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12433 SW RING GEORGE DERIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-H.)ur ;nspection Line. G39-4175 Business Line: 639-4171 -
���
Date Requested Z AM BUP
PM
_ — — BLL7 _
Location L- 5' 3 Sw �l r (5 e r o Suite — �
1�------�-- G� MEC � -O U / q.3
Contact Person -- Ph (!�Z;7 :�/ /y PLM —
Contractor _ _ Ph _ _ SWR _
BUILDING_ Tenant/Ovner ELC
Rni fAlnipig Jy�II�-._._ — _--
ELR
roo ng Access.
F��ndation FPS
rig Drain SIGN ^---------'- '
Crawl Drain Inspection Notes: - -- --------
Slab --- -- - ... _------ --- -- --- - SIT
Post& Beam ------- -
Ext SheathlShear
hit Sheath/Shear
Framing
Insul+tion -__—_ -------------��.--- ------------
Drywall Nailing
---------.-__--------------
Firewall --------------- _.._----- -- ----- ------- - ----- -
Fira Sprinkler
Fire Alarm ---__---- -__--------- -__.._------- --
Susp'd Ceiling
Roof - ---- --- _-__ ---. -_----
Misc ---- --- —----
Final - .------ ---
PASS PART FAIL _ _- - -- - - -- -- -- -- ---- -- -- -- -----
PLUMBING
Post& Beam
Under Slab
T op Out - ----- --- ---------—_—--
Water Service
Sanitaiy Sewer --- -- - - -------- - - ------
F ain Drains
Final
P --_ E' Rl FAIL
f'os'& Hearn - -- - - - --- -._ _ —_-- - -- --
Rough In
GasLine - ---- -----------_ - _---.__—_- -----___._____
Smoke Dampers
F' t .. I ----- - ------ --
PAS3 PART FAIL
ELECTRIC;! - --- --- -- --- - –
Service
Rough In -- -- - --------•--.-
UG/Slab _
Low Voltage
Fire Alarm
Final _-_------------------- -- —-- -- --
PASS PARI FAIL -- ---- ----- _ _---_— -__-_-r-_
SITE
Backfil!1(3rading -- - -------- -- ------- — ---—
Sanitary Sewer
Storm Drain [ ] Peinspeclion fee ,)f$ required before next inspection. Pap at City Hall, 13125 SW Hall B!vd
Catch Basin
Fire Supply Line ( J Please call for reinspection RE _ - _--- [ ] Unable to inspect-no access
ADA
Approach/Sidewalk V-
Other _----_ Data -- Inspector •.�int Ext
Final
PAS: PART `FAIL_ Det? NOT REMOVE this inspection record from the job site.
1
CITYO F T'G A R® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2001-00143
1315 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 05/03/2001
PARCEL: 25110CC-16300
SITE ADDRESS: 1243 SW KING GEORGE DR
SUBDIVISION: KING CI"rY NO. 5 ZONING:
BLOCK: LOT: 037 JURISDICTION: KIN
rLASS OF WORK: OTR FLOOR FURY: 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: 60 BTU 15 - 30 HP:
FIRE DAMPERS?: 30 - 50 HP: WOCREPAIR UNC &
GAS PRESSURE. 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO R UNITS:
FUFN =100K BTIJ: <= 10000 cfm: OTHER LETS: 0
> 10000 cfm:
GAS OUTLETS:
Remarks: Replacing GObtu furna•e,no ductwork/vera liner.
Owner: _ FEE-----
SUMMERS, ALLEN W + ROXANN P Type By Date Amount Receipt
42.5 FRENWOOD WAY PRMT EFB _ 05/03/20( u' $72.50 KING CITY
BEAVERTON, 011, 97005 5PCT BFE 05!03/20( $5.80 KING CITY
Phone:
�!^_ _ Total $78.30
---- — --
Contractor:
ALLIED MECHANICAL CONT
14275) NW SCIENCE PARK DR
PORTLAND. OR 97229 REQUIRED INSPECTIONS
Heating Unt Insp
Phone:350-1963 Final Inspection
Reg #: LIC 005807
This permit is ,ssued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Soecialty Codes and ail other applicable laws. All work will be done in accordance with approved
puns. This permit will expire if work is not started within 180 days of issuance, or if work is :uspended
fc- more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
U'ility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952 0r' 1-0080.
ou may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: ` ° . t�� � Permittee S.ynature: �—
Call (503) 639-4175 by 7:00 PJV. for inspectio,. needed the next business day
05/03/2001 14:09 50363937(1 \CITY OF KING CIT',` PAGE 02/02
�\ J
i
Mechanical Permit Pln
Date received: _ I Permit no.A.
City of Tigard Nvlect/appl.no.: Expire date:
Ciry e/fTWard Address: 13125 SW Hall Blvd,Tigard,OR 97223 - - _Dataissued, .
Phone: (503) 639-4171 J $y. Receipt no. __
Fax: (503) 598-1960 Case file no. _. Payment type:
L:md use approval: -�-� Building Vomit no.: -
U l &2 family dwelling or accessory U Commv.rcial/industnal U Multifamily iJ Tenant improvement
U New construction U Add ition/alteration/mplacement ❑Other: _
Inh add,es Indicate rgtiiprrlent quantities in boxes below. Indica[( rhe,dollar
Bldg.no.: uric no.: - value of all mechanical matenaln,equipment,labor,overhead,
Tnx map/tax lot/accouni no.: profs'..Value$
Lot: Block: Subdivision: 'See checklist for important arplicntion information and
Project name: j^_risdietion's fee schedule for residential permit fee.
City/county: 1,II':
C �p - -
Description and roc:+tion c work on premises
— _..__.__. Fre(ea-) Total
Est•date of complaUonhnspection: 7H _
fk%,Ai tion Res.onl Rr:r.only
Tr.nant improvement or cltnnge of use: �—
[s r. R space heated or conditioned'?U Yes UN.) Air handling unit CFM,-.-_ _ -
-kIrcon ttinnr_.in e�itr,�—an_rcquu
Is r cish,rt space inculated'1 >Yes rJ No —t/ teT titian of existing stem --
MUM
p rrTcompres90tN
Rosiness tramp: J State boiler permit no,
t>°d NP -- rons B 1 tl/H
Address: 1� � rPrLVAL..__ Fir smu a ampers/ducFsmo e detectors -
City: Siete: Z, 27�j' eat pu�(site an roqu
Phone Fn.x: Email 'Instal rop aco unac urner•. la
-- - Includingductwork/vent liner U Ye o
CCB no.: InaalUrep ac rc ac�'tutera-�uape�--
Cit /metro tic,no,:•�� ? ---
Y _ wall,or floor mounted _
Name( lease tint): - Vont orq an-1T riceotherthtn furnace�
c sera un:
Ahsarptionunits BTU/l1
Name:: C•hilims ----. NP _ --
Address: ---
�- Z�—��- '�- '� � rnmmenla e1t�lfUpt*turd rent et oh:
City: sai= - Stare ZIP A lianccvent
Phone:3,r _ Faz. Email: -- rT7rycre>rFiaust �� - - -
Hoe-�ds,Type res, r Ichen%hernial
hood fire
ntem
w r w+-'f`�i !- — Exhaust fang with aian a d"ct �---
Name: A,.�� Ingle duct(had*(xnu)
MailingaddtWl: �"Lk3 3 ram _ ars xhaustsys_etr-. rem eelin or --' -
�_�—�
y de p pp ne au t on up to 4 out eta
City 1/.� Stare 7
_. _ __- ne• LPCI __._ NG rel
Phone: Fn>r: r'rnail• fuel i in ea. ta urinal over 4 outlets _- -
neexs ug se ctnatic required
Name: Numbs of outlets -
-_-- Cher*farted a-pp-�a11ce p�equfpraceL
Address: Decorative fireplace
City: _ State: ZIP: _ nseert—ty a
Phone: I E-snail: n etovelpelletstove
131 signatu mate: MEW
Ntrmc
Ntw all iudsdicuan*cepa ctvdt caMA,pleam.roll iudrdlatlori for MeA: nion. -- PrrTnil fee......•..............
O Viae U MasterCard N picc:i fa per-mit snot obtain Minimum fe..................$
expiros if a pctmit is not obtained
Ctedit Cavo numtwv ._---�-- -- Ply'l review(at _.,- Ta) 5
- xptrer within 1 a days fete it has been State aurehatge(R%j ,...$ --_
----- — -------
Flume aMhnlhar ev a wn r,n ct�rard net:opted as cmmplrte.
-- I TOTAL .......................$ �27
Cttafrddu v+amatutn -- � mount^J
--- ------ aM
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