9935 SW MURDOCK STREET-1 is )iaoaanw ms SE66
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99%'P)5 SW MURDOCK ST
CITY OF TICARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: MEC2004-00560
1312.5 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 8/18/2GJ4
PARCEL: 2S111 BD-00319
SITE ADDRESS: 09935 SW MURDOCK ST
SUBDIVISION: PEMBROOK HEIGHTS ZONING: R-3.5
BLOCK: LOT:009 JURISDICTION: TIG
CLASS OF WORK: CTR FLOOR FURY: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/C APPL: VENT SYSTEMS: 1
STORIES: BOILERS/COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: s DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
M,'" INPUT: BTU 13-30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 -50 HP: WOODSTOVES:
GAS PRESSURE: 50+ HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
<= 10000 cfm: — OTHER UNITS:
>=100K BTU: GAS OUTLETS: 2
> 10000 cfm:
r larks: Installation of gas furnace,venting&gas piping. Venting&gas piping for new water heater.
Owner: +_ FEES —_
DANIEL. RILEY Descriptinn^� Date Amount
9935 SW MURDOCK ST [MECH; Permit Fee 8/18/200- $72.50
TIGARD, OR 97224 [TAX]8%State Surcharl 8'18/2001 $5.80
Phone: 503-6?9-7820 Total $78.30
Contractor:
OWNER
REQUIRED INSPECTIONS
Phone: Gas Line Insp
Mechanical Insp
Reg#: Final Inspection
a
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m
This permit is issued subject to the regulations contained in the Tigard Municipal tMe, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in ac.. ,ordance with approved plans. This permit will expire if work is
Farted within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION: Oragon law
fires you to follow rules adopted in the Oregon Utility Notification Center. Th-)se rules are set forth in OAR
db2-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC by calling
(51,3)2 -6699
,
Issued Y.
�\'�� Permittee signature: '
Call(503)63q-4175 by 7:00 P.M.for Ins,poctions nee d the next busin ss day
Me���ntal_Permit Application
Ci of Tigard IMWceivedty g .".yPermit No:13125 SW Hall Blvd.,Tigard,OR 97223 at Review
Phone: 503 639.4171 Fax: 503.598.1960 Plan Re Other Permit:
Inspec,ion Line: 502.n39.4175 Date Ready/by: 1 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Metbnd �� Supplemental Information
ipv; K 'glee - USE CIIFMMIST
Mechanical permit fees'are based on the value of the work
C1 New construction _ Addition/alteration/replacement performed.indicate the value(rounded to the nerrest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value S -
1-and 2-family dwelling C]Cottunereial/ir' mal ❑Accessory building RE'SID EN77AL EQUIPMENT/SYSTEMS FEES
❑Multi-family ❑Master builder tomer: — Fc special information use t Ireckli
Description Qty. I Ea
a. Total
7r ' Hestln coolln
Job site address: — Air conditioning or heat pump
U R_ e)f (requires site plan showia&phcement 14.00
City/State/ZlP: 'r1 - Furnace 100,000 BE�(ductsivene,) 14.00
Suite/bldg./apt.no.: Project name Gee heat pomp _ 14.00
Cross street/directions to job site: -g r4t"f R p Duct work 1400
H dronic hot water system 14.00
Residential boiler(radiator or
hydronic) 14.00
-- -- Unit heaters:(fid-type,not electric),
in-wall in-duct,suspended,etc. 10.00
no.:Lot
Flue/vent for any of above— 10.00
Subdivision:
Other: 10.00
Tax map/parcel no.: Other fuel appllan a
. , :', .w •.., t is -'gip Water heater
tGas fireplace 10.00
-EK) 1A11 1G' E Q a-W im, `� 1� __ Flue vent for water heater or gas
4'�' W A'}' ��. �{'�N ►C. �
fireplace 10.00
Log tighter s1 10.00
Wood/pellet stove 10.00
Wood fr Iace/insen 10.00
Chimney/liner/tlue/vent !0.00
Other _ 10_00
Name: 1 Environmental exhaust and ventilation
Address: w Q t Range hood/other kitchen
y Z= equipment
City/State/ZiP: ` A Y Y —^ Clothes dryer exhaust 10.00
Phone:(S6, U Single-duct exhaust(bathrooms,
f� V Fax:( ) toilet compartments,utility rooms) 6.80
Attic'cre- fans 10.00
,s
Business name: Other 10.00
p, Contat,t name: �. .J for tintfourfour-S�ch additional
Address: Furnace,etc.
- Gas heat purM -
U) City/State/ZIP: Wall/suspended/unit heater
J Phone:( ) _ Fax: :( ) Water heater —
Fi lace
m E-mail: Ran e
0 -- ----
W Barbecue —
BusiClothes d er(gas)
-
-- — Other:
Address:
City/Stbte/ZIP: __ Subtotal
'— Minimum permit fee(S72 50)
Phone:( ) Fax:( ) Pian review(25%of permit fee)
CCB lic.: State surcharge(8%of permit fee) t
TOTAL PERMIT FEE
C
This permit application expires If a permit h not obtal d thln 180
AIIthOcztd signal 1. days after It has been accepted a complete.
