13045 SW CARMEL STREET ADDRESS:
s40 C4 rme l Spee-1- kin
i\records\microflm\targets\building.doc
IN6PECII0N NOTICE
City of Tigard Building Department /
13125 SA Hell
Blvd. Tigard, Oregon 9722
Inspection Line (Rec-O-Phone): 639-4175 Rusinesa P „a:
Inspect Lon:
Footing Plbg. Underslab Mach. Rough-in Appr/ wlk
Found. Plbg. Top Out. c, Lin FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Ream Hach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Yatar�Liine Gyp. Bd. -Nech.
Date Requested: / 1��� Time: AM PM
Address:__� m/ �/, '7
`Germ
Bu i1 ier: �
THE FOLLOWING CORRECTIONS ARE REQUIRED: r�--�%/�C('/J-�d�/1��w L�i_L22��.► _ .
Inspector:
—_ APPROVED _ DISAPPROVED APPROVED SUBJECT TO ABOVE
ca.i For Reinap.
CIIYOFTIFARD
CITY Rp
IaOMMUNITY DEVELOPMENT DEPARTMENT �ooK MECHA14I CAL
13125 sw HWI Blvd. P.O.Baa 23M.Tipnd,OmWn 91 (SW)630-4176 PE.RM I T'
639--4171 DATE ISaUED. 09/09/92
SITE ADDRESS. . . : 13045 SW CARMEL ST PARCEL: 2S116AD-21700
SUBDIVISION. . . . : '�e' kil '0i - ZONING:
BLOCK. . . . . . . . . . w LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ADD FLOOR FFl1RN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : l VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0•-•3 HP. . . . : DOMES. I IVC I N:
: /GAS/ / / 3--15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15--30 HP. . . . : REPAIR UNITS:
FIRE= DAMPERS?. . : 30-50 HP. . . . : WOODSTOVE-S. . :
GAS PRESSURE. . . : 50+ QIP. . . . : CLU DRYERS. . :
NO. OF UNITS- — -- --- - AIR HANDLING UN J TS ETHER UNITS. :
BURN ( 1O0K BTU: (- 10000 cfm: GAS OUTLETS. : 1
TURN ) =1001{ BTU: > 10000 cfm:
Remarks: GAS LOG
Owner: ____—._.____.___---- -------..__.__________._ ___....___._____..__...____— FEES .__._.._._..._-----___.-
CLARK. MONROE type amoi-tnt by date recpt
13045 SW CARMEL PRMT $ 25. 00 TH 09/09/92 —
5PCT $ 1- 25 JH 09/09/92' --
KING CITY OR 97224
Phone #:
Contractor- -------------------------._--___—
GAS SPECIALTIES
RUE:BER, RICHARD
13155 SW COTTONTAIL L.N
BEAVE:RTON OR 97005 ---------------------------------------
Phone
--------------------------.__.--_-----
Phona #: 643-1756 f 26. 215 TOTAL_
Reg #. . : 19896
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tiqard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will he done in accordance with _._... _
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 188 days.
Permittee Si gnati_sre:
l� Call for inspection — 639-4175
GITY OF' "ric;Apt) PF--.CFlr.,T OF PAYME.NT RECEIPT NO. :92-231306
(-HECK AMOUNT 4). 00
NAME GAS SPEC:IAl.rIES CASH AMOUNT 216. 217
ADDRESS',, a PC-tYMENT DATE 1 09 10,1192
SURD I V T IS I ON
PURPOSE OFPAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAIL)
I CAL. PE 25. mo �3'r. RU.-D PER
WQHANICAl,. PERMT T.
t 364 SW CARMEL_
TOT'01.. AMCHINT PAID 26. E"S