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12445 SW KING GEORGE DRIVE
CITY OF TIGARD bUII-DING INSPECT N DIVISION
24-Hour Ins(nn.:on Line: 6394175 Business Phone: 6394171
Date Requested: �Q 63•-Cf 1 A.M. _ p M. N.
_ ST:
location: BIJP: _
Tenant: _ _ Suite:— Bldg: MPC: L 7-t✓ CJS
Contractor: 12 P
.�`� Wt
4O'
U `' Phone: '-1 -71 - 7:GL_�L�iPLM: --
Owner: bLa t�iy[_ O _.----Phone: LY1 -7 ELC:
- ELR:
-T�
_ SIT:
BUILDING B[.UG(coni)— PLUMBING ` 'MECHAN CAL ELECTRICAL S1 TE
Site Post/Bcmn Post/Beam TO-0com. Cover/Service Sewer/Storm
Footing Roof UndFUSlab Rough-In ' Ceiling Water bine
Slab Fromin To Out �`
g P �'tf5.7,ine Rough-In IKi Sprinkler
Foundation Insulation Sewer Ilood/Duct R-connect Vault
I3smt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Dr-in N' I If,Slab
Shear/Sheath Fire Spklr//limy Crawl/Found Dr seat ep l ow Volt _
Approved Approved A)�rmc Approved Approved --_
Appr/Sdwlk Not Approved Not Approved d Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
C!l Call for rei , n % Cl Reinspection fee of S _ required before next inspe.:tion 0 Unable to inspect
Inspector: __--- - Date: / Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION (MST
24-Hour Inspection Line: 639-4175Business Line: 639-4171
BUP _
Date Requested ) C) , AM� PM BLD Location— . _ Suite MEC _
Contact Person W ; _ Ph -'— PLM _
Contractor _ Ph SWR
UILDIIN Tenant/Owner _ ELC
RetainT ng Wall p
Footing � ELR
Foundation Acce5r: -(re
e ./ FPS
Ftg Drain 1 r sGN
Crawl Drain Inspei Nut T elluevted --v`
Slab SIT
Post& Beam Found During Research — --
Ext Sheath Shear No Insnectio s) In File
Int Sheath/Shear —�—^
Framing Yti 1 7 S
Insulation
—
Drywall Nailing
Firewall
Fire Sprinkler �/�, `1 G
J
Fire Alarm
Susp'd Ceiling
Roof
Misc:
PART FAIL
Vjjq�l
Post&Beam -
Under Slab
Top Out
Water Service
Sanitary Sewer ` 1 -- —�— I
Rain Drains �/L'L \,� LQ. L,�j�/j. 51A
Final ~
PASS PART FAIL _
MECHANICAL
Post& Beam— - -----_ — — _--__--
P.ouoh lig
Gari Line ---- ---- —
Smoke Dampers
Final ---
PASS PART FAIL
ELECTRICAL ���� �• ��" �- --
Servicei -
Rough in
UG/Slab
Low Voltage --
Fire Alarm
Final —
PASS PART FAIL
SITE
Backfill/Grading ---
Sanitary Sewer
Storm Drain [ ]Reinspection fee of I ___—renuired before n section. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( ]Please call for reinsl action RF:_--- _�—__ ( j Unable to inspect-no access
ADA
Approach/SidewalkDate
Other ` C C� _- Inspector_— �(� C"'"� Ext 1
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
CIT' OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC97-0365
DATE ISSUED: 09/29/97
PARCEL: 2S110CC-16600
SITE ADDRESS. . . : 12445 SW KING GEORGE DR
SUBDIVISION. . . . : KING CITY NO. 5 70NING:
BLOCt.. . . . . . . . . . : LOT. . . . . . . . . . . . . :034 JUIRISDICTION: KIN
------------------------
(-LASS OF WORK—ALT FLOOR TURN. . . . : 0 EVAP COOLERS: 0
:'YPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :R3 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . . 0
FUEL TYPES----- ------------ 0-3 HP. . . . : I DOMES. INCIN; 0
HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . - 0 WOODSTOVES. . : 0
GAS PRESSUPE. . . : 50+ HP. . . . : 0 CLO DRYERS— : 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHF=t-. UNITS. : 0
FURN ( 1.00K BILJ- 0 10000 cfm: I GAS OUTLETS. : 0
FURN ) =100K BTU: 0 > 10000 c,fm : 0
Remarks : Install heatpuep with complete duct system - 7 supplies and I return.
Locate electric furnace in gat-age.
Owner: FEES
WILLIAM DAVIS type amol.tnt by date reepc
i2445 SW KING GEORGE DRIVE PRMT $ 25. 00 CEO 09/29/97 KIN'S CITY
KING CITY OR 97224 5PCT $ 1. GEO 09/29/9'7 KING CITY
[')hone #:
Contractor: ----------------------------------
AIR PRO HEATING 8, A/C
7405 SE POWELL
$ 26. 25 TOTAL
PORTLAND OR 97206
Phone 771-7871
Req #. 04,10007 REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical I n s p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Unt Ins
applicable laws. P.11 work will be done in accordance with Coo linq Unt I n s p
approved plans. This permit will expire if work is not started Dl.tct Inspection - —-----
within 180 days of issuance, or if work is suspended for more Misc. Inspection
than 0 days. ATTENTION: Oreron law requires you to follow rules Final Inspection
adopted by the Cregon Utility Notification Center. Those rules are
set forth in OAR 952-88I-0010 through OAR 952-NI-8898. You may
obt n copies of these rules or Arect questions to OLW by calling
(503)246-9187,
Issi-te By:
Permittee Signati.tre ,
+++++++++++++-t -&-+++++++......f +++.++-f +++++++++++++++++i.++++++.+++++++4-++++4-4 f+ +4 -1 V
Call 639-4175 by 6:00 p. m. for inspections needed the next bl.tsinPss day
.........
.+'++'++-.+++++++++++++++ F++++-c+-+.++++++±............4-
SEP-26-'97 FPI 14:51 1111: FAX N0: 4453 P02
FAX td I• oa5e' P02 _ ..
PYIn Chad"to
CITi OF T!GARD Mechanical Permit Application Ree'dfly-._ _
1312S SW HALL BLVD. Commercial and Residential t�sle kK'°
nate to P E
TIGARD, OR 97223 Dale to DST
(603) 039-4171, x304 -C1,,3�
Print or Type MAILAW
Incomplete or illegibie Applications will not be accepted
0Ty VOICE Aar
(( TetN�11.nn Feemlal
C- toxo
Job •' '�•._- A) FIlnrolFee �
a,oye fray 9' SuDON+�'n411sirrmrt 3 W
Owner , i c_✓ + S --- Ina,dtxZe a"nth
Z 14 lit _S�,Z 1<:• G} r Inc; alim 3 vents
M Its[ t Zlygoo
v 31 ii00r yRl
-1 r C I �_.1_''y-�=- 4 Irx•.1 vRnt -__
- Morro( w+w efq �) S69perjud homier,well r
yr Avvr movrrtaC masts"
Lnr-C 5) VeAt nnr r►•I m 3,00
Ouypafll wy+e�sw"[ II�W rR
f,1 Relief or e0mv,hest Vun+O ae Ci
�» f
IQ M►.a0e LL,n to ttN11t DT11
wn+ll 71 Boder nr c nmp.hart OIATtp.N'MONO• 11.00
.3.10 MP,iota ,no to NOGR STU
"ill nex
Cvnbaotor "il t[+ — 9 i NOowx oar cane he+t ow*o.ear 500
15-10 W.two""nR K 1 m110TU -
4tOsdt Gspt OI » 9> BOdN or odr�0,:rwiwtArrrp.w MM 12. 9
G�rterrttr4enaee (c�-f !)✓ 9 ^� I� )f 7/ 30-!0 HP,.n_or vne t.t 76 rtstl t3TU __
![p On" ,r.1 Pulite of ennr.,vat psfetto.air wed ]7 SO
f, - p 150 MP,ibw unit 17 3 rM OTU
- I 11) An niril vr>,1 to
-7 000 y K o.000 AFM
' 1 ) Ae haft06ng
10,000 CTM --
�� y pAcwsa lj� 1V8n w y
e.eocrate araalcl
14 I Vint hn amrKcft!rJ
�A 1Ms1' chrr,,uo
� Fo e_e1nQ!e duA
_ 15.1 vantllatloh'"Item net
Mq�O NOIR NeR OryatR�OrYv^O AAx�tie^ �taPtli()
�s 1sat�Y�'!AS/!]. pr)yl}.,�r�l7 inclv0ad w+apGllanta Pa'r^a
Deeo 1paen olym�I 1 ; nares fwru.rf ny A.S0
)(�< 0"Ol ntrAl tlnaunso
I i t fWtn M Incu+snluro T
[ ILLI nT
Cnmrol l of InduaClal
Own^7 01'�'1�.JL4-!: f C_ �� f�j Z 4i�l7fr•PtC � t.7b --
Y TUrn-,to Mull,nuUM iQ4
T yp.'daal er.0 runll�l ae[O IDG Q elaLtnc G�1'piping
22) [Wore tnsn 4 c,R oink" (tM:h) i b0
lnk.-fRlattOn 4rva'1 in:t,4rract.dial I am Vk,tavlsel Or SLArrruod agent ar
tM gN11eI,014111 plans sudor We M astg,Sell WIM r1111MWn,?Sir q FUST Al
ravel
Date -- ------.— -_ •!tultref L
jG / 61:LU 1
PtAen-Nems --�—_"""'-_ "Meets PIAN fiFVIti1N 2511.�f 'MIAL
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CITY OF TIGARD
DEVELOPMENT SERVICES MASTER PERMIT
