12391 SW KING GEORGE DRIVE-1 F1iM�;
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INSPEC-TON NOTICE_.
City of Tiga).,d Building (Department
13125 SW Bell Blvd. Tigard, Oregon 97223
Inspection 1ne (Rec-O-Phcne): 639-41.75 Business Phone: 639-41.71
Inst,actio :
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwl.k
Round. Plbg. Top Out Gen Line FINAL:
host/Beam .struct. San. Sewer Framing -Bldg.
Poet/Beam Y.och. Rain Drain Innulation -Plumb.
Plbg. Underfloor Watery Line Gyp. Bd. �jM"AhMDate Requested: `-� -- Timet __._ _ PN
Address: / l '� Permit
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euilaer: `
THE FOLLOWING CORRE^TIONS ARE REQUIRED:
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Inspector:
- ---- nate:
_,. APPROVED -_-_ DISAPPROVED _- APPROVPD SUBJEr'i TO ABOVE
Call. For Reinap.
t�yirofi.Gi+.carie...:....... ...«,�., .- ,an.»[aA�stwta�aws*�t►%Ww�m�w�..r«'w�r,r.
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C17YOFTIGARD
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COMMUNITY DEVELOPMENT DEPARTMENT �00N ME=CHAN T CAL_
cny
13126 8W HMI Blvd. P.O.Bac 2J39T;pond,OreW arm(SM)639.4176 F E R In I T
f�,:39•-4171 DFi�'E ISSUED: 09/29/92
SI-fE `DDRESS. . . : 12391 SW KII'JG GEORGE DR PARCEL: 2S109DD-03300 9
SUBDIVISION. . , . : ZON_NG
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . .. . . .
CLASS OF WORK. . :ADD FLOOR T=URN. . . . : EVAP COOLERS:
TYT='E OF USE. . . . :43F UNIT' HEATERS. . : VENT FAI-4S. . . :
OCCUPANCY GRP. . : R3 VENTS W/O APDL: VENT SYSI"EINE,:
STURIES. . . . . . . . : BCl1LF_'R5/COIYIF:,RESSORS HUODS. . . . . . . .
FUEL 03 HP. . . . : 1 liC)IYIE S. I IAC I iV
: /GAS/ELE/ / 315 TSP. . . . : COMML. INCIN: �
hIH X 1 NF'U 7: B I U
15 30 HP. , . . : RLPA I R UNITS. {.
F1 RE DAIYIPERS?. . : 30-50 HP. . . . WOODSTOVES. . :
GAS PRESSURE. . . : 50+• HP. . . . : LMLO DRYERS--
NO.
RYERS. . :NO. OF AIR F-WiNDLING UIVIT'S OTHER UNITS. :
FURN i 100K B1U: 1 l= 10000 (:.,fm- CTAS OUT'LE'TS. : 1
FURN ) =11110K BT'U: > 10000 cfm:
kemarks : kF_.T'L0LL FURNACE & AIR CONDITIONER. NOISE. READING REQUIRED
Owner.: __._ .._.___.___..______._._.___._...._....._.___..._.._.___ ______..._.__.....
L. L. DEN1bO I type imo1.-,n1.; by date recp•c 4
12391 ;SW KING GEORGE f'RIVIT $ �5. 00 TH 09/29/92 -
`..aPL f T 1. 25 J11 09/x:9/92 -
KIIVU CITY OR 97224 hlI51_; $ 20. 1110 .J1•I 09/29/92 - "$
Phone #:
Contractor:
SUN GLOW HEA'TINC R AIR GOND
4703 Si.. 6571-1
i
F'C'IRTLAPdLI OR 97206 ___._____._____._._____._____._____
Ph a n e #: 175 4184 46. 25
Req
REQUIRED INSPF_LTIONS --- - -
]his permit is issued subject to the regulations contained in the T inal lnspec."t inn
Tigard Municipal Code, State of Ure. Specialty 1.0ts and all other _
applicable laws. All work will be done in accordance with _
approved plans. This pe."mit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 180 days.
Permittee 5iynat�.(r
ISS 1_(e d B y: '-
Call f'ur•, i.rispect: i .rrr 639 1"75
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4 . C I TY (1r'' T I CAPD FtF'r.r i p-r OF PAYMENT RECEIPT NO. a 92-232 2 1 41
" CHECK AMOUNT n 11100
NAME: a D[�NI SON. L. C. CAS11 AMOUNT a 46. 25
ADDRESS n -'k:'--�'91 SW KIN(a ( F n R ,E- PAYM(-NT DATE 1 09/29/92
931JADIVI,SION n
KING CITY, OR 97204 $
PLIRPUGE". ()F PAYMEN'r AMOUNT PA 11) PLlRPOSF OF PAYMENT OMOLINT PAID
ME:CHAN I CAL_ VIE" 25. 00 M I SCEwL.L.ANEO S
ST. BUTLA) PER 25
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T(ITAL. AMOIATU PAID 46. ,''x;