10260 SW NIMBUS AVENUE BLDG M STE 2B 1..i '.n �. ,'?F!,.� r � ��'P'+ A %"'Rti.,T' !!9197J1 �. ri1 ':�^ \�:'.�.N �.nlpr.;��l,�l� 1 •:,y.&C' �h'_�I��f�'�,,F�,_'•TIIS' '.�. �� .. , :f'1,�"b,A,,
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_INSPECTION NOTICE
City of Tigard Building Departmenl_
13125 SW Bail Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone):j6.39-4175 Businesu Phone: 639-4171 ,
Inspection:
/+ ��,J•!�iI !7 �✓�,�1-.ice.<-�- - -----
Footing
Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Frund.
Plby. Top Out Gae Line Z7, FINAL:
_
-Bldg.
Poet/Beam Struct. San. Sewer Framing -Bg'
Poet/Beam Meeh. Rain Drain
Insulation -plumb.
Plbg. Underfloor Water Line Gyp. Bd.
-Mach.
_
Date Requested: �- `" Times --AM PM- �
j�� l> �l/ t.�,n� «n Permit t:_ 9,
Address: 4�
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Builder: ,
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Insper_tor'--_-- ---��---.-------
Date:_
APPROVED DISAPPROVED APPROVED SUBJF.(:T TO ABOVE
Call For Reinsp.
• 5:43`r�('
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!/�, MECHANICAL � '" •
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CITYOFTIGARD C•frYOFT16.4im ,PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT MGM M #. . . . . . . : MEC93-00_1��
13126&W HWI Blvd.p.o.Box 23397,Tlpend,Oregon 97223(600)639-4176
1'�ak[.,::L: 1Si "s4F?A-01B0r1�
SITE faULREaS. . • : 10;60 SW NIMBUS AVE #IvI—moi.
SUBDIVISION. . . . : I!!V:I IVIG
BLOCK. . . . . . . . . . . LOT'. . . . . . . . • Y . . ..
---------------------------
- _-- --
CLASSOFWORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :CON UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY CRP. . :B2 VENT'S W/O APPL.: VENT SYSTEMS:
STORIES. . . . . . . . .. i BOILERS/COMPRESSORS HOOLS. . . . . . . :
FUEL TYPES------------ 0-3 HP. . . . : DOMES. INCIN:
:/GAS/ / / 3-15 HFI. . . . : COMML. I NC I lu:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . eN 30-50 HP. . . . : WOODSTUVES. . :
GAS PRESSURE. . . :L 50+ HFI. . . . . CLO DRYERS. . e
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. e
F URN ( 100K BTU: (= 10000 cfm: GAS OUTLE1 S. s 1
F=URN ) =100K BIU: > 10000 cfm:
Remarks: 'Tenant Expansione Add new Was line R• meter.
Owner.: ----------_.--------------------------------—------------- FEES ---------____-._
FORUM PROPERTIES type amount by date recpt
PRIYIT $ 25. 00 JH 02/22/93 —
5PCT s 1. 25 JH 02/22/93 —
Phone It:
Contractor:
CONTRACTOR NOT ON FILE
-------------------------------
Rhone #k: b 26. 25 1OTAL
Rey #. .
------- REWIRED 1 NSPECT I ON5
This permit is issued sutrect to the regulations contained in the Gas Line Insp _ __ ....._.
Tigard Municipal Code, State of Ore. Specialty Lodes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Final Inspection
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.
Fle r m i t t e e J i.g n a t u r er e
1 s s I_r a ci B y :
L"all for inspection — 639-4175
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IIF _I I.OPND RFIC:E: 11-'T OF F-CI)I IEN I ROA-API NO.
f'.flEcK AMOUNT 26,
" I NAML L'AISH AMOUN C 4 0 4111 fi
IADDREEAS CLIENT T kl.) "C At•I:IJUP!'f
1.3705 SIJ NIMBUS :3UE3L)I V I}.3I l714
OF PIPYME:NT NMOL!NT PF TI) OF 1'F�YMCF.;.PJC AMOUNTC'�ISC�
t*IF:(A if1N I C-PL K-'E' 1,_,� . irk' �.;T. F►ll i l_D C-'E.R 1. �_`:�
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1 0,'f-,tb SW NIMBUS', SUITE #M- 0
AMCIUNI F•'11I17 ? 26 J'"'i
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