12315 SW KING GEORGE DRIVE SW King George Dr. KC_ .
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INSPECTION NOTICE
City of Tigard Building Department
P.O Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
rate Requested._1�:.-• (V Time _.___—_A.M. P.M.
Permit
Address
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f;wner—�---- +� Lot
Builder __-------- —
The fol owing Building Code deficiencies E e required to be orrected:
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-------- --
Approved
Presented t-
�— ❑ Disapproved
Inspector ------'--
Date _L_
CALL FOR REINSPECTION
YES 0 NO
CITY OF TI6A ME:CHAN I'CAl PEAM1'
PEPMIT NO. MEBOIP9I41
RD CITY
COMMUNITY DEVELOPMENT DEPARTMENT OATE ISSUED: 7/ 6/80
13125 S.W.Hill Blvd.P.O.Bo):23397.Tigard.Oregon 97223,15031839-4175 P141M . %jMT.NO. 0 81.P.W4
JOB ADDRESS : 1231-5 KING GEORCE DP
TAX MAP/L.C)'T SUP . KING CT*1Y LT' BK
LAND USE: :
L.01, SIZE. :
ITEM. NO: NO
WORK CLASS : ADDITION FURNACE <11-00K Alla HANDI.-N <10 I
USE TYFIE : SINGLE FAMIL.N' FURNACE I 001<4 AIP 1--1ANDI.-P JOK
CONST .TYPE . VN FLOOR F-UPNACL 1::.,VAP . 000L.E.P
UCCUP .GRP. HEATED VEN'T' FAN
Vt-.".Nl* VENT . SYSTEM
811-P/COMP <1514P 11-40011)
NO , STORIES : HLP/COMP 1:NC',3:N1'--PATOP( DOM
DWEL.L . UNT.TS : ULR/CC)MP :1.5 301--lp INGINF-i44AT'0141COM
l-UEL T*Yr'+: GAS GI-.R/CCW'P 30 15()H P NI: PAI.14 UNivil
MAX . ..14PUT BLA/COW" 504.1,K) 0 T,I.-W."P
OMPRS'? vS PIPINCOUTLETtii
HIGH PWESS7
L.Ow Ppr:::Ss*?
FiLcIcirecl t(:j ex:iinl.ing -Furil .
F FES :
o Sabat Al PLAMIT 4:10 . 00
W IR31.5 KING GE014GE OP PLAN REVIF:W 111113 . 63
N
E Ki I')g City n- 1472PAl FIXTUPES 114. 90
PHONE (503) F. --6.55A STATE TAX 11111 . 73
OTHER
C
U POO.BEN DAVID
N rIC)DUEN OIL CO INC'
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R P . O . BOX 14867
A POPTL AND 011 97PIA
T PHONE-:.: (503) P-3*3-58011
0EG,1
RE G,151' NC) . 188/1 TOTAI 1.5 . P-3
RECEIPT NO . 5PV84
This permit is Issued subject to the regulations contained in Title 14 .-•...............
of the TMC. State of Oregon Specialty Codes.zoning regulations PE-QUT.PEC) INSt-.1rE:(.--T-IONS
and all other spolicable codes and ordinances, and It is hereby F I W.L.
agreed that the work will be done in accordance with the plans and
specifications and in compliance with all applicable codes and
ordinnr,ces The issuance of this permit does not valve r,3strictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will expire and become null and
void if work 1r,not started within 180 days,or It work is suspended or
abandoned for a period of 180 days any time after work has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature
Issued By 1-".E W —INI–All–C I
SEPARATE PERMITS REWIRED FOR WORK OTHER THAN DESCRIBED ABOVE