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12363 SW King 'George Drive
L._QTY OFTIGA,RD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (Sn'� 639-4171 MST - ---_ _
BLIP
Received _ _Date Requested_._ A.M —___✓ PM 81.IP _
Location Suite. k, _,_ ME'
Contact Person _ —__ � — Ph( —) `a `� -' 7- 3!2 PLM
Contractor-- _-_ — -- Ph(---) - _ SWR - -- - - --
BUILDING Tunant,'Own r EL-C
Footing EL.(;
Foundation Access:,f �
Ftg Drain // ELR
Crawl Drain --
Slah Inspection Notes: SIT
Pori&Beam _
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing --
Insulation
Drywall Nailing - -
Firewall
Fire Sprinkler -- --
Fire Alarm
Susp'd Ceiling I --
Roof
Other: -
Final -._---- -------
PASS PART FAIL ---
PLUMBING
Post&Beam --
Under Slab
Ruugh-In '7
Water Service
Rain Drains —= -- -
Catch Basin/Manhole I i
Storm Drain - -- - - --
Shower f-a-,
mbar`:----- - - - - - - - - -
PART FAIL
MECHANICAL
Post&B4am
Rough-In -
Gas Line
Smoke Dampers - ------ -.._ .-------- ----
Final
PASS PART FAIL - ------ -
ELECTRICAL
Service
Hough-In _
UG/Slab -
Low Voltage — _- ---- - - --- —�.— -- __ ----- -----
Fire Alarm
Final u Reinspection fee of$ required before next inspection. Nay at City Hall. 13125 SW Hall Blvd.
PASS PART FAIL
SITE - [� Please call for reinspection RE:—___ - —_- Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk pats In _ Ext
Other:
Final - DO NOT REMOVE this Inspection record from the joky site.
PASS PRAT FAIL
CITY OF TI G A R D ____.__PLUMBING PERMIT
DEVELOPMENT SERVICES PERMIT #: PLh12002-00213
13125 5W Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 6/12/02
SITE ADDRESS tl.; ' :WW KING GEORGE DR PARCEL: 2S109DD-02900
SUBDIVISION: ZONING:
BLOCK: LOT: JURISDICTION: KIN
CLASS OF WORK: ALT GARBAGE DISPOSALS: MOBILE_ HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTKS:
OCCUPANCY GRP: R3 FLOOR DRAINS: TRAPS:
STORIES: WAT 73 HEATERS: CATCH BASINS:
_
FIXTURES_ LAUNDRY TRAYS: SF RAIN DRAINS
�! SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOWERS: SEWER LINE: 40 It
WATER CLOSETS: WATER LINE:: ft
DISHWASHERS: RAID, -)RAIN- ft
Remarks: Sewr1r bite repair 40 ft.
FEES
Owner: -- --
Type By Date Amount Receipt
HEIN, DAVID W + NAOMI R PRMT BB 6/12/02 $72.50 KING CITY
12363 SW KING GEORGE CT 5PCT BR 6/12/02 $5.80 KING CITY
KING CITY, OR 97224 _
Total $78.30
Phone 1:
Contractor:
HOLLENRACH + HURD INC
3000 SW 174TH AVE
ALOHA, OR 9'i006 REQUIRED INSPECTIONS
Phone 1: 591-5987 Sewer Inspection
Reg#. LIC 121807 Final Inspection
This permit is issued subject to the regulations contained in thu Tigard Municipal Code, Ctate of OR.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans.
This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more
than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center. Those rules :re set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1987.
sued By: Permittee Signature: j 7x
Call (503) 639-075 by 7:00 P.M. for an inspection needed the next business day
05/11/2002 15:02 5036353771 r:TTY OF KING CITY WAGE 02!02
TRI ('Ol1f,'T:' OFFICE USE ONLY
."
;trvlCtCCNTFR Plumbirg Permit Applicotloll
_— ate received: (��j/ Pemitno.:;'(�IP 7 01 -60.24
City of King City sewer permit no.: Building permit no.:
1 f� 13125 SW Hall Blvd.
�.• Tigard.OR 97223 Pro�ect/appl.no.: ------ Expire date:
Clackamas Phone: (503)639.4171,FAX: (503)684-7297 Date issued: ey; Receipt no.:
Multnomah + _
WashingtonCase file no.: Payment type:
C 0 u MT 1 a a Land use approval:
U I & 'tatn (nily dwelling raccrsst;ry U J Multi-family 0 p"her
improvement
Tenant
J New conitruction J !�dtlit ilm/ailelatiU ,'r
nepidcelnCn} :1Frxrrl St1tvlCe __�• -- --
3 ' � �R I lion — Ot . F'ec lei.) Total
Job address: anal 2-family dwellin$�%only:
Bldg.00.: Suite nd.: (inrJudss ILMI ft.for nrloh utility rnnnntion)
Tax map/tax lot/account no.: SF7t (1) Iv,th
F
lot.. Block: Subdivision: _ S (1)i,tl`ll _
Project name: SF1t(3)bath _
_ /county: �' Zip: [ Fach additional hath%kitchen
-� —� Site utilities:
Descriptinn and location of wo,k in premises: "' Catch Wsin/area drain
unv trench r�ril
Est.date of contlietion/insin on, noting drain(no. lin.ft.
anufaetitred home utilities
Business name: to �N/��?C_� _ _ a
Address: �'i,� ,� L.c _ _gin d in connector �� --
City: �o Zmie:�� ZIP — Sanitary sewer(no. lin.H.I
0='4 S
Phone: .� 0 Fax: :L-mail: Stoim sewer(nn, lin.ft.)
�1.—�-_�� -- ater service(tto. lin. t.
CC5 no.: / to 7 Plumb.blls. eg.no:
---- 1:ixture or item:
City./nIcur lic.na.: L � 0' Ab s< don valve
Contractor's representative signet u-e at: flow preventer
Print name: Date: PTc' Bar:kwater valve
CON'J'ACT PERSON asin, avatory
Clothes was et
Name: G.•./$1 !� - dishwasher
Address: O 1409 ....S_tatV¢� ce'nktoirnsg sfuomun
uin(s)
Phone: FAiRpartsion r
tank
Fixturdsewer cap
oOF drains f—silvauF_
Natnc(print); _� age is sa
_Mailing address: v _ Hose hibb
City: - r Stttte: ZIP: ce maker
l E-mail: nterce grease trap
flume. _�r. —
(?rl,ncr instal/nturn/resi�lentinl maintenance only.The actuRI installation mer(s) _
m
will be niade by me rrr the nraintevance and repair mmoi'
made by my regular dmi J
employee on the pntperty I own as per ORS Chapter 447. , ttk(s), basin(s), ays(s)
Ihvnrr's si rutture: Date: _ --Sump _
�u�ower/shower
final r_
Name.
Water close(
Address: _ _ _. ateheater
City: State.
Phone Fa c: E-mail. —
Minimum fee ............ ..�
Nnt dl)arWlictionl nccW credit canis,pirue tailprudiconn sot more in'ormntinn. Nntirr. This permit application plat rium f e . .—�) S
7 visa O MpRICK:A d expires if a per-ml is not obldned Slate evictstm; a(a t (R°k).....8
Credit cud number• L--1--
within !AO drrvc after U has been
Elplrer TOTAL........................$ --e*.�-=-
i—card accepted as compleir.
ur•.a r eQdhnlder Y ftiow-ft oa er A
Culholda aiYnarute Amdlat 4.14.46161600 CON'
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