16595 SW MATADOR LANE 3NHl tion iviN MS 96991
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�" 16595 SW MATADOR LN
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-hour Inspection Line: 6394175 Business Phone: 6394171
Date Requested: /- _ A.M. �r P.M. _ MST:
l oration: �{�S�J' ' '� _--�� B[JP;Tenant:_ _ _ Suite: Bldg: _ MFC:
Contractor: _ �_ one
Phi �— , �`
—__ PLM: _
Owner: Phone: _ FLC:
7L FLR:
Srr: __
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SIPS__—
Site Post/Beam Post/Beam _ust e m Cover/Setvice Sewer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slab Framing Top Out OHS Line Rough-In UO Sp-inkler
Foundation Insulation SewC1 I iood/Duct Reconnect Vault
Bsmt Damp Drywall Storm F --pace Temp Service MISC.
Masonry Ceiling Rain Thain A".: 1JG Slab
Shear/Sheath Fire Spklr/Alm CrawWound Dr Ilest Pump Low Volt _
Approved Approved 0Yg1 J Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL i FINAL FINAL
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O Call for reinfection O Reinspection fee of S_—� —rejuired before next inspection O[Inable to inspect
Inspector: -���` -� Date: ^
Page of
CITY ®F TIGARD MECHANICAL
DEVELOPMENT SERVICES RE
PERMIT #. . .. .. .. .. . : MEC97-0179
13125 SW Hall Blvd.,Tlgard,OR97223 (503)6394171 DATE ISSUED: 06/06/97
PARCEL: 2S116AD-11900
SITE ADDRESS. . . : 16595 SW MATADOR LN
SUBDIVISION. . . . : ZONINGS
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . . .JURISDICTION: KIN
------------------------------------------------------------------------------------
CLASS OF WORK. . :ALT FLOOR FURN. . . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . ASF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP. . :H2 VENTS W/O APPL: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0
FUEL TYPES---------- -- 0-3 HP. . . . : 0 DOMES. INCIN: 0
:GAS 3-15 HP. . . . : 0 COMML. =NCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50-1- HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS---------- AIR HANDLING UNITS OTHER UNITS. : 0
FURN < 1O0K BTU: 1 (= 10000 cfm: 0 GAS OUTLETS. : 1.
FURN >=1O0K BTU: 0 > 10000 cfm: 0
Remarks : instl 1 f urnance/duct s/vents 6 gas piping outlets
Owner: ------------------------------------------------------ FEES ---------------
MIKE PADILLP type amoi_mt by date recpt
16595 SW MATADOR PRMT $ 25. 00 TAT 06/06/97 KING CITY
KING CITY OR 97224 SPCT t 1. 25 TAT 06/06/97 KING CITY
Phone #: 639-8954
Contractor: ----------•---------------------
COLUMBIA HEATING & COOLING 11!r�
PO BOX 230397
TIGARD OR 97223 --------------------------------------
Phone #: 624-2704 f 26. 25 TOTAL.
Rey #. . 000763
--- --- REQUIRED INSPECTIONS ------ -
This permit is issued subject to the regulations contained in the Gas Line Insp
a Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp _
applicable laws. All work will be done in accordance with Di.tct Inspection _
Napproved plans. This permit will expire if work is not started Final Inspection
within 180 days of issuance, or if work is suspended for more
than 180 days.
co
LL I
J Permittee Sign 1_+tte:
I s s i_i e d B / Z -
Y • _
411 for inspection - 639-4175
.SUN-05-'97 THU 15:31 ID: iJ: -� _oiled P02
clTv o�'-TlGARD Mechanical Permit Application Recd BV
Commercial and Residential DateRa`d
13125 SW HALL BLVD- Date to P.E. �.
TIGARD. OR 97223 Date to DST
(503) 639-4171, x304 °e""'t0
Print or Type coll•d __
incomplete or illegible a plications will not be acce ted
N cnpt'°n oTY pnlGi A+^T
I Table 1 A Mat:Mnict{Code 1000
Job address
A) antlil ee 0 4
Address � s 1.) urnoaa to 1'C BTU
Indud dtnea a Nems
l + so
twins ltr turn+ar eusawssl 2) Furnace 1
ittittding ducts i vontt
Ouvnrltf ) Floor Punters - - R.00
Murwrw�o�seas inaotl vent 6.00 --
4) Suspended he•ter� wadW&tsr
cntirsrM. or floor mounted Mater
mwm tQ no" 0 Wak�w)
5.) Vent net inryudsd in nos Psl�l 3.00
8.) Boiler of t»rrtp Mat b.Ou
pQuwt M'wH0 � to 3 HP;abr ob unit to 100K BUT" _ -
s 7.) Boiler or taomp,heat pump,sit CON, 11.00
��"'_..•-- :315 HP.sbaotb ii to SWK BTIJ —
E j o ler of Comp,neat pump,sir 13
6; tat•tor 15.30 HP;tbserb unn-5-1 mil BTU2210
"" _--.
(Prier to 0) Atriier or tn", phe te�WN.ak cad.
isousnco A " � __ 30.50 HP.absorb ung 1-1.?"BTU- _
applicant y� 10-) Boiler or corrnp,floes pump,allcortd. 371121113110
.50
11,114,110 provide sit I 50 HP ascx
bb unit 1.75 mY BTU- -
tYmt al ��r1 a
Spm �• ^PL 11.) All handling and to 10,000
Naernse � tJ 11
irtfo"nadon 7.50
for COT 2"'s" "r.Noma` P _ 12.) Ak handlin9 ung 10 Dot)rFM -
datab"p). - i3;��n- ftMlo evaporne c�' a
Aftftl�@Ct "a""
t 4--) Vin-Pin rnerlexd to a slnsb dud 3.00
Or �yhAdq,.,..` _ - 4.
1,,,,. 15.) Ve�mtlfatTon systan mot ittdu ted in
EnglnOYr 0irj apP*snvs Poll 450_
p��work New O Addition o Alteratlon O �Repeir O
1t1,1 ode sewed ey rno.anicai e,hsust
to be done Residential O NrO�-m dentitl p 17.) Martarators ?.SO
A4dR{onol Oesr�tPliO^of work
10.) comxnorcial or' usMal type 30.00
IncimGrattN -,-- a.50
_____ __ 1g.) Repairl,Irlga
Etcisting use°f _ -
DuNding of OntPertY 0 W) wd&M -_ a'SO
21.) loth"dryer,etc. 4,50
4. ro"a A use Of _ 4.50
building or P�ft—-- 22.) Other units
rn — ) gas piping ate to four Outlets I �?DD
Type of n�«t•oa O natural gas o 00
LPG O elear{c Q .
-jEby nowbd�that 1 nave re.sd this applioetbn,that
24.j 1'�ore then�ptr Corbels(each)
Ln
infbrmatic°n given is eomers.that I am the owner or authorised agent of — !.SUBTOTAL
...1h 4ngon Stats
the Comer,that plans submitted are In�lancr
,� iawt Dont 'SUBTOTaL
31gnaAt r/Agent _
SURCHARG
'®t PIAN REVIFW 25 nF SUBTOTAL
Person Name hone
TO Al.
I •Minim permit fee is 325+5%surdtarye
g dOc rev g ^Residsnt{il AIC requires%Be pion snowing pWaernant of unit
CITY OF TIGARD BUM-DING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 6394171
Dade Requested: _ —i_ / y -7 , A.M. � P.M. MST: _
Location: 1�_� r � ���Gt/LC/. 464')a BUP:
Tenant:--- _- _ -- Suite: Bldg: �— MEC: 17-01 Z—q
Contractor: ��Q•u�,�/ GZ Phone• 70 _ PLM; ---
Owner:u_—_ 1� /i✓,f�'��" --- Phone: ELe:
--- — -- �_ ELR:
SIT:
BUILDING BLDG(con't) PLUMBING ( EM CHANICAI, J ELECTRICAL SITE
Site Post/Beam Post/Beam 116WHeam Cover/Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In Ceiling Water Line
Slab Framing Top()ut Gas Line Rough-In t JG Sprinkler
Foundation Insulation Sewer Ihxxi/Ihrct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C IJG Slab
Shcar/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved 5=N v Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
a -- - - ---- -- --_ -
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rl Call for rewppection ( n Reinspection fee of S_��—required before next inspection 0 Unable to inspect
In,ipector: \� _ Date: 1 ~- _ Page of