Print name 1 D e: Fee methodology set by Tri-County Building Industry 3arrlaf Bard
I\Buitding�Permfn\MPC' -Sgp..1Al!12ro3 UO-ae17T(I 1102/COM(WBB)
T
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
7 MET
$1.00 to$200_0.00 ftinuirn fee$72.50
52,001.00 to$5,000.00 572._ fur the fust$2,000.00 and$2.30
for each ditional S 100.00 or fraction
thereof,to including$5,000.00.
$5,001.00 to$10,000.00 $141.50 for WNa 'tional
,000.00 and
$1.80 for eacS 100.00 or
fraction thereincluding
$10,000.00,
$10,001.00 to$50,000.00 $231.50 for the first$1 ,000.00 and
$1.35 for each additions 100.00 or
fraction thereof,to and in tiding
_ $50,000.00.
$50,001.00 to$100,000.00 $771.50 for the first$50, 00 and
$1.25 for each additional$1 0.00 or
fraction thereof,to and inclu ing
$1001000.00. _
$100,000.01 and up $1,396.50 for the first$100, .00
51.10 for each additional$1 00
fraction thereof.
Note: All new commercial buildings re ire 2 sets of plans.
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i\Building\Permits\MFC-PennitApp.doc 12/03 2
ELECTRICAL PERMIT
CITY
OF TIGAR® _
PERMIT*: ELC2004-00646
DEVELOPMENT SERVICES DATE ISSUED: 1016/2004
13125 SW Hall Blvd.,Tictard,OR 97223 (503)639.4171 PARCEL: 2S111BD-G0319
SITE ADDRESS: 09935 SW MURDOCK ST
ZONING: R-3.5
SUBDIVISION: PEMBROOK HEIGHTS
BLOCK: LOT: 009 JURISDICTION: TIG
Project Description: (1)branch circuit to connect furnace.
RESIDENTIAL UNIT TEMFI SRVC!FEEDERS MISCELLANEOUS
1000 SF OR LESS: _ 0 - 200 amp:y PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps-1000 volts: MINOR LABEL (10):
SERVICE/FEEDER yi _BRANCH CIP.CUITS ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O ERVC OR FDR: 1 PER HOUR-
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITa: >6, VOLT NOMINAL:
Reconnect only: SVC/FDR>a 225 AMPS: _T CLASS AREAISPEC OCC:
Owner: Contractor:
DANIEL RILEY OWNER
9935 SW MURDOCK ST
TIGARD,OR 97224
Phone: 503-639-7820 Phor.e:
Reg P
_ FEES
Description Date Amount Required Inspections
[ELPRMT]ELC Permit 10/6/2004 $46.85
[TAX]8%State Surcharge 10/6/2004 $3.75 P
out'I gh Fin
inal
er
Total $50.60
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Si ecialty Codes and all other applicable laws.
All wok will be done in accordance with approved plans. This permit will expire if work is not started wi hin 180 days of issuance, or if work is
susprended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by ;he Oregon Utility Notification Center. Those
rule,are orth in 8,952-001-0010 thwough OAR 952-001-0100 You may obtain copies of these rules or direct questions to OLIN Cat(503)
. 246-6 9 or 1 800-332-2.34
Issu d By: _ Permit Signature:
_ OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: __.—_____.__ DATE:
t CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'W _ DATE:
LICENSE NO: ----
Call 639-4175 by 7:00pm for an inspection the next business day
INS
Electrical Permit Application
City of Tigard
a tv/Dy: Permit No �QQ
1 125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Ready/By: 1 See Page 2 for
Internet: www.ci.tigard onus Nofified(Method M � Supplemental lnf:-metlon -
TYPE OF WORK PLAN REVIEW — -- _
❑New construction � M Addition/alteration/replacement Please check all that apply:
❑Demolition [j Other: ❑Service over 225 amps,comm'l ❑Hazardous location
[]Service over 320 amps-rating ❑Buildng over 10,000 sq.ft.,
CATEGORY OF CONSTRUCTION of 1-and 2-family dwellin;. 4 or more new residential
]-and 2-family dwelling ❑Commercial/industrial ❑Accessory building []System over 600 volts nominal units in one structure
❑Multi-family ❑Master builder ❑Other: ❑Building over three stories ❑FNders,400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site address: 9 J []Health-care facility ❑Other.
_ to Submit j_sets of plans with any of the above.
City/State/"LIP: •� 01 The above are not applicable to temporary construction service.1.
Suite/bldg./apt.no.: Project name: __ FEE' SCHEDULE ••
___ Daaerlplloa Qty. rae. Tenal
Cross street/directions to job site: New residential single-or multi-family dwelling unit.
Includes attached garage.
1,000 sq.ft.nr less 145.15 4
Subdivision: Lot no.: Ea.add'I 500 sq.ft.or portion 33.40 1
Tax map/parcel nc.: — Limited energy,residential 75.00 2
Limited energy,non-residential 75.00 2
DESCRIPTION OF W0JtK Each manufactured or modular
�� dwelling,service and/or feeder 1 1 90.90 2
w�alV� 4_(j_ �'�!� Services or feeders Installation,alteration,and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2-
401 amps to 600 amps 160.60 2
Name: l 1P_LI _—� 601 amps to 1,000 amps 240.60 2.
