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10561 - 10585 SW MURDOCK ST
CITY OF TIGARD MECHANICAL
PERMIT
COMMUNITY DEVELLPMENT DEPAWWNT 00N PERMIT #. . . . . . . : MEC92-OOfi.J
131268W Hal6Wd P.O.Om 23W.Tipaid,or*" WM(50)Irl"I76
- ---
639-4171 DALE ISSUED: O4/30/92
SITE ADDRESS. . . a 10561 SW MURDOCK ST PARCEL: 2S11OAD-02400
SUBDIVISION. . . . : LANG HILL ZONING: R-12
BLOCK. . . a LOT. . . . . . . _• -.__-_a---- --------------------_-__-_--_---_-_.
. . . . . . .
LLASS OF=-WORK. . :ALTr ---__ FLOOR FURr . . . . a FVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . a VENT FANS. . . :
OCCuPgNCY GRP. . e R3 VENTS W/O APDL a VENT' SYSTEMS e
STORIE.3. . . . . . . . e BOILERS/COMPRESSORS HOODS. . . . . . . :
r UEL TYLES-_--__._____._ 0-3 HP. . . . s DOMES. INCIN:
/WOD/ ! / 3-15 HFA. . . . : COMML. INC 114:
MAX I NF,U T a BTU 15•-30 HP. . . . a REPAIR LIN I TE e
FIRE DAMPERS% . : 30--50 HP. . . . a WOODSTOVE.S. . : 1
GAS PRESSURE. . . : 50+ HP. . . . e CLD DRYERS. . :
NO. OF UNITS-------------- AIR HANDLING UNITS OTHER UNITS. .,
F URN ( 1O0K BTU- <= 10000 c f m e f:!,S OUTLETS. :
URN ) -100K BTU: > 10000 cfm:
i
Remarks: INSTALL ZERO CLEARANCE, FREESTANDING WOODSTOVE
Owner: _�_____________._
_ ___ _ FEES _ .
____.----_____._
TERRY & REBECCA-LOKKER- __-- type amoI.lnt by date rer_pt
10561 SW MURDOCK PRMT E C15. 00 JLH O4/:30/')P
SPCT f 1. 25 JLH 04/.30/92
TIGARD OR 97224
Rhone #:
a n t rac t o r•: -----------------_--
OWNER
---------------------------------------
$ 26. 25 TOTAL
1:10000 __-.._..._
------- PEQUIRED INSPECTIONS _
This permit is issued subject to the regulations contained in the Final Inspect i nn _
Tigard Municipal Code, Stade of Ore. Specialty Codes and all other --
anplicahle laws. All work will be done in accordance withIL -----
appraved plans. This permit will expire if work is not started -
Ix within 180 days of issuance, or if work is suspended for more _
F- `har. 180 days. --- `—
J
m k,ermittee Signature : " -
___4Byt
Call for inspection - 639-4175
Permit No: 1–
Address: /
' Issued by: �`�.—_— Date:
FOR OFFICE USE ONLY ---
f ' �TEMENT:
IMFORMATION NO).�;E TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4) , requires residential construction permit
applicants who are not registered with ths Construction Contractors Board to
sign the following statement before the building permit can be issued.This state-
ment is required for residential building, electrical, mechanical, and plumbing
permits. Licensed Architect and Engineer applicants, exempt from registration
under ORS 701.010(7), need not submit this statement. This statement will be
filed with the permit.
Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 3B:
1 . � _] I own, reside in, or will reside in the completed structure.
2. 1 understand that I must register as a construction contractor if the structure is sold
or offered for sale before or upon completion
3, A.I My general contractor is
Contractor registration number_-__.
I will instruct my general contractor that all subcontractors who work an the struc-
ture must be registered with the Construction Contractors Board.
OR
3. B. I will be my own general contractor.
If 1 hire subcontractors, I will hire only st ctors registered with the Construc-
tion Contractors Board. If I change my n i do hire a general contractor, I will
a contract with a contractor who is registered with the Construction Contractors Board
and I will immediately notify the office issuing this building permit of the name of
the contractor.
U)
I hereby certify that the above Information Is correct and that i have read and understand
the Information tice to Property Owners about Construction Responsibilities on the
revelse e s o
—> > c��
ermit Applicant Date
CONSTRUCTION CONTRACTORS BOARD
0244J 8/91
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This information Notice to Prcnerty Owners About Construction Responsbif;ies
was developed by the Construction Contractors Board in accordance with ORS 701.055(5),
passed by the 1989 Oregon Legislature.
If you ar acting as yo(ir own contractor to construct a new home or make a substantial improvement to an
existing st cture, you can prevent many problems by being aware of the following responsibilities and areas
of concern.
EMPLOYER RE ONSIBILITiES:
If you hire persons registered with the Construction Contractors Board to do labor in constructing or assisting
in the construction o 'mprovement of a residential structure, you will, in most instances, be ruled to be an
"employer" and the pe le you ►)ire will be "employees". As the employer, you must comply with the following:
O_regon's Withholding T Law: As an employer, you must withhold income taxes from employee wages at
the time employees are p You will be liable for the tax payments even if you don't actually withhold the
tax from your employees. r more information, call the Oregon Departmen+. of Revenue at 378-330.
