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12475 SW KING GEORGE DRIVE
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST �,►� �l
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 f
BUP
_ Date Requested �-' IC19 AM PM BLD
Location. I .__Suite _ ME , 0�
Contact Person Zl/✓�/ �-+�-� _ Ph --- PLM --_
Contractor _ Ph SWR
U LDING Tenant/Owner ELC
e wining Wall EI_R
Footing Access:
Fuundation �c�y'� 44 (dd t fits / rc gtodr FPS
Ftg Drain ! �`� SGN
Crawl Drain Insper —
Slab Not 7 equested -- SIT
Post& Beam hound During Research
Fxt Sheath/Shear No In. neI In File I-- --
Int Sheath/Shear 1 p
Framing —
lasulation �V 1
liiywall Nailing
�I irewall
Fire Sprinkler `c-
Fire Alarm
Susp'd Ceiling
RoofCi
Misc:
Fina
I PART FAIL_ -- -- - --- -- --— --
LU GING
Post& Beam - -- ----- --_--
under Slab �`1 \ L.`�1 U U C�
op Out c --- -
Water Service S_ C`_.t h'� `�� `e
Sanitary Sewer (' r
Rain Drains
Final
PASS PART FAIL1111111E
GRAN GA
Post & Beam
Rough In
Gas Line i
Sk Dampers
m�i�na _
S8 PART FAIL
TRICAL —
Service
Rough In �-
UG/Slab —
Low Voltage
Fire Alarm
Final
PASS PART FAIL.
SITE _
Backfill/Grading `—"--
Sanitary Sewer
Storm Drain J Reinspection feebi$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin Please call for reinspection RE: _ I )Unable to Inspect-no access
Fire Supply Line
ADA (� l '}
Approach/Sidewalk Date t `� C Inspector �� l,� Lk'L---' Ext!,S
tithe —__. _-
Fina',
PASS PART FAIL 00 NOT REMOVE this inspection record from the ,job site.
CITY OF TIGARD ME(','AAN I COL
DEVELOPMENT SERVICES r ERM 17'
13125 SW Hall Blvd.,Tigard,OR 97223(503)6394171 F,FRMIT A. . . . . . . : MEC98-0570
DATE �SSUEL)g 12/23/98
PARCEL: 2SIlOCC-17400
SITE ADDRESS. . . , 12471 SW KING GEORGE DR
SUBDIVISION. . . . : KING CITY NO. 5 ZONING:
BLOCK. LOT. . . . . . . . . . . . . .026 JURISDICTION: KIN
--------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP,. . :Rl VENTS W/O APPI-: 0 V`7NT SYSTEMS: 0
STORIES. . . . . . . . : 0 B011-ERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYRES--------------- 0-3 HP. . . . 0 DOMES. INCTN: 0
:GAS 3-15 HP. . . . 0 CnMML. INCIN: 0
MAX INPUT- 0 BTU 15--30 HP. . . . : 0 REPAIP UNITS: 0
FIRE DAMPE RS 30--50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. 504 HP. . . . 0 CLO DRYERS. . : 0
NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : 0
FUPN ( 100K BTU: 1 110000 cfm: 0 GAS OUTLETS. : 0
FURN ) =100K STU: 0 > 10000 cfm: 0
Remarks : H01ing - install gas f;rnace
Owner: FEES
BOB HEFLTNG type amount by date rer-pt
1.2471 SW KING GEORGE PRMT $ 25. 00 JSD 12/23/98 KING CITY
KING CITY OR 97224 5PCT $ 1. 25 JSD 12/23/98 KING FTTY
Phone #. 639-7910
Contractor:
WESTERN HEATING A A/C
14314 SW ALLEN BLVD ------------------------------------ -
*STE 220 $ 26. 25 TOTAL
BEAVERTON OR 97005
Phone #: 648-5808
Reg #. . .- 000769 REQUIRED INSPECTIONS
This pervit is issued subject to the regulations contained in the Heating Unt Insp
Tigard Municipal Code, State of Or.. Specialty Codes and all other Final Insp2rtion
6pplicable laws. All work will be done in accordance with
approved plans. This pervit will ev'pire if work is not started
within 180 days of issuance, or if work is suspended for sore
than 180 days. ATTENTION: Oregon law requires you to follow rules .......
