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11995 SW MANZANITA STRE,T
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INSPECTION NOTICE
'{lJiCity of Tigard Building Del,artzent
25 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line 131 (Rec-O-Phone): 639-4175 Busineen Phoney 639--4171
Inspection: --
Footing Plbg. Underslab Mech. Rough.-in Appr/Sdwlk
Found. Plbg. Top Out Cas Line FINAL%
post/neem Sttuct. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation --Plumb.
i
Plbq. Underfloor. water Line Gyp. Bd. -Mech. G
Date -N21-5-�7 —ritual AK 7 PN
Address: ( �L�i yt -�L2j�!L Permit #s" L—�✓ J�
Builder:___ —
TNF FOLLOWING CORRECTIONS A:iE REQUIRED:
Inspector: V---- --�_ nate:
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.�.►% APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
C11Y0FT'frAIYIRD
ciffl V ECHANI CAI_
COMMUNITY DEVELOPMENT DEPARTMENT PEWyll r
13125 SW HWI BW. P.O.Bcw 23397,Tlgad,Oregm 97223(503)M4175 PERMIT #. . . . . . . : lyiEC92-0314
6394171. DATE ISSUED: 11/19/92
SITE ADDRESS. . . : 11995 SW MONZANITA ST PARCEL. IS134CA-00611
SUBDIVISION. . . . : PANORAMA ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 1O
CLASS OF WORK. . :ADD FLOOR FURN. . . . t LVAP COOLERS:
TYPE OF' LISE. . . . ..SF UNIT HEATERS. . : VENT FANS. . . .
OCCUPANCY GRP. . - R3 VENTS W/O APFIL: VENT SYSTEMS:
ST'ORIE'S. . . . . . . . : BOILERS/COlvlf-"RESSORS HOCIDS. . . . . . . :
FUEL 0-3 Hf-',. . . . - DOMES. 11'07',IN:
: /WC)D/ 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. 3050 HP. . . . WOODSTOVES. . : 1
GAS PRESSURE. . . 50+ HP. . . . CLO DRYERS. . :
NO. OF' UNITS— 01P HONDLING UNI-13 OTHER UNITS.
TURN ( 100K BTU: <= 10000 cfin: GAS OUTLETS.
FURN ) = 100K BTU: 10000 cfm-
Remarks : WOODSTOVE INSERT
Owner: FEES
YVIJNNE ADAMS type anicit-int by date recpt
11995 SW MANZANITA CT PRMT $ 25. 00 JH 11/19/9,2
5PC F $ 1. 25 JH 11/19/92
TIGARD OR 97223
Phone 0:
Contractor:
CASCADE CHIMNEY CP)R�'
41150 SE PORTER RD
ESTACADA OR 970L3
Ptione #.- 666--2769 $ 26. 25 TOTAL
Reg #. . : 60089
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
liga.6 Municipal Code., State of Ore. Specialty Codes ond all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 188 days of issuance, or if work is suspended for more
than 180 days.
Permittee Siqnati-Ire : LI _ta
Isso_ied By :
Call for inspection 639-4175
Y
74
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CITY OF TI GARD _ REG I PT OF PAYMENT RETE I GST NO. 92"0,33899
CHECK AMOUNT 26. 251
NAME a ADAMS, YVONNE CASH AMOUNT 0. 00
ADDREGSi s 1 7 945 SW VIAN7 AN I TA PAYMENT DATE: e 11/19/92
SURD M S I ON a
PURPOSE OF PAYMENT AMOUIUT PAID PURPOSE. OF PAYMEN'r AMOUNT PAI D
IhII-C—,H N I CALF PE
1
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W1 ODSTOVE: INSERT
,rDTAL AMOUNT PAID — — - —'3 86. 25