14807 SW 109TH AVENUE 1
ADDRESS:
149D7 ' SW IP? TtfAV&juE
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66MHCHANICAL PERMITaaAASaAAAa5AAs5AaAA3AA3A.AaAAAAt�AA55AAAAAAdAAAAAAAAAAAaAfiAA�it
:MEC92-0330: PROJECT:CANTERDURY WOODS STATUS:F : UPD:01/29/93: :MRS: °
PERMITTEE:VAL S LAVA PRIM. . :MEC92-0330: °
SITE ADDRESS:1.4807 SW 109TH AVE °
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CASE HISTORY
--All Actions------------- ------ Req/Sent Schd/Due Rid/Done By Stat M °
A007 Application received
A010 Plan check by / / 3.2/'10/92 °
A060 (F) Issue permit 12/10/92 RT PASS °
A799 Final Inspection 12/21/92 MS FAIL °
A000 Case Final.ed 01/(35/93 MS PASS °
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, aAaA�aAAaaAAfifib�baAaSAA€�a�iAaA5�Aa5aaAAAAAAAAA�AAaAAA�a4aa5A�AAagaaAr55fifi£aaaaAai
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J OAMECHANICAL PERMITAAAAAuAE.�.§A A�tA3AAAAAAAAAAAAAAaAAAAAAAAAAAAAAAAAAAAAAAAAAAAAG
:14EC92-0330: PROJECT:CANTERBURY W()ODS STATUS:F : UPD:01/29/93: :MRS:
° PERMITTEE:VAL S LAVA PRIM. . :MEC92-0330:
° SITE ADDRESS:14807 SW 109TH AVE "
SAaAAAAAAAAAAAAAAAAAAAAfiAAAAAAAAAabAAaAAAfiA3AAAAAAAAAAaAAAAAAAAAAAA�AAAAAAAAfia�
° CASE HISTORY °
--.All Actions------------------------ Req/Sent Schd/Due End/Done By Stat M °
A007 Application received / /
INSPECTION NOTICE
City of Ti.gard Building Department
13125 SW Ball Blvd. Tigard, Oregon 97223
inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection: --
Footing Plbg. Underslab Mac Rough-in Appr/Sdwlk
Found. Plbg. Top Ovt Gas Line FINAL:
Poet/Beam S'.ruct. San. Sewer Framing -Bldg.
most/Bean Mech. Rain Drain Insulation -plumb.
Pll>g. Underfloor Water Line Gyp. Bd. -Mech.
Date Requested: ( _ _ Times AM —PM
Address: _ Permit
Bullder: _ -
TiiE FOLLOWING CORRECTIONS AnE RBQ7UIRBDs
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LL 11
02
Iner,ector� ;;.7 . 1221 Date /2
APPROVED DIBAPPAOVED "PROVED 808.TECT TO ABOVE
Call For lleinep.
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689 . 95 +
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CITY OF T I GARD - PFCF:I F'"I OF PAYMENT RELF,I yr NO. a 92- 5
CHECK AMOUNT c'.5
NAME LAVA, VAI- S CASH AMOUNT a 0. 011:
A1)1:.FFsS, a 1,4807 SW 10')TH PAYMENT I?ATE:: a IF` 10r92
91jilDIVI13ION
' PUR1:�05E:' OF Vlf-WME.NT AMU INT P0411) PURPOSE:. (?F' PAYMENT Amour,I PAID
CL
N MECHANICAL PF Q10 ,T. BUILD FUER 1. 05
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MEC 92-03,30
148Ql7 SW IG►I)TH Wl:l(=)i)STOVE
TOTAL AMOUNT PAID .. - .- -? 26. k 5
MFCHANICAL
CITYOF TIGARD PERMIT #. PERM I T
CITYOF TWUD) . . . . . .
COWmUNrTY DEVELOPMENT DEPARTMENT OMON
13125 SW Hall Blvd. P.O.9m 23397,TigaM,Onigon DATE ISSUED: 12/10/92
SITE ADDRESS. 14507 SW 109TH AVE PARCEL. 251iOAD—Vi90001
SUBDIVISION. . . . : BRAMBLE BEND Z014INU: H-12
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . :2'
CLASS OF WORK. . :NEW FLOOR FURN. . . . : EVAP COOLERS:
TY'K='E OF USE. . . . SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRP. . R3 VENT'S W/O APPL-. VENT SYSTEMS:
STORIES. . . . . . . . :0 BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES-------------- 0-3 HP. . . . DOMES. INCIN:
: /WOO/D 3-15 COMIAL. INCIN.-
MAX INPUT BTU 15-30 HF'. . . . : REPAIR UNITS:
FIRE DAMPERS?. 30-50 HP. . . . WOOD5TOVES. . : 1
GAS PRESSURE. . . 50+ V;P. . — : CLO DRYERS. . :
1\10. OF AIR HANDLING UN I TS OTHER UNITS. :
FURN ( 1003!, BTU: 10001-1 cfm: SAS OUTLETS.
FURN ) =11210K BJU: > 1011,410 —fni :
Remarl(s : wood stove
Owner. --------------------------------------------------------- `--EES
VAL LAVA type alnol-Int by date r e c f.)
1,4507 SW 109TH AVE 5PICT $ 1. 25 RT 12/10/92
PRMT $ 25. 00 RT 12/10/92
TIGARD OR 97224
Phone #!
Contractor: ------_____---_—__---__--_—___—_
CONTRALTOR NOT* ON FILE
Phone fo i?6. ;:.,5 TC1AL
Reg
REUUIRED INSPECrIONS
This permit is issued subject to the regulations contained in the Final Inspection
Tigard Municipal Code, State of Ore. Specialty Codes and 311 other
applicable laws. All work will he done in accordance with
approved plans. This cersit will expire if work is not started
within 180 days of issuance, or if work is suspended for more
than 180 days.
lssl-!ed By :
CEII for inspection 639-4175
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