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15740 SW HALL BLVD
CI TY OF TIGARD 24-Hour
BUILDING Inspection Line: (50175 MST
INSF ECMON DIVISION Business Line: (50
BUP
Received —Date Requested——9— -3 AM —. PM_. BUP _
Location Suite— E, �
Contact Person Ph( ) PLM
Contractor _ Ph( SWR
BUILDING Tenant/ ho !���-�.- L ELC
Footing -
Founuatlun ACC@SS: ELC "
Ftg Drain EI.R
C,awl Drain
S ab Inspection Notes: SIT
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
I Drywall Nailing - — - - - ----
Firewall
Fire Sprinkler --- -
Fire Alarm
Susp'd Ceiling -- — --
Root
Other: —
Final -
�. _PASS PART FAIL--
PLUMBING
Post&Beam
Under Slab
Rough-In
Wster Service — ---- ------ _".-._ __
Sanitary Sewer
Rair Drains - -- --- 0001,
-- --
Catch Basin/Manhole `
Storm Drain — —
Shower Pan
Other —
Final
PASS 1, RT FAIL --
M A AL ----
Post&Beam
Rough-In
Gas Line
Smoke Dampers — --- _
na
_ PART FAIL - -- ---- — -
ELECTRICAL
Service -----� --` �-
Rough-In
UG/Slab
Low Voltage
Fire Alarm
Final 1 Reinspection fee of$— —_required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE [] Please call for reins ection RE:— Unable to inspect-no access
Fire Supply Line t
ADA
Approach/Sidewalk Ods _ Inspedor Y U V`�
Other:
Final �_-- DO NOT RIMOVI this Inspection r000rd from the fob alto.
PASS PART FAIL
CI1 1 OF
T I '"G /� R D _ MECHANICAL PERMIT
A i r f'1 PERMIT#: MEC2004-00501
DEVELOPMLENT SERVICES DATE ISSUED: 7/27/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 2S112CC-13000
SITE ADDRESS: 15740 SW HALL BLVD
SUBDIVISION: TANIA PARK ZONING: R-12
BLOCK: LOT: 005 JURISDICTION: TIG
w CLASS OF%%ORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE O'r USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS_/COMPRESSORS 1100DS:
F_UE_L_T_Y_ _PES _ 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 3G HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES: 1
GAS PRESSURE: 50 + HP: CLO DR i F RS:
FURN < 10UK BTU: T_AIR HANDLING UNITS OTHER UNITS-
FURN -100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of woodstov e.
Owner: y FEES
BUTLER, BRUCE A JR + RITA BARBAR Description Date Amount
15740 SW HALL BLVD "II UII I Permit fee 7/27/290 $72.50
TIGARD, OR 97224 I \ h", state surcli ll 7/27/200 $5.80
Total $78.30
Phone: I------------ -- - --
Contractor:
CASCADE CHIMNEY CARE
P.Q. BOX 77E,
ESTACADA, OR 97023 REQUIRED INSPECTIONS
Phone: 503-630-3846 Woodstove Insp
Final Inspection
Reg #: LIC 115110
This permit is issued subject to the regulations contained in the 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 within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0100. You may obtain copics of these rules or direct questions to QUNC by calling
(503)246-6699.
Issued By: �,-�. //��))5,1.� , Permittee Signature: u �
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next buAAs day
CASCADE CHIMNEY CARE PAGE 02
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