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6909 SW P?NE STREET
�I.ISP$CTI9N NOTICP
City of Tigard Building Department
1.3125 Sm Hal) Blvd. Tigard, Oregon 97223
Inspection Line (Rer.--O-Pho-ie). 639-41755 Busineon Phone: 63'. 4171
Inspection:
P(. )ting Plbg. Undersla.b Mech. Rough-in Appr/Sdwll.
Pound. Plbg. Top Out Gres 'Line FINAL:
Poot!Senm Struct. San. Sewer Fcnning -Bldg.
Pont/near: Mech. Rain Drain Inoulation -Plumb.
P1bg. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: �2- 5 ���� _i Time: VAM _—-----_PM
�'� ��VAC ` t i
Address: Permit. 1:
Builders (,tl,
T9! f'OLLMINn CORRECTIONS ARE REQUIRED:
Inspector: Date: Z1v " p 7i
APPROVED �— 01JAPP APPROVED SUBJECT To ABOVE
`" Call For Rel.nnp.
11SP?CTION NOTICE
City of Tigard Ruil.ding Dcpart.e3nt
13125 SA Hall Blvd. Tiqard, Oregon 97223
Inspection Line (Rec--o-Phone): 634-4]75 Business( Phone: 639-4171
Inspection'--- --
Footing Plbg. Underelab Meoh. Rough-in Appr/Sdwlk
Found. Plbq. Top out Gas Line FINAL-
Post/Seam Struct. San. Sewer Praminq -Bldg.
Pest/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line GYP. ad. -yech.
Date Requ//ested: _Ti..
{7�" TiAM _PM
Address•Cc';"�. �L{?_/ ermit 1��l' ✓?
Builder: ��
THE VOLLO11INO CORRECTIONS ARR REQUIRED:
� /✓t-A�'�..i-.•- r"QED-'�-."'i-Q-�1L�"`�Td��s�C��'ySdt�'i'
e
Inepactor:� —_--� —_ -- './�. �
APPROVED ` DISAPPROVED _ APPROVED SURJRCT TO Ae()VR
Call For Reins:p.
-:0
MECHANICAL
PERMIT
C17Y OF TIFARD Crly'XTNARD� PERMIT #. . . . . . . : MEE92-0331
COMMUNITY DEVELOPMENT DEPARTMEWT 011100N DATE ISSUED: 12/ 10/92
13125 SW HWj Mid. R0.Rax=97,T4;wd.Cftgw 97M(U*) 75
SUBDIVISION— . - VILLA RIDGE ZONINU: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . s6
—----------------------------------------------------------------------------------------------
CLASS OF WORK. . iNEW FLOOR FURN. . . . i EVAP COOLERSs
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY ORP. . iP3 VENTS W/O APPL: VENT FiYSTEMS:
STORIES. . . . . . . . tO BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES-------------- 0-3 HP— . : DOMES. INCINP
: /GAS/ 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS% . : 30-50 HP. . . . s WOOL)STOVES. . ,.
GAS PRE-SSURE. . . : 50+ HP. . . . : CLO DRYERS— z
NO. OF AIR HANDLING UNITS OTHER UNITS. s
FURN ( 100K BTUs 10000 cfm: GAS OUTLETS. ol
ImIJRN ) =100K BTU: > 10000 cfm*.
Remarks: install new F,.-.rnance
Owner:
FRANK CARDWELL type ansoi.int by date r-e�'pt
19,555 SW 69TH AVE PRIYIT $ 25. 00 RT 12110/9a .
5PL 1 $ 1. 25 RT 12110192 .
TIGARD OR 97223
F'hone #:
Contractor:
PORTLAND METRO—AIRE
10010 SW BEAVERTON 1AJLL5DALF- HWY
BEAVERTON OR 97005
Phone #s 626-7818 $ 26. 25 TOTAL
Reg #. . : 61219
REQUIRED INSPECTIONS
This permit is issued sub,iert to the regulations contained in the Final Inspection
Tigard Municipal Code., State of Ore. Specialty Codes and oil other
a,,plicable lasts. All work will he done in accordance with
approved plans. This permit will expire if work is not started
within 180 days cf issuance, or if worf is suspended for more
than 180 days.
Permittee Signati.1re : '� -- _-- _ ______��.---.__ _ _.�_.
Irai_led By:
Call for inspection 639-4175
CITY 01= TIGjARD -- RECEIP-1 V lAYMFNT RECEIPT NO.. a 92-23456t,
CHECM AMOUNT s '6.
N A PIE f) 'Ri'1-AND (0EJR0--0lRf-- CA95H AMOUNT 0. 03
ADUPES)E, 1Q1010 SW DEOVF.RTON HILLSDALF PAYMENT mrva" it,/to/9e
8frAVERTON OR 97'j05-.l.-- SUBD I V 19 1 ON
PURPOSE OF PAYPIFNT AMOUNT par-D PURPOSE OF PAYMENT AMOUNT POID
Al......
rVF ST. BUILD PER
ME CHAN Cnk- PRRPllT MU, '3l'-2-0331
A909 614 PINE RT
TOTOt AMd'UNT r-n i ol
eoI 17000326
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8 .019 310 8"
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D81 ce /2D0 /000
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2200 /400 /90/
' 161' 14
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R D71
Q 7 /Yoo //0o 900
— 2001 _
Z 301
DT ;
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23[70 _ 2/00 2000 T?00 0 4 /ti00 600
2b 00 2.700 -
319, IS X400
D7 '
2f/00 31'00 `r' /700 103 T
D 91
b2s�/ 25,0010 T103 j
260/
TODD D 12' /600
2800 2900 /?OL' /800
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miss ���
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Or a Depth House 1 Property ;
,• �;, Line
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Vater Test tom! Allowable* 1•
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�': Service Acce,ited Service Rejected__—
psI Resarkst
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Inspector
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later Test lj-/ ' Measured
Service Accepted �,� &erfiee Rejected�,_�,
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