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INSP6CiION NOTICE
City of Tigard Building Department
13125 SA Mall Blvd. Tigard, Oregon 97223
Inspection Line ( -O-Phone) 639-4175 Busi_nean Phones 639-4171
i
Inspection:
Footing Plbg. Und slab Mach. Rough--in Appr/Sdwlk
Found. Plhg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Boom Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Hater Line Gyp. Bd. �-Mech.
QV
Date Re esteds q_ ` Times AM PM
Address:^ 5 Permit1s
Bull ars
TME FOLLOWING CORRECTIONS ARE REQUIRF.Ds
Inspectors _-T Dates y
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call Por Reimp.
11"
t*ITYOF TIFARD (CM ra
COMMUNffY DEVELOPMENT DEPAnTMIENT 04140H
13126 SW HWI Bhrd. P.O.8(m 23W,TOW.Ongon 97223(6M)630-4176
"'LUM5 i NU i 'l-k!'I I I
PERM!T #. . . . . . . . P L 01 CK—rA Q,
639-•4171 DATE ISSUED: 03/20/92
c'ITE ADDRESS. 07556
S SW ASHFORD ST PARCEL: 2S112CA-08700
SUBDIVISION. . . . . RENAISSANCE WOODS ZOI.'ING: R-4. 5
BLOC K. . . . . . . . . . .I LOT. . .
CLASS OF WORK—ADD GA11BAGE DIGPOSALG. MOBILE HOME )PACES.
TYPE OF USE. . . . :SF WASHING MACH. . . . . . . : BACKFLOW PREVNTRS. . : 1
OCCUPANCY GRP. . *R3 FLUOR DRAINS . . . . . . . TRAPS. . . . . . . . . . . . .. .
STORIES. . . . . . . . I WATER HEATERS. . . . . . : CATCH AASINS. . . . . . . :
f-"IXTURES--------------- LAUND13Y TRAYS. . . . . . : SF RAIN DRAINS. . . . . :
SINKS. . . . . . . . . . : URINALS. . . . . . . . . . . . GIRFASE TRACT. . . . . . . .
LAVATORIES. . . . . ' OTHER FIXTURES. . . . .
T'UB/SHOWERG. . . . 3 SEWER LINE (ft) . . . , :
WATER CLOSETS. . : W(-).TF7R (ft ) . . . .
DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . s
Reroar-b(S : BACKFLOW DEVICE
Uwne)— FEES
JIM PATTON type '-Mol-tnt by date t-evpt
7356 SW ASHFORD ST PRMT $ –PW'j–.Tr1?r-PLL 03/.20/92 22
TIGARD OR 97223 975 5PCT $ 4v+-a5-PI-L 03/20/92 22
Phone #:
Cont ractoi�: ------------------------------
POLANDS I-AWN SERVICE
23633 RONDEVIC SYREET
CONVY OR 97013 ----------------------------------------
-:11-ione #: 503---266-9657 26. 25 TOTAL
Reg 5214
REQUIRED JNSPEC'rioi\i9
Th)s permit is issued sublect to the regulations contained in the Top-o%.tt Insp
;gard Municipal Code. Stats of Ore. Spr-ialty Codes and all other Final Inspection
ipolicalilt laws. All work will be done in accordance with
approved glare. This permit will expire if work is not started
within IN days of issuance, or if war s suine.10d for more
than 180 days,
,-.ted LAY:
Call for inspection 639-4175
4�
CITY Of-" 1'M1' RD REGUIVIT Or, PAYMENT REC'Ell"I' NO. b9LJ—P-P4`,,,.
CHECK AMOUNT P-6
NAME s ?RULANDS LAWN 8f,"RVILC CASH !TI`OONT
A 0 D R F S.E'l v 03633 PUNDLVIC DRIVE* PAYMLNT DATE:; a 0
I
CAMAY, OREIVIN 970113 S U t)J.)I V l'Ci I L)11
PURPOSE OF PA)'MENr AMOUNT PAID PURP06E, OF PAYMN'T AMOUNT PAID
........... ........... ......
PI.W4,18THU Pr-.,RM PL.M9#' P 3 ST. BUILD VIER
P-Mfi SW A9Hr-ORD STRF71
TOMI. (1110UNI PAIYD 06.V5
r 7S
INSPECTION NOTICE
City of Tigard Building Department
1317.5 SII Ball Blvd. Tigard, Oregon 97223
Inspection Lina (Pec-O-Phone)t 9-4175 business Phone: 639-4171
39 4171
Inspection: J
Footing Plbg. Und slab !-•xch. Rough-in APP r/Sdwlk
Found. Plbg. Top out Gas Line FINAL:
Post/Beam struct. San. Sewer Framing -Rl.d
9•
Port/Beam Meeh. Rein Drain Insulation -Plumb.
Plbg. Dnderfloor Watgr Line Gyp. Bd.
-Hoch.
Date Requested:_ �L,- _Timet
Addreee:�� Perm Lt 1tC�� U UJ
flullder:
THE FOLLOWING CORRgCTIONS ARE REQUIRED:
1
e
Irrapectort
Dates�"'� _
PROVED DTSAP� ROVIAPPROVF.D 4U1jpM 10
ADM
Call For Reinsp.