16555 SW QUEEN MARY AVENUE ADDRESS:
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INSPECTION NOTICE
City of Tigard Building Department:
13125 SW Hall Blvd. Tigard, Oregon 9722
Inspection Line (Ric-O-P ne)s 639-4175 Busineas Ph 9-4171
Inspection:
Footing P1bg. 17nderelab M,-:h. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bl.dg.
Poct/Beam Mach. Rain Drain Innul.ation -Plumb.
Plbg. Underfloor Water Line Gyp.Gyp. Bd. - ech. �
Dare Requeated: ` !` ,6 Times AM ) �P,MM
1 ee 1 /I ?e it r s 2 +U'�..7 /
THE POLLOWINU CORRECTIONS REQUIRED:
InspecI.PPROVRD
Date:
DISAPPROVED APPROVED SUBJECT TO ABOVE
-call For Reinsp.
sssd
IIECHAN I CAL
PERMIT ✓
CITYFD PERMIT #. . . . . . . i MEC92-0219
Tit" it!)
CrMP.OF TWARD DATE ISSUED: 09/08/92
4
COMMUNITY DEVELOPMENT DEPAATMIEW ONGON
13126 SW HWI Wvd. P.O.Sox 21197,NOW,CLOW 97223(603)63"175
SIJE Jt-555 SW G-11JELIJ HARP AV PARCEL.- 2S115BE1--W.j3400
SUBD I V 15 1 ON. . . . . Z 0 1\1 I 1\1(i:
BLOCK. . . . . . . . . . a 1-0 1*. . . . . . . . . . .. . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . Et,,qP COOLERS:
TYPE OF USE. . . . #SF UNIT HEATERS. . , VENT FANS— i
OCCUPANCY GRP. . :RS VENTS W/O APPL: V.17NT SYS1 EMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOW),=. . . . . . . .
FUEL TYPES-------------- 0-3 HP. . . . : DOMES. INCIN:
: /GAS/ 3-15 HP. . . . : CO1vllvlL. INCIN.
MAX I NPUT BTU 15--30 HP. . . . : REPPIR UNITS.
FIRE DAMPERS?- - 30-50 HP. . . . .* WOOW-"jTOVES. . -.
GAS PRESSURE. . . : 504. HP. . . . i CLO DRYERS— :
NO. OF' UNITS____ _-------.-__ f-ilR HANDLING UNITS OTHER 11NITS. :
F'URN ( 100K B1'U: 1 10000 cfm- GAS OUTLETS. :
TURN BW: i 10000 cfffl:
Remarks: REPLACE GAS FURNACF:
Owner: -------------- FEES
C. A. LIVINGSTON -type amoiint by date r^ecpt
16555 SW QUEEN MVIRY AV[._ PRMT $ 25. 00 JH 09/OE/92 —
RCT $ 1. 25 JH 09/02/92 —
K I NG
KING CITY OR 972,24
Phone #:
Contractor-1
GOLUMBIA HEATING
8900 SW BURNHAM
SPACE C-110
TIGARD OR 97223
Plione #. 624-2704 $ 26. 25 TOTAL
Req #. , - 76359
------- RE OU I RED 'INSPECTIONS
This permit is issued subject to the regulations contained in the Final ln,,pectian
Tigard Municipal Code, State of Ore. Specialty Lodes and all other
applicable laws. All work will be done in ;r.,cordance with
approved plans. This permit will expire if work is not started
within 180 days of issuance, at, if work is suspended for ;are
than 180 days.
Ppv,mittee
lssl.(ed By:
Call for, inspection 639—.4175
SEP-•01-'92 TUE 09:06 ID:CITY"6F- KING CITY FAX NO:503 639-3771 31267 P05
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CITY OF TIGORD RE"CEIF''`I OF PCM NT RF-TT i r N(:1, a )A:' -,'' ;1.4fA9
cHr_cv AMOLINT 1-1.6. P-5
NAME s C:('ll._I..1h1F'1 A I-WAT'T ING & COOL. CAIW AMOUNT a 0. lbo
AD1)RFE; x 8900 SW BURNHAM E��'rREE:'T F'AYMr.N'T DAT Ny/09. /9�:
T I GARD, OP 133UBD I V 13 ION �
PURPOSEOF." PAYMENT AMCIUN r PAID i'URF'ME OF P AYME-NT (IMOU INT r'E'1 1 D
MEcC;hIFINIf_AL. F'E IhE"C,Ci�:--Qlr'125. 00 F"". BUILD t='f.R 1. :;i
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