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12420 SW KING GEORGE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Ho,ir Inspection Line: 639-4175 Business Line: 639-4171 -- --- -- —
B UP
Y,Date Requested _ AAM PM _ BLD -
I_ocation 2w) � -- Suite MEC
Contact Person7� Ph < �('� "� /
/,, — PLM --- ---
Contractor �F� �7 U t,V✓ A_ —ph? �� '. r"'y Y —. SWR —_—.
B;JILDING Tenant/Owner ELC --------_
Retaining Wali ELR
Footing
Foundation Access: FPS
Ftg Drain S(aN
Crawl Dfain Inspection No! —
Slab -------- - ------------ - -- -----a.._._ SIT
Post& Bean `�-�—
xt Sheat',,Shear
Int Sheath/Sheaf - — -- — �—
Insulation -'
Drywall Nailing
Firewall -- ---- ---------.
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof ------------------- ----- --___--
Misc:
Final -------- - —
PASS PART FAIL
PLUMBING
Post& R2am --
Under Slab
Top Out — - ------____.-- ----------
Water Service
Sanitary Sewer _—
Rain Drains
Final ------ -- -----__—
PASS PART FAIL _
IINIi6HaN1...i4L
Post& Beam
Rough In
Gs3.t - -- ------ — --- ------
I;e Dampers
S PART FAIL
Service.
Rough In — � —
UG/Slab - -- ------- - - ----- - — --
Low Voltage
Fire Alarm —
Final
PASS PART FAIL _---_ -_- - - ------ - -- _ ---
SITE _
Back fill/Gradllic -- - ---- — —
Sanitary Sewer
Storm Drain I J Reinspection fee of$ —required before next in,,pection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I Please call for reinspection RE: -_ ( Unable to inspect -no access
Fire Supply Line
ADA
Approach/Sidewalk Date �- / Ext
Other _ Inspector --� ,��_
Final
PASS PART FAIL IDO NOT REMOVE. this inspecti5n regiord from the job site.
CITYOF T I G A R D _ MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC1999-00148
13125 SW Hall Blvd., Tigard, OR 97223 (503) 619-4171 DATE ISSUED: 4,7/99
PARCEL: 7S 110CC-19100
SITE ADDRESS: 12420 SW KING GEORGE UR
SUBDIVISION: KING CITY NO. 5 ZONING:
BLOCK: LOT: 068 JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 -30 HP:
FIRE DAMPERS?: 30 - 50 HP: WOODS REPAIRUNITS:
DS
GAS PRESSURE: 50 + HP: I OYES:
CLO DRYERS:
FURN < 100K BTU: A:" HANDLING I1NITS
OTHER UNITS:
FURN >=100K BTU: J— <= 10000 cfm: �^
T
GAS OUTLETS: 1
10000 cfm:
Remarks: Add gas piping.
Owner: FEES
KAY HOFERER Type By Date Amount i Receipt
12420 SW KING GFORGF PRMT GEO 4/7!99 $25.00 KING CITY
KING CITY, OR 9'. 224 5PCT GEO 4/7/99 $1.25 KING CITY
__---_ Total $26.25 ----
Phone:639-3644 --
Coiltractor:
C4 DoaJ to
/ 3/8,5- S W //S s►
y-'i6 4xq ���3 _ REQUIRED II'SPECTIONS
Gas Line Insp
Phone: oWt�0.001-3 Final Inspection
Reg #:
this permit is iss'Lied subject to tf e regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be c_Dne 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 lb,) days. A-FTENTION: On�gon law requires you to follow rules adopted in the Oregon
Utility Notifica,ion Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copie pf th e rules or direct questions to OUNC by calling 3)246-9189.
