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16625 SW Matador Lane
CITYOF nTIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT#: M 00407
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 9/11 2/022/02
PARCEL: 2S1 16AD-11800
SITE ADDRESS: 16625 SW MATADOR LN
SUBDIVISION: KING CITY NO.15 ZONING:
BLOCK: 22 LOT: 011 JURISDICTION: KIN
CLASS OF WORK: AL1 FLOOR FURN: EVAP COOLERS:
TYNE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: _ BOILER_S/COMPRESSORG HOODS:
_ FUEL TYPES _ 0 3 HP! 1 — DOMES. INCIN:
I_NG— _ 3 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN >=100K 3711: —JC= 10000 rfm:� OTHER UNITS:
GAS OUTLETS: 1
> 10000 cfm:
Remarks: Install gas furnace/AC and duct work.
Owner: -------FEES
MARY LOW MIL.BAUER Type By Date _ Amount Receipt
16625 SW MATADOR LN PRMT BB 9/12/02 $72.50 KING CITY
KING CITY, OR 97224 5PCT BB 9/12/02 $5 80 KING CITY
Total $78.30
Phone:503-968-1895 --- -- — — —�— �- _
Contractor:
CAROKEN ENERGY COMPANY
3565 SV.1 182ND AVE
BEAV,=:RTON, OR 97006 REQUIRED INSPECTIONS
Mechanical Insp
Phone:848-3838 Heating Unt Insp
Reg#:LIC 43124 Cooling Unt Insp
PLM 34-113pb DL[Ct Inspection
Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Cade, State of Ore.
Specialty Codes and all other applicable laws. .All work will be done in accoraance 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 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503)246-9189.
Issue By: –_�_ . ? „_ / Permittee Signature: 4__ 1 _
Call (503) 639-4175 by 7:00 P.M. for inspections needed the next business day
09/09/2002 09:5R 5036393771 CITY OF KING CITY PAGE 02
IRVUwesi Meebtanical Pe it Application
Date received;u Z r' Perm,t no.111 ,a _CSC
City of King Cit ----
l 3125 CW Hall Blvd,
Project/appl no, Expiro dote' ----�
Iw00%
. nTigard,09 97223Date issued; By . 4 eccip( nu
�lultnoma}t Phone: 003)639-4111, Fi► bra 1 Case file.no,, Payment typo -
8ashington Buildin permit no.,
Land trsr appruva;' g - - ---
-6:4.& 2 family dwelling or accessary q mrner6W1.n lusrnal Q Multi-family 0 Tenant trnpinvernent
:1 New constmction ddition/altemdon/replacement 12 Other
It 1
ob address: Indicate equipment auarttHtc9 in ht,xes below. Gtdtiarc the dulls:
)Ida no.• _ 1 Suite lo, �- value of tdl mechantc;u materials,equipment, labor,overhmd,
ax map/tax lot/account no.: profit. Value S .. .
Bhack: Subdivision 'See checklist for impo►tanl application inlormalion and !
r:eject name: ar -^ jari.rdirfinn'r lee schedule for"ridenrial permi(feir
:i!1.icount . , ZIP_
>eso.-ripdon and Ic" Nip Work on p/rcn, s
-- F'rc(ems.) I'utel
st_ date of cDmiletl.� tnspectlon: - Ueacrlptton Q Bea onl Bus onl
enant improvement or cltattge of usr.' HVVAT;
Is exIstin space heated or condidonod. Yes Z)No �U handtin untl_ CFM
R p +condiuonrn (s V-Ian regr,rr- �
Is ex.lstitrg space insulated?0 Yes O imstion n es.tsttn. FNAs system
l l ONT Coo'?--preslon
usiness name: , State boiler permit no
�aMra _ 1¢r C., FSP Tons rtTU/li -
Adress: $LO JA _ -_ �o%amo a dam duct smoke detectors
,t statte; ZIP (��r eat um s to p an re uiie 1�'
Fax, . •nkat(, uta rep aceTtima unser t3 i
including d�uctw_orwvent lin�er�os Q No
CB no,: 4 3f�, _.r�_.___--- nitnl heplacelmlor.ate ieaten- suspended
.()./Metro lic. no; 1��� ^� - wall,or floor mounted
ame f• lwme
print): b ent fora.+hottr�e ner en lrnoce _
e er�t nio i----
Aim Absirption units g7t1M _
Chillers _- --_- ,- Fit`
n ooroentaJ exh.-,staud voo( nnoar
ly 5taro: ZIP: _ ApplitiInCA vent -
,one* Fax: n all: ryer cx tons!
