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INSPECTION NOTICE l]
City of Tigard Building Departacnt
13125 SM Hall Blvd. Tigard, Oregon 97223_ �--
Itsepacticn Line (Rec-O��-//Phone): 639-441,7�5?T/Bueinee.. Phone: 639-4171
Inspections -��A1L f�_1� -- ----'--•-
Footing Plbg. Underelab Mech. Rough-in Appr/Sdwl.k
Found. Plbg. Top Out Gan Li INALs�
Poet/Beam Struct. San. Sewer. Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Meeh.
Date Requested:_ -[ �'� // Time: AM _PM a
Address:Z 1•J � n L/ 2ermSt As_C�2—
Builder: 1/'
THE FOLLOWING CORPl3CTIONS ARE REQUIRED:
1
Inepv;tor ^� --- - — Dato:��___
APPROVED DISAPPROVED - _ APPROVED SUBJECT TO ABOVE
Call For Reinsp.
�c-^m• ""--..� t..; a ,
I� F TI ® f .
C � ��� MECHANICAL
t,AL
CIi1lOFT1�r IR9 PE RMI T
COMMUNITY DEVELOPMENT MENT DEPARTMENT oMooa
13126 SW H.n Blvd. P.Q.WA 23397,llpmd,Oregon 97221(6U3)VO-4176 . . . , . . ,.
IR' I5w(.1GD: 07/16/92
Srrj: ADDRESS.+. . 16385 GW W,I":fir CHfartt E,-- AVE PARCEL: 5=311 ;1aP— bre
S, 1)IV.15101\1. . . . ll::NIN(-i:
L. -auK. . . . . . . . . . L01.. . . . . . . . . . . . . .
CLASS OF* WORK. . :ADD FLOOR srURN. . . . : N EVAP COOLERS:
TYPE OF USE. , . :c3F UNIT I-IE.ATI:'RS. . VENT F17IhttG. . .
OCCUPANCY GRP. . :R3 VENTS W/O ADPL: VENT SYSTEMS: �
5TORIEts. . . . . . . . . DOILE:RS/l:011PItESSORS HOODS. . . . . . .
4 F-'UEL `TYPES __ _._.____,_ 0-3 HP. . . . : 1 DOMES. INCIN:
_ /EL•E/ < ✓ w--••15 HP. . . . COMML_. l INICIISI:
MAX INPUT: BTU 125-30 HP. . ,. . REPAIR UNITS: �
FIRE, DAMPE PS I?. . : 30--30 Hf:. . . , W'CCIDSTOVES. . :
GAS PRESSURE. . . . 50+ HP. . . . . CLCD DRYERS. . .-
NO.
RYERS. . :NU. CSN UNITS- — -- AIR HANDL I Nt.3 XIN I TS OTHER UNITS. :
FIJRN < 100K BTU; <= 10000 ccf m : I;iA5 OUTLETS.
.:URN ) --110101j% ,LTU: t 10000 cfm :
Remar•ks : AIR CONDITIONER -- NOISE READING RcG1UIRED
t;
Owner: __._......_.______.._ . .._._.._ __.._._...._.. _. _.._.___._._.._ _..... __.. ..___. ...._. ... _. _. . .... F lr.Cr'3
S3`"E PHE:N Mrr'AANE' type ama+.In't by date r•ecpt
16 3t35 SW KING C HAF2LE'D t--`RIIT 4i 215. 00 .JH O7/16/9
5PCT $ 1. 25 JH Q.- '16/92
_
KII.16 CITY OR 972E.4 MISC f ,"'1A. 00 ,.T1 ! 07/16/92, —
Phr. p #: 620-34LAc:!
Cant ract ar^; _•._.__._.___.__..___.___.__.______.�.___...
COLUMBIA t-ir-A,r1NC3
F.3900 SW NURNHAM
SPACE: E- 110
_10ARD OR 97223
Phone #. 624-•1'704 k 4E. Gtij TOTAL..
Req #. . : 7635!9
RFUUI RED I N�PECT I ONS
This pereit is issued subject to the regulations contained in tr,a Final Inspection
Tigard Municipal Code. State of Ore. Specialty Codes and a'1 other
applicable laws. All work will be done in accordance with
approved pians. T`is pereit will empire if work is not started
within 188 days of issuance, or if work is suspended for soave
than IAP days.
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r�.../`prm.ittee 7itlnat .Ir,rar,
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Issued By :
Ca l I f o w- i.n r.p e c:!t i fa n r.,.`9—417 5
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CHECK AMOUNT a 46. 25
NAIviE f..C)�._IJMD l A HEW 1 NG CASH AMOUNT 0. 00
0
AI)ElE1F_ �3 e PAYMENT DA*rr a o7/ i it/9,�
9UP-1.)IVIGION s
PURl='09E (IF POYMU.NT AMOURT PA C 1:) PURPOSE OF' PAYM4E NT (-iMOUNI VIP x D
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MECHANICAL F°L 21.5. 00 ST. FSU x L_D PE'R
M,TSUP L.ANEOUS 0. (Aid
MC.c.31AANE
16:�,Ci, GW KING CHA RI.C:;)
TOTAL AMOUNT PAID _. _.. _; 46. 2:5
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