16510 SW KING CHARLES AVENUE � �
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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
T
igard. Oregon 97223
Phone- 639-4175 ,^
Type of Inspection
Date Requesat,. Timm A,M. P.M.
Address!(r".-��(J yc L;I2 �� Permit #Eq 1DG� 7
Owne► /�/ ��/7l/YL!/_��(L �� 17`'tot #
BuilderGL--!'�L
The followinq Building Code deficiencies are required to be corrected:
Presented to --"� _ I't Approved
Inspector _ �� �� _— L Disapproved
Gate
CALL FOR REINSPECTION
D YES L7 NO
C!TYOFTIFARD I F,E-1:4 M 1�'J
N('
(Cffr&_�111111111) ME 09 1.0 67
COMMUNITY DEVELOPMENT DEPARTMENT ON110001
13125SW Hall Blvd..P.U.Bo;,23397,Tigi.td.Oregon q7223,(503)639A17', F:: T SSUEA) R9
,.JOB ADDRESS : 1653-0 SW I<J:N(., (.'FIAi-L.E5 AVE,
T AX MAP/L-0'1' 5I.JH: KIN(*..',
I .ANI) Use :
NO: NO :
WORK C;1 ASS : AL-11-r-WTION F'tJPNACE (100K AIR HANDLP <10
USE TYPIE : G*INGLE FAMIl Y F"1JPNAC*E 1.00K+ AIR HANOL.14 'I.0K
CONSI . 'T'Yi:)I:-:.: FLOOR FIJPNA(:,E.'. E:VAP.
OCCUP . GrAP . HI.-'.:AT'El4 VENT' FAM
VEN'T' VEN'T . SYcVTEM
NO . 5TOP:J:I::' 13LA/COMP, <3HP A. HOOD
BLA/cOMP 3-1.r.14i-lp INCTNEPA'TOA(C)OM
DWELL.UNITS : BLA/cOW-1 1.5-1,501-4p INC I NF:PA1'OP(CIOM
IYPE 0!. WCOMP 30--501-IF) FIEPAIA '.)N:1:7'5
MAX . INPUT HLW(OMP 504-1. P 0 T 1-4[-.P
FFIE. I)MPIPSI? GA5 PIPING 0011 E7*".i
RIEM ARKS :
ADD AIN CONDI'T'IONING
0
iF'I:F: `�
NW MAPI'IN PAY I PEEPMYT
E 1.6510 15W KING CI-4ANl.-I%.!:i AVI:'i' PLAN PEVIEW
R KI NG' CITY UP FIXTURES Ille 00
S'T'A'T'K 'T'AX 00
C
0
N
T
R PACIITCD
FC HEATING AND AR ON
A e16117 !:iW HUSEP
C
T purtltaiid (11:4 91219
) PHONE 3 2 .0
(50 ) 44... P3
E' �).EGIJTPATION NU. 2221. 'T'UTAL : $16 .80
This perwit is issued subject to the regulations contained in Title 14 PECLIPT NO. 0
of the TMC. State of Oregon Specialty Codes, toning regulations
and all other applicable codes and ordinances. and it is hereby REQU.TrWD IN5PF-.C1'3:0NS
agreed that the work will be clonii in accordance with the plans and (;Ari I t NI.:'
specifications and in compliance with all applicable codes and
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city POUCH IN
business tax permits This permit will expire and become null and F INAI
void it work is not started within 18r)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 assure
all required inspections are tequeslqd and approved
rmittee Signature
C
Issued By
CAL.I. FOP INSPE1."'I"ION 639.-Z117!'i
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE