11255 SW GREENBURG ROAD i
1NSP�CTI,ON NOTICIC
city of T'ILgard Building Department
13123 lA Ball Bled. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 nuainens Phone, 639-4171
Inspection:-- -�.---- --.-- -- ---
rooting Plbg. Underclab Mach. Rough-in lippr/sdwlk
Found. Plbg. Top Out Gas Line FINALt
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Bram Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd.
Date Requestedt __—Time' AM IEE—PM
Address. 5
Builders_
TAE FOLLOWING CORRECI'IONB ARE REQUIREDt
�.
Inspectort _ Date:��` y'-
APPROVED DIBAPPRO'Vlb APPROVED BUBJECT TO ABOVE
call Per PALnep.
i
CITY OF TIGA RD MECHANICAL
CffYOFTMRD PERM I T
on
COMMUNITY DEVELOPMENT DEPARTMENT r'ERMIT #. . ..
11 E,C9't -0 CA--- L
1"125 SW HW1 Blvd- P-0-Sm 23397-T19&M,Or@90n 97223 (603)&W4175
Ptfq+F f 12,/ -j
-
5I TE ADDRESS. . .. I le55 SW GREENDURG RD V'ARCEL: IS135CA-00SLAO
SUBD I V I S I ON. . . . ZONING: R-112,
LAL.ULK. . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORK. ADD FLOOR FURN. . . . : EVAr' COOLERS
T YF'E OF USE. . . . :,'IF UNIT HEPTERS. . : VENT FANG. . . -
OCCUPIANCY GRP,. . : R3 VENTS WIC) AP'P'L: VENT SYs'rE'ms:
, TORIES. . . . . . . . : BOILERS/C.OMF-RESS)ORS HOODS. . . . . . . :
�ULL (YPES-------------- 0-3 HP1. . . . DOMES. INCIN-
� /GAr1i 3-15 COMML. INC:IN:
MAX INPUT: BTU 15-30 REPAIR UNITS:
FIRL DAMP,ERS?. 30-30 HF'. . . . WOOC STOVES. . :
GAS V'RESSURF. 50+ HP. . . . - CLO DRVERS. . .
NO. OF AIR HANDLING UNITS OTHER UNITS. :4
1:1URN 100K BTU: < 10000 ('-fmi GAS OUTLETS. :4
F URN =I 00V 0 TU.- 10000 cfmt
I-'emark s : REP'LACED GAS LINE- ADD INLS 4 GAS CLOTHES DRYERS
FEES
w.')LNUirRFE APITS. type afflo�_mt by date recrit
P.,RMT $ 30. 00
5PCT 11 1. 50
PAYM $ 1. 50 JLH 03/13/91
PAT X CLAU SONNEN
LHHIS11AN VOLLMBINU INC,,
'Ec'911) SW STAFS.URD RD
iuAt..PrIN OR 4706a-0000
C11-ione #: 503-638-82,31 .31. 50 TOTAL
Req #. . : 4e671 REQU I RED INSPECTIONS -------
This pervit is issued subject to the regu!ations contained in tht FIT181 ln�q)ection
Tigard Municipal Code, State of Ore, Specialty Codes and all other
aDOLCabll Iffivs. All work will be done in accordance with
approved plans. This persit will expire if worts is not star-ted
within 180 days of issuance, or if work is suspended for eare ------
than 180 days --------------
OF/
Call for inspection 639-417`
?
OF' TIGPRD RL-C;ElPT OF PAYMMT RF- __'IPP IVCD. 0
NAME.. U-JR193TIAN PLUMSING CHM K AMOUNT ,otoP D D E rASH AM0;JNT -3 1. TAO
PAYMENT DATE t 03/13/91
SUBDIVISION
11 1-M5 GREENBURG
PURPOSE OF PAYMENT AMOUNT PA I D PURPOSE OF PAYMENT AMOUNT PAID
CAE. P—E— MF—C,-91-0051 30. 00 ST. BIJILD PER
WOLNUT I-REE APTS
TOTAL OMOUNT PAID 31. 50
+