11512 SW CORNELL PLACE ADDRESS:
i:\records\microflm\targets\building.doc
_INSPECTION NOTICE
City of Tigard Building Department f
13125 SW Ball Blvd. Tigard, Oregon 97223
Inepection Line (Ree-O•-Phone): 639-4175 Busineae Phone: 639-4171
Inspections
Footing Plbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. ��
Plbg. Top Out j Gae Lila NAL.
Poet/Beam Struct. San. Sewer Frtajsing Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor lWater Line Gyp, Bd. k)r 6kC -Mach,
Data Requeetedt_ �� U - L ATime6U , AN PM
Addreees_ /V22L_�fj -/J/ /7'*zm�t /r-�?,;2_
Builders LC_�
TRF FOLLOWING CORRECTIONS AP.E REQUIRED:
lnepectors �, _ ilk__
— Da'.e t
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
// Call For Reinep.
CITY OF TwARD -- RECEIPT OF PAYMENT RFf.'XlP-T NO. s9P-234641
CHECK AMOUNT 3 26. 25
NAME a HOT SPOT FIREPLACE & (:A61-4 AMOUNT a 1A. 00
A 1)D R :8213 PATIO 8F10P, TNC. PAYNE,--NT DATE I P-1 14 9
11929 $W CANYON ROAD SUBDIVISION
BEAVERTON, OR 1)-1005.—
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
MECHANICAL PE~ 23. 00 81". BUILD PER 1,
25
MECH. #9C-0333 ( 115!? $W CORNELL PI.. AGE)
j,oTAL. AMOUNT PAID P6. c'!s
CITYOFTIGARD
C:MOF RD MECHANICAL
1
COMMUNITY DEVELOPMENT DEPARTMENT ow.oN PERMIT
-- 134268W HWI BNd. P.O.Bw 23397.11.1patd,Or"m vrm(603)63G4176 - - -- PE RM I T M. . . . . . . t MEC92-0333
639-4171 DAVE ISSUEDt 12/10/92
L)IT - ADDRESS. . . s 11512 SW CORNELL PL PARLELt 1S134DC-1040¢'
SU.,OIVISION. . . . a TIGARD PARK ZONINGt R-4. 5
BLOCK. . . . . . . . . . t LOT. — . . . . . . . . . t20
-------------- --------------------------------------------I----_------.------_------_-
CLASS OF WORK. . s ALT FLOOR TURN. . . . : EMAP COOLERS t
TYPE OF USE. . . . s SF UN'T HEATERS. . a VENT FANS. . . t
OCCUPANCY ORP. . sR3 VENTS W/O APPLt VI-NT SYSTEMSt
STORIES. . . . . . . . I 1 BOILERS/COMPRESSORS HOODS. . . . . . . s
FUEL TYPES------------- 0-3 HP— . z. a DOMES. INCINs
: /GAS/ / / 3-15 HP. . . . t COMML. INCINs
MAX INPUT a BTU 15•-30 HP. . . . a PEPP.t R UNITS t
FIRE DAMMERS?. . s 30-50 HP. . . . i WU0DSTOVES. . t
GAS PRESSURE. . . a 50+ HP. . . . s CLO DRY,�RS. . s
NO. OF UNITS----------- AIR HANDLING UNIT:- OT•NER L!"I I TS. s 1
FURN < 1O0K BTUs 10000 cfmt GAS OUTLETS. tl
FURN >m1O0K BTUs 10000 r-fma
Remarkst GAS LOGS
Owners --------------------------------------------------- FEES
MARK NELSON type amount by date rf-
11512
-11'5'1 ? SW ;ORNE!L PL PRMT f 25. 00 JH 12/10/92
5PCT $ 1.25 JH 12/10/92 -
TIGA'.2D OR 97223
Phone 1►s
Contractors --------------------------_---
HILT SPOT FIREPLACE & PATIO
11929 SW CANYON RD
BEAVERTON OR 97005 ---,---------------------------------.
Phone Mt 626-4652 f 26. 25 TOTAL
Reg M. . a 71782
-------- REWIRED INSPECTIONS -------
This permit it issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
aoplicabla laws. All Mork will be done in accordance with
approved plans. This permit will expire if work is not started _
within 100 days of issuance, or if work is suspended for more
than 181 days. -
Permittee Signatures
Issued Pyr, _
Call for inspection - 639-4175