1070
Pti,.)ne #: 582-8525 $ 26. 25 'TOTAL
Rc,.q 000639
REQLJIRED !NSPECTIONS -------
This permit is issued subject to the rpglilai-ms containeH in the Water Service It,
Tigard Municipal Code, State of Ore. Specialiy Codes and all other PLM/Llnderf I oor
applicable laws. All work will be `—^ in accordance with Final Inspection
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than OR days. ATTENTION: Oregon law requires you to follow rules
adopted by the Oregon Utility Noti'�ication Center. Those rules ire
M
set forth in OAR 952- I-019 through BAR 952-0*14080. You may
obtain copip, of these rules or direct questions to OLW by calling
(503)246--1987.
I s-,.-I e d 13 y: _ " Permittee Signati-ire :
++++++.....4 4-+++4++++++++++++-1-4-+++4+++++++.............4.++4++ .++.+++44-++++++
Call 639--4175 by 7 . 012' p. m. fur an inspection needed the next hi.isiness day
+++•+++++++++++++ L+-+++++-+++++++++++++++--++++ ++4......4-++++4-++++4-++-+-4 +4--,L-+++4-+++4-
T44-07-'00 SAT 00:41 ID: FAX NCI: 14009 P02
CIT`I OF TIGARD Plumbing Permit Application
131:5 3W HALL BLVD. Commercial and Residential Plan the
TIGARD, OR 972.23 likac'dRy
(503) 839-4171 Date Recd
Dale to P.F: ('
Print or Type nate to DST
Incompiete or illeglible applications will not be aa:eptea Per'*"`° �` ✓�q ��= 77
Relahad SWR/
Galled
ar�fte of OweleFun1nUFror•q -
.�Jtm 1 i v t
� v I/'I P 1► _ Slnk 900
Address to �. , Suill Levamry
- --
_ e.00
1 BMg* � - I ub or—Tu-b-/Shower comb. 9.00
f '/� Shower Only --
9.00
Nq to water Cloesl ___ _. - __.p 00
-----------
-- --
Diahwaaher
e
Owner Ma Addreaa g apnsal �W' 9.00 -
r/ � C hGarbo a a `
/SI Tip- riolwWashing foss hlne - 47,-
Flag Dra4.Floor w61h p. --- Ono
—
Noma - f 1
3 0.00
_ ^� -- - --
Occupant Mailing Address Suilu ,.
_ _ 900
Water eu
ter Nter _O ranvonton O 04 kind --^ 9.00 '
Ciry/9lale 71p - Phone Gas etping rlxlWree a separall meellanic�l permit
Laundry Room Tray
Unna—I -
J0
`1��� 00 1 CKller flxlurae(,pedWj 9.00 _
Contractor i1 Ad 9� lie -
Prior to partnit L"hy Slate - zl --- - - 9,on
,uuancv,a copy J�S� yr•� i 1 p t.f Ph ne Sewer•1ar 10n' ��---y --- :10-On
.f all Nannies era OmOun Const.C At Eteerd Uc.! Ecp.pale _4�"�-eadi addhlonal 100' -�- - 25.00
Water SorviEr tet 10i1
30,Oo
.>tt ala In C•.17T PlIi 212- �• Exn to „R Water tiervirn-eecft eldl(ional 200' - -- --
AaraheFe c1. 7r 25.00
I
e ! 5lorth 6 Raln Dreln 191 100 - 70.00
Storm&Rain Drain-each odditionrl 100' 2s,00
Architect
III
9Fec'�t - -
Or Addnas 5ulle _ 2500
Cemmerdul taarA Flan Prevention bevtrR or Anti 29.00
Pelluflun Device
EngineerZ1p Phone (Irrigation timing devices mi.•are a separate
wnrk t -- reshi
cl"d ens y permit
New c� RepplrX Replace tii:h like kind: Yes O No O Any Trap or Wash►Not connected to a Rr ure
It"bidnnllalCnmmerdal O _
nodltlnnal dantsiplien of wnrit- ` -- Calci 9asin F — - 9--�
AA ���`p� � ����d i ? IPSP.of FrleUng Plumbing -
�'1 't n, r
40.00 dhr
Arra,you capping,moving or replaflcing any fitcture ,uingle ra_- mIly 4weNinaYes O Nn,�,-W psq If yen,see Daek of form to indYcate work performed by (i
fitrture. FAILURE TO ACCURATELI REPORT FIXTURE QUANTITY TOTAiWORK COULQ REBULT IN INCREASED SEWER FEES. s`—r d' °'' '° "r°onuwrdJtyTorte)i. ►-p-rj Non•that the nform�ti�n •tfUOTOTALprvnn Is furred,that I am the owner or authorized agent of the owner,end - -ll�at la submitted aroIn com iancie with Ore on Stale Laws, 6r,t SURCHARGE. �SIG a olOwtnarlA Oatn ---- --
LAN REVIEW 75 L OF SUBTOTAL� M
Cqn act P on ma -- Phone ` TOTAL
11 I1 { 'Minimum permit!tie E7( -urcfiarq� �zr�pt Residential t3ackr••�
•�. ) � CJ Preventfoi i5avi&,w �f �+
�C 1" i<3i3;59i turchargl•
••.•a Hew Vummnr.aal OunJluys -.yula tllrr n1111aU1 nr;U 1V o. IIbc1 UIQ r>Im
aM plan review - �/ •,
oivrnauo Ito rrew f