InitiallyGood ADDRESS:
JPiacX Claingad 'W12
i:lrecords\microflm\targets\bui Iding,doc
INSPECT ON NOTICE
City of Tigard Building Departwent
13125 GM Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639•-47.75 Buoiness Phone: 639-4171
Inspect ion ----
Footing Plbg. Underelab sch Rough-in Appr/Sdwlk
Found. Plbg. Top Out <�H Lin FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underflcnr /Water Line Gyp. Bd. -Koch.
Date Requested: ! — Timet AN PM
Address: '„ y�� permit
Builder: ---
THE FOLLOWING mRRECTIONS ARE REQUIRED:
inspect.or: _ __ Dates_
A--,"APPROVEn DISAPPROVRD APPROVED SUBJECT TO ABOVE
Call For Reinsp.
cnyc, --;-r- T*A!wRD
kCRYOFIMID) MECHAN I LAL
COMMUfGTY DEVELOPMENT DUARTMENT ommmoes PERMIT
W25SWNOOvd. P0.8ac23397.Tlpnd.or.pon97223(503)63"175 PERMIT #. . . . . . . : MEC92-O35O
639-41 . 1, DATE ISSUED: 12/30/92
GI TE ALL,9LSS. . . a 1O6,?@ SW 14LACK f "AM014D WY' PARCEL: 1513+00- 0:.900
SURD 14 i S I UN. , . . : RLACI HULL_ PARK ZOIA I NG s R-4. 15
BLOCK. . . . . . . . . . a LUT. . . . . . . . . . . . . : I /
CL'135 OF W'JF, . :ADD FLOOR FURN. . . . a EVAP C'O'UI_ERF):
TY.'):' r . . .91. UNI-0 HEATERS. . a VENT FANS;. . . :
OC:•r it '.Y ;''P. . :F'.: VE14TS W/C' APDL a VENT SYSTEMS t
ST - " .S. . . . . s 9OILER,Sr/CL?f'PRES5OR9 HOODti. . . . . . . :
FUEL i YPE_--• ----- 0-3 HFA. . . . : DOMES,. I NC I N a
s /GAS/ / 3•-15 tip. . . . : COMMI_. INC 114:
MAX INPUT: BTU 15-30 HP. . . . e. REPAIR UNITE:
FIRE DAMPERS?. . : 30-50 HP. . . . - WOUDSTOVES. . :
GAS PRESSURE.. . . : 50+• HP. . . . - CL.O DRYERS. . :
NO. OF UN I T'5---- ----- - AIR HANDLING LIN 17 S OTHER UNITS. :
FURN ( 1O0K BTU: 1 1O000 cfma GAS UUTLL7S. a1
FURN ) =1O0K BTUs > 10000 cfm:
Remarl« : OIL. TO GAC; CONVERSION
V,RAJECK t ype alaor.tnt by dat a rer,_pt;
1O820 SW BLACK UIf,MGND PRMT $ 85. O0 JH 12/30/92
,PCT $ 1. 25 JH 12/30/92
11GARD OR 97223
Phone #a
Contractor:
COLUMBIA HEALING
8900 SW BURNHAM
SPACE E-110
T I GARD OR 97223 __________________________._._-.__..-_-___
Vlhane #is 624-2704 S 26. 25 TOTAL
Recd #. . : '76359
--» -- -- REWIRED INSPECTIONS
--
This permit is issued subject to the regulations contained in the F inaI Inspection
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.
Permittee Siynat1_i►.ea
I y
Call for i n a p e r_t i o n •- 639-4175
C iTY OF 1 1 GARD RECE I PT OF PAYMENT RECEIPI NO. s92—E35151
CHECK AMOUNT 5 26. 25
NAME s COWMBIA HEATING CA17*4 AMOUNT a 0. vie
ADDRESS a PAYMEW DATE s 12/30/92
lZUEDI V IS LON
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
- -TE-E.— .-- -- ------------ ......----
A PE 25. 00 ST. BUIl-D PER 1. 25
I(AA20 SW BLACK DIAMOND WY
TOlAl (-)MnUNT PAID F15