adopted by U',p Oregon litility Notification Center. Those rules are
set forth in NP 952-001-v*10 through DAR 952-00I-0080. You may
obtain copies of these rules or direct questions to OtWE by calling
lssi-te 13ye.— Permittee Signati-trei_ _
....... ...................4•............4-++++4.....4-++4................4-
Call 639-4175 by 7:00 p. m. for inspections needed the next btisinpss day
4......1-++++4............4......4-+++4.++++4.....................4F........4-+++
L!E 98 TUE 1c:OR )D: FOX NA: 4012 PO2
Check
CITY OF TIGARD Mechanical Permit Application Plan Chh fr _
Recd By
13126 SW HALL BLVD. Commercial and Residential DateRecI/Z-LI
TIGARD, OF 97223 Date to P.E -
(603) 639-4171, x304 i Date to DST
Print or Type Permits +r c'
Incomplete or illegible applications will not be, acce ted Celled
-`�- Narne of°e"eloptnenwro)w Description -
Table 1A Mechanical Code Q Pfioe Am(
Job Street A44MU Susay A Permit Fee - 0 10.00
1) Furnace to 100,6M BTU
I Address e Mr�e includin duds&vent , 600
2) Furn9ci!100,000 BTU+
f Z including duds&vents 7.50
None(or noun or buakwas) 3) Floor Furnace
Owner OIncluding vent 6,00 _
Mrs Addrsu 4) Suspended heater,wall healer
or floor mounted healer &00
C__ � 5W (��/�fz�" p Q� 5) Vent not InGuded In appliance permit
_ 3.00
^- nrrC c, 7 v O IV , - p CHECK ALL 'Boller Heat Air
Nems(or nev/ot business) THAT APPLY: or Pump Cond (try Price Amt
Comrp
6)<31-115:absorb unit to
Occupant Mailing Aeft s 100K BTU 6.00
7)1-151 -;absorb unit - ..._.-
Cyr/une
zip Frufne 100k to 50%BTU 11.00
��-- - 9)15-30 P:absorb --- -�
ContractN+Y11e unit.5-1 mil BTU 1500
or
-- 9)30-50 HP:absorb -
W unit 1-1.75 mil BTU _ _ 22,50
Prior to permit Menthe Address 10)>50HP;absorb unit
lesuance,a Copy G�C!- x1.75 mil BTU 37.50
of all Iloanses city a Zip Phone 11)Air handling unit to 10,000 CFM
are required If 136 7, . V O-S 7 JJj v _ 4,50
explmd In COT omeon const cool 9owd tk.r Exp.Oete 12)Air handling unit 10,000 CFM+
database 7 6 97,9 - -J D - 7.50
Architect None 13)Non-portai+le evaporaM cooler
4.50
1a)Vent fan connected to a single duct
Or Mallkrp AJdrwaa
3.00
____-_ ___ 15)Ventl orlon system not included in
Engineer clyr9tne. zip Phone a lianoa rmit 4.50_
16)Hood served by mecr anlcal exhaust
17eserl .:work to idletions -- ---- 4.50
17)Don-wstic incinerators New
New O Repair O Raplace wriih like rind. Yes O No O _ -_ 7.50
fieeidontlal Commercial 0 1 B)Commeir.41 or industrialtype neratur
.__
Additional Information or description of work -- --- - 19)Repair units
3t*u S Lu 20)Wood stove _
4.50
21)Clothes dryer,etc-
____ 4.50
Type of fuel oil O natural gas LPG O eledric 022)Other units
_ _ x.50
1 hereby acknowledge that I have read this appiiurtwn,that the ktfortnetion 23),Ss piping one to four outlet
given is cored,that I am the owner or authorized agent of _ _ 2.00
the owner,that plane submitted are in aunplianoe with Oregon State laws. 24)More than 4-per outlel
L Sipnarurw e1 OwnedAdent
Minimum Permit Fee 125.00 SUBTOTAL
���� — --- 5%SURCHARGE
Con14 arson Name Phone PLAN REVIEW 25%OF SUBTOTAL
Required for ALL_comnieWal perming onI
TO AL
"State Contractor Roller CortiBaetion inquired -
Residential A/C requires site plan showing placament of unk
I vnt,rhperm doc rev 074101519
MSTER PERMIT
CITY OF TIGARD PERMIT #. . . . . . +
COMMUNITY DEVELOPMENT DEPARTMENT DATE: ISSUED: 07i0 .
13125 SW Hall Blvd.Tigard,Oregon 97223.6199 (503)630.4171
FJARCEL_: 2S 1 10CC:-17400
�i:ll'E (ADUF2ETa.�. . . : 12471 SW KING GEORGE DFS
SUBDIVISION. . ZONING:
BLOCK. . . . . . . . . . • 1_CI1.. . . . . . . . . . . . . - -
Remarks: 250 SO FT ADDITION WITH 30 30 FT REMODEL PATH 1
BUILDINu -----------------------------------------------------
--------------------------------------------------------------- -------------
REISSUE: STORIES......,: 1 FLOOR AREAS---------- BASEMENT...: 0 5f REQUIRED SETBACKS---- REOUIRED----------- -
CLASS OF WORK.:ADD HEIGHT........: 13 FIRST....: 250 sf 6ARkk.....: 0 of LEFT..........: 0 SMOKE DETECTRS:
I Y p OF USE.,.:SF FLOOR LOAD....; 40 SECOND...: 0 sf FRONT.........: 0 PARKING SPACES: N
IYPE OF CONST,=5-IHR DWELLING UNITS, 1 FINBSMENT: N sf RIGHT.........: 10
OCCUPANCY GRP.:R3 BDRM: 0 BATH; 1 TOTAL------: 250 sf VALUE-4: 18006 REAR..........: 36
---------------------------------------- ---------------------- PLUMBING ---------------------------------------------------------------
SINKS.........: 0 WATER CLOSETS.: . WASHING MACH..: 0 LAUNDFY TRAYS, : 0 RAIN DRAIN ft: 0 TRAPS.........: 0
LAVATORIES....: 1 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 0 CATCH BASINS..: 0
TUB/SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 0
OTHER FIXTURES: 0
---------------.------------------------------------------------- MECHANICAL ---------------------------------------------------------------
FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMG ( 3HP: 0 VENT FANS.....: 1 CLOTHES DRYERS: 0
/OAS/ / / FURN 1=100K ..: 0 UNIT HEATERS.-: 16 HOODS.........: 0 OTTER UNITS.,.: 0
MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 2 WOODSTOVES....: 0 GAS OUTLETS...: 0
--_..—_..------------------------------------------------------------------------------- ELECTRICAaL -----------------------------------------------------------.--
--RESIDENTIAL UNIT--- ---SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS--
1000 SF OR LESS: 0 0 - 200 alp,.: 0 0 - 200 alp..: 0 W/SVC OR FDR..= 1 PUMP/IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 5W.: 0 201 - 400 alp..: 0 201 - 400 asp..: 0 lit W/O e9C/FDR; 1 SIGN/OUT LIN LT: 0 PER HOUR......: 0
LIMITED ENERGY,: 0 401 - 600 asp..: 0 401 - 1.300 asp..: 0 EA ADDL OR CIR: 0 SIGNAL/PALL...: 0 IN PLANT......: 0
MANF HM/SVC/FDR: 14 601 - 1088 asp.; 0 601+asps-1000 v: 0 MINOR LABEL -101 0
1083+ amp/volt.: 0 --------------------------------- PLAN REVIEW SECTION ----------------------------------
Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.; 1 600 V NOMINAL: CLS AREA/SPC OCC:
----------------------------•------------------ ---- ELECTRICAL - RESTRICTED ENERGY --------------------•.-------------------------------
A. SF RESIDENTIAL--------------------------- B. COMMERCIAL-------------------------------------------------------------------
AUDIO I I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTEK014/PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM.,: 0TH: ;: BOILER.........: HVAC...........: 0NDSCAPE/IRRI6: PROTECTIVE Slit;
GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MCDICA1 ........ : OTHR1
HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL 6 SYSTEMS: 0
Owner: -----------------------------------Contractor: --- ---------------------- - TOl4L FCF5:1 '112.96
BARBARA BEER DOUGLAS DOERING CONSTRUCTION
1247: SW KING GEORGE 6005 SW 130TH AVENUE
KING CITY OR 97224 BEAVERTON OR 97007
Phone #: Phone #: 626-8629
Reg #..: 97117
This permit is issued subject to the regulations containri in the Tigard Municipal Code, State of Ore. Specielty Codes and all other
applicable laws. All work will be done in accordance th approv:d plans. This permit will eNpire if work is not starter; within 180
drys of issuance, or if wor, is suspended for more th 180 days.
--------------------------------------------------------- REQUIRED INSPECTIONS ----------------------------------------------------------
Footing insp PLM/Underfloor Shear Wall Insp Electrical Final
Foundation Insp Mechanical Insp Low Voltage Mechanical Final _ ---_._.
Dost/Beam Struct Plumb Top Out -insulation Insp Plumb Final
Post/Beam Mechan Eler`rical Servi Gyp Board Insp Building Final
Crawl Drain Fra,ing Insp Rain drain Insp _
p+-mittee SiRnatIss1-ted By :
GR1I fnr iPevf� c.tion - 6Z9-4175
Residential Building Permit A lication
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223
(503) 639-4171
Jobsite Address: /Z y7ZOffice Use Onl
Subdivision: Lot#. ) ,�
Planck/Rec
Valuation: '
Permit
Corner Lot? Y N R7-CEiVE0
Reissue of � f ,l
Flag Lot? Y N 199 u ,� " t� 'l0y
�
Map & TL # -
1 uoELOPMENT
Owner: y L`� '� — — Approvals Required
Address. ez'•� Planning N --
t - Engineering _
Phone: Other 11 —
G ONS Items Required
Contractor: f — —
Address: � — Subcontractors —
�t/�'1Q tyYT�� Truss Details _ ---
/ r
Phone. �' _tL ���' ��9 Other
Contractor's License #
(attach copy of current Oregon license)
Contact Name SPhone.
�-j
Architect/Engineer:
Subcontractors: ���;r1 e.%
lr �
n fie, Address: 1') /01
Flurnbi
9.('G?
�censfMechanical
(attach cou+rrent Cont )p
---
b1144
2fC Phone: —
JOB DESCRIPTION: . —
/ altL� w
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Applicant Signature & Phone number
�
Received by: _:. _ Date Received:
-
& t tit ni
't('���A)613 0 4
Permit# Account Description At1At ,, Amt. Pd. Bal. Due
Bldg. Permit (BUILD) S ,
Piumb. Permit (PLUMB) ------
Mech. Permit (MECH) 9 '� L� dam, pzrJr�
State Tax (TAX) 1__ CJ
Bldg: '' ,�3
Plumb: f
Mech:
Plan Check (PLANCK)
Bldg:
Plumb:
Mech:
Sewer Connection (SWUSA) –
Sewer Inspection (SWINSP) _ --
Parks Dev Charge (PKSDC) --
Residential TIF (TIF-R) _ _ --
Mass Transit TIF (TIF-MT)
Commercial TIF (TIF-C) -
Industrial TIF (TIF-1)
Institutional TIF (TIF-IS)
Office TIF (TIF-O)
Water Quality (WQUAL) —
Water Quantity (WQUANT)
Firn Life Safety (FLS) —
Erosion Cntrl Permit (ERPRMT) — —
Erosion PlancklUSA (ERPLAN) _ 7
Erosion Planck]COT (EROSN) — .—
Ir-
TOTALS:
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