16588 SW MATADOR LANE SNV I MOGVIVW MS 8859 [ a--
I
w
z
a
a
0
H
3
co
co
'n
Q0
.4
16588 SW MATADOR LN
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2002-003.53
13125 SW Hall Blvd.,Tigard,OR 97223 (5031639-4171 DATE ISSUED: 8/15/02
PARCEL- 2S 1 16AD-13400
SITE ADDRESS: 16588 SW MATADOR LN
SUBDIVISION: KING CITY NO.15 ZONING:
BLOCK: 21 LOT: 133 JURISDICTION: KIN
PLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: 5F UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-30 HP: REPAIR UNITS:
FIRE CAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP: CLO DRYERS:
FURN < 103K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN >=100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Replace roof mounted a/c unit.
Owner: FEES
BIGGERSTAFF, JANICE W Type By Date Amount Receipt
16588 SW MATADOR LN PRMT DEB 7/2/00 $72.50 KING CITY
KING CITY, OR 97224 5PCT DEB 7/2/00 $5.80 KING CITY
Phone: LTotal '_78.30
Contractor:
PIONEER .3AS FURNACE
3615 NE BROADWAY
PORTLAND,OR 97232 _ REQUIRED INSPECTIONS
Cooling Unt Insp
Phone:249-5000 Final Inspection
Reg#:LIC 36102
IL
U)
J_
m
JThis permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
Specialty Codes and all other applicable laws. All work will be done in accordance with approved
plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR
952-001-09.80. You may obtain copies of these rules or direct questions to OUNC by calling
,rin,,» a�a4
Issue F.
Permittee Signature:
Call (50 )639-4175 by 7:00 P.M.for Inspections needed the next business day
08/05/21102 14: 34 5035393771 CITY OF KING CITY PAGE02
TRI—COUNTY
SERVIt?'I .N?ER
Mechanical PermitApplication
City Of Kind City Date received; Permit no.:
t
` 13125 SW Nall Blvd. Pmject/appt.no.. Expire date:
Tigard. OR 97223
Clarka,,1 i% Date issued- By: Receipt no..
MulitioTtah Phone (503)63907!, FAX;(503)684-7297 -`-
C:se file ra,: Payment type:
Washington _�—
C N r , E . Land use approval; Building permit no.:
l & 1 family dwelling or accessory U Commerrial/industnal U Multi-family 0 Tenant improvement
,1 New construction U AdditioWalter2tiorUrcplacement U Other:
Job address:
Indicp.te equipment gatritides in boxes below. Indicate the dollar
Bldg. no. Suite no.: _ value of all mechanical materials,equipment,lahm,overhead,
Tax ma /tax lot/ac-count no.: — profit- Value S ,,o
0 .
Lot
Project
Block Subdivision: �— *See checklistforitnpormni application lnformallon and
�Ol name: jtsrisdlcYton's fee schedule jar residential permit ee.
