16255 SW KING CHARLES AVENUE ;, „ .
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r NSPEC:TIOM NOTICE
•�U City of Tigard Building Depart;n�nt
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
i
hype of Inspection
Date P^quested ��` 1 �' Time A.M. P.M.
Addy ess ��-,,� I7,,��,.,
Permit (113L
)caner I /��_1"�_J:��SS�. _ Lot
Built'er —`''C1�J ---- —._—.
The full cavi-ig Building Code deficiencies are required to be corrected:
Presen*sd to
r Ir--��
Inspector Ll
r .,A .y�. t—,.. ;._�_ ' ` d '_ Disapproved
Date, i! !
CALLFOR REINSPECTION
Cl YES [A NO
Mh:iilANlt:Al._
PE'PM3:'I*
PEPM]''T N0.
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in
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CITY OF �'��RD
JTYOFTWARD
ITY
COMMUNITY DEVELOPMENT DEPARTMENT LATE ISSLIED: 5/1.(3/89
13125 S.W.Hall Blvd.,P.O.Fox 23397.Tigard,Oregon 972M,1503)09-1175 PP I M. PMT .NO. 891.1..36
%.JOB ADDPESS : 16235 SW KIN(.; (1-1API-E.5 AVE
TAX MAP/1-01, S U H: K :N(:;I'm T T'Y L,T
I AND USE :
SIZIE .
No: NO:
14OPK ELASS : AL31::14AITION FURNACE 0.00K 6111 HANDI-44 ( 10
USE". 'I'YPI-. : SINGLE F'AMI1..Y F*UANA('1E IrOk")K+ ATI:J HANOI. 14 10K
CONS FLA110A FLIWNACE E:-VAI--' -C,001-EA41
C'#(;LLJP.GAF-1 . HEAI*F*.I-1 VENT FAN
VENT VENT . SYSUEM
BL.P/(*.',OMI:^ <31-11a) 1. HOOD
G T 0 1:4 1 ES BL.R/C;OMI::, 3-1,51-11P INCINEPATOP(DOM
UNI'TS : 131...1 /COME' 1.5---.30HP .1. 14("INELRA"1 014(COM
V WEI- TYPL BI.Al/cOmV, 30-50HF, W-VAIR UNITS
MAX . INPUT 131-111/UIMP 50-Ii-HP (:I ri-IEP
FV IPE:: DMI)I4S'? GAS P'I"PING (:)t.Jl'l E::'T*S
11-11IG1111 PPESSI?
WW F"IESS7
ADD AIP CONDII'VINEP
FEES :
10 ANI,G, .R JOHN [1. PERM I T
W 1.6255 SW KING (,HAPLES A!)'-: PLAN REVTIEW
N
E KING CITY 0P 972241 F'IXTLJPF!A. $6. 00
R PI-4(:)Nl--- l 503) 63SP-02-72 ii'wrr
C
0
N
T
R
A
C
T
TOTAL.: 1111.6 ' ao
PETA'.1pl, NE).
Thispermit iri issued subject to th-,regulations contained in litle 14
of the TMC. State of Oregon Specialty Codes, zoning regulations 141EQUIRE-101 T-44PIEl'.11ONS
and all other applicable codes and ordinances, and it is hereoy F: I NAI.-
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all apph,-,ahle codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
buqina3s tax permits. This permit will expire and become null and
void V work is not started within 180 days,or if work is suspended or
abandoned for a period of 180 days nny time Filter work has
commenced It Shall be the responsibility of the permittee to assure
ail required inspections are requested Eind approved
PCwr';ittee Signature
Issued By I"'OR IN!: PC:LT11)N
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE