7580 SW CRESTVIEW STREET ADDRESS:
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i\records\microflm\targetslbuiIding.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 539-4175 Business Phone: 639-4171
Inspection:— --< _,
r
411
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL:
Post/B4arn Mech. San. Sewer .? -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation Me
Underflr. Insul. Shear Wall Gyp, Bd. Elect
Date Requested: ��> Time: AM PM ,
Address: 7 o � 1LQ� �{l—L¢� -S+,
Builder:�� l (o �{ c� 7 P Y 3_Permit #:I�r�
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: Date: Zl/ /Z
Z-AP�OVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
CITY GF TIGARD MECHANICAL
PERMIT
PERMIT #. . . . . . . : MEC95 035€
COMMUNITY DEVELOPMENT CA31AAlMNT DATE ISSUED: 10/11/95
13125&W Hall Blvd.Tigard,Oragon 07223.61619 (503)030-4171
PARCEL: 2SIOIDB-00503
SITE ADDRESS. . . : 07580 SW CRESTVIEW ST
SUBDIVISION. . . . : ZONING: R--3. 5
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORK. . :ALT FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANG— :
OCCUPANCY GRP. . .-R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES. . . . . . . . : 1 6 OILERS/COMPRESSORS HOODS. . . . . . . :
FUEL T"PES-------------- 0-3 HP. . . . : TOMES. I NC I N:
:/GAS/ / / 3-15 HP. . . . : COMML. I NC I N:
MAX INPUT: STU 15-30 HP. . . . : REPAIR UNITS:
FIRE DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES,. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS----------- AIR HANDLING UNITS OTHER UNITS. :
FURN ( 100K BTU: <= 10000 cf m: GAS OUTLETS. : 1
FURN )=100K BTU: 1 > 10000 cfm:
Remarks: One resilential furnace 100K btu + and gas piping.
Owner: --------------------------------------------------------- FEES - --------------
FLOYD WELCH type airount by date recpt
7580 SW CRESTVIEW PRMT f 25. 00 CJS 10/11/95 95-271503
5PCT $ 1. 25 CJS 10/11/95 95-271503
TIGARD OR 97223
Phone #:
Contractor: -------------------------------
B & T GAS SERVICE, INC.
5885 SW 177TH AVENUE
ALOHA OR 97007 -•---------------- ---------------------
Phone #: f 26. 25 TOTAL
Rpq #. . : 91104
--- - -- REQUIRED INSPECTIONS
----This permit is issued subject to the regulations contained in the Gas L i n r Ins p
Tigard Municipal Code, State of Ore. Specialty Zodes and all other Mechanical I n s p
applicable laws. All rork kill be done in accordance with sinal Inspection
approved plans. This permit will expire if work- is not started
within 1811 days of issuance, or if work is suspended for more
than 1811 days.
e r m i lv t.e e Signature:
T 5suetl By: �Irllel
Call for inspection — 639-4175
City of.Tigard MECHANICAL PERMiT Planck/Rec. # -q
13125 SW Hall Blvd. APPLICATION Permit #
Tigard, OR 07223
(503) 639-4171
Table 3A Machtrical Coda QTY PRICE AM"
JOU , 1) Penh Fen •0- -0- 10.00
Address
l l �w 2) pplart►entalPermit M 3.00
1) incl.ducts&vents 6.00
� mw*1(.`9,000 +
S i;G •-� ll1t .;, 7_) incl.duds a vents 7.50 , JG,
Owner w — -- -"�or�untrW-
l�/'` ti (�✓1 C�7? 4 3) incl.e�erd 6.00
at._.• w.rlfTieater �i
4) or Aaor mounted heater 6.00
o «• int not inTin r
Occupant 5; nppAance pemrrt 3.00
6) cooling,absorption unit 6.00
" �» ""'�� '• cx u�, :nrnp, Iasi pump��arch- — - -
�7�
(--a4 61V-4kc-1 Lic. 7) to 3 HP absmp unit 10 100K BTU 6.00
•,• -'- —'f oreer or i-- Meat pump,as r
"+ tl) 3-15 lip alxcorp uni.lo 5MK BTU 11.00
contractor ,,, sror oanp,Tieat pump,arc cond.
9) 15.30 lip absorbunit.E�-1 miIBTU 15.00
w -a �----%p—w'cc+mp,beat pump,air cr .
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
r y ac edge at ve roup > atrcxi, t eRoger a comp, pimp,ax
intimation given is ouffect,Kiat 1 am the owner or authorized agent 11) >50 HP absorp unit 1.755 mil BTU 31.50
of the owner,that;.clans submitted are in cinpAance with:'date _ Wr handing unrl to —
13ws,that I am registered with die Construction ContrackWs Board, 12) 10,000 CFM 4.50
that the number given Is correct. f If exempt from State registration, UM
please give reason below.) 13) 10,000 CTM 4 7,50
_ fin. —_--
14) evaporate cooler 4.50
`"-- - enc fan oonr>,rc
15) to a single dud 3.00
en aSf•in system not _ ---
16�{n i penult 4.50
17) medwical exhaust 4.50
now adtfition 0 alteration raps mn or
to be done residential 0 non-cesidenttaf C) 18) type indnemix 30.00
sting use n1— _— —�� i-e-,woodswe,water
building or property 19) heater.solar,dofhes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four oudets 2.00 j_ a
building or pmparty _
21) Mev dten 4-par outlet
Type of fuel-oil O natural gas O I..PG n electric
NOr�� ,_,r
�ilinimum SUBTOTAL OQ
PERMITS BECOME VOID 17 WORK OR CONSTRUCTION _
AUTHORIZED IS NOI COMMENC50 WITHIN 180 DAYS,OR 5%SURCHARGE I• Z
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME Pim REVIEW 2571.OF SUBTOTAL
AFTER WORK IS COMMENCFD.
TOTAL _(p.Z.
Special Conditions
Date issued __ by
►.Mca«wrc
L;I I Y (jr- I j f4j.-(,,J_ j p I' (II- FJ(-4YML.N I PHA-Wl NO
MAW7 V OAS BERVII-F INC, CHECK AMUILINI
(;ASH
ADDRESS t Hb -'8 SW 190TH AVV PAYM N I DH I I We") A
BEAVkRTCJN OR SUBD I V I�;I ON
97007--
PURP09F OF PAYMENI AMOUNT PAID IAIWOSE 01' PAYMENI AMOON 4 PO4 11)
MF'.CHnNl(',fll. PF P"N. ST. BLL 11J) PER
/1930 sw clf*.rilvlf7w