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INSPECTION NOTICE
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city of Tigard Building Department
13125 SW hall. Blvd. Tigard, Oregon 972.2 -�
Inspection Line (Rec-O-Phone): 639-4175 Business Pho 71 /
Inspection:
Footing Plbg. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
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Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor �Wyater Line Gyp. Bd. -Hech. "
Date Requested:- / - � Ti,a►o: AM PH
A•id,-see: /C�/ C S S w / m't dL Permit 9 2 3
Builder:
THE FOLLOWING CORRECTIONS ATaE REQUIRED:
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Inspector: Data:
l APPROVED DISAPPROVED T APPROVP.D SUBJECT TO ABOVE
Call For Reinep.
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CITYOF TIFARD ,� P'E Rhl I T
CITYOFTMRD PERMIT #. . . . . . . . MEC9 •-•0223
COMMUNrrY DEVELOPMENT DEPARTMENT 0"M
13126 SWHWIBW P.O gm23397,11gwd.o,.jon w)4*. rjS DATE I-4SUET): 09/08/92
SITE ADDRESS. . . : 10105 SW IdC DONALD ST '-- _. PARCEL: 2SiO"'CC-03800
SUBDIVISION. . . . : FRELE::ON HEIGHTS ZONING: R--3. S
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :6
CLASS OF WORK. . :NEW FLOOR FURI`1. . . • : EVAP' COOL,"RS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FAPJS» . . :
OCCUPANCY GRP'. . :R3 VENTS W/O AF'P'L: VENT SYSTEMS:
STORIES. . . . . . . . . I SOILERS/COMP'RwSSORS HOODS. . . . . . . :
FUEL T YF'E S-•--- -___...____.._._ 0--3 HP'. . . . . DOMES. I NC I N:
: /WOD/ / / 3--15 HP'. . . . : COMML. I NC I N:
MAX I WUT: BTU 15-30 HF'. . . . : REP'A I R UNITS:
FIRE DAMP'E::RS?. . : 30--50 HP'. . . . : WOODSTOVES. . : 1
GAS F'RF._SSURE. . . : 50+• HP'. . . . e CLO DRYERS— :
1\10. OF AIR HANDLING UN I'TS OTHER UNITS,
TURN ( 100K BTU.- (- 10000 cfm: GAO OUTLETS. :
FURN ) =100K BTU: > l IZt4:r00 r_i m
Remar•4ks. Insitall. an "Arrow 2090" insert: into exasctinq maaonry fireplace.
Chimney 1ined with UL approved Iiner,.
c7wner•: -_._..__.._.._.______._...__._. ........ _.. FEES
FAD DF.MAREE 4 e
type amol.cnt by date recpt
10:1.05 ':aW Iy!C DONALD ESR P'RMT $ 255. 00 PCR 09108192 -
5PICT s 1. 25 BCR 09/08/92 -
T'IGARD OR 97223
Phone #:
GARY HANSEN
P'O BOX 720
TUALATIN OR 9706c'
Phone #: 69r--4117 $ 26. 25µTOT.
Reg #. . : 47200
FtEOU I RED I NSF'ECT I ONS
This permit is issued subject to the regulations contained in the Final. Inspection
Tigard Municipal Cnde, 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 I88 days of issuance, or if work is suspended for more
than 188 days.
F'e r in i't t e e S i.4 n a t I.r r•e
I s s l-red B
Call fore inspection - 639-4175
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• ^i'. CITY OF* T I(ARD PFC U i PT M PAYMENT REMPT NO.
CA IE"CK AMOUNT a ":
I'JfaN1E, s
ASHES TO ASHES rASH AWICII.JNT
;IDDRU"I S p Pc' Box ;�.'0 PAYMFNT DATE
1`LlALA'`IN, OR
IMAD I V I,3I ON
'''1.1F7PO,E OF r'AYMF.Nl' AMOUNT PAID PLIRF"DE+.'' CIF' PAYMENT AMDLIN-C PAI U
...........__..._. .
ME l�l-IWN Y C'�aL I:: .f- 25. 00 S T. Di_I I L D PFFI .._,.__._..._.. _._._. _----'1...,25
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'I'O l'Al_ PMOUN I PAID 86. 25)
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