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` INSPECTION NOTICE
city of Tigard Auilding cepmrtm--nt
n 97223
13125 611 Hall Blvd. Tigard, OrOW
Inspection Line (Rec-O-Phone): 639-4175 Busineee Phone: 639-4171
Inspection: -�
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Fxt.inr� Plbg. Underelab ech. Rough-i� PP /
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A' Gds LLne FINAL:
+, Found. Plbg- Top Out
a{ -Bldg.
San. Sewer Framing
Poet/Beam Struct. -Plumb.
rc'I♦Y '� ,�f r '..#fitRain Drain Insulation Post/Beam Mech.
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pwater Line Bd.
Plbg. Underfloor
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Date Requested
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Address::
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k4pr`" r Builder:_
4 rt�1 r ;s t TI{E FOLLOWINGCORRECTIONS ARE R ]RED: —
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------//` / �- Dates --
Inspector:—
APPROVED DISAPPROVED
APPROVED SIIRJECT TO ABOVE
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Call For Relnsp.
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CIT-YOFTIGARD Cl11YOF MECHANICAL
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COMMUNITY DEVELOPMENT DEPARTMENT ortrsoti PE.RMI1
131268W14WIBWP.O.Bat 23397,Tipwd,Omoon9727.1(6W)&W4176 PERMIT #. . . . . . . : MEC'92--0083
C,-;9 l'll DATE ISSUED: 05/01/92'
SIT'E ADDRESS. . . : 16915 SW MATADOR. LN PARCEL: 2S1 16AD-16200
SUBDIVISION. . . . . 1iI114G CITY 701\1ING: `
BLUCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :
CLASS OF WORK. . .-ADD FLOOR FURN. . . . e EVAP COOLERS: {
TYPE OF USE:.. . . . :SF UNIT HEATER'S. . : VENT FANS. . .
OCCUPANCY GRE='. . :R3 VENTS W/0 APPL: VENT SYSTEMS:
SnI'_E::R S/GOMPR!SSORS HOODS. . . . . . . .
FUEL TYPES-------------- 0-3 HP. . . . : 1 DOMES. I NC I N:
/ELE:/ 1 ! 3-15 HP. . . . : COMML-. I IVC I N:
MAX INPUT': STU 15_30 HP. . . . : REPAIR I+NITS:
F=I PE DAMPERS?. . : '-110-50 lip. . . . : WC ODS3T Ok) 'i. . :
GAS PRESSURE. . . . t,Q7.1H HP. . . . : C:L..O DRYERSi. . .
1\10. OF AIR HANDL.I N6 UNITS OTHER UNITS. j
F URN < 100K BTUs 1 <- 10000 c f m: GAS OUTLE TS. :
FUPN ? =100K ETU: ) I0I000 cfm:
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Remarks: I NS-C ALL I-IE:A I PUMF AND NEW FURNACE. $20 FEE= FOR NOISE READING.
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OwTier: --._.._._ _._.._ ...__.,__._.__..__..__....__.__._.___._..__._.... _. .__.___.___.._._ F=EE'S
PERC:Y DAHL. type amount by date rec,pt
16915 SW MATADOR C='RMT 25. 00 JLH 05/0 1/92 -
5PCT $ 1. c5 JLH 05/01/92 -
KING CTTY OR 972c""4 1,111+0 $ Z?O. il0 JLH 05/01/92 -
1't-1 o n e #'
Contractor:
SPECIALTY HEATING/FASR1C PTIoi\I
9448 SW -1 I(BARD ST
TIGARD OR 97223
Phone #: 6r_,0--5643 46. c 10TAL.
Req 0. . : 66578
------- REOUIRED INSPECTIONS
r This oertit is issued subject to the regulations contained in the Final Inspection
_
t; Tigard Munlcioal Code, State of Ore, Specialty Codes and all other
` N aoFlicabie laws. All work will be done in, accordance with
approved plans. This oereit will expire if work 1s not started
within 190 days of issuance, or if work is susoended for tore
a than 180 days.
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.,; E=ernlittpe Signatt.tre .,
Ts s u a ci k�y • - ___.,.._ ..,..._.._..,........._........_w___-.._._
Cal for inspection - 6."+.9-417;
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CHECK AMOLIN�T
NAMEa t } i:'t7I..TY 1-ILATf NIi.3 C 1i`31F laMOt.JN'r
ADD RES
FAYt(ZF-Pfr pF1'".E fIIC'r01
F=URMIC O {=nst?MC`;hIT f-AMOUNT F=AII-, F4l.IRP(NF: OF PAYMENT AM001%.11, PAID '
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810. 00
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1=TRC.Y DAF-11._
16�415 SW MATADOR
j�rt_lTPl. FahlCll.iN`F PAID ._ _ > 46. "to
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