12240 SW MAIN STREET N
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INSPECTION NOTICE
City of Tigard Building Department
P.O. Box 23397
Tigard, Oregon 97223
Phone 639-4-5
Type of Inspection ------ -
Date Requested_ _ /�—L/ '1,,-/]�— Time _ A.M._ c__7P..yM).Cf
Address _!`Z- 2-T ! [ � �—%"�----- Permit #s:�L.co _
Owv,�r _ -- ---- -- Lot
Builder
The following Building Code deficiencies are required to be corrected:
Presented to _ _ -_— X_Approved
Inspector r �_ 1 Disapproved
Date -
CALL FOR REINSPECTION
C7 YI_! L NO
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%A l T Vol' I l wA Kv ." ' (37
/� PERM l T NO. ME871K143
:
crry
COMMUNITY DEVELOPMENT DEPARTMENT
17125 S.W.Hall Blvd.,P.O.Box MIR,Tigard,Oregon 9727!,(507)6N 4175 DATE ISSUED; 11/ 4/a7
---- —_�� --- — _ PRIM_F'r'J1 -NO-._ A7ciC1471
.'OE ADDRESS: 12240S6, MAIN ST.
TAX MAP/LOT SUB: LT: Bk':
LAND USE:
LOT SIZE:
ITEM: N0: NO:
WORk CLASS. ALTERAI1 '-!N FURNACE '1Cl(k AIR HANDLR Ito
USE TYPE: COMMERCIAL FURNACE 100k;+ AIR HANDLR 11-) '
CONST. TYPE: VN FLOOR FURNACE F_VAF'. CO0LEF
OCC'UP. GRP'. : P^_ HEATER VENT FAN
VENT VENT . SYSTEM
BLR/COMP <*'3HF' HOOD
NO. STORIES: 1 BLR/COME' '-15HP iNCINERATOR(DCIM
DWELL.. UN ITS: 9LR/COMt" 15--=('0F I NC i NERA-f OR (COM
FUEL TYPE (_SAS DLR/COMF' 30-50HF' 1=;EF'A 1 F' UNITS
MAX . INPUT PLR/COMEStj+HF' OTHER
F IRE gMF'RS 7GAS r"Tf- I NG OUTLETS
HIGH PRESS''
--LPW f-'RFC;s17' YES - -- — - - - --- -
REMARKS-
2 new heaters byseparate permit
this work- for gas 1 ines only
�> FEES:
W s1 , vinceni- rip Patll lessFP PERMIT $1Q. 00
E FLAN REVIEW
ca FIXTURES *2. 00
STATE TAk $. 6(-)
-- ------ OTHER
C
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N MYERS TAME S TF'
pI MYERS OND SONS PL9G.
nJpctBOX 12146
T
C Portland or 37212
O PHONE (507) 282-7255
pl REGISTRATION NO. 407*89 TOTAL: $1T. 6i I
This permit is issued subject to the regulations contained in Title 14 RECEIPT NO. 6E?:'4
of the TIVIC. State of Oregon Specialty Codes. :oning regulations
and all other applicable codes and ordinances, and it is hereby REQUIRED I NSPEC f I ONS
,igreed that the work will be done in accordance with the plans and GAS L.,NE
specifications and in compliance with all applicable codes and
ordinance% The issuance of this permit does not waive restrict POST °, if-AI1
ve OUGN- I N
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and F I NAI_.
void if work is not started within 180 days.or d work is suspended or
,bnndaned for a period of 1H0 days any time after work has
commenced It shall tir, the responsibility of the permittee to assure
all required inspections are requested and approved
Permittee Signature
Issued By
711 I r i Ir. i NSf'-'ECT I CSN h'� .I
SEPARATIE PERMITS REQUIRED FOR WORK OTHER THAN DESCnIRED ABOVE
at qW W s aie w sa
�,►� i i yr i ivAo acv
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 11/ 4/87
13125 S.W.HMI Blvd.,P.O.Box 23397,Tigard,Oregon 97223,(503)6394175 P RI M. F'M T. NO. 870C14
JOB ADDRESS: 12240SW MAIN ST
't'AX MAP/LOT SUB: L1-: OK:
LANAI USE:
LOT SIZE:
ITEM: NO: NO:
WORF' CLASS: AL TERAI.1 ON FURNACE <100K AIR HANDLR i ra
USE TYPE: COMMERCIAL FURNACE 100K.+ 1 AIR HANDLR 10k.
CONST. rYPF: VN FLOOR FURNACE EVAP. COOLER
OCC'UP. GRE'. : 82 HEATER 1 VEN'f FAN
VENT VENT. SYSTEM
BLR/COMP <:._HP HOLD
NO. SIORIES: 1 BLR/COMF' '-1511F' iNC.NEROTOF; (DOM
DWELL.UNITS: DLR/COME' 15-30HP INr:NERATOR (COM
FUEL T`/FE GAS DLF'/COME' 3(:)-5()HP REPA IF-., UN I TS
MAX . [NF'U'T DLR/COMP 5i)+HF' OTHER
FIRE DMF'RS'` GAS PIPING OUrLETc
HIGH PRESS'
LOW PRESS-' YES
RE MAPF:S:
gas l i nes on pet-mit 070f.t47
this work for Appliances only
FEES:
lo st. vinr._ent de Paul , le=see PERMIT
N PLAN REVIEW
N
R FIXTURES $1'. CO
STATE TAX
OTHER
C Q U I NN FRANF
0
N SHEPLER REFRIGERATION
T
H Po FOX 1.2146
A port1and or 9721'.'
C PHONE (501') 282-7255
T
0
REGISTRATION N(l, shep l er TOTAL: $24. 68
ra
- -- - RE('[_ IPT NO.
This permit is Issued subject to the regulations contained in Tale 14 - - ---- - -- - - -
of the TMC. Slate of Oregon Specialty Codes,zoning regulations REQUIRED INSPECTIONS
and all other applicable codes and ordinances, and it Is hereby GAS LINE
agreed that the work will be done In accordance with the plans and
specifications and in compliance wPOST with all applicable codes and & BEAM
ordinances The issuance of this permit does not waive restrictive ROUGH-I N
covenants Contractor and subcontractors shall have current c'ry FINAL
husiness tax permits This permit will expire and become null and
void If work is riot started within 180 days,or if work ON suspended or
a,aandoned for a period of 180 clays any lime ,atter work has
commenced It shall he the rrsponsibihty of the pennittor to assure
all required insp, „ins a luested and approved
P mitteeS natures
LJ
I
Issued By
. __ . . �FFF-T=T-I-IN f-.•:Q-4 1
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE