10455 SW 90TH AVENUE-1 i
1
4
i0955 S.W. 90th Avenue
ItISPECTXON NOTICE
City of Tigard Building Depaurtmemt '
132.23 SN Ball Blvd. Tigan!, Ora&lon 97223
Inspection Line (Rec -Phare): 639-4175 Business Phone: 639-4171
t nepect ion s --t
Footing Plbg. Unde:relab Mech. Rough-in Appr/Sdwlk
round. Plbg. Top Out Cas 1;.nei FINAL:
Peet/Beam Struct.. San. Sewer Framing -Bldg.
Poet/[team Mech. Rain Drain Insulation -Plumb.
Pl.bg. Underfloor. water Line Gyp. Bd. -Mech.
Date Re:4ueeted: ______Time- -AM`�
Permit
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
nate:[
-L`APPROVED DISAPPRaVF': ,- _-_ APPRovrn SURJEOT 'O ABOVE
Call For Reinep.
u
CITYOFTIVAwRD MECHANICAL
CltTl(r7FTWARD PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT ortceaw ='4 RM IT #. . . . . . . . MEC91-0171
13126 SW NNI Blvd. P.O.Boot 23397,TOW,Oregon 97223(603)6W4176
.•iJ 1F ADDRES . . . : 10455 SW 90TH AV PARCEL: 1S135AP-03202
SUBD I V I S I ON. . . : ASHBROOK FARM ZONING: R-4.
15
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 10
CLASS OF WORK. . :NEW FLOOR FURN. . . . . EVAP COOLERS:
TYPE OF USE. . . . ,SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . : R.:, VENTS W/O APDL: VENT SYSTEMS:
S'T`ORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . s
FUEL TYF�'ES-------------- 0-3 HP. . . . : DOMES. I NC I N:
: /WOO/D / / —15 HP. . . . : COMML_. INCIN:
MAX INPUT: BTU 15-30 HP. . . . REPAIR UNITS:
F IRE DAMPERS"'. . '30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50•+ HP. . . . CLO DRYERS. . :
NO. OF UNITS—._------•--- AIF( HANDL...I NG UN IT G OTHER UN T T'S. : 1
FURN ( .,110K BTU: i 10000 cfin : GAS OUTLETS. :
FURN ) =11.00K STU: ) 10000 cfm :
Remar-ks : INSTALLING PELLETT STOVE
Owner. -- --- ------------_------------------- __.__—_-______..-- _-- FEES
JOD'.' CAMPBELL tyre amokAnt by dat e rpcpt
10455 SW 90TH AVE PRMT $ 00 RT 09/16/91 '
5PCT $ 1. 25 RT 09/16/91
TIGARD OR ) rc
t'I-1 t,n e #.- 1/6-,z —
Cont r^act or : ---_--.____------------------------
PEl_.LE T STOVES WEST
AMLY:RCIAN HOME P I RES LTD
6960 SW BEAVERTON HILL.SDALE I-IWY
PORTLAND OR 97225 —_------------------_..------------------
I='h o n e #: 000--000-0000 $ 26. 25 TOTAL
Rey #. . .- 46433
REOUIRED INSPECTIONS
This pereit is issued subject to the regulations contained in the F-inal Inspec-tion
Tigard Municipal Code, State of Ore, Specialty Codes and all other
applicable laws. All work will be sone in accordance ,+th
approved plans. This persit will expire if work is not started
within 180 days of issuance, or if work is suspended for sore
tnrn 180 days.
Permittee Signatr.tr^a :
a 1:t B y :
Call for- inspection - 639-4175
CITY OF TIGARD RECEIPT OFr."AYME-E:NI' RECEIPT NO.
CIAECK AMOUNT n 26. 271
NAME CAMPBELL, JFr.,r:* CASH AMOUN'r n 0. 00
ADDRESS t 10455 SW 90TH PAYMENT DATE n 04/16/99
SUBDIVISION
TIGARD, OR ')72-23—
PURPOI;E (IF PAYMENT AMOUN—f PAID PURPOSE OF PAYMENT AMOUNT PA I D
25, 00 ST. BUILD PER 50
PELLETT STOOF PF�RWcT
TOTAL AMOUNT PAID