floods.Type U luris.k�tche amtat
ht,od fire suppmision system _
r,nr;: k4.vu5,.k-PLL Exhaust fan wlr'i single duct(bath fans) _-
adow,addreessss'' xhausl sWtenl gan from heaung or AU _
Fuel piping an rbuuti� ( p(a 4 outlets)
State ZLP:
_V_LV2 _ _ �. � 7 -ms s (ypc LPG NO 011 _
- r7 • C Fu�- E m il: J_Urlpiang eacl�aa t ata over 4 oul!els� -
r�►ce�s piping(ichemauc required)
__-
Number of outlets
c
_._ _ _ �_ __�. a �- ,.._-- that +�e�rppiisi,�x or equ pmeda
�resv 000.Irallve fire _
v: 1 Stntc: Z!P nsc type—
nne1- Fax: dst(ve/pellet stove _ T
�r
For:
-,e (Pmol)• N�>l� s.w.:ti. __ ----µ- -
ri p.ntideUa,u.ttAOt MMd Mill plrafe csll jur4llQiglon for mWe arormsuen. Permit fee 5 ._...�1-� ••S
Volirtr This parretlr gpprfee(ton Mirumum foe ................S .,
.,t O,ti14ucrC'erd r_r(:Lrt if a perrmi it not obtained t —�
cud sumbv ._----_—. il
wiJh'n 180 dgvs after,it has been Nan revl�w(at ___ )
'el' Stete,surcharge(8%).....S
elFel'�i.0 oh<~•n on nrti�ia�— dcerp(eR ds cntnplr(r
—- .—�. " A TOTAL. .............. .......E
+Zr1%OhnldV ft�lholurE Ouht 44OL"11 ttrCOt )M
\ CITY
I TY O F T I G A R D ELECTRICAL PERMIT
T PERMIT#: EL02002-00488
DEVELOPMENT SERVICES DATE ISSUED: 9/18/02
13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S116AD-11800
SITE ADDRESS: 16625 SW MATADOR. LN
SUBDIVISION: KING CITY NO.15 ZONING:
BLOCK: 22 LOT : 011 JURISDICTION: KIN
Proiect Description: Installation of(5) branch circuits for A/C and gas furnace.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS__ _ _MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amo: _ !PUMP/IRRIGATION_ !!
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 4r,1 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FOR: 601+amps - 1000 volts: MINOR LABEL (10):
_ _SERVICE/FEEDER_ BRANCH CIRCUITS _ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FOR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT:
601 - 1000 amp: _ PLAN REVIEW_SECTION
1000+ amp/volt: >-4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: J
Owner: Contractor:
MARY LOU MILBAUER I IEBERLE ELECTRIC
16625 SW MATADOR LN 19680 SW NEUGEBAUER RD
KING CITY, OR 97224 HILLSBORO, OR 91123
Phone: 503-968-1895 Phone. 503-628-2095
Reg #: SUP 3053S
LIC 15234.7.
ELE 34-1600
FEES� Required Inspections
Type By Date — Amount Receipt Rough-in
PRMT CTR 9/18/02 $73.45 27200200(10( Elect'I Final
SPCT CTR 9/18/02 $5.88 2720020000(
Total $79,33
This Permit is issued subject to the regulations contained in the Tigard Municipal Code.State of OR Specialty Codes and all other applicable laws.
All wnrk will he done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for mora than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oreyrn Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503)
'146.6699 or 1 X00 332-2344
Permit Signature: -- Issued By: x.
