16820 SW QUEEN ANNE AVENUE-1 1
ADDRESS:
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INSPECTION NOTICE
City of Tigard Building Department
13125 sw Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)t 639-4175 Business Phone: 629-4171
Inspection:_ -----
Footing Plbg. Underelab Mectt. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gar Line FINAL.:
Post/Beam Struct. San. Sewer F1'aminq -Blig.
poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Mech.
4.Sv r t
Date Requested: T 1 w, A __Timet AM PM
Address:'%�-�� =�<<l Fn/ w^�Permit it _.
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED.-
Inspector:
EQUIRED:Inspector: Datet
c`I APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
�S� Call For Peinsp.
Cm'
C I IFY ,0 F TI FA R D
OF TRD J
COMMUNITY DEVELOPMENT DEPARTMENT 011200HWA
13 126 SW HWI Blvd. P.O.Box 23397,T19mM,Oregon 97223(503)6324176
S.1 TE ADDRESS. 16L520 ',,W GlUEEN PNNF AV P A P C F L E..,S I J r.i
1--,
SUSI)I Q I R I nkl. Z OKING:
BLOCK. . . . » . LOO.. . . . . . . . . . . . . .I
CLASS OF WORK. . ADD FLOOR FURN. . . . - EVAP, rOOLERSt
l'YPr-. OF' USE. . . . SF L11\117' HEF)TMiS. . : VE.N.1" FANG. . . :
OCCUPANCY 13RP. . -R3 VENTS WIO f-WIPL, VEN'T SYSTEMS:
STORIES. . . . . . » , : HO(IDS. . . , . . . :
FUEL 0—:3 HP. . . . i DDlylFC). INCIN:
3 15 I.P. . TWIN:
MOX I NWU I s IATU I t;—M1.1 HP. . . . I REVIAIR UN11"S.-
F I RE DWIPF RG?. . . Z3 0---5 it, HP, WCAA)STCWES. . :
GAS PRESSURE. . . : 50-1- HP. CLO DRYERS— -
NO. W7 AIR H(W)LING (JIN IT c; 0 THI--.-.R UNI : 1
FURN ( J00K BTU. (=T 10000 rfmg GAS OU rLErb-. : I
FURN ) :Tlqll?)K BrU. > 10000 c.fnrr
Rem.-%t+!-. ,-, GAS LOG AND 1_00 L-IGH'TER
owrler: FEES
Amy C;mt1+1 -typo :rmtlqillt by (-Ivte
16820 '-;VJ (AUFFN ANNE AW_ PRIAT 25. 00 J'14 08/24/9.:-
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V.I NG C,I 1Y 0 R a7 r_'i-4
Otione tl
HILT' SPU T* V I & FIC0 T 11
11429 SW CANYON RD
3F.AVFR7C.)N C)Q 97005
Flhoiir_ #- 4(rjl-.' $ .::6. .. OT'A[
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REWWREV I NE-01-L I
This pertit is issued subject to the requiltions contained in 1r)p 1- .1)).11 ri 15 pec,t i o ri
Tigard Municioal Code, Mate of Ore. Specialty Codes and all other
...........
applicable laws. All work will be done in accordance with . .......
approved plans. This perRit will expire if work is not started
within 18e days of issuance, or if wirL is susoendp,1 varr
than 188 nays.
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, ,` t I ?Y'fiFVit"]f;FaF?7 FI C:F�'1:F'l CIF" F''F'IVNIFI�t1' RF(',':I{' r ND. a92. a;ti0t:lE1`51
CHEC PF AMOUNT 11~.16. 215
NAME e I-IIJT ISPOT FI RI:F'LACI CASIA (-ttv'IOL)PIT n 0. 00
AILIDRILTI i : WOOD, DAVID PAYMFFNI' DATF. n 00,10,4/9P
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I iUS
0,1 '4/99
IJD D I V 19?I ON n
PIJIyPOI Dk: OF PAYIYItF'Il1T AlrII:JUNJ' ♦µ'GID F-URF OSP Or- PAYMCINT PMOUNT PAID
__ _��._..._._ _.__ .�_ .._._....,..... __....... _._......
..........
MECHANT.CAI. l... 4S. 1710 EJ'. NI.JII_D F'F:FZ __.__. .. 1
+2�
MECHON I CAL PF-:RM I T
1(-,SFV �aW WIFE:N ANNE= AU
TOTAL AMCJLIN I" PAID > iE,,6. 25