16495 SW 93RD AVENUE I
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I: records%microllm\large(sY)uildhg.doc
INSPECTION NOTICE ���/7✓r
City of Tigard Building Department
13125 SW Hull Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Rhone): 639-4175 Business Phone: 639-4171
Inspection:.-,_ _ _(V-t�� � rr-y-��--
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underf)oor Water fiVe Gyp. Bd. -Mech.
Date Requested: / � Lam/! Time: AM P
Address: ��� 1 7 �K I_ Permit f �LL C Y�
Builders_�r'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector:_ . /�! — Dates / �2�-�lL
,APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Cell For Reinep.
*C.ITY ('IF-* TIGARD RECTIPT OF PAYMUNT RECEIPT NO. 092--i"01720
CHECK AMOUNT 15. 75
NAME a AI_L_I:R`I", REV. C. WM. COSH AMOUNT c V_+. 00
A1)V)FRE55 s 16495 SW 93RD AVF:NW: F'AYMUN'f DATE= q I'e/16/9c'
SUBDIVIS 1014 a
.I..IC-3ARD, OR 972:'-'f,..
U►tF'C1GE" CIF VIrlYMEN'r AMOUNT POID PURPOSE OF' PAYME=NT AMOUNT POID
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ME.C'rHgNyC;Al. 'C. 15. 00 ST. S1.1TLD PER 0. 75
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Il6�.I�L-IANTI"AI_ WC":RMI1' �k�lr` .�1►?: q
INC:i"fA1.i._:CP11 A WOODS,TOW
10TAL_ AMOUNT PP I D — ) 1 w',. 75
IYIECHWN I CAL
C.ITYOFTIGARD cny TWARD DER1,111Y
=�i PERMIT #• . . . . . . . MEC92-0339
COMMJJNITY DEVELOPMENT DEPAR-,MENT
1
13125 SW HWI Blvd. P.O.Box 23397,TigsM,O"Von 9(722n oW)639-4175
DATE ISSUED: 12/16/9E:
SITE ADDRESS. . 1L,495 SW 913RD AVE PARCEL: 2SI14AB--03500
SURD V I S 1(31,1. . . . : KNEELAND ESTATES ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :22
CLASS OF WORK— :ALT FLOOR FURIA. . . . EVAP COOLERS:
TYPE OF' USE. . . . :SF UNIT HEATERS. . » VENT FANS. . . *
OCCUPANCY GRI'. . : R3 VENTS W/O APPL.: VENT SYSTEMS:
SfORIES. . . . DOI LERS/COMPIRESSORS HOODS. . . . . . .. ".
FUEL 0-3 HFI. . . . : DOMES. INC1IU:
3-15 HPI. . . . - COMML. INCIN.,
MAX INPUl': BTU 15-30 HP. . . . REPAIR UNITS:
FIRE DAMPERS?. 31ZI-50 HPI. WOODSTOVES. . : 1
GAS PRESSURE. ;04- HP. CLO DRYERS. . -
NO. OF AIR H"INDLING UNITS OTHER UNITS.
FURN ( 100K BTU- <= 10000 CfW: GAS OUTLETS. -
FURN ) =100K BTU: > 111101110 cfm :
Remarks: Instal 1. inL-4 a wood stove
OWT-i e t-: —————--———————————————————---———--————— -•----------------- FEES ———————---——---—
WILLIAM ALLERT type amoi.tnt by date r-ecpt
16495 SW 93RD AVENUE PRMT $ 15. 00 PLL 12/16/92
5PCT $ 0. 75 PILL l2/l6/W--'
TIGARD OR 97224
Phone #:
Contractor- --——-----———————————————————————
LUDEMANS, I NC-
12675 SW CANYON RD
BEAVERTON OR 97005
Phone #: 646----6409 $ 15. 75 TOTAL
Reg #. . : 51469
------- REQUIRED I NSFIECI-r I mis -------
This permit is issued subject to the reoul k ions 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 l.ermit will expire if work is not started
within IS@ days of issuance, or if work is suspended for more
7L than IN days.
-mittee Sigylatl_tr,e
lssLted By :
Call for inspection 639-4175