16430 SW 109TH PLACE ADDRESS.
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INSPECTION NOTICE
City of Tigard Building DepRctment
13125 RN Hall Blvd. TI-ard, cvregon 97223
Inspection Line (Rec-O-Phone): 639 1175 B.sstneas Phone: 639-
Inspection:_
Footing Plbg. Underslab Bch. Rough-int Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINA'.'
float/Boom Struct. San. Sewer Framing -Bldg.
Post/Boam Mech. Pain Drain Insulation -Plumb.
Plbg,. Underfloor. Water Line Gyp. Bd.
Late Asquented:_ �� /-`�'- Z ._Time: AH —!-PH
Ri7dross:��J�3o Permit i:_. /�Q_
Buildors—
THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Irlspeccs Dates �
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APPROVEn nI9APPROVED APPROVED SUBJECT n ASM
—Call For Reinep.
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C I IY OF r I GARD - PECE:I F=,'I OF V-`0YMFNT RECEIPT NO. a 92- t'69)70
CHE.Ck (I)MOUNT E•, c_`°i
NAME : IIF,l...l. HLA T?aV(- CASH AMOUNT 0. 00
f.)DDRE99 t 1:'1550 SF PIA77A AVS: r,r4YMPNT DA'L'E: a 04 J0 8 9F2
13UBD I V 15 i ON a
OR 9 7,?.+15
WRPOI-ir- (31-- Pr+YM N'C FaMO1.t.-r F-'A2!) VORPOS11: GF PAYMENT C"IOUNT PAID
v ME:CHON I UAL FSE"' r-13. 021 6T. BUILD -ER 1.
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16430 SM 109TH P't
TOTFal. AMOUNT PAID , P-6. 25
11Y
� OF TIGAItDCITY . . /
e)FTWAW7 MECHAN I CAL. c/
COKIMUNITY DEVELOPMENT DEPARTMEVIT oesoon /� PEP111 T
13126 SW HW1 Alvd. P.O.Boot 23397,Tigard,Oregon 97223(603)63C-4176
639._•,i r 1 Jia L l'iSLJLU. 04/28/92
5 i TF_ ADDRESS. . . : 16430 SW 109TH PL PARCEL: 261 i5 - I
SUBDIVISION. . » . : ?_rJNING:
I
BLOCK. . . . . . .. . . . » LOT. . . . . . . . . . . .
CLASS OF WORK--ADD FLOOR TURN. . . . : EVA, COOLERS:
TYPE OF USE:. . . . I.SF LJN IT HEATERS. . VENT PANS— :
OCCUPANCY GRF'. , : R3 VENTS 14!0 11PPL: VENT SYSTEMS:
STORIES. . . . . . . . : 2 POII._ERS/C OMPRESSOR9 HOODS. . . . . . . .
1=L . !_ TYPES----------•--- 0-3 HP. . . . : 1 DOMES. 1 NC 1 N:
: /ELE/ / / 3•-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15--30 HP. . . . : RE=PAIR UNIT;):
FIRE DAMPERS% . : 30--50 HP. . . . WGODSTOVE::. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
F URN ( 100K BTU: (_ 10000 cfnl: GAS OUTLETS. :
'-"JRN ) =100K BTU: > 10000 c:fn :
rXemarks : INSTALL 3T AIR CONDITIONER
I:Jwner: ----__________.._..__._._____________.______ ___----__._.-__._._- FEES -- -------
JULIE
_ ---_-_.JULIET ALDOUS tvpe amot_lnt by date rec.-pt
1.6430 SW 109TH PL. PRMT 4 25. 01'1 JLH 04/28/92 -
5PC I $ 1. 25 JL.H 714/;'6/52 -
TI(;OPD OR 97: 24
Prlonn #:
ContractotI
13E:.LL HEATING
i
15550 SF_ PIAllA AVE
"LAC'
KrIMAS OR ;-tO15 -__.--___._-,_.-------------_._____.____�.
Rhone #: 26. J'5 TOTAL
R e #. . : 00.447
------- REQUIRED I NSPEC'r I DNS ------This permit is issued subject to the regulations contained in the F inLil It spect i on
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
wi'hin 180 days of issuance, or if work is suspended for sore
tn than 180 days.
i-
Cz Oer•mittee 3ignat itt-e :
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5 s 1-ted By :
es�. l fot, inspection - 639-4175