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12345 SW 121ST AVENUE I I 12345 SW 121ST AVENUE I v 5 41 N Ln dr M N r-I s s W ® In INSPECT.__.__ION NOTICE City of Tigard Building neEartment 13125 Ste Bell Blvd. Tigard, Oregon 97223 Inspection Line (Sec-O-Phone: 639-4175 Business Phone: 639-41.7 i inapection:,_ -� Foottng Plbg U ideralab Nrch. Rough-in A))pr/Sdwlk Found. �' P1 Top Out Gas Lint FINALt Puet/B.ecm Framing atruct. San. Sfrv+o' g -Bldg. Poet/Boum Hoch. Rain Dcein Inaulati,on -Plumb. I I plbg. Underfloor Wates W-4e Gyp. Bd. -Mech. Tiros L.L L.-- ' Date ReqAddraas:uested: �T F•rmit Builder:THE FOLLOWING CORRECTIONS ARE REQUI/REDs �{ p lnrprotor• - i nate:_S �hgyEp D1PAppROVEb APPROVSb SUBJECT TO ABOVE roll For Rainap. CITY OF TIGARD RECEIPT OF PnYMEN'r RECEIPT NO. -91--PI3173 CHECK AMOUNT a 18. 90 AME a COLUMBIA HEAT TNCS CASH AMOUNT 0. 00 PAYMENT DATE". 05/13/91 SULRD I V 11,33 1 ON PURPOSE OF PAYMENT AMOUNT PA'D PURPOSE OF PnYMFNI* AMOUNT PAID T C AL PC —0078 18. 011 ST. BUI1_-1) PFR 0. 90 12345 SW 12191T AVE TOTAL AMOUNT PAID J8. 90 MECHANICAL CITY,®FTIFARD (CnYOFTW4RD PER!"11T COMMUNITY DEVELOPMENT DEPARTMENT :'ERMI*1 . . . . . . . : MEC9 I—QW78 13126 SW HWI Blvd. P.O.Box 23397,Toud,Oregon 9=(603)639 41 76 A W. ITE AL ',DRESS. . . : 1234`'; 5W 121ST OVE DAPCEL: 2S.103BP Of-bV)0 , '31.1BDIVISInN. . . . : Z ON I NG- BLOCK. . . . . . . . . . .. LOT. . . . . . . . . . . . . CLASS OF WORK. . :PLT FLOOR FURN. . . . : EVAP CCOLERS: TYPE OF USE. . . . :SF UNi.T HEATERS. . : V1=NT 10, FriN574. , . : OCCUPANCY GRP. . : R3 VENTS WIO APPL: VEW', ;..YS-i Ellq- : ,7T0RIES. . . . . . . . B('T.LERS/COIYIPRE93SOPS 1-400EIS. . . . . . . .. FULL 0-3 HP. . DOMES. li,.CIN- GAS 3-15 HP. . . . mmm... iN.­nj.-- 1AX INPUT- (0 15-30 HP. . . . REPAIR UNITS: ;-IRE DAMPERS,). 30--30 HP. WOODSTOW.'S. . - ,JAS PRESSURE. . . 5Q.I+ W CLO DRYERS. . : !O, OF UN I T(:,.---- AIR HANDLING UNITS OTHER UNITS. - URN t 100K PTU: l t= 10000 cfm: GAS OUTLE-rs. .- i URN ) =100R LATIJ. 111,000 (.Fm - OIL TO GAS FURNOCK )wriey,: ---- - - - ­-------- F sES _­_----- ---- ..). DEVENS typq Ainal.knt by d-kt e r"p 17 r I2345 SW 121ST PRMT 18. 00 JLH 05/08/91 ' IC ARV OR 9 7 2 E'3 ,hrinp #: �OLUMBIA 11010 SW SURNHPM ;PACE E-110 OR 9_72t-'3 hone # 6,2,4- 70 4 f, 18. 90 TOTAL 38026 REOUIRED INSPECTIONS This permit is issued subject to the regulations contained in the Gar. Line IrISP igard Municipal Code. State if Ore. Specialty Codes and ali other FinA! ltwstipr�tirjn �oplicible laws. All work will be done in accordsn^e with ioprovtd plans. This permit will expire if work is not started vithin 180 days of isv ice, or if work is suspended for sort -hap 160 days. issued BY : Call for- triwPec-tioti 6.39-.4175 .......... INSPECTION NOTICE ! i City of Tigard Building Department ` 12420 S.W. Main St. Tigard,Oregon 97223 Phone: 639.4171 t Type of Inspection Date Requested_ Time A.M._ P.M. Address Z--2e-3. ._`l.5 __-��✓ 2 , Permit # Owner _ —_-� __ Lot # BuilderThe following Building Code deficiencies are required to be corrected: �-�S,cY in %��' � •�' v� I Presented to -- _ i—� Approved Inspector L Dlgpproved Date -v CAU FOR REINSPECTION ❑ YES Eb NO I UiliuO A r � BUILDING PERMIT APPLICATION TIGAii:) DATE �• !� 19Sot THE UNDERSIGNED HER[BY APPLIES FOR A PERMIT FOR i t`iE WORK HEREIN INDICATED BUILDER PHON[G-+ 'M. OR AS SHOWN AND APPROVED IN THE ACCOMPANYING ANDA SPECIFICATIONS. OWNER PHOINE NER Jl AeufN JOB ADDRESS 1234510- �2 g`•A,,e OL"J —__ ARCHITECT /�`O' ENGINEER BUILCER t IN Fl ADDRESS_ /dD_ V4.r _-^ DESIGNER h �sMNj! `iy`i•: STRUCTURE U NEW ❑ REMODEL - ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION -RESIDENCE F_; COMM ❑ EDUCATIONAL ❑ GOV'T ❑ RELIGIOUS ❑ PATIO ❑ CARPORT ❑ GARAGE ❑ STORAGE ❑ SLAB❑ FENCE OC.COPANCY _X 3_.LAND UGE ZONE _ _BIOG.TYPE __F'riE ZONi i PLAN C HECK DY 1- - Roe 50 1 4A A0 SEWER PERMIT N OCG LOAD _ FLOOR LOAD � HEIGHT N0.STORIES Z AREA NO.BEDROOMS VALUE61 pOQ BUILDING DEPARTMENT SETBACKS FRONT 3 REAR _ LErTSICE RIGHTSIDE 7 Permit G•00 TH15 PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINET) IN THE BUILDING CODE, ZON'!+10 REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE Plan Check ( I1 S• a WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN C.OrdPLIANCE WITH ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Suatotal �. RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1 LICENSE.SEPARATE PERMITS REQUIRED FOR SEWER,PLUMBING AND HEATING. i 3tatn Tax • y.I Total _ — POC#► APPLICANT OR AGENT------- — -- - ---- ------___- _ —� By Receipt No. Approved —_ ADDRESS — PHONE SDC - 4- PDC - # 'Nee : Z SEWER CONNECTION $ SEWER INSPECTION $� SEWER SURCHARGE S Wr�mmof��R ! K�4, :..his�,•..,, t�,c�v ass 4��. I l$e. tz3tet TL GGd©t 3 eP� 004 *'1 aApd- tima 20 x 240 5ZO l-z x ?-C. �I Fp S-0 -0 2-10 I N- + x 3+ Coo 3 3!.•`' 2.P :3(v 34 0 P.QI t 3 7 3 l 4 o j- ` -4.Z, 7 3? Ir-8 x �z I Vs � � i I I �� �.Y'� i���o� dL I `�.*,9