9605 SW 69TH AVENUE-1 9605 SW 69TH AVENUE —
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oreaon 97223 rs' 6,- ( i /
Phone. 639-4175
Type of Inspection 6.6___r =.-v
Date Requested__ Time A.M.__ _P.M.
Address �' U � Permit
Owner `- I 1`J-d'- � lot #_.
Builder __ ;? Lf U ' L q / / --------The following Building Code deficiencies are required to be corrected:
Presented to �.. F-+-kpproved
Inspector U Disapproved
Date
CALL FOR RF.INSMCTIO.N
❑ "Es ❑ No
CITY OF TIFA RD �01TI ERMI-IAN:LC:u. : PE 370
urrorncslltn � PERMI'T' NO . MEF370313
OOF60N
COMMUNITY DEVE(-.OPMENT DEPARTMENT
13125 S.W.Flail Blvd.,P.O.Box 233 37,Tigard,Oregon 97713,(503)639-4175 ��' —DAT-E.. 1 S SUE U : 12/R 1/E17
- PPTM. PM'T .NO. (370313
JOB ADDRESS : 9605 SW 69TH AVE
TAX MAP-LOT SUB: LT : BK
LAND USE:
1..1)T 51 1Z E: :
ITEM: NO: NO:
WORK CLASS : AL.T'ERATION F'(. DNAC;E <100K AIR HANDL.14 < 10
USE 'TYPE: SINGLE FAMILY FURNACE: 100K♦ AIR HANDLR 1OK
CONST , TYPF : VN FLOOR FURNACE EVAP .COOLER
OCCUP . (;FRP. : R3 WATER VENT FAN
VENT VENT . SYS TE:M
BLR/COMP <3HP HOOD
NO. STORIES : RLP/COMP 3-15HP INCINE PA'TOR l DOM
DWELL.UNITS : MLR/COMP 15--:30HP INC INERATOR(COM
FUEL TYPE: WC)C)I) E3LR/C(:)MI) 30--50MP REPAIR UNITS
MAX . INPUT FJLR/COMP 50+HP OTHER 1
F"1:RE: DMPRS'f GAS PIPING OUTLLIL,
REMARKS :
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N howner deiian PERMIT111110 . 00
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R 960::1 MW 69th lnve, PLAN RE:V1:E W
t.igilard or 97223 FIXTURES tM4. SO
PHONE:: (003)_246- i 11---- STATE TAX +6 73
OTHER
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This permit Is Issued subject to the regulations contained In Title 14 REC•E I PT NO. P8037
of the TMC. State cf Oregon Specialty Codes zoning regulations
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and REQUIRED INSPECTIONS
spec itrations and In compliance with all applicable codes and F;IRF_PL.ACE
ordinances The Issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void i1 work is riot started within 180 days cr if work Is suspended or
abandoned for a period of 180 days any tune after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
t rmittee Signature
Issued By .G
SEPARATE PERMITS REQUIRED F6040f K�OTM rTH�N t� (; IRD ABOVE