10231 SW JEFFERSON STREET m
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City of Tigard Ruildi-o9 Department
13125 SGS Hall R1-1. Tigard, Oregon 97233
Inspection Line (Rec-O-Phone): 639-4175 Bueinees Phone: 639-4171
Inspection:_
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Footing Plbg. Underalab Mech. Rough-in Pppr/uiw:k
Found. Plbg. Top Out ,as Line FINhL:
Poet/Be-m Struct. San. Sewer Framing •-Bldg.
Post/Ream Mech. Rain Drain Insulation -Pblmii.
P)bq. Undetfloor Wator Lino cigp. Bd. -Meat..
Data Requeatee: r7� —.__— _—Time: AM _---PH
Addrese:_1� A�' _.'.L1erm �:. _-L1L_ /�
Builder
THE FOLLOWING CORRECTIONS ARS REQUIRED:
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Inspect.or: W — Dater
�APPROVZD DISAPPRMP -- APPROVED SUBJECT TO ABOVE
Call For Reinep.
CiTY OF TIFA RD MECHANICAL
RD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT #. . . . . . . : MEC91-0141
1',1125 SW Hill Blvd. P.O.does 23397,TkpmM,OmgDn 97223(f 93)6394176
PHIE 15`�IJED: 08/13/91
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S I TE. ADDRESS. I&'31 SW JEFFER-SON ST PARCEL: 16175AA-0080111
SUBDIVISION- - : -TOWN OF METZGER ZONING: R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .3
CLASS OF' WORK. ,. :ADD FLOOR TURN. . . , EVAP COOLERS:
TYPE OF USF. . . . :SF UNIT HEATERS. . . VENT FANS. . . -
OCCUPANCY GRP. . : R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . .. : SOILERS/COMPRESSORG HOODS. . . . . . . :
P'ULL 0-3 HP. DORIES. INC IN:
. /WOD/ 3-15 HF,. COM14L. INC IN:
MP INPUT: 8T U 15-,s0 HP. . . . REPAIR UNITS:
FIRE DAMPERG?. . c '30-50 HP. . . . WOODS"rriVES. . : l
GAS PRESSURE. . . : 50+ HF'. . . . : CLO DRYERS. . :
NO. OF UNITS------------- AIR HANDLING UNITS OTHER UNITS. :
F'URN ( 100K BTU-. 10000 cfm.* GAS OUTLETS. r
TURN > ;=1001; 1.4TIJ.- > 10017 . cfm:
Rpmay,ks : INSTALLATION OF' WOODSTOVE
Owrier-., FEES
GOPI)nN NASH t ,/Pe amo,.Arit L)v date t,ecpt
1,0231 SW JEFFERSON V,RMT $ c"S. 00 J(.H 08/1 - /91
rIGARD OR 972i:.3 5PCI $ 1. 25 JIH 08/13/91
Phone #:
Cant 1,ac�t or-.- ---------
OWNF R
Phone 26. 25 TOTAL
Peg
-------- REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code., State of Or,@. Specialty Codes and all other
Wlicatie lavv- All tiork will be done in accordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days,
:'e t-m i t t e e Si.4nat r j,i t^p
s s f_t e d Pyr
Call for' insper--t ion 639-4175
Kam ��m
CITY OF TIGARD RECEIPT (IF 1."AYMEN'*f RFMPT NO. 191 —p 1625"
CHECK AMOUNT 1 0. 00
NAME : NASH, GORDON (;rV-)H AMOUNT 1 26. chi
ADDRESS : 10231 SW JEFFERSON PAYMENT DATE 08/ 13/91
SUBDIVISION
PURPOSE OF PAYMENT AMOUNT PAT-') PURPOSE OF PAYMENT AMOUNT PAID
(.11 NJ GAL PE r'115. 00 ST, R616) R
WOODGTOVE PF.Rmr'i-
TOTAL, AMOUNT PMD y ea. P5