Address: -� � �(`� j Over 1,000 amps or volts 454.65 2
Reconnect only 66.83 _
City/State/ZIP i Q— Temporary services or feeders Installation,alteration,and/or
Phone:( A ) Fax:( ) relocation
7 o _ 200 amps or less _ 66.85 1
Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sa = rent,or e�nge,ac rdit to ORS 447,449,670,and 701. 401 amps to 600 amps 133.75 2
Owner signa re: I , Date Branch circuits-new,alteration,or a:tension,Qer ane)
U APPLICANT CONTACT PERSON A.Fee for branch circuits with
service or feeder fee,each 6.65 2
Business name: branch circuit
-- B.Fee for branch circuits
Contact name: without service or feeder fee,
each branch circuit r 46.85 2
Address: Each add'I branch circuit 6.65 2
City/State/ZIP: Miscellaneous(service or feeder not included) _
a -- Pump or irrigation circle 53.40 2
Phone:( ) Fax: :( )
� Sign or outline lighting � 53.40 2
N E-mail: _ Signal circuit(s)or limited-
CON711tACTOR energy panel,alteration,or
extension.Describe: Pegs 2 2
Business name:
m Address: Each additional Inspection over allowable In any of the above
(; --- - Per inspection 62.50
LU City!State/ZIP: Investigation per hour(1 M min) 62.50
Phone:( ) Fax:( ) _ Industrial plant per hour 73.75
_ ELECTRICAL PERMIT FELS*
CCB Lic.: Electrical Lic.: Suprv.Lic.: Subtotal
Suprv.Electrician signature,required- Plan review(25%ofpermit fee)
Print name: Date:
Sate surcharge(8%of permit fee) �j
— —
TOTAL PERMIT FEE
Authorized signature: T ils permit appllcation aspire If it permit Is not obtalred within 1g0
d2ys after It baa been accepted as complete
Print name: Date: • Fee methodolo•,y set by Tri-County Building Industry SerA,e RonI
••Amber of ins.)ectiona per permit allowed.
t\Building\Penni1s\ELC.PenritAppdm 12/03 N00.461ST(IOWCOMMEP
Electrical Permit Application - City of Tigard
Page 2 -Supp:emental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined........ $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ arage Door Opener*
❑ He ing,Ventilation and Air Conditioning
System*
❑ Vacuu Systems*
❑ Other:
COMMERCIAL W RK ONLY:
Fee for each commer al system....................... 75.00
(SEE OAR 918-260- 0)
Check Type of Work Inv ved:
❑ Audio and Stereo Sys ms
M ❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication I a aticn
❑ Fire Alarm Installation
❑ HVAC
❑ Instrume ton
IL ❑ Intercom and Paging Systems
rK
❑ Landscape Irrigation Control*
U)
❑ Medical
J -
_� ❑ Nurse Calls
C9
❑ for Landscape Lighting*
❑ Pn,,;,,;tive Signaling
❑ Other _
Total number of commercial systems: _
*No licenses are reqs,=red. Licenses are required
for all other installations
i.\Rui1ding\P�=its\PLC-Pen.i1APP.dm 04/01
r -
CITY OF TIGARD
BUILDING DIVISION PERMIT M: MEC2004-00660
13125 SW Hail Blvd.,Tigard, OR 97223 DATE ISSUED: 8/18/2004
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/28/M. TIME: 7:42AM PAGE: 83
SITE ADDRESS: 09936:AVN MURDOCK ST CLASS OF WORK:
SUBDIVISION: PIEMBROOK HEIGHTS LOT M: 009 TYPE OF USE:
PROJECT NAME: RII.E Y
DESCRIPTION: Installation of gas furnace, venting&gas piping. Venting&gas piping for new water heater.
OWNER: RILEY, DANIEL PHONE >f: 603639-7820
CONTRACTOR: O MER PHONE N:
Inspection Request Scheduled For: Date: 4/21112005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Merhanii::al final 005!534-01 +503.639-7820 N
orrections/Comments/Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v Date: _ Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT#: ELC2C�3 -M' 6
13125 SW Hall Blvd.,Tigard, OR 97223 DATE ISSUED: 10 W200A
Phone: (503) 539-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/26/2005 TIME: 7:10AM PAGE: 103
SITE ADDRESS: ", 35 SW MURDOCK ST CLASS OF WORK:
SUBDIVISION: PEMBROOK HEIGHTS LOT C 009 TYPE OF USE:
PROJECT NAME: RILEY
DESCRIPTION: (1)branch circuK to conned furnace.
OWNER: RILEY, DANIEL PHONE #: 503.639.7820
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 4/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1!44 Eledric.sl final 005327-01 503-639.7820 N
Corrections/Comments/Instructions:
*SS F] PARTIAL APPROVAL �] CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �s - �. __ Date: �, � - 'v Rhone #: (503) 718• _