10910 SW FAIRHAVEN STREET 10910 SW FAIRHAVEN STREET `
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INSPECTION NOTICE
City c; Tigard Building Department
F.O. Box 23397
Tigard, Oregon 97223
Phone: 639-4175
Type of Inspection
Date. Requested 1I — Tlme
L
Address _ Permit # �
Owner Lot #
Builder
The following Building Code deficiencies are required to be corrected:
Presented to ❑ Approved
Inspector, owl ❑ Disapproved
Date _
CALL FAR REINSPECTION
f_l YES 0 NO
MEKCHANICAL.
PERMIT NO. : MLE891.9t2l.
CITY OF T���RD CITYOFWARD
COMMUNITY DEVELOPMENT DEPARTMENTDATE: 1-155I.W.1): 9 1.3 019
OOF W«
13125 S.W.Hall Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175
JOB ADDRESS : 10910 %W FAIPHAI `:'N ST
TAX MAP/LOT IU: LT RK :
LAND USE:
LOT S 1:ZE:
ITE:M: NO: NO:
W('.)PK CLASS: ALTERATION FURNACE <100K 1. A:l'P HANVA-P CIL 0
USE TYPH: SINGLF: FAMILY FURNACE 100K+ AIP HANI)LP 10K
CONST .TYPE: FLOOR FUPNACE: E;'VAP .C,001-1-'14
OCCUP. ipp. VENT FAN
VENT VENT .SYSTEM
BLAWCOMP (31410' HUOD
NO . STORIES : BI-R/(:'.UMP 3-4511-11P INCINEPATOP111010101
DWELL .UNITS : 19ILP/COMIL, 15-30HP INCINEIRATOP(COM
1:LIEL TYPE:* DLP/COMP 30-OOHP PEEPAIR UNITS
MAX . I:NP(J*r 131-P/COMP 50+HP OTHER I
F:''1'.r4E E)MPPS'? GAS PIPING OUTLETS .1
HIGH PlIF-Ss'?
Ar-:MAPK5
:1.11'.4 t liti.l. 1.1-1(.1 u4:11H
FEES :
W k 13.may PERMIA, $10 . 00
N 10910 i-aw f,Airtitttviewi,ii at PLAN REVIEW
F
R tJ-Ufikl.'(i ar- 97P23 FIXTURES P
I:-'HONF- (307) 620 3503 STATE TAX
OTHE:A
C
0 HOLSCHE:P M11",HAEL
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T U)ILUMBIA HEATING
H el'308siw (PO-1.1.4
A
C ti.taillitJ-1-1 ur 9706P
0 T Pl-4ONr--. (.1503) 69-R-4320
R PEll.'41STRAIJON NO. 380L-6 10*11 AL: $c'.:3 6'3
.
This permit is issued subject to the regulations contained in Title 14 -----------------PECEIP.T----NO.—
of the TMC, State of Oregon Specialty Codes.zoning regulations
and all other applicable codes and ordinances, and It Is hereby AFF:QUIRED T.NSPEcTIONS
agreed that the work will be done in accordance with the plans and 11.1AS LINE
specifications and In compliance with all applicable codes and & HI: AM
ordinances The issuance of this permit does not waive restrictive P(.')L)Lv*H--:[N
covenants Contractor and subcontractors shall have current city F IN AL
business tax permits. This permit will expire and become null a id
void if work is not started within 180 days.or if work is suspendp i or
nhancloned for a pdrlod of IRO days any time after worl has
commenced It shall be the responsibility of the permittee to assure
all required inspections are requested and approved.
Permi Ise Signature
Issued By URL.A. V UN I Wi PEI-;1 .1.LIN
U/1"SEPARATE PERMITS REQUIRED FOR WORK OTHEn THAN DESCRIBED ABOVE