PERMIT #�k. . . . . . . : MST97-0 1 El 1
13125 SW Hall Blvd., Tigard,OR 97221 (503)63!4171 DATE T SSUED: 05/23/97
PARCEL.: r S 1 10CC-16600
SITE ADDRESS. . . : 124<5 SW KING GEORGE DR
SIJBD I V I S I OhJ. . . . : ZONING:
BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . : JURISDICTION: KIN
Remarks: Fire restoration
- --------------- BUILDING ----------------------------------------------•-------------------
REISSUE: STORIES.......: 1 FLOOR AREAS---------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED-------------
CLASS OF WORV.:RCP HEIGH'........: 0 FIRST....: 0 sf GARAGE.. ,..: 0 sf LEF1..........: 0 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: 0
TYPE Or CON5T. :5N DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0
OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 0 sf VALUE..f: 10000 REAR..........: 0
------- - - --- -- --------- --------------------- •-----•----- PLUMBING ----_-------------------- ----- --------------------------
SINKS.........
----------------------.SINKS.........: 0 WATER CLUSETS.: 0 WASHING MACH..: 0 LAUNDPY TRAYS.: 0 RAIN DRAIN ft: 0 TRrQS.......... 0
LAVATORIES....: 0 DISHWASHERS...: 0 FLOUR DRAINS_ : 0 SEWER LINE ft: 0 51 RAIN DRAINS: 0 CATCH BASINS..: 0
TUb/SHOWERS...: 0 GARBAGE DISP..: a WATER HEATERS.: 0 MATER LINE ft: 0 BCKFL.W PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTU9ES: 0
►UEL TYPES------ FURN t 100K . 0 BOIL/CMP ( 3P.:: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0
.'7100K ..: 0 UNIT HEATFnS... 6 HOODS.........: 0 OTHER UNITS...: 0
MAX INP.: 0 3TU FLOOR FURNACES: 0 VENTS........,: 0 WOODSTOVES..... 0 GA; OUTLETS...: 0
----- ---------------— -- _._.. - - - -- -- ELECTRICAI. -------------•----------------------------------------- --- -- --
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC!FEEDERS-- ---BRANCH CIRCUITS--- ---••MISCELLAnEQUS---- --i.PD'L INSPECTIONS--
i000 SF 04 LESS: 0 0 - 200 amp..: 0 0 200 amp..: 0 W/SVC OR FDR.. : 0 PUMP/IRRIGAT?ON: 0 IYR .NSPECTION: 0
EA ADD'L 500SF.: 0 201 400 amp., : 0 201 400 amp..: 0 1st W/O SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER HOUR......: P
LIMITED ENERGY.: 0 401 600 amp..: 0 L-01 - 600 amp..: EA ADDL RR CIR: 2 SIGNAL/PANEL...: 0 IN PLANT......: 0
MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 6014amps-1000 v: 0 MINOR LABEL -10: 0
ION4 amp/volt.: 0 -- - ------------------ --- ----- PLAN REVIEW SECTION ---------------------------------- --
Reconnect only.: 0 1=4 RES UNITS..: SVC/FDR)=225 A.: 1600 'J NOMINAL: CLS AREA/SPC OCC:
-- ------- — -... ---------------------------- ELECTRICAL - RESTRICTED ENERGY ---------------------------------- - _--- --A. Sr RFSIDFNTIIIL - - ---- -------- - B. COMMERCIAL------------------•-------------------------------------------- - - -
AUDIO & STFRFn.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM_ : 0TH: :: BOILER.........: HVAC...........: LANDSCAPE/IRRIS: PROTECTIVE SIGNL:
r,ARAGE OPENER..: CLOCK..........: IN5TRU4FNIATION: MEDICAL......... OTHR:
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL N SYSTEMS: 0
Owner: - ---- - ------ -----Contractor: ----- -------------------------- TGTAL FEESO 136.89
WIL!_IAM DAVIS PREMIER RESTORATION
12445 SW KING GEORGE 15965 SE 114TH
KING CITY OR 97224 STE 0
CLACKMAS OR 97
Phone f: Phone N: 655-0815
Reg N.., 000893
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be dine 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 mar, than 180 days.
--------------------------------- ___ - --- RErMJI7ED INSPECTIONS --- --- ------- ---- - -- -------------------- -
Framing Insp Building Final _------
Insulation Insp -
Gyp Board Insp
Rain drain Insp -
Electrical Final
Per,mittPP S3 i.gnat1.lV-eI5s1_1Pd Eby : Ih ...��
C, 11. f01" irrspectiori 639 417 ,
.,Y OFTf1GARDPlanche
Residential Building Permit Application Recd 9
125.SW HALL BLVD. New Con3truction Additions or Alterations Date Fec'd�_?
.ARD, OR 97223 Single Family Detached or Attached (Duplex) Oats to P E. 5'l_ -71-f-7
503-6394171 Date to DST
503-684-7297 Permits flL _LL
Pnnt or Type Called__ --2-1-11
Incomplete or illegible applications will not be accepted
++ Name of Prolect Name —
Job
Address Site Address Architect Mailing Address
NAM
r' City late
Zip Phone
7 _
Owner Mailing Address, Name
!�
citylstate Zip Phon# Engineer Mailing Address
None Coy/state Zip Pnone
Gone.-al , 'F,It f Describe wo,* New O Add@ion—OAlteration O "i pair O
Contractor Mailing Address to be done:
t C�'-T iE Additional Descnption of Work: —�
C Isto Zip Phone
t C Carr c c.-,,- �\
Oregon Const Cont. Boaro Lic.M Ex . Date ' k
Mach Copy:f ~ ( .- - _
Current COT B mess Tax or Metro M Exp,Dau PROJECT-Licenses � 7 - VALUATION $
Name
'Mechanical NEW CONSTRUCTION ONLY.
Sub- Mailing Address Sq. Ft House: Sq. Ft. Garage
Contractor Comer Le't YES NO Flag Lot YES NO
'StateZip Phone (check one)
(check one)
Oon Const Cont. Board Ltc M Exp. Date Restricted Audio/Stereo
regBurglar
tach copy or Energy System _ Alarm
Curtent COT Business Tax or Metro$ Exp. Lute Installation Garage Door HVAC
Licenses
Name -- Opener � Systems
(check all tha! Other
Plumbing apply)
Sub- Matting Address Will the electrical subcontractor wire for all YES NO
ontractor restricted energy installadons? __ _
C,tyrstate Zip Phone Has the Sucdivlsion Plat recorded? N/A YES NO
troch Copy of So-8--rdtTregon Const Cont BueL c.rt I Exp.Cate Reissue of MST# Solar Compliance
Current r lumbi%Lic.# Exp Date -- (Calculation Attached)
Licenses - I hea, acknowledge that I have read this application, that the
COT Business Tax or Metra a Exp Date information givEn is czirrect, that I am the owner or authorized
agent of the owner, and that plans submitted are in Compliance
Name �L -- with Oregon State laws.
ectrical Lei ( Sigtvatur2 of QwneS/Agent _ Date
SI1lj_ Mailing Address I / Corea Person Name Phone# k
ontractor '� ; , S I :•t t r v �.�1LL. rL9c' ,
gtyrStatey zip Phone FOR OFFICE USE SE ONLY: _
(44") Plat 9 -- -- MaplTL :
Oregon Const ConL Board Lac.# Exp. Data ,c,' Flo
"ach Copy cf _ �� Setb�icxs: Zone: lar.
Current E e<;ncai Lc. A Exo Date i r
Icenses Engmeenng Approval: Planning approval: TIF:
COT 9usmess Tax or Metro a Exp. Date 1�
— i stgpp doc(dst) 1/97
Permit # Account Q�-.juj tion AlM=t Bmt. l,. Bal. Due
MST. Permit (BUILD) E"(-
Plumb.
"Plumb. Permit (PLUMB)
Mech. Permit (MECH)
ELC/ELR Permit (ELPRMT)
State Tax (TAX)
Bldg:
Plumb:
Mech:
ELC/ELR: +^�' "�`
Plar Check
MST: (BUPPLN)
Plumb: (PLMPLN)
Mech: (IAECPLN) r __
CDC Review (LANDUS)
Sewer Conrection (SWUSA)
Reimbursement District
Sewer Inspection (SWINSP)
Parks Dev Charge (PKSDC)
Residential TIF (TIF-R)
Mass Transit TIF (TIF-MT)
Water Quality (WOUAL) --
Water Quantity (WQIIANT)
Erosion Control Permit (E RPRMI�
Erosion Planck/USA (ERPLAN)
Erosion Planck/COT (EROSN)
Fire Life Safety (FLS)
TOTALS:
-- i ONPP doc (d9t) 1197
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