Unemployment Insurance Tax: an employer, you are required to pay a tax for unemployment insurance
purposes on the wages of all em ees. For more information, call the Oregon Employment Division DHR
at 378-3224.
Workers' Compensation Insurance: As employer, you are subject to the Oregon Workers' Compensation
w,
Laand must obtain workers' ;ompensa n insurance for your employees. If you fail to obtain workers'
compensation insurance, you may be subje o penalties and will be liable for all claim c osts if one of your
employees is injured on the job. For more inform 'on, call the Workers' Compensation Division DIF at 1,31-7434.
U.S. Internal Revenue Service: As an employer, you st withhold federal income tax from employees'wages.
You will be liable for the tax payment even if you didn dually withhold the tax. For more information, call
the Internal Revenue Service at 221-3960.
OTHER RESPONSIBILITIES AND AREAS OF CONCERN:
Code Compliance: As the permit holder for this project, you are resp sible for resolving any failure to meet
CL code requirements that may be brought to your attention through ins ctions.
It
Wabillt�r and Property Damage Insurance: Contact your insurance agent to se ' you have adequate insurance
CAP coverage for accidents and omissions such as falling tools, p&�nt overspre.y, w r damage from pipe punc-
tures, fire, or work that must be re-done.
J
Time to Supervise Employees: Make sure you have sufficient time to supervise yo employees.
.s
Expertise: Make sure you have the expertise to act as your own general contractor, to co dinate the work
of rough-in and finish trades, and to notify building officials at the appropriate times so th can perform
the required inspections.
If you have additional questions, wri!:e to: Construction Contractors Board
700 Summer St. NE, Suite 300
Salem, 01`19"7310-0151
Phone 503-378.462.1
0244J 10/24!89
Pty of Tigard MECHANICAL PERMIT PlanckiRec. #
13125 SW•Hall Blvd. APPLICATION Permit # _
FO Box 23397
Tigard, OR 97223 �d�19
(503) 639-4171 6,,"
Table 3A Mechanical Code CITY PRICE AMT
.lob VtyL I � pli 1) Permit Fee -0- -0- 10.00
Address ZP .I �—
-r) A(�b d� 9�32� 2) Supplemental Permit 3.00
'r •�» umace to 100,000 B1U
E 'b(?cck Lo i) incl. ducts A vents 6.00
«• (0 B _ umace 100,0 0� t
Owner Iak-4611 5t-) rhe fzr>°C-IL 14 31 2) incl.ducts A vents 7.50
^�• 7 oor umance
'4( j O(Ci 7»� 3) incl. vent 6.00
^r"• • Suspended heater,wall healer
4) or floor mounted heater 6.00
«• Vent not incl,in
Occupant 5) appliance pormit 3.00
+•• Repair o eating,rainy
6) cooling,absorption unit 6.00
•^» Boiler or comp,heat pump,air co .
7) to 3 HP absorp unit to 100K BTU 6.00
^o «• `- -- — ter or comp, heat pump,air con .
8) 3-15 HP absorp unit to 500K BTU 11.00
Contractor Boiler or comp,heat pump,air co .
9) 15 30 HP absorp unit.5-1 mil BTU 15.00
+•a°^ ••N. Boiler or comp,heat pump,air co;3—.
10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
ere y ac owliKlge iHat I have read this application,that the Boiler or comp,heat pump,air cond.
information given is correct,that I am the owner or authorized agent 11) >50 HP absorp unit 1.75 mil BTU 31.50
of the owner,that plans submitted are in compliance with State Air handling unit to
laws,that I am registered with the Construction Contractnr's Board, 12) 10,000 CFM 4.50
that the number given Is correct. (If exempt from State registration, Air handling unit
please give reason be!ow.) 13) 10.000 CTM a 7.50
_ on portable
14) evaporate cooler 4.50
-----Went fan connected
15) to a single duct 3.00
enti anon system not
16) included in appliance permit 4.50
91[N1 M 0-9r0 served y
17) mechanical exhaust 4.50
escn worknew a ition alteration repir Commercialor in ustna ___._
to be done residential Q non-residential O 18) type incinerator 30.00
Existing use of Other i.e,wo stove,water
building or property I�DrL�^�I«�' _ 19) heater,solar,c!othes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property 2 q e '�')rt E
21) More than 4-per outlet
Type of fuel-oil O natural gaiyl� LPG O electric O
J_ _
NOTICE
Minimt m Fee$25.00 SUBTOTAL
U PERMITS BECOME VOID IF WORK OR CONSTRUCTION
J AUTHORIZED IS NOT CC MMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED. ----
TOTAL.
Special Conditions
Date issued by
k0mrc" T
rcrtfvemd•v
MECHANICAL.
