16170 SW ROYALTY PARKWAY t
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INSPECTION N07ICE
'
City of Tigard Huildiag Departsent
13125 STI Hall Blvd. Tigard, Oregon '97223
Inspection Line (Rec-O-P a): 639-4175 Business Phone 6 9-4171
Inspecti.on:__��__r_
Footing Plbq. Vnderslab Much. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Framing -Rldq.
Post/Beam Mech. Rain Drain Insulati.on -Plumb. ^'
Plbq. Underfloor water Line Gyp. Bd. -Mech. 1
/ 1
Date Requestedt / G Z _Time= AM '� PM
Address: ermit 1: �.��� ti7—4���
Builder: c
THE FOLLOWING RRZ TTONS ARE REQUIRED: '>
Inspe torr �� ,� Dates_l_ -
AIPROVetO DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
CITY OF TI A
RD
Cff
TO—FTWARD MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT (CA 011160" FERMI T'
13125 SW HWI BWd. P.O.Box 23397,TORM,Oregon 97223(603)63"175 PERMIT #. . . . . . . : MEC92-0307
639-4171 DATE ISSUED: 11/17/92
SITE ADDRESS. . . : 1617-0 SW ROYALTY PARCEL: aSI10CL-01700
SUBDIVISION. . . . : ZONING.
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . .
LASS OF WORK. . :ALI FLOOR FURN. . . . - EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. ,. : VENT FANS— :
OCCUPANCY GRV'. . :R3 VENTS W/O APPL; I VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL 0-3 Hf-',. . . . : DOMES. 114Cll,4-
-/GAS/ 3-15 HP. . . . COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . REPAIR UMTS:
FIRE DAMPERS?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE— : 50+ HP. . . . : CLO DRYERS. . :
NO. OF AIR HANDLING UN I IS OTHER UNITS. - I
FURN ( 100K BTU: I (= 10000 efin : GAS OUTLETS.
TURN ) =100K BTU: ) 10000 (:fm :
Remai-t(s : REPLACE GAS FURNOCE (-)ND VENI'. WATER 14EATER
Owner- : FEES ---------------
BOLDERSCON type anioLint by date reept
16170 SW ROYALTY PORKMA'Y' PRMT $ 25- 00 JH It/17/9r-2
5p,CT 1, A. 25 JH 11/17/92
KING CITY OR 97224
Phone #:
Contr-actor: -----_------------------------._—
GA a HEWING & APPLIANCE CO.
3325 BE DIVISION
PORTLAND OR 97202-0000 ------------.-----------_--_---_._-----.
Phone #: 235-3321 $ 26. 25 TOTAL
Reg #. . : 32508
REWIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipai Code, State of (h'e. 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 180 days of issuance, or if work is suspended for, more
than 180 days.
Per-mittee Signatures
I s s 1-i e d B y
T- l
Lalfor inspection 639-4175
i'
t'I '`f CIF` T t CARD - RFCE I PT OF r"AYMF=NT F.E:CE t F,T NO. :92-233769
3769
CHECK AMOUNT 0. 00
NAMFV: i W-3 HEAT 11'G K APPL I ANC__E* CA€-)N AMOUNT J.6.
ADDRESS m PAYMENT DATE I 1 17/9+P
OUBDIVUSION a
VN]RPOSFE OF PAYMENT AMOUNT PAID PURPOSE or' PAYMENT AMOUNT AAIB
M17-C:HANICAL PE :'35. 00 ST, 81.111.15 PER 1. 25
f
DOLDERSCON
107.70 SW fdOYnL.TY PKWY
TOTAL AMOUNT PAID