9765 SW FREWING STREET-1 i
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9765 SW FOEWING S'MEET
City at Tigard Out Idinq Detm rtstssent
1.3'.25 811 Ball Blvd. Tigard, Oregon 97223
Inopection Lieu (Rec-O•-Phone): 539-4175 9usinesa Phone: 639-4171
Inspection: -----
Footing Plbg. Underelab Mils. Rough-in Appr/Scawlk
Found. Plbg. Top Out as Line FINAL:
Poet/Beam Struat. San. Sewer Framing -Bldg.
Post/Beam Meah. Rain Drain Tneulation --Plumb.
Plbg. Undevil.onr Water fine Gyp. Bd. -Merh.
Detre RequestedtAN .--.-_-PM
_ a
Address: `�
Hui Ider:
Tit FOLL9� hG WP.RECTIONS ,SRX REQUIRED:
Inspector:_ -- -- — -- Dattl:
?(.,____APPROVED DISAPPRCVKD APPRovxr SUnaxcT To ABoV1
"all For Retnap.
MECHANICAL
C17YOFTIFARD PERMIT
COMMUN" DEVELOPMENT DEPARTMENT CITYOFWARD PERMIT #. . . . . . . : MEC91-0269
oN
13125 SW HWI BW. :,.0.Sm 23397,Tigwd-Oregon 97,�(W)16?"]75
DATE ISSUED: 11/13./91
S I TE APDREtSS. . . 09765 SW FREWING ST PARCEL:
SUBDIVISION. . . . : FREWINGS ORCHP4RD TRACTS ZONING: R-4. 5
BLOCK. . . . . . . . . LOT. . . . . . . . . . . . . ..21
CLASS OF W0PV,, . :ADD FLOOR FURN. EVAP COOLERS:,
TYPE (IF USE. . . . :SF UNIT Hf---PITERS. VENT FANS. . . :
OCCUPANCY GRP. . -.R3 VENTS W10 APPL: VENT SYSTEMS:
STOR T ES. . . .. . . . . .. BOILERS/COMPRESSORS HOODS. . . . . . .
0-3 HP, DOMES. INCIN:
/GAS/ 3-15 HP. . . . COMML. )'NC11\i-
MAX INPUT: BTU 15-30 HP. RE=PAIR UNI FS:
FIRE DAMPFRS?. 30-50 HP. . WOOD GTOVES. . :
GAS PPESSURE. . . 1 50+ HP. CLO DRYERS— :
NO. OF Uhl.i ,*'SS.------------- AIR HANDLING UN I TS OTHER UNITS. :
!=URN ( 100K BTU.- <= 10000 cfm: GAS OL)TLETS. : 1
FlJn!,.l ) -10i?iK BTU- 10000 c f m :
Remarks : NEW GAS L I NE
ulwnet-: FEES
JEFI:: DOAN type al"Ouilt by date r,eept
)'7627 SW FREW;NG PRMT $ 25. 00 JLH 11/13/91
5PCT $ 1. &.5 JLH 11/13/91
TIGARD OR 97223
contr-actol-l
1000BS HEATING
1421 SE HOLGATE rALVD
POPTLANI) OR 97202
F-fioyie 4: 234-7331 26. J.5 TOTAL
Peg #. . : 01.441
REUUIRED INSPELTIONS
This permit fi, issued Rubjpct to the regulations contained in the Final Inspection
Tiga-d 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,fnittee c-3ignati-l"e .
Call for insPec:tiot, 639-4175
CITY Of-" TIGIARD RECEIPT OF PAYMENT RECElPT NO. a 9 A J.''.9625
I
CHECK AMOUNT L2. 50
NAME a JACOBS HEATING & AIR COND CASH AMOUNT 0 00
ADDREGE-i a 1421 SE HOLGATC- BLVD PAYMENT DATE 11/13�91
SUBDIVISION
PORTLAND, OR 9'7:x:02—
PURPOSE OF PAYMENT AMOUNT PAID PURP06F OF PAYMENT AMOUNT V,AID
R I
PE 25. 00 -1 D— —r--'
DOAN 9765 SW FREWING
TOTAL AMOUNT r"AID