12330 SW 121ST AVENUE ,ADDRESS:
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INSPECTION NOTICE 4,
,City of Tigard Building Department
13125 SA e(all Pled. Tigard, Oregon 97273
Inspection Line (Rec-O-Phone)e 639-4li5 Business 'Phone: 639-4171
Inspection:_ __ 1A11 r N'
Footing Plbg. Undersiab Mech_Rough-in Appr/Sdwlk
Found. Plbg. 'Sop Out Meas Line , "0' FINAL:
Post/Beam Struct. San. Sewer Framl:.g -Pidg.
Post/Beam Mech. Rain Dra_i Insulation -Plumb.
Plbg. Underfloor Water Lire Gyp. Bd. -Koch.
Date Requ-strA!_ I -- Time: � V AM PK
Address: Pormit
THE FOLLOWING CORRECTIONS ARE REQUIRED&
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APPROVED DISAPPROVED APPROVRD SUBJECT TO AFIOVE
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CITY OF T I CARD MECPERMICAL
IT
PERMIT' #. . . . . . . : MEC94- 00I29
COMMUNITY DEVELOPMENT DFtPA
jRT,4F T DATE ISSUED, 01/27/94
1312,5-SW Hall B: d.Tigard,Oregon 97223a8199 (503)631-4171
PARCEL: 2SI03BA-00900
S I I-E ALiDIRESS. 12330 SW 121 ST AVE
SUBDIVISION. . . . :' ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT . . . . . . . . . . . . .
CLASS OF WORK. ALT FLOOR TURN. . . . EVAP COOLERS:
TYf-,L OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS-
STOR!ES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0--3 HP. . . . p DOMES. INC IN:
: /GAS/ 3-15 HF-,. . . . COMNL— INCIN:
MAX INPUT: BTU 15-30 HP. . . . e REPAIR UNITS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NU. Of. UNI rS----------- AIR HANDLING UNITS OTHER UNITS.
FURN ( 100K BTU: 1 10000 cfm : GAS OUTLETS. : I
FURN ) =100K BTU: > 10000 cfm :
Remarks : OIL TO GAS CONVERSION
Owner: FEES
MARK DUTY type affl 0 Unt by date recpt
IL330 SW 121ST P'RMT $ 25. 00 JH 01/27/94
5PC T $ 1. 25 JH 01/L_7/94
TIGARD OR 97223
Phone *k:
Contractor:
ARROW MECHANICAL CONTRACTORS
10330 SW TUALATIN RD.
TUALATIN OR 97062
Phcne it: 692- 1565 $ 26. 25 TOTAL
Reg #. . : 05193
------- REQUIRED INSPECTION.)
This per-sit is issued subject to the regulations contained in the Gas Line Inso
Tigard Municipal Code. State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. All work will be done in accordance with Fir.al Inspection
approved plans. This oermit will expire if work is not started
within 180 days of issuance, or if work is suspended fo- sore
than 180 days.
Ln l-,prmittee Signati-tre
si-ted By -
Call for inspection 639-4175
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