Issue By: — — Permittee Signature.:
Call (503 39-4175 b} 7:00 P.M. for inspections needea the next business day
AFP-07 99 WED 13:10 ID: FF" 140: 14110 F1711
Plan Check q
CITY OF TIGARD Mechanical Permit Application Rec'a By
13125 SW HALL BLVD. Commercial arid Residential Date I�e�a_ -
TIGARD, OR 97223 Date to RE
(503) 639-4171, x304 nate to DST2 �
Print or Type Permit '___`-•-0d�'1�
incomplete or illegible a pi cations will not be acceded _ Called -_�-
-� r Neme of Devslopmenwro)oct Description
S e Table 1A Mechanical Code - Oty Price Amt_
—r. A) Permit Fee
Job 1) Furnace io 100,000 6TU
Address _ including ducts&vents see fooinoto 1,2 8.00
HldgiM CIIY�tals IJP Z) umace 100,OOn BTIJ+
including ducts 9 vents see footnote 1,2 7.50
Warrar(w nsrrv! 4 txisinea!) 3) Floor Furnace
Including vent sea footnote 1,2 _ 600
Qwner ;it! _,Z-1 - .P_1� 4) Suspended heater,wall heater
Mailing M-1m. or floor r,;ounted heater age footnote 1 2 6.00
t.2"p c�v 10 ems 5) Vent not included In appliance permit
cityrStats 7 Fha", 3.00 ---
%ir Check all that apply- 'F3niler Heat Air
ii-.me(nr n nr bosinau) F,or Itema F-10,Sap or Pump Coynd Ory Price.
Amt
footnotes 1,2 Comp
5)<cMP;abenrb unit to
Occ.ipant Mwuing Addres IOOK BTU ts.ou
7)3 15 HP;ebaorb unit
cnYrsrate 21P t+nne IDOk to 500*BTU 11.00
el 15-30—H I",obsarb - -
___.___._� _ unit,5-1 trill BTU 15.0
contractorr Brno 50 HP;absorb
7 i 1 79r BTU --- 22.50
Prior to permit1 Mautr,g wdnes r •oOHP;absorb unit
rssuenae,a copy ,1,75 mil BTU 37.50 ---
of all Iloorlses c /Stem zip {here 11)Air handling unit to 10,000 CFM
are required 0 (11 - , -� l K -:q ___ 4.50
esplred In COT Conte•C osrd LIc,M cup,Do" 12)Air handling unit 10,000 CFMt
database 7.50
A�It�Ct- non- //- 1 i) ern pertabla evaporate cooler
�� 4.60_
MaNht9 14)Vent fan connected to a @Ingle duct
or 3,00 _
15)Ventilation system not In-luded in
Englneer cAYBtare i1p rnone appliance.permit - — 4f,()
16)Hood served by mechanical exhaust
rawcribe work M be done; 17)Domestic Incinerviu;
New� Ropair O Replace with like klnd� Yes O No O _ _ Tf4E.5O
7.50
RFrnidential O GrimmsnGal O 1a)Commercial or Industrial type incinerator
_ 30.00
`- 15)Repair untlu
Addnlonal information or description&work
4.50
20)Wand stove �--_ --
No E int Cnmmrrcinl prolocts only.Units over 4W lbs,require _ ___-_______ _ 4,50
suuautas gas ca1c�. 21)Clothes dryer,eie
Typo of fuel; oll o natural gas F LPG o eled*,O -- 4,60 -
22)Other unitn
Ihbydcl a ,iwi,-4gw that I have read this a?pllcation,that therm
information _�.. _ a.50
Wr
ylven is rnned,that i am the owner or aulhorit:ed agent of 13)On-,piping one to four outlets
the owner,mal pi.an-t quhmitted are In conlpflance with Oregon State lawn. See footnote 1 _ 2.0n
24)More than 4-per outlet(eac )
signature of Ovvn*riApent Date 50
? j, - Minimum Permit Fee$25.00 SURTO r AL
Contact Person Name Phone
5°,fi SURCHARGE
/r � --4cr }lf ---- PIAN REVIEW 2504 n' %U9T'JTAL
t=oonoters for commercial projects only: - -- -- - ----- _ —Required for ALL comma clal parmns only
I Provide hill aritematic of existing and proposed pas line and pressure T uTAL
2, wide+drawingc to scale showing @Klsting and proposed rtwc hanical _
unib, 'State Contractor Boder Gertihvtlen required
-Residential AJC requires site plan showing plain ment of unit
1 tin echperm dor. rev 02/4/99