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INSPECTION NOTICE
City of Tigard Building Department
13125 Sw Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone)z 639-4175 Business Phone: 639-4171
Inapectionz —�-� -----— —
Footing Plbg. Underelab Mecn. Rough-in Appr/Sdwlk
Found. Plbg. Top Out C,na Line J FINAL:
Poet/Beam ;:tract. Sai. Sewer Framing --Bldg.
Post/Beam Nd.-h. Rain Drain Insulation -Plumb.
rlbg. underfloor water Line Gyp. Bd. -Mecf�
Date Rw;uested: Time:
AM _PH
Addrenn: Permit #:Q2,
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Builderz -.?�C - GLC
THE FOLLOWING CORRELMONS ARE REQUIRED:
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03 '
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Inspector$_ _ — Date: 2—
APPROVED
APPROVED DISAPPROV:D APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITY OF TICARD — RECEIPT OF PAYMENT RECFIFi NO. :92-233408
CHECK, AMOUNT s 26.25
NAME : PORTLAND METRO—AIRE CASH AMOUNT : 0.00
ADDRESS t PAYMENT DATE s 11/04/92
SUBDIVISION s
CURPOSt7 OF PAYMENT AMOUNT PAID P'URP'OSE OF PAYMENT AMOUNT PAID
N MECHANICAL PE� 25.00 ST. BUILD PEF 1.25
LL1
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1: 120 SW 106TH AVE
GUNDERSON
TOTAL AMOUNT PAID
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C17YOFTIGARD ( 'O F�AR D MECHANICAL
COMMUN TY DEVELOPMENT DEPARTMENT PERMIT
1312E SW HWI Blvd. P.O.Box 2:1397,Tk ud,Oregon 072-`3(603)639-4175
PERMI"f #. . . . . . . : 1+1EG42--@::-:'89
639-4171 DATE ISSUED: 11/04/92
SITE ADDRESS. . . : 111:.0 SW 106TH AVE PARCELi 1S134DA-00500
SUBDIVISION. . . . ' NORTHERN EINE ZONING: R-4. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . : 11
CLASS OF WORK. . :AL•1' FLOOR FURN. . . . '. EVAP COOLERS
TYPE OF USE. . . . :SF UIV I T I iEA;EPS. . : VENT FANS. . . :
OCCUPANCY GRP. . :Ra VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL_ TYF ES--- -___ _._ __._ 0-3 HP. . . . : DOMES. I NL I N:
: /GAS/ / / 3-15 Hf'). . . . : COMML,. I NC I N:
MAX INPUT: BTU 15-30 HF'. . . . : REPA T R UNITS:
FIRE DAMPERS?. , : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . 50-+- HP. . . . : CLO DRYERS. . :
NO. OF U41TS------- - AIR HANDLING UNITS OTHER UNITS.
TURN < 1 Wi< STU: 1 <= 10000 cfm: GAS OUTI_ETS. : 1
FURN > =100K BTU: a 10000 cfm:
Re narks : ELECTRIC TO GAS C014VERSION
Owner: ___._-.---------.._____._______.__._._----._._._-__-.-- --•-----_ _____.______ FEES ------- - - -
JOHN GUNDERSON type amol-int by date rer2pt
11120 5W 106TH PRMT $ 25. 00 JH 11/04/92' -
5F-ICT $ 1. 25 JH 11/04/9L
-
T IGARD OR ' t223
23
Phone #:
L:ontr-actor:
PORTLAND hIET ,0-AIRF
10010 SW BEAVERTON HILLSDALE HWY
BEtiVERTON OR 97005 -------•-----••----•--•---------_________-___
Phone #: 626- 7818 $ 26. 25 TOTAL
Rey #. . : 61219
REUU I RED INSPECTIONS
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This pe.,mit is issued subject to the regulations ccnt?:pred in the Final T n s p e c t i o n
Tigard Municipal Code, State of (h•e. Specialty Codes Ind all other - —
applicable laws. All work will be done in accordance Frith
approved plans. This permit will expire if wor4 is Put started
within 188 days of issuance, or if work is suspender Jnr more v__
than 188 days.
Per-mittee iynat•_ire : J 1 / �� � _- _.._�__v -•----_ __ __ _ ....-
I s s i_i e d By
Call for inspection - 639-4175
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