10980 SW MIRA COURT 10980 SW MIRA COURT
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 9722.3
Phone: 6339--4175
Type of Inspection
Date Requested.----/ � � Time A.M. P•M-
it *-92-0-2
Address Perm _�!"�
2 3
Owner._ ._----.------�--.____
Lot #
Builder _The following Building Code deficiencies arc required to be :orrected:
Presented to � � Approved
Inspector blapproved
Date
CALL FOR REINSPECTION
YES /No
PPIM.PMT.N().
MECHANICAL PERMIT
CIT1( OF TIGARIS PERMIT NO. : ME870243-
CITY011FIrIG-ARD
COMMUNITY DEVELOPMENT DEPARTMENT 04MON ZI DATE ISSUEDt 12/ 2/87
13125 S.W.Hall Blvd.,P.O.Box 23397 Tigard.Oregon 97223.(503)639-4175
JOB ADDRESS: SW MIRA C7
TAX MAP I/LOT SUP LTII RK:
LAND USE:
LOT SIZEII
I TEM i NO3
WORP'.' CLASH ALTERATION FURNACE 1000: AIR HANDLR 4".10
USE TYPE: SINGLE FAMILY FURNACE 1000+ AIR HANDLP 10K
CONST. TYPEt VN FLOOR FURNACE EVAP. ICOOLER
OCCUP. GPP, a R3 HEATER VENT FAN
VENT iv'ENT. SYSTEM
BLR/COMP l.':!HP HOOD
NO.STOP IES: BLP/COMP 3-15HP INCINERATOR(DOM
DWELL. UNITSII FILR/COMP 15-30HP INCINERATOR(COM
FUEL TYPE BL.R/COMP 30-50HP REPAIR UNITS
MAX. INPUT 8LR/COMP 50+HP OTHER
FIRE DMPPS'1' GAS PIPIP46 OUTLETS
HIGH PRE SS"'
LOW PRESS"
REMARY*'Sit
wood stave e.,:jstinq in s4r.11
FEES1
PERM11
N PLAN REiv I VW
FIXTURES
STATE TAX
OTHER
C
0
14
T
R
A
C
T
0 TOTALi $15. t
RECEIPT NO. 27151
'chis permit is Issund subject to the regulations contained in Title 14
of the TMC, State of Oregon Specialty Codes,zoning regulations
and all other applicable codes and ordinances, and It is hereby
agreed that the work will be done in accordance with the plans and
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits. This permit will r xpire and become null and
void if work is not started within 180 days,or if work Is suspended or
ahandoned for a vrr;-.3d of 180 days any time after work has
commenced It shall b,i the responsibility of the permitter,to assure
rill rnquir Inspectiot!j are requested and approved.
Permittee Signature
Issued By
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
7
City of Tigard
INSPECTION REQUEST
for
INSPECTION TIME: PERMIT NO. :22,-:-I
DATE : DATE ISSUED
OWNERS NAME
CONTRACTOR
TEST ' Air CJ, Water❑ , Visual ®'; Laboratory ❑
RESULT . Approved a , Disapproved ❑ , Pending ❑
SKETCH:
INSPECTOR DATE
LNOTE. Attach supplemental test data hereto]
f
Address 10980 S.W. Mira Ct. Permit No. 4(32
Permit charge
Owner Connection fee �
Paid by
Type of building Residence Tate connected 10-1)-'(2
Service rate 3.00 per month Inspection fee
Contractor Gene Clayton Paid by dame Tutt
Size of connection 4" Assessment Paid
j </4/GS• ((�ic�, / 4P S on
c�cl�.ld! � S l l 1JL)
±_Z i. LBUILDER VALUE ;,2 6,ovo FEE /37 s DATE
LOCATION OW14,&R
J 0 t3 # MAP # LOT
FLURTE77 PERMI T i.: �� i E ._._._
SEWER PER F E E q4 Y E C H An CAL t'P, MIT _
DATE BY DATE BY.
EXCAVATION FILL AIR CONDITIONING _
�,i �z• FOOTINGS FOUNDATION > VENTILATION _
FORMS ISPRINKLER SYSTEM
SLABS , MASONRY FLUES
REINFORCING STEEL FIRE DOORS/EXITS _
STRUCTURAL STEEL GARAGE FLOOR��� _
J, ;7/ PLUMBING R, I , - . ���' DRIVEWAY____
ROOF FLASHING g.-u SEWER
FRAME STORM DRAIN
LATH WALLBOARD PARKING
HEATING �..__... _..._ FENCE SCREEN
WATER HEATER _��� FINAL
I �
! I
11
! INSPECTION NOTICE
City of Tigard Building Departmenf
12420 S.W. Main St.
Tigard, Jregon 97223
Phon - 639-4171
Type of Inspection
zr
Date Requested _-� Time A.M. P.M.
Address Permit #_ &,L��I
Owner 1 1
P+
_.
- Ldt #E_
-�- I
Builder
The following Building Code deficiencies are required tdeTi corrected:
y -r /
- 11
I
I
Presented to _ L4 Approved
Inspector �}
--�-'L•-- ❑ Disapproved
Dote 'A'U r
CALL FOR REINSPECTION
❑ YC! ❑ NO
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