16515 SW QUEEN MARY AVENUE-1 ADDRESS:
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INSPECTION NOTICE
City of Tigard 1huiid41.j D.J,%rt ent
13125 SW Ball Blvd. Tigard, Or,"7un 97223
Inspection Line (Rec-O-Phonej. 6633y• %,15 Buninique Paono: 639•-4171
Inspection:
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALS
Post/Basin Struct. San. Sewer Framing -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -N h.
Date Requested: 7 ./J�� > Tiimjes _AM _ PN
Address e_��' S L1�L( � r u i `)'/G ✓ �� PeYm�t����
Builder:
TRE FOLLOWING CORRECTIONS ARE REQUIREDs
Inspectors _ � Dates
ED
APPROVDISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
C11YOFTI ARD C17Y WARD
r ��,
COMMUNITY DEVELOPMENT DEPARTMENT OREGON
13126 SW Hall Blvd. P.O.Box 23197,Tigard,Oregon 97223(503)839-4175
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SI TE ()DDRESS. . . 16515 1SW QUEEN MARY i-)V PARCEL: 2S115BB-0301,
511UD I V I G I ON.. ON I NG
BLOrK. . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . ODD FLOOR FURN. . . . .-, FVAF' COOLERS:
TYPE OF U5E. . . . :SF UN IT HEPTERS. . ', VENT F()I\l S. . . t
OCCUPANCY GRP,. . -, R.7 VENTS W10 APPL: VENT SYSTEMS:
STORIES. . BOILERS/COMPPUSSGR-.� 1-10 0 F'S. . . . . . . . :
FULL- 0-3 HP. . . . : 1 DOMES. INCIN.,
ELF 3--15 lip'. . . .
MAY INPUT BTU :D-3 0 HP. . . . REPAIR UNITS.
FIRE DAMPERS". r 30-50 HP. . . . : Wool''15TOVFS. . :
GRE.; PRESSURE. . . - 50+ HP. . . . : CLO DRYERS- -
NO. OF UNITr----- AIR HANDLING UN I TIS OT11r::.P UNITS.
FUUN ( 100K BTU: 10000 cfm : GAS OUTLFTS.
FURN ) =100K BTU: > 101014-1171 ':fm :
PemAv,ks: AIR CCjN1) [ fIC)Nf-F1 NOISE READING RFOUIRED.
FF.CS
LESLIE SPRINGER type aMOLInt by date
1.65tr--i 13W QUEE!",l MAI�"Y 0I4- 00 JFI 07/
5PCT $ 1. 25 JH 07/23/9Z'
KIFIG ("IT Y OR 1'7' 1"-'."J-4 MISC + r.0. 00 JH q,-7 3/9.
r"ItIone #2
LoTitractot-:
D & H CONTRACTIt',16 CO
.3150 BE 138TH
P12 BOX 1660171
PC RTLrIND OR 9?216
Pllarlf-.' #'! 760-15f:6 $ 46. c:,"3 TOTAL_
Rep
OT(4-
Rep #. . -. 57153
REQUIRED INSPECTIONS
nis pereit is issued subJert to the regulations contained in the Pinal Iylsr-let2tion
Tigard Municia,.l Code. State of Ore, Specialty Codes and all other
applicable laws. All work will be dore in accordance with
approved plans. Thii permit will wire if work is not started
within 180 days of issuance, or if work is suspended for more
than lee days.
Permitters
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C.1.1'Y C)F= T I CARD REC;E'i r,T OF: PAYMENI REr E I Pf NO,. s 9P w9827
CWIK'CK AMOUNT : 4n. 25
NA14E SPRINGER, BEVV:RI.-Y CASH AMOUNT
ADDRESS s l(,,515 SW rJIIU-.[=.N MOPV OVE PAYMENT DATE ti 07/23/92
c;UBD I V I FS 1 ON s
KING CITY, OR 17 ;_4-
PURPOSE. OF PAYMF NT AMOUNT 1?O I D PURr OEI oF, r',F+YMF=N'r AMOUNT PAIL
MEf:WAN i L. fi U:� 00 M I SCF.I-LANEUUS NOISE READ 2:0. 00
S'[. PUILD Pr [i 1. 25)
WR (-IINDITHINER
-fOl At l')MOUNT PF1I I1 - - 46. 215
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