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INSPECTION NOTICE
' City of Tigard Building Department
13125 GW Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)s 639-4175 Business Phone: 639-4171 �
Inspection:
Pouting Plbg. Underelab Hoch. Rough-1� Appr/Sdwlk
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Found. Plbg. Top Out Oat Lino FINAL:
Post/Bea:: Slrur_t. Sart. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.` CQ
Date Regtasted: ✓ L/ C�� Time: AM
u a rja in M1t Address:
lwi Permit is �- C/ci•
Bulkier: _
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THE FOLLOWING OORRE ONS ARE REQUIRED,
Inspectors _ Date:
APPROVED DISAPPROVED _ APPROVED SUBJECT TO ABOVE
Call For Relnsp.
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CITYOF TIFARD MECHANICAL
MY FtERM I T
COMMUNITY DEVELOPMENT DEPARTMENT ono��
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13126 SWHWIBhd.P.O.Box 23397,Tiprid,Orrpon 9—iM(503)&W4175
/ F_RMTT
DATE 1 .SUED: Q12/28/9E.,
SITE ADDRESS. . . 16760 SW MONTEREY LN PARCEL: 2S116AD--,-X66,00
SUBDIVISION. . . . . 71� "n 01141 ZONING:
BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . .
__—._—_._-----_------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERSs
T'Yl--,E OF USE. . . . :far UN IT HEATERS. . : 1 VF_.IVT FANS. . .
UL ULIPANC,Y GRP. . : R3 VENTS W/0 APPL.: VENT SYSTEMS s
STORIES. . . . . . . . . DOILERS/COMPRESSORS HOODS. . . . . . . s
FUEL TYF+ES----- —_-- - -- 0-3 HFI. . . . : DOMES, I NC I N s
:/GAS/ t I --15 HP. . . . ; (: .+IML. INCINs
MAX INPUT: PTU 15-30 HP. . . . . REPAIR UNITS-
r7 IRE
NITS-FIRE DAM1=IERS?. . : 30--50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . 50+ HP. . . . : CLO DRYERS. . :
1\10. OF UNITS-- --- -- -- A J R HANDLING UNITS OTHER UNITS. :
wURN ( 1O0K BTU: (= 1O000 r.fm : GAS OUTLETS. s i
FURN ) =100K BT"U: > 1.0,71O0 cf m :
Remarks: ZERO CLEARANCE: WOOD BURNING STOVE --- ADDING GAS LOGS
Owners —___.___._ ------------------ !-:FES ----__---_-_—_—
ROGER BURK type amount by date recpt
16760 SW MONTEREY LN PRMT f, 25. 00 .JL_H 02/28/'?2
F5PCT $ 1. ::'S JLH 0L/28192
KING CITY OR 97224
Dhone #s
C:ontractor:
PARAGON PLUMBING
35&5 SE 162ND
I
�DORTLANU OR 97236
Rhone #: $ L'C,. `5 T(. CIL
Flet' #. . : 61933
REQUIRED INcJs .__.1 IONS
This permit is issued subject to the regulations contained in the Final Irl%per_tic)n
Tigard Municipal Cade, State of Ore. Specialty Codes and a" other
apolicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 198 days of issuance, or if work is suspended for more
than 198 days.
l�F,rmiti:ee Signatt..lre:
i.s s t_1 a r1 17 Y » _._....____.---
I'
Ca11 for inspection — 639-4175
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CITY OF T I GAP0 RU', I FST r IC. i'A vlvlL N'f NO. 192--- ;r 389 ,
CHECK 01,40UNT s 26. 2,15
NAME s PA1~ZAG0114, l"'I..UMB T NG CASH AMOUNT s 0. Dir
ADf)RL.5G f3 W*:r S 162ND PAYMENT DATE A G'�r"_1POly-,
4 SURJ)I V'i;3ION
E�C]iTI...FLN[9, f.7 F2 ��"7�:';:4r __.
" PURVIOSE OF �'�AYMENT' AMUI_INT PA 10 PURPOSE OF PIOYM[l, AMOLIN"1' r.,ni.I1
Rti! i�HfaN1C".rll..�� 215. 00 ST. BUILD PF=.R
SURK,
16760 C3W MON"I"E=REY L...N
VOTAL_ AMOUNT PAID
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