12905 SW KING RICHARD DRIVE-1 12905 SW King Richard fir..
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INSPECTION NOTICE 177
� r
,•^, C City of Tigard Building Department �
P.O. Box 23397
Tigard, Oregon 97223
Phone:
,6,�39-4175
type of S,,spection // �eGe•7<;��5�-.__..._ Gd6!
Date RequestedG112� Yd _ Time _A.M. P.M
/1;) 45-
.
Address _ Z /� Permit
Owner� � 1�_1s�� ? Lot #
Builder
The following BGilding Code deficiencies are required to be corrected:
631 v ?i c.,C'.S
Presented to __.T.�G� - y1_�J APPrrwed
Inspector ,� � _/ 7 Disapproved
Date --
CALL FOR REINSPEC-10V
L J YES ❑ NO
11 E G
OF TIGARD
COMMUNITY DEVELOPMENT DEPARWENT Cr'YOFTWARD PIER11IT VIEL90-0216
13125 SW Holl Blvd. P.O.Box 2.3397,Tipid,Oregon 97223(603)W9-A 175 l-'RI1111. 1-*'E'R1'1T'T It. ly4"I'90—(?l21.6
DATE I3SLJE'.D.'
90
0 1)D R E.S S. . 1.2905 ":iW KIHG RICI-WRI) DR P(RCEL. 2SI.16AD-21? WE',
t31JBDTVI'310N. . , ZON I NG
l-O'T.. . . . . . . . . . . . .
CLASS Or: WORV.. FLOOR 1---'kJRlq. . . . EVOP COOLERS-.
TYPE OF UNIT 1-1 E.(4 11"R 5. . VENT FPNcj. . . -
0CCLJ1---,ANCY ORP. -R3 V E.".NT W/C) f)P P L.- VENT sys,rEPH�-.
!;'TORIES. . . . . . . . .. BOILE"RS/C011PRESSORS HOODS. . . . . . . .
I N::
HP,,. DOWE : . INC
W C)1) 3-•-15 HP. . . .. (.,(jMML.. INCIN.-
NOX INPUT: PTU 15 0 UNITSr,
FJRE DAMPERS'?. . » 30-50 HP. . . . WOODSTOVES. . I
CSA 5 PRESSURE. 50+ HP. . . . CLO DRYERS. .
NO. OF iUR' HANDLING 1.)N I TE; OTHER UNITS.
FURN < 100K BTU'. <:= 1.0000 ctn). GnS OUTLETS,,
FAIRN >-1.00K BTU: > 100C10 C-fivin
EXIST1110 WC)ODST(.IVF.-*
C)wv)e-r-. FEE'S
ALICE COUEY type ilMOMIt by date -recr)t
1w?905 E;W KING Rl'(.',HARD DR PAYM $ 15. 23 JLH 10/10/90
P R 11T $ 1.4. a0
KINCI, CITY OR 97224 5PCT $ 0. 7:3
Pl-ic)vie #- 639-7027
OwHER/COIATRAC I OR
15. r73 T 0 Til L
Req ft., W N F R
REOUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Tits Fleet ic.iri
Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done it accordance kith
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.
..............
P-Wrtilittee
........... ........... ..............
Isst.ted By-. ......
..........--.... 639•-•41.7;:;.........1--.-....... -•._....._._........_..._.._...__:_.................
C.'a1l. fo-r ivisil:)ectioil
"ITY OF VTCARD RECEIPT OF PAYMENT RECE I P'r NO. 51(1 -2(15638
► CHEC11',' (-AMOUNT s 15. 213
NAME s COLEY. At.l(,,E C ASH A1101 JNT ("').00
ADDRE515 s 121905 SW 1,..'ING RICHARD OR PAYMENT DATE s 1,.)/' IQ/9(:)
SUBDIVISION
► V'T N TY. OR cV7'224
"WOESE OF PAYMENT AMOUNT PO) 1.) MPPOSE Of. 1"i-VOIENT AMOUNT PAlf.'s
iA—N—f*EAL—F-'E—'t—l"EL91,)---0216 14.55 i '3'T. BUILD F'(,'-I-lk' 0. T,!
140008TOVE PE RMI
TO T fat.. AMOUNT PAID