11930 SW LINCOLN AVENUE-1 J �
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City of Tigard Buildidj Deparrsent dry'
13125 BQ Ball Blvd. Tigard, mre90n 97223
Inspection Lina (Rec-O-Phones 639-4'.75 BusLnnas Phones 639-4171
Inspections - — —
Footing Pltx;. Underelab ech. Rough-in �ppr/5dwlk •
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Found. Plbq. Tod O:t $as Lino NAL
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Post/Beam Struet. San. Bower Framing -Bldg. .
Post/Beam Heeh. Rain Drain Insulation --Plumb.
Plbg. Underfloor Wate sine Gyp. Bd. -Hoch.
reL4 R questods Time: 4[ AH PH
Address:-
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Builders—
771E FOT.LOWIHG CORRECTIO REQUIRED:
Inspector: r _ 'P DAtes C-VAl _
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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MY
P_ZrjON NOTICE
CiLp of T!gard Buildinq Dogxr.tment
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone!t 639-41�75� Business Phones 639-4171
inspections_-
Rooting Plbg. Underslab Rc :-in Appr/Sdwlk
Found. Plbg. Top Out Oas Line BINALs
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Wench. Pain D-ain Insulation -Plumb.
Plbq. Underfloor Water Line Gyp. Bd. -Koch. w
Date Re"eetedt Time: AK PM
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Addrese: �.Z
� 'J 0 _-��n �� r� 1 RJ t Permit #:M�c_
Builders _--
rr THE IOL:.OWINo +RRRCTIONB ARE REQUIRED:
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APPROVRD DISAPPRCIMD APPROVRD SUBJECT TO ABOVE
Call For Rei,te
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OF 1' IC�ARD PERMIT #. . .. .. .. .. *PCITY
. : ME'C93-0233
COMMUNITY DEVELOPMENT D��'�R`C11A_01T
DATE ISSUED: V19/01/93
13125 SW Holl Elvd.Tigard,Oregon M23.8''f (503)530-4171 PARCEL: 1 S) "'15DC-00900
SITE ADDRESS. . . : 11930 SW LINCOLN AVE ZONINCl: R-12
SUBDIVISION. . . . : TIGARDVILLE PARK
BLOCK. . . . . . . . . .
.�._._____- _LOT
_. . . . . . . . . . . . .
-_-----8_---__.____________._.
CLASS OF WORK. . :NEW FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : kENT FANS. . . : I �
OCCUPANCY GRP. . :R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES----_.----_--'- 0-3 HP. . . . : DOMES. INCCN:
: /GAS/ / / 3-15 HP. . . . : COMML. I NC I N:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMF'ER5?. . : 30-50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS.. . :
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NO. OF UNITS------- - AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: 1 l= 10000 cfm: GAS OUTLETS. : 1
FURN 1 =100i: BTU: > 10000 cfm °
Rpmarks : NEW FURNONCE
---___.-_.---_.__ FEES
MIKE AND COLLEEN MILES----------- ------------------------------
--__ ____------type amoo.int by date r ecpt:
1452 SW GREENTREE PRMT $ 25. 00 JH 09/01/9.3 .
5PCT $ 1. '5 JH 09/01/93
1._AKE OSWEGO OR 9703+
Phone #: 636-3989
Cont Tact or-: ----.----_-_--_-_.-_._-
.TACOBS HEATING
1421 SE HOLDATE BLVD
PORTLAND OR 97202 -�-�-----�-----~.�^-----��_-
Phone #: 234-7331 � 26. 25 TOTAL
Reg l.. . : 01441
---_--- - REQU I RED INSPECTIONS
-
This permit is issued subject to the regulations contained in the Final Insper.tion
Tigard Municipal Code, State of lire. Specialty Codes and ill other --
applicable laws. 811 Mork will be done in accordance with --
Iapproved plans. This permit will expire if work is not started —_ - —
within 18F ',Ys of issuance, or if work is suspended for more
than 18N days. --
Ppl•mittee Sil:anatItre1 — -
Call for inspection — 639.-4175
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CITY OF TIBARD RECEIPT OF PAYMENT RECEIPT NO. s°3-243772
CHECK AMOUNT s 26. 25
NAME s JACOBS HEATING CASH AMOUNT a 0. 00
(A)DRE:'Sr s HEATING PAYMENT DATE= s 09/01/93
14RI SE HOLGATE BLVD SUBDIVISION s
PORTLAND, OR 97202
�''URPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
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MECHANICAL ~PE —�MFC93--0833 25. 00 ST. BUILD PER 1. 25
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11930 SW LINCOLN AVE:
'., . TOTAL AMOUNT PAID — — — —> 2'6. 25
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