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12480 King George Drive
CITY OF TIGARD - ------ -- -
MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2002-002.,4
13125 SW Hall Blvd., Tigard, OR 97223 (503) 635-4171 DATE ISSUED: 6/14/0:'
PAR,-EL: 2S11OCC-17700
SITE ADDRESS: 12480 SW KING GEORGE DR
SUBDIVISION: KING CITY NO. 5 ZONING:
BLOCK: LOT 05.1 JURISDICTION: KIN
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: 3F UNIT HEATEF.S: VEN T FANS:
OCCUPANCY CRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES - 0 --3 HP: I DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPED 3?: 30 50 HP: OODSTOVES:
GAS °RE�'::URt5J: , + Hp: 11��0UDS
FURN ' 100K BTU: t AIR HANDLING UNITS NIS:
1-URN >=100K BTU: <= 100W cfm: OTTHHERRDRYERS:
UUNIT
> 10000 cfm:
GAS OUTLETS:
Remarks: Install furnace and A/C unit.
Owner. FEES -_—
WEHNER. ERNST ELIZABETH L Type By _ Date Amount Receipt
12480 SW KING UEORGE DR PRMT BB 6/14/02 $72.50 KING CITY
TIGARt,, OR 97223 5PCT BB 6/14/02 $5.80 KING CITY
Phune Total $78.30
Contractor:
EASTSIDE HEATING
7200 SW.JOHNSON CREEK
PORTLAND, OR 97206 REQUIRED INSPECTION.3 _
Mechanical Insp
Phone:503-774-328 i Heating Unt Insp
Reg#:LIC 00003258 Cooling Unt Insp
Final Inspection
This permit is issued subiect to the regulations contained in the Tigard Municipal Code, State of Ore.
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 pules adopted in the Oregon
Utility �.otification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
J
Issue By: �L�1�L ,% �,Z`�,L _ Permittee Signature:
Call (503) 639-4175 by 7:00 P.M.for Inspections needed the next business day
(16/13/2002 20:39 5037743057 1TSIDE HEATING PAGE 02
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— Date rwarvad Permit nv_-(/ .ex"
City of King Cit;
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1311.5 SW Halt Blvd. errNappl,no.. HltptR date:
Tigard. OR 97223 Date Iwait, 9yt I Raoeipt no.:
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Phone, i503)639-4171.FAX:(503)684-7297
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0E/1.3/2002 20:39 5037743057 EASTSIDE HEATING PAGE Gia
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CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (50;;)639-4175 MST _--
INSPECTION DIVISION Business Line: (503)639-4171 BLIP — __-----
Received Date Requesled AM PM------ BUP tz, O�r�'"�
Location - Suite__ _ - -- --
Contact Person Ph ) �7�� � -- PLM
''� rttrar for — Ph( ) ___ SWR
BUILDING TEnantlOwner ____—_ — ELC
Footing — ELC —_—
Foundation Access:
Ftg Drain ELR
Crawl Drain SIT
Slab Inspection Notes:
Post&Beam
Shear Anchorp
Ext Sheath/Snear
Int Sheath/Shear
Framing --- L-----
Insulation
Drywall Nailing ---- --��•�-=
Firewall _ —
Fire Sprinkler
Fire Alarm -- --
Susp'd Ceiling — - — �- r✓'
Roof -
Other:. --
Final --
PASS _PART -FAIL --—
PLUMBING —__ --- - --
Post&Beam
Under Slab
Rough-In —
Water Service / �-
Sal ilary Sewer - --- -� --
Rain Drains
Catch Basin/Manhole _
Storm Drain — -
Shower Pan — ---
Other: --_
Final —_
PA _ T FAIL - --- —
CHANICA -- --
Cis
Rough-In -- -
Gas Line
Z)fflake Dampers — -`-�
T FAIL
CT I C —— —
Rough-In
UG/Slab
Low oltage �\V .—__.— ----
larm
einspection fee of$. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
Please call for reinspection RE: [� UnaL',,to inspect-no access
r-;,e Supply Line
ADA Date�. ?--- Inspector Oth
Approach/Sidewalk
Finale _�_ _____ 00 00T 1119MOVE this lespeotlon record froth the job site.
PASS PART FAIL