CITY OF TIGARD PERMIT
COMMUNITY DEVELOPMENT DER R . PERMIT #. . . . . . . : MEC9L,-0135
13126 SW Hall Blvd.Tigard,Oregon 87223-m1�,'=-1171 DATE ISSUED: 05/26/94
PARCEL: 25110AD-02700
;: ITE ADDRESL. . . : 10579 SW MURDOCK 6T
SUBDIVISION. . . . c LANG HILL ZONING: R-12
FLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . ..2'4
.------.--------------------_------.-------------------------------------------•------
CLASS OF WORK. . :ADD FLUOR r URN. . . . s FVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . s
OCCUPANCY GRP. . :R,3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . :2 i30ILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPE_:' ----------- 0-3 HP. . . . -. 1 DOMES. I NL'i N:
: /ELE/ / J. 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: BTU 15-30 HP. . . . : REPAIR UNITS:
F i NE L)AMPERS?. . s 30-50 HP. . . . : WOUDSTOVES. . s
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . :
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. :
TURN i 100K BTU: (= 10000 cfm: GAS OUTLETS. :
FURN >=100K BTU: > 10000 cfm:
Remarks : AIR CONDI-rIONER
Owner: ---------------------------------------------------- FEES ----- - ----__.._
PEGGY SCHILIER type amount by date rec,pt
10519 SW MURDOCK PRMT $ 25. 00 JG 05/26/94 -
5PCT S 1. P-5 JG 05/26/94
TIGARD OR 97224
Phone #:
Contractor:
TRI•-COUNTY TEMP CONTROL
13651 SE AMBLER RD
CLACKP,MAS OR 97015 ----------------_.---------.---_.._----
f li o n e #: 777-3874 OR $ 26. 25 TOTAL
Req #. . : 72623
------- REUU I RED INSPECTIONS
---- -This permit is issued subject to the regulations contained in the Mechanical Insp
I Tigard Municipv.; C��'c; State of Ore. Specialty Codes and all other Final Inspection -
aopl:cable lags. X11 Mor!- wil! be done in accordance with
approved plans. This permit will expire if work is m started
within 188 days of issuance, or if work is suspended for more
a' than 180 days.
rn
m
C9
W
Call for inspection - 639-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125 SW Hall Blvd. APPLICATI(rJNEIVED Permit #
fee l MAY 2 31994
Tigard, OR 97223
(503) 639-4171
Ussonption
Table 3A Mechanical Code QTY PRICE AMT
Job /6579 S kJ Ma q 9v e< 1) Permit Fee -0- -0- 10.00
Address R+•
.,Alv 6a • 07.2d247/ 2) Suppleme„taf Permit 3.00
ume a to
1) Incl.ducts a vents 6.00
umace1100,0W 13TU+ _
Owner 2) Incl.ducts b vents 7.60
.>.
or umancw
3) ;-,cl. vent 6.00
uspe eater,wla-Tea��
_ 4) or floor mounted heater 6.00
� Vent no incl.in
OCCU�3nt 6) appliance permit 3.00
Repair of Reating,neng.
_ 6) cooling,absorption unit 6.00
i er or comp, at pump,air co
Lxtn 1 T L 7) to 3 HP absorp unit to 100K BTU 6.00
"' / of er or comp,heat pump,eK co .
Contractor S� ��$`�=�� 7U/S 8) 3-15 HP absorp unit to 5i0K BTU 11.00
_ zo Boiler or comp,heat pump,air cc
.4L'�+ArYi.4s Sy //� 9) 15-30 HP absorp unit.5 1 mil BTU 15,00
.. ..� Boilof or comp,beat pump,air oro
7.26-2-7 /Q (V 10) 30-50 HP absorp unit 1-1.75 mil BTU 22.50
rReEy ac at I have ro is application,trial si er or comp, at pimp,air co6d.
information given Is corroo.that I am the owner or authorized agent 11) r 50 HP absorp unit 1.75 mil BTU 31.50
-if the owner,that plans submitted are In compliance with State Air!ianclling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.60
that the number given is correct. (If exampt from State registration, it !n ri9�---
please give reason below.) 13) 10,000 CTM+ 7,50
Pon ports e
14) evaporate cooler /4 4.50
ant an ronnec
15) to a single duct 3,00
enti aeon system not
�...�. a
9 16) included in appliance permit 4.50
n sery5y
17) mechanical exhaust 4.50
Describe work new pa pion a teratton roper ,ommercia or industrial
to be done residential r non- sidefilial O 18) type incinerator 30.00
Existing use of Other i.e.,wo stove,water
building or property 19) heater,solar,clothes dryers,etc. 4.50
Proposed use o1 20) Gas piping one to four outlets 2.00
building or property
Type of fuel.oil Q natural gas$& LPG 0 electric U 21) More than 4-per outlet
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Minimum Fee$25.10 SUBTOTAL
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED -.
L
TOTAL
Special Conditions —-
Date issuer! by
RrMrdffMl7
waJmM.r