11830 SW KING GEORGE DRIVE 11830 SW .Ang George
KING CITY
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INSPECTION NOTICE
City of Tigard building Department
P O box 23397
Q/" ,• Tigard, Oregon 97223
7 / Phone: 639-4175
Type of Inspection
Ply
Date Requested o i Time_. . A.M._ P.M.
Address -- . '21 e)_— PermitY
r
Owner Lot #_
Wilder ---
The following Building Code deficiencies are required ti ! c corrected:
9
F
r
R
Presented to __. Approved
Inspector — ` -- U DiapprovM
Date
CALL FOP REINSPECTION
0 YES 0 NO
1
INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigaid, Oregon 97223
Phone: 639-4175
Type of Inspectional _ CSC =� / 1 0
Date RequestedL—_q �s-_- �— — Time A.M. N.M.
Address �p 7�'C__,�_ i i
--4anf�z- Permit #�
Owner y� i/
- -- --- _---;_-- Lot
Builder _� F?
The following Building Code deficiencies are required to be corrected:
Presented to
❑ Approved
Inspector ti�„
— Li bisapproved
Date
CALL. FUR REINSPECTION
NO
CITY OF TWA RD PLEPM11' NO. : ME691'72P
CiTYOFTWARD DATI::� T.Ssur-K.D.
COMMUNITY DEVELOPMENT DEPARTMENr 1:14"11.1"1 PM*T* .N('). 891.72P.
13125 S W Hill Blvd.P Or Box 23397.Tigard,Oregon 97223,(503)639417 i
:
AIN: K:CNG CITY) - LT: UK
I OT SIZE :
ITEM: NO: NO
WORK CIL-ASS . AL'TE'PATION FURNACE. <1 0 0 1< 141P HANDI-P (10
USE TYPE: SINGLE FAWLY FURNACIE 1.001<4- AIR IAANDI P J.0K
CONST . TYPE : FLOOR F URNACE E.VAP-COOLER
0C.C'UP.GRP . HEATER I VENT FAN
VENT 1. VF-,*Nl' .tiIYSTEM
BLA/COMP (31-1113 HOOD
NO . STORIES : F41 R/C.1OMP 3-15HP INC.INERATUP(DOM
OWELL .t.JN I TS : 131,-R/t.OMP 15 30HP INC,'INIE'RATOP(C�)M
FUEL_ TYPE' I:0—p/C:OMp *30-50HP REPAIR UNITS
MAX . INPL)T HI-W/C,0MP 50+HP C)THE'D
1::':I:PE: DMPP57 C.,AS PIPIN!., OUTLETS
HIGH PPE:1351?
1-.C)W PRESS"?
RE"MARKS
LIr,AC01--JJLt:J.Va gel.t.j Wall. -Firepimae
ones fact fill ga% Itile
!%amIni3ri!:i , mary It jac-11(marl , Jail PERMIT $221 . 00
0 E' A-5 !;;W 1144th ave PI-AN REVIEW
W
N C31, 972215
E PHONE (.0'10,4) p9p.-3983 cowl E: TAX
R $1 . 05
OTHER
C
01 ONCHOP TOOL WOOD s'rcwr'S
N 2*761 NW SWEEP
T
R POW I ANO OR
A PHONE.: ( 503) 223-3452
C
T PEGISTPAIJON NO. A6035
0
RECE113-1- NO.
.............
This permit is issued subject to the regulations contained in Title 14 4041LIIIIIED I NISPI-EIC TJ.(INS
of the TMC, State of Oregon Specialty Codes, zoninq,regulations C,o A 5 L I N E
and all other Applicable codes and ordinances, and it is hereby POST IS I31';::AM
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and PULJ(;H--.'r.N
ordinances The issuance of this permit does not waive restrictive 1:� I NAL
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 18n days,or if work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to Mute
all required Inspections are requested and approved
Permittee Signature
:,AI-L FOP 1NL.'sPF*.:(:TION 639-1175
issued By �
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
August 9, 1989 lygg
City of Tigard ��tMunih
P.:) Box 23397
T` OR 97223
Attn: Ms. Jerree Hrdina
Attached is a copy of the King City approval of the installation of a gas water
heater and installation of a gas stove at the King City residence located at
11830 S.W. King George Drive. ,northwest Natural Gas will run the gas line
from the street to the side of the house and also install the gas water heater.
Dan Pope (Anchor Tool) contracted to install the gas stove (the Jotul 100) .
The King City permit is subject to Tigard approval. Dan Pope of Anchor Tool
has asked .hat you call him regarding this approval. He can be reached at
223-3452 or 224 7868.
Thank you for your assistance.
Sincerely,
Janice Jackson
292 3883
O
Anchor Fireplace
"A Trnditirn of Qunlii y"
Dan IIbpe
2761 NW 8nvier • P)rtland,OR 97210 • (603)223-3462
UNDFRW1(y111:IZS LABORATORIES INC.
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CULIJMJ1U8 071 13229
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