10970 SW NORTH DAKOTA STREET-1 �t
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INSPECTION NOTICE
IU City of Tigard Building Department
13125 Sit Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-0-Phone): 639-4175 Buaireaale Phone: 639-4171
Inspection:
Footing Plbg. Underalab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL-
Post/Beam Struct. San. Sewer. Framing -81.dg.
Poet/Beam Hoch. Rain Drain Insulation -Plumb.
Plbc. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested:_ _ Time: AM —PM
Address: /2
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector _ Date:
v APPROVED — DISAPPROVED APPROVED SUBJFCT TO ABOVE
�C Call For Reinsp.
C17Y OF TIM RD k CrrYOFTWA MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERM I T
13126 SW HWI Blvd. P.O.Box 23307.T19R4 OrOgOn 97223(503)63614175 ERM IT 0-
639-4171 DATE ISSUED: 01/11/93
61"f'E ADDRESS. . . : 10970 SW NORTH DAKOTA ST PARCEL: IS134DB-03500
SUBDIVISION. . . . - ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
CLASS OF WORK. . iADD FLOOR FURN. . . . EVAP COOLERS:
TYPE OF USE. . . . :SF' UNIT HEATERS. . : VENT FANS. . .
OCCUPANCY GRI*. R3 VENTS W/O APPL: VENT SYSTEMS:
STORlES. . . . . . . . . 1 BOILERS/COMPRESSURS HOODS. . . . . . . :
FUEL 0-3 HP. . . . : DOMES. INGIN:
: /WUD/ 3-15 HP. . . . . COMML. ING1N:
MAX INPUT: B'ru 15—:30 HP. . . . a REPAIR UNITS:
FIRE DAMPERS?. . : :30-50 HF'. . . . : WOODSTOVES. . : 1
GAS PRESSURE. . . : 50-4-- HP. . . . : CLO DRYERS. . :
NO. OF UNITS-------------- AIR HANDL INU UN I TS OTHER UNITS. -
FURN ( 100K BTU: <= 10000 cfm: GAS OUT'LETS. t
FURN ) -100K BTU: > 10000 (�fm:
Remar-ks: "FLLET STPVE
uwrier-: FEES
KAY LIVINGSTON type amount by date reept
10970 SW NORTH DAKOTA ST PRMT $ 25. 00 JH 01/11/93
5PCT $ 1. 25 JH 01/11/93
TIGARD OR 11 ,323
Phone Os
Lcititractur,:
IYICIYIII\IlqVILLE CONCRETE I--IRODUCTS
CHIMNEY CRICKETS
900 N. HJW)Y 99W
MCIYI114NVILLE OR 97128
Pti(irie ff: 472-6010 $ 26. 25 TOTPL
Hey ft. . : 713355
REWIRED INSPECTIONS
This permit is issued subject to the reguiatione, contained in the Final Inspection
Tigard Municipal Code, State of Dre. Specialty Codes and all other
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for more
than 180 days.
f"er,vnitt er e SignatLtv-e :
Call for irispeetion 634--4175
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P1.-I)p U. E. 10'.17 c0 ,iW NLIPTH NWI*u1'ta PAYMENT DATE. 01f 1 :1.,-�3 ,
I'tIkF'L1t,E CSF F f3'r'hlt hJi AMOUNT PA1I1 F'l1hF'�1',l' OF PAyME-111' ArliolANF F AlD
MI'VI MN 1 C AL PE 2!.il 00 BLJ 7 L r) F'F:I; 1. 25
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