City/county: 114� Y, ZIP:
Description and Iocatlon of work on premises: A eE
- A_ M6 417tBTia�/ err Rvi7f
Est date of cam ledo�ns don: F�(ea.) Total
`E'/$`a? _ description tyRes
00 Res,only
Tenant improvement or change of use: AC: —•
Is ezJadng space heated or conditioned?0 Yes ❑No Air handlin6 trait CFTd .� _
IS exlating space insulated?O Yes U No u con dnnuig(site an requir ) ,,�,
Alteration o existing AC system
' 0 comppnessora
Business=me: !`)E *�S_�uYQh►AeE State,boiler permit no.:
Address: 3(0 w1 �jRoAp IV Tons BT'U/H
Fire/smoke dam rs/dnct smoke detector
City fp& State:01? ,Zip.9?2 - cat pump(site p an rYquirsd)
Phone: z M I.S12— Fax:2,yt 6' E-ma11. nstal replacern`tii act/surner
2CB no.: 3 ro t C?.-Z Including ductwork/vent liner U Yes 0 No
.'itv/metro lir. no.: �(a0 p sur I/repaace/rn ate heaters—suspen ed,
O wall,or floor mounted
Jame( lease ptiM): e�nt for a—iiancr o er an ace —
CONTACT PERSON
e lgecat n:
Absorption units _ 87U i;
Jame: Chillers _ fIp
lddress:
Compressors up
'Ry: state: ZIP: nvtronmentalex13iust na vent on:
_ Appliance vent
hone FAX-- Email: r ex a- IFauusst -
`�,N, oc`dss p I/ res. tc EMIR
/�fIR3 D/ hood fire suppression system
G _
t1 lame: Exhaust fan with Single duct(bath fans)
failing address: ( roS 8 6 s cmuss stem
k fid ! y apart from heating or AC
V) try: -R"R?_ State ZIP;1-7T 7.Wue piping an �rution(up to 4 outlets
hone (02, t7 Fax: ti E mttil: Type: . LrG _ NG _Oil
ue : In eac a didona over 4 out e s
-J octxs piping(sc emetic required)
ame: Number of outlets -
ddress - -- -- "-- Ot er App anae or equ pmeot. -
W Decorative fireplace
J ty: State:
ZIP: nsert--type
Ione: x: -
maiF oo stove pellet stove
rplicant's signr<rturt Data: 13. ._0 r
(me(print)^ v R
� �� Other:
K E y0fa�;K,_ —
dl juriadkti0af 6"cpt creditdl -.11 jnriulicuvn fee nn imrmiat°m Fermi[fee..................... 'y•G
p
1at U Mastetfard ,Joticc Ts permit applk4 ea
Minimum fee .............. $ _
a a„d number, // // eaplres lja permit is not obtained Plan r �--
a�—' wirhtn 180 days 4,der d hreview(at _ 9b) S
as been State ev ($96) — ^
Name or mr4holder is eho_*oa a it mal accepted as complete. arge S
--
$ Amount ........................Sz
Cardholdersr6narurc �d kTtyC�M"1) e+J
08/06/2002 14:34 5036393771 CITY OF KING CITY PAGE 03
w
N*-rA hJ
A
LO (A-'Tf, 04k)
�,,PF
K�uol
e
J
D
9
u
a
AUG 14- 08:56 FPOM: 5032498260 TO:5035981960 P.002/002
tu Z3
ash
0
IL
.- - - -- 4- - --
49
J
4
a`
J
m
W
..I
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Ifusiness Line: 503)63944171 MST
BUP
Received Date Requested____ �_ —� AkA PM—� BUP _.
Location �c 5_ h�^ Suits _ MEC Db 3S�
Contact Person _ _ Ph �''y5 PLM _
Contra;tor _ --- -- Ph( --) ----- ---� SWR _
BUILDING TenantKhmer -- -- ELC
Footing ELC
Foundation —_
Ftg Drain ELR _
Crawl Drain --
Slab 7InsNot9S: SIT
Post&Beam
Shear Anchors —
Ext Sheath/Shear j
Int Sheath/Shear - - —
Framing
Insulation �4-
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final zz_
PASS PART FAIL
P —W ING
Post A Beam �+
Under Slab
Roug
Water e
Water Service
Sanitary Sewer
Rain Drains ---- — —
Catch Basin/Manhole
Storm Drain --
Shower Pan
Other: -
Final
PASS PART FAIL —
MECHANICAL
Post& Beam Q
ot
Rough-In f 1� _—
Gas Line
d. Smoke Dampers ---- — —__-- ___-- _ -- _-
� F'
N AS PART FAIL -- ---- — — - T___
EITCTRICAL
Service
-J Rough-In
m UG/Slab ---
Low Voltage
JFire Alarm -
Final
PASS PART FAIL Reinspection fee of$ —_—required Lefor: next inspe tion. Pay at City Hall, 13125 SW Hall Blvd.
_ _
SITE Please call for reinspection RE:_ _- E] Unable to inspect-no access
Fire Supply Line ,-)
ADA � G..�
Approach/Sidewalk Dab Inspector - ---- Ext
____
Other:
Final DO OT REMOVE thls Inspection record from the jots site.
PASS PART FAIL
CITY OF"Tl ajARD 24-Hour
BUILDIN& Inspection Line: (503)63P4176 '
INSPECTION DIVISION Business Line: (503)635-4171 MST
�j BUP
Received __ Date Requested _.�/_��Z �___ AM--- PM BUP
Location r 8 _ _.�_ Suite_`__ MEC
Contact Person Ph( ) `—_✓___00 O PLM
Contractor_ _ Ph( ) _ SWR
BUILDING Tenant/(60 —_(Q 2 1 1 ELC
Footing ELC
Foundation Access:
Ftg Drain ELR —
Crawl Drain
Slab Inspection Notes: SIT _
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shaar
Framing
Insulation
Drywall Nailing �'1�"b'x r 1-y Yom.-S'S —_�A,_1
Firewall
Fire Sprinkler ---- -
Fire Alarm
Susp'd Ceiling -- -
Roof
Other:
Final
PASS PART FAIL -
PLUMBING
Post&Beam
Under Slab _
Rough-In
Water Service —
Sanitary Sewer
Rain Drains
Catch Basin/Manhole
Storm Drain -- —
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post&Beam
Rough-In
Gaa3 Line
a'�-'-
ELECTRICAL
Service
J
Rough-In _
UG/Slab
uLow Voltage
Fire Alarm
Final Reinspection fee of$,_ _ required before next inspection. Pay 91 City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE:�_ _ IV rj Unable to inspec( -no access
Fire Supply Line
Approach/Sidewalk � —
ADA bob— __-- _ -___ Inspector tact
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PAS5 PART FAIL
CITY OF TIGARD
April 9, 1997
OREGON
Boones Ferry Electric
PO Box 628
Wilsonville OR
Attention: John
The City of Tigard issued Boones Ferry Electric a permit for a.King City resident at 16588
SW Matador. ELC97-0160, in error.
Electrical permits and inspections for King City are the jurisdiction of Washington County.
We apologize for any inconvenience this may have caused you and your customer. A full
refund will be mailed to you shortly.
Please contact Washington County in Hillsboro, Oregon to obtain the proper permit.
Sincerely,
9
Jenne Temple
Building Division
a
iY
r�
t
J_
m
W
J
13125 SW Hall Blvd„ Tigard, OR 97223(503)639-4171 TDD(503)684-2772
CITY OF TIGARD MECHANICAL
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #. . . . . . . : MEC97-0056
T)A,rE ISSUED: 03/11/97
FIARCELi 2SI16AD-13400
`.:SITE ADDRESS:,. . . : 16588 9W MATADOR LN
SURD I V T S I ON. . . . : ZONING:
BLOCK. . . . . . . . . . i LOT. . . . . . . . . . . . .
---------------------------------------------------------------------------------------
7LAqS OF WORK. tALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . -SF UNIT HEOTERS. . - it VENT FANS. . . : 0
occupnNCY GRP. . :111. VENTS W/O n0Pt_,- 0 'VENT SYSTEMS: 17,
STORIES. t.-. . . . . . : 0 SOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPS- 0—.7 HP. _ : 0 DOMES„ INCIN: 0
. /GAS/ 3-15 HP. . . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : lih REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HFA. . . 0 CLO DRYERS. . : 0
Nn, OF UNITS---------- PIP HANDLING UNITS OTHER UNITS. : 0
FURN ( 100K BTU: 0 10000 rfni : 0 GAP, OUTLETS. : 0
FURN ) -100K BTU: 0 > 10000 cfm: 0
Remarks : INSTI_ GAS PIPT.NG OUTLETS & OTHER I. E. LOGS
(1wners -------------------------------------------------- FEES -------------
!ANICE BIGGERSTAFF type amoUnt by date rc-cpt
16388 TW MATADOR LN PRMT $ 25. 00 TAT 03/11/97 97-291511
r-,I-.r,K $ C. 25 TOT 03/ 11/97 97--29t511
TIGARD OR 97224 5PCT $ 1. 25 TAT 03/11/97 97-291511
Phone #: 624-0919
Contractor: _____________________________
TPT--CO'1NTY TEMP rONTROL-/HEATNG
13651 SE AMBLER RD
CLACKAMAS OR 97015 _._-----------_--------------------______--
Ph o n p
-----------------------------------------
PI-irinp W54-311.5 t 3'('-". 50 TOTAL
REDUIPED INSPECTIONS
Th:S pprg1l is issued subject to the regulations contained in the Gas Line Insp
Tigard Municipal Code, Statp of Ora. Specialty Codes and all other Mechanical Insp
ipp'-.cable laws, All work will JE done r accordance with Woodstove Insp
'pprDved plans. This permit will expir- if work is not started Misc. Inspection
L within 18e days of issuance, or work is suspended for more Final Inspection
'LAO days,
Z
J
P tv r in i t t 0 e r)i g
U Issued
.11 for- inspection — 6,39-4175
City of Tigard MECHANICAL PERMIT Planck/Rec. #
13125SW Hall Blvd. APPLICATION Permit # W)"���D
Tigar , 3
(503) 639-4171
ascnpnon
Table 3A Mechanical Code QTY PRICE AMT
Job ~ cl-o 1) Permit Fee -0- -0- 10.00
Address —
/ c�7 .7 L/ 2) Supplemental Permit 3.00
14� Furnwe to
7/C1' /3 s T�Sr/`� 1) Incl.duds&vents 6.00
w -umar.-e 1 +
Owner �'`�'"f G> `/-Oe//4' 2) Incl.duds 6 vents 7.50
-� Floor Furnanoe
3) incl.vbat 6.00
^�^ ^MZ=4 Suspendidager,wall ieator
4) or floor mounted heatar 6.00
ent not i .to
Occupant 5) appliance pennit 3.00
.. � � Repair of heating,re rig.
6) cooling,absorption unit 6.00
^-
Boiler or comp,host pump,alit.
7) to 3 HP absorp unit to 100K BTU 6.00
Boiler or cramp,Fteat pump,air cond.
8) 3-15 HP absorp unit to 500K BTU 11.00
Contrartor _ ter or comp, at pump,air co
<1CtA/r)�S C qX-70/59) 1530 HP absorp unit.5-1 mil BTU 1500
w 97i er or comp,heat pump,air co
'72 //Zt" 10; 30-50 VIP absorp unit 1-1.75 mil BTU 22.50
hereby acknowledge thatI lave,ea-d-ifi s app icauon,that the Boiler or comp,heat pump,air coffin
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 Slaw Air handling unit to
laws,that I am registered with the Construction Contractor's Board, 12) 10,000 CFM 4.50
that the number given is correct (If exempt from Stato registration, Air handling unit �-
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporatp cooler 4.50
—Vent fan con,�act
15) to a single dud 3.00
entl anion system not
16) included in appliance permit 4.50
4-•+ — oc se
17) mechanical exhaust 4.50
Describe wckk new U— cditwn Q aeration repair k-mmeraa or in istna
to be done residential fT non-rasidentiai 181 type Incinerator 30.00
Existing use of ULhor i.e.,woodstove,water
a building or property �� S _ 19) heater,solar,clothes dryers,eta /y 4.50 O
�
Proposed use of 20) Gas piping one to four outlets r 2.00
U) building or property
21) More than 4-per outlet
Type of fuel-oil Q natural gas(Sr*' LPC Q electric Q
J_
W Minimum Fee$25.00 SUBTOTAL
PERMITS BECOME VOID IF WORK OR CONSTRUCTION /z
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 SUBIOTAL 42Z�
AFTER WORK IS COMMENCED.
TOTAL 3z,s
Speaal C.ondnons
Date issued by