11405 SW 92ND AVENUE i
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INSPECTION NOTICE r I
� . City of Tigard Buildi.rg Department
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): ,39-4175 !:•13inees Phos::: (39-4171
inspection:_
Footir:4 Plbg. Underelab Mech. Rough-in Lppr/sdwlk
round. Plbg. Top Out C Li— FINAL:
Poe!-/Beam Struct. San. Sewer Frdming -Blag.
Post/Beam Mach. Rain Drain Insulation -Plum).
Plbg. Underfloor Water Lina Gyp. Bd. -Mech.
Date Requesteds z ! '/� ,I --Time: —_AM PN
Address: Permit s _���'
T,(E FOLLOWING CORRECTIONS APE REQUIRED:
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Inspectors rL r ' �!'S Dates.
APPROVtD DISAPPROVED APPRMV e7BJWT TO ABM
,—_Cell For ReinRp.
(A FY nF TIGIAFID HL.CPAPT OF. r,fiYMENT RECEIPT Nu. :
rHE(. R AMOUNT :
1414mc.. s CM-ill" PLU!-3 HEATING cnsH Alloull r' I
"I)PPKISS s PAYMNT DAIT. s 01
SUED D I V I:5I ON
PUFAP016E OF PAYMFtAT AMOUNT PA 1 U PLJRI",UbE OF PIAYMr---NT AMOUNT Pf)(D
OL,
I CAL pr. L".5. 00 St. BUILD Pl:'R t.
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MiAl, 0MCIUM PMD
CITYOFTIOrARD CA TMECHANICAL
commuNrTY DEVELOPMENT DEPARTMENT WA PERMIT
13125 SW HWI BW. P.O.Box 23397,Tiga-d,Oregon 97223 (5W)6304176 PERMIT #. . . . . . . .. MEC 93--Ooitis
639-4171 DATE ISSUED: 01/15/93
SITE ADD14ESS. . . : 11405 SW 92ND AVE PARCEL: IS135DB-04600
SUBDIVISION. . . . : DOGWOOD RIDGE `ZONiNG:' R4. 5
BLOCK. . . . . . . . . . . LOT.. . . . . . . . . . . . . :6
CLASS OF WORK. . :ADD FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :S'_ UNIT HEATERS. . .- VENT FANS. . .
OCCUPANCY GRP. . : R3 VENTS W/O ADPL: VENT' SYSTEMS:
STORIES. . . . . . . . . BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------ 0-3 HP. . . . .. DOMES. !NCIN:
:/GAS/ 3-15 HP. . . . . COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . 50+ HP. . . . : CLO DRYERS. . :
NO. OF AIR HANDLING UNITS OTHER UNIIS. :2
FURN ( 100K BTU: 10000 cfm: GAS OUTLETS. :2
TURN ) =100K BTU: > 10000 cfm:
Remarks: GAS LOGS AND GAS FIREPLACE INSERT WITH CHIMNEY LINER
Owner-: ------------------------ FEES ----------------
JOHN GLAUBKE type amol.tnt by date recpt
11405 SW 92 PRIYIT $ 25. 00 JH 01/15/93
5PCT $ 1. 25 JH L41/15/93
TIGARD OR 9722-'.3
Phone it :
Contr,actor.
COST PLUS HEATING
9464 N ST LOUIS ST
PORTLAND OR 9*7203-0000 --.------_---------.------------------_
Plione #: 503-293-0986 $ 26. 25 TOTAL
Reg #. . : 47978
------- REUUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with
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.
Pev,mittee 5iqTiatLir,e :, JIL4,1L
lssi.(ed By :
Lall for inspection 639-4175