11275 SW TIGARD STREET-1 i
i
11275 S.W. TIGARD STREET
"!SPFLCTION NONCE
City of Tigard Building Derpxriukant
13125 Ba Ball B'Ovd. Tigari, Oregon 97223
Inepw.-tion Line (Rec-O-Phcne). 639-4175 Business Phone: 639-4171
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Footing Plbg. Underelab Mech. Rough-in Appr/Sdwlk
Found. Plbq. Top Out Gas Line FINAL:
Post/Beam Struct. San. SewerFraming --Bldg.
Poet/Bram Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd.
Date Requested: / Z- ' 1 / — Timet AM 'PM
Address:. // L 75� Permit !: d7-7'7
THE P%3LL.OWING CORRECTIONS ARM REQUIrau:
Innpec:oc: If .! -----•---�- - Date t��_ 7
"Psay n DISAPPROVED APPROVED SUBJECT 71J ABOVE
Call i'or Rein®p.
h1E:CHAN I CAl_
CITYOFTIFARD CITYOFTWARD PERMIT
.;OMMUNITY DEVELOPMENT DEPARTMENT an4*" PERMIT #. . . . . . . : ME:C91-0: 77
13125 3W Hall BMd. P 0.Boa 23997,Tipud,Oregon 97223(603)834-4175
c--�___._s_.
SITE_ ADDRESS. . . : i l
'� 275 SW TIGARD ST PARCEL: 1 S 134DC-OO 2iba �
SUBDIV1SION. . . . : ZONING- R-4. 5
FLOCK. . . . . . . . . . . LOI.. . . . . . . . . . . . . 1
CL.NSS OF' WORK. . :ADD FLOOR TURN. . . . a EVAP COOLERS:
TYCIE OF USE. . . . :SF UNIT HEATERS. . a VENT FANS. . . :
OCCUPANCY GRG'. . : R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FULL TYPES------------- 0-3 HP. . . . : DOMES. I NL"I N:
: .'GAS/ / 1 3-15 HP. . . . : COMML.. INCIN:
MAX INPUT: BTU 15---30 HP. . . . : REPAIR UNITS:
F IRE DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . :
6r15 PRESSURE. . . : .50+ HP. . . . a CLO DRYERS. . -
NO.
RYERS. . :NO. OF UNITS--------- -- A I R HANDLING UNITS OTHER UN I TS. : 1
f-LJRN ( 1O0K BTU: 1 (- 10000 c.•fm: GAS OUTLETS. : 1
FURN ) =100K BTU: > 1.0000 c f m :
Remarks : NEW GAS FURNACE AND WATER HEATER
Owner,. __._._.___.____----.___.___._________._______ _____________..__._.-_ FEES
K. SCHUBKEGEL type amoi_int by date re G. t
1127`' SW TIGARD AVE PRMT $ , 5. 00 .JLH 11/19/91 -
5PCT $ 1. 25 JLH 11/19/91 -
TIGARD OR 9722
Phone #: 684•-9441
COLUMBIA HEATING
89O0 SW BURNHAM
SPACE E-110
TIGARD OR 97223
Phone #: 624--27O4 $ 26. 25 TOTAL
Reel #. . : 76359
------- REOUIRED INSPECTIONS
This pewit is issued subjtct to the requlations contained in the Final Insper.t i on
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All Mork will be done in accordance with
approved plans. This nersit will expire if work is not started
within 188 days of issuance, or if work is suspended for sore
than 188 days.
l.'N r-m> t t e e �3 i y n Ga t i.r r-e
1. ,,91_red Bv ;
Call for nsppetion - 639-4175
low
dr
r,,j,t,y nF. rlGflRn - RECEIPT OF PPYMENT RECE''IPT NO. 91..- 19842
CHECK AMOUNT 26. 25
IVAME : COLUMSl(-') HEAT INS CASH AMOUNT r 0. 00
ADDRESS a PAYMENT DOTE s 11/19/91
I
SUSD T.V I S I ON
PURPOSE OF PAYMEN'T AMOUNT PAID PURPOSE (IF PAYMENT, AMOUNT PAID
MECHANICAL PE A . 25
1. 1279, SW TIGARD AVE'
I*OTAL AMCILINT PAID 26. 215