13245 SW ASH DRIVE I
LA)
N)
41
r E
N
a
En
d
1
I
I
13245 SW ASH DRIVE
INSPECTION NOTICE �---
City of 7.gard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Typo of I nipection !�p..Wj
Date Reque d 0 _ Time A P,1 .
Address Permit # -�
Owner _ Lot #
Builder +
The following Building Code deficiencies are required to be corrected:
I-
Presented to Approved
Inspector
Date
CALL FOR RVIVSPECTION
C1 YES O NO
L
MECHANICAL
PERMIT
xxxx PERMIT if. . . . . . . : MEC90-0038
639-4171 TRIM. PERMIT #, : MEC90-0038
DATE ISSUED: 02/15/90
SITE, ADDRESS. . . : 1.3245 S:4 ASH DR PARCEL: 15111 -
SUBDIVISION. . . . : ZONING:
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
---------------- ------------------------------------------------------------------
CLASS OF WORK. . :ADD FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
DCCLPANCY GRP. . :R3 VENTS W/O ADPL: VENT SYSTEMS:
STORIES. . . . . . . .: BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES------------- 0-3 HP. . . . : DOMES. INCIN:
:/WOD/ / / 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS7. . : 30-50 HP. . . . : WOODSTOVE8. . :1
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
FURN < 100K BTU: <= 10000 cfm: GAS OUTLETS. :
FURN >=100K BTU: > 10000 cfm:
Remarks: Wood stove insert into an existing masonry fireplace
owner: ------------------------------------ ----------------- FEES ---------------
PAUL PETERSON type amount by date reept
13245 SW ICSH UR PRMT $ 14.50
5PCT $ 0.73
TIGARD OR 97223 PAYM $ 15.23 BCR 02/15/90
Phone #:
Contractor: ------------------------------
CONTRACTOR NOT ON FILE
----- •------------------------------
Phone $ 15.23 TOTAL
Reg f. . .
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of ore. Specialty Codes and all other _ _-
applicable laws. All work will be done in accordance with
approved plans. This per►nit will expire if work is not started
within 180 days of issuance, or if wo:'k is suspended for more
than 180 days.
Permittee Signatures -
Issued By: ------ —�,---- - -
Call for inspection - 639-4175
|---------------- - - - -- --- --- - ------�—'----------
|
` |
/
|
i CITY OF l]RARD - R'ECEIPT OF PAYMENT REC. MDs 00 1O7370
|
CHECK AMOUN7 x 15,23
/ NAME: ;AUL PETEPSON CASH AMJUN. o 0]
) .
|
ADDRESS; 13245 SW ASH DRIVE PAYMENT T-ATE 02^ 15~90
1 TIGARD, OR �i7223 BLOCK NO/AbDRx
|
P//nPOSE OF PAYMEMT AMOUNT PAID PUF%PUSE- Of PA,MEN? 4M[UNT F�l|b
i ---------------'---------- ----------- -------'-------�----------- ----~------
}
MECHANICAL PERM '90-0038) 14.50 6TATE BUILD �ERM{T yAx (5%.
/
|
' F18EP.ACE lNg[RT - J
l
TOTAL. iNOUNT PAID
!
|
|
|
| ' �
| ( |
' |
|
|
PERMIT TO CONNECT
Tigard Sanitary District
PERMIT N9 796 DATE
PERMIT IS GIVEN TO
OFTO CONNECT A
TO TILE SYSTEM OF TIGARD S$ANITA!> gL5TR1�T1/L r
�l /`' 11
AT
THIS PERMIT MUST BE POSTED ON THE DESCRIBED PREMISES UNTIL CON-
NECTION IS MADE AND INSPECTION OF CONNECTION HAS BEEN C'OM-
PLFTED.
PERMIT FEE PAID $_.. .............................FIGARD SANITARY.iA STJUHT
By
CONNECTION INSPECTED AND APPROVED
-------- Date I tettdent
I
-- - _
Address s' S� .a�Cll,AS W �� Permit No.
Name of Occupant Permit charge
Connection fee.___ 5 °
l e
Paid by
/� �/�
Date connected
Type of Building _ /E 5 i 7 E���- Inspection fee---
Service
ee __Service Rate1' r? Paid by j''.' a E' Date
Contractor �< �' � �-% _ Assessment Paid
Size of connection
1 _