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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date Requested /� -�/I -�fQ Z-3t
Time _ A.M.._._P.M.
Address
Owner
Lot # _
Builder �JJ`�
The following Building Code deficiencies are required to be corrected:
e- -
�S s✓O �1 i� �`/�-moi v � r�-rr i.4^ �` a✓P= '�_
Presented to _ F"Approved
Inspector - ❑ Disapproved
Date _—_/p--
CALL FOR REINSPECTION
I� YE8 Cl No
OF TIGA D M E.,C H A N I Cl A L
I COMMUNITY DEVELOPMENT DEPARTMENT \CITYOFPIFARD PERMIT
13126 SW Hail Blyd P O.Box 23397,Tigard,Or egm 97223 (503)639-4175 0MON r.-E R 111-r # . . . . . . . .. MEC99-0217
PR I ITT. I rCRM 1:T lt..:
N 1-X9 0--0 2 17
D M I r4 D/Ila
SW COOK LN
PARCEL: SIO.41)0-0
FANTA'Sy HILL 2
BLOCK.. . . .
10NING: R-3
- . 5
..... . . . . . . . . . . I OT. . . . .. . . . . . . . . C7
CLASS OF WORK. . T FLOOR FURN. . . . ..
TYr'E OF' USE:. . . . :SF* EVAP COOLERS:
UNIT HEATERS— a
OCCUPANCY GNP,. ., p,,:j VENT FANS. . . :
STORIES. . . . . . .. VENTS W/O APPL.- V F'N F 9 Y S TE MS:
B 0 1 L E'R 8/C 0 M P RE S S 0 R S HOODS. . . . . . .
"/(3AS/ 3 H F.. : DOMI:'.:S.
D
MPX INP .-
LIT100,000 COMML .-
. INCIN
FIRE DUMPERS'?. . :III T U J-5-- 30 3-15 HP. . . . :HP. . . . REPAIR U N 17'S.
r 30-510 HP. . . . .- WOODSTOVE:S. . :
7AS P'RESSURF. . . 504. HP. . . . : CLO DRYERS. . :
WO- OF AIR HANDLING UNITS OrHER UNITS.
FURN < 100K E(TU.-, 1 <= 1.0000 (-fir-" GAS OUTLETS. ; 1
FURN >=100K BTU: > 10000 eforls
Renia-rN,.s;: replac.,p oil ftt-rnace wjthj qAr,.
FEEIG
J. DIE11IRMENGARD type 'A n)c)(.k)-I t by (1,-i t;e reept
10665 SW COOK LN PRMT $ .18.100
rIGARD OR 97223 5FICT $ 0.1 90
Phone #1 POYM $ 1(1. 190 14CR
Cont'ractore
APOLLO HEATING
8875 SW HILLSDALE'
PIORTLAND OR '37225
Flhane #." 297 3865
R09 #- . : 67547 $ 18- 90 'TOTAL
------- RE:OUIRE'D INSPECTIONS
This permit is issued subject to be regulations contained in the Gas Line Ins;p
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanixal. 111sip
aftAicable laws. Wl work will be done in accordat,ce with Final ITMPertion
approved plans. This permit Nil) ellpire if work is not started
within 188 days of issuance, or if work is suspended for more """.•'""
...............- ...................
than 100 days, ................ ..........- ................
........ .........
............ —-------
....................... ......................---------
TS-SLIP(i 1:+r: ..................
........... .............. .................. .......
C'"I f("r inspection 639-41.7,5
:ITY of rIUARD - RECEIPT OF PAYMENT PECETF-1 :V(), 4-057135
NAME All"OLL0 OCRE CIirCl:* AMOUNT Q.00
CAS"H AMOUNT
ADDRESS 9875 SW HTLLSDAVC F'AYMEN r DATT.
3081"YE V T f's T M
or( 97225- 106651 514 COM:.,' I-APIrz
PLT-WOSE OF F-'AM#ENT AMOUNT PA I D P!.IPf`Mr- Of"' PAYMENT AM IUNI PA I D
2 1
iil"Itl) FTP 0 9k I
TOTAL 1AM0Ljl\IT 10.