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12525 SW PRINCE ALBERT COURT
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j_?!L_PEC'1']_ON NOTICF.
Citi. of Tigard Building Departauent r'
1.3175 SW Ball Blvd- Tiga , Oragon 97223
Inspection Line (R --0-- one): 639-4175 Business Phone: 639-4171
Inspection:__ _--
Footing Pt4 Underelab Mech. Rough-in Apps•/Sdwlk
Found. Plbg. Top Out Can Line PTOALs
Post/Beam ;trust. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Un.lertloor Nater Line Gyp. Bd. Neeh.
/ L
Date
Date Requesteds %� Time: AN
Address: �/IL71CL� &rmit #1171 L�
Bu i lder:
THE FOLLOWING COMMONS ARE REQUIRED: �o J41- S -7Z/
Inspector:
/APPROVED _� DISAPPROVRD APPROVED nuwwrT TO AIIOVE
___Call For Reinsp.
C17YOFTIGARD MECHANICAL
y RD PE RM I
COMMUNITY DEVELOPMENT DEPARTMENT 17,o"00H T`
PIE RM I T #. . . . . . . MEC91-0246
I�126 SW HWI Blvd. P.O.Box 23397,Tqiud,Or"m 9722' 6M)6 41715
F,3 13 1-1 ISSUEL)- 10/ :,6791
SITF. ADDRE55. . . : 12!525 SW PRINCE ALBERT CT PARCEL : 2S10QDD—k,,)
SURD I v I S I ON. . . . : <,nj YONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . .
CLASS OF' WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF* UNIT HEATERS. . - VENT FANS— :
OCCUPANCY GRP. . :R3 VENTS W/O APIPL: VENT' SYSTEMS:
STORIES. . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------- 0-3 HP. . . . : DOMES. INCIN:
: /GAS/ 3-15 HP. . . . : COMML. INCIN.
MAX INPUT: BTU 15-30 HP. . . . : NEPA IR UNITS:
F1 RE DAMPERS?. . : 30 -50 HP. . . . : WOODSTOVEG. . :
GAS PRESSURE. . . 50+ HF'. . . . : CLO DRYERS. . i
NO. OF AIR HANDLING I.:NITSS OTHER UAITS. :
FURN ( 100K BTU: l 10000 cfm : GAS OUTLE'TS. :
FURN ) =100K, BTU: 10000 rfln -
Remarks : REPLACE DEFECTIVE GAS FURNACE
Jwner: FEES
HERBERT WEBB type amount by date r e c-i2i
12525 SW PRINCE ALBERT PRMT $ 25. 00 JLH 10/23/91 —
5PCT $ 1. 25 JLH 10/23/91 —
KING CITY OR 97224
Phone #:
ROBBEN ANLI SOiS HEATING
P. O. BOX 14867
PORTLAND OR 97214-0000 --------------------- ------------------
Ptioi,e #- 503--233-51341 26. 25 TOTAL
Reg 4. . : 1884
-------- REQUIRED INSPECTIONS --------
This persit ;s issued subject to thrr regulations contained in the Final Inspection
Tigard Municipal Code, State of Ort. Specialty Codes and All other
applicable laws. All work will be done in accordance 1.ith
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for our@
than 180 days,
,,v mi.ttee �31 gnat k.tr,e -
Issstlr.ld By: LA-11,
Call for inspection 639--4175
OF PAYME'N'T RECEIPT NO. -9 1—2 18970
CITY OF TIGA CHECK AMOUNT 26. 213
NAME t WEBER, VAC--.RBER,r CASH AMOUNT a 0.lho
AIDDREse-, 125,25 FW- PAYMENT DATE 10/0'3/91
N.!�Ej PL-BE RT SUBDIVISION
14ING CITY, OR 9-7224-
PURPOSE OF PAYMENT AMOUNT PA 11) PURPOSE OF PAYMENT AMOUNT VIAID
41ANICAL ; E 25. 091 ST. SUILD PER
REPLACE GAS FURNACE
TOTAL AMOUNT PAID 26. 25