_OWNER INSTALLATION ONLY _
Tht- 'nstallation is being made on property I ovm which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: __. _ DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N:
�------- - - ----LICENSE NO:
NO:
Call 639-4175 by 7:00pm for an inspection the next business day
09/12/2002 09:32 5036283076 HEBERLE ELECTRIC RAGGED 01
U3/04/21,102118:38 FAA 611.921100880 R-J-Plat 40111eC-
Electrical Permit Application
---- — - — Pertnlllro.: :l
Datertrcivcd ' n; i �90 __
city tl)rJlllgard ProjctUappl.no.: Rlpuedllc; =no.
13125 Sw Ilan mvd,'Cigard.OR.9= DateIIAWA: dy�� Recellnono..
(,"it of r -
Millie: (.IIID 639-4171 Cete rile no Payntrnl type
rwu (w) 598-i9b1)
l.nlld tlso nppmval,
Ll Tpna,lt I[nymvemenl
, 1-I .k 2 family dwelling,.n ncrrnwnry C1 t'nrnme,ciaVUdur;trial IU Mulls WillyUTF-timit
Partial
C-1 New cnnctnlctinn .J�l�ddili,m/ellrlation/repla,:emrn+ Ir Illhr[._ _
Job AddfCb9: *10Z"$ Vrw->"Ic► HIdl1.no., 5uhe no.: Tax ma h,Ylul/nccrtunt nn
.: —
ot: Block: 5ubtlivi4inu: ti���—_ "IZZ�_
Proect naln_e: t 4o►-t l _ �escti Uan end Iocatlon of work on ptttnl+tes f�rL.
p—J mM ted date of con leijunruntlr•,tion.
I ter 11Ln
Q
Jah tint _ �4,��1 r;l���._ t►rr,riht:�n _ �) Irl.) tiloUt nn.lur
taiitlncae name: ��EBERtE al,tur.l-liood _—_ ._.__'net►r.�ter+nrt-,sr,��rorinatn I.mnrs~� I_ -
`i`dI- 11x16 drrr9l■ InkllnhrdnnttertrdCsv+c^•
_ndur°s': Utsboro;4�r '�--` 1-1 3'g
City - N11 tate' .�aP: - Sento [Srr,: 4
F. mall;
100(16Qya or lead
1h10r1C'���`1 a111t: J _— F.rh nddluen>t11W nO.IL ntponleo Ibuctlr
C:CF!nt'_- Flas:.bteu lir_ nrr reaidenlid ~
-- t I imiied enemy 1
Cit a l,Ile no.: Gres 1 Y� '3`{ -L Umltedenerty,non•resldentiRl —
t 2 p? F,rleh Mankitttl11ret)home nt mabder dwcl&fl
---+-G —'-
service endlorrMdc►
grlaturc of K elg �n cc ulltd) _ I)em
Srrtire+errn�lrrw-{e■bll�V�■u.
9nr Ptrclnnm 'viol) yr ': 1' uCeNenn:'f5"�?+'`' elflr�lfneotrelnraGo■: '
/ 1
200 2
201 "�Intel wpt
Nerzto Spa t)' Y►YiE� �Ou 1'v�► --- _Aot u116210 6WunP1
�Mnilillg 11 "3: . _ 60)rapt In Itxxllumfl .,�
Ci — I`ilnl,. - 7,IP: Ctvct W(lanpcorvolu
PltOuc. Tetapnl>tn rr•trr.nr IrMlrra-
`owner installrl,inn: T11r tnstellahcin i1 I,einp,mude on property 1 nwn
hnjwtb/:nu flhl.11rta,or�rinc�lio..• Z
w U.11,li-ntlt illtenriCd lr,r RAZE,lease,rent,of exchs"111n act:ol ding In _200ImP7 las _
01(5 447,4.55.479,67(1.701. Im ImPt 19 4un Atop, — -
Vivncr's 91 18tute: Ihtr:__— 1011a60Ulrnpn `�
rinchekeeHe•ecr,INrrtlirnr
0 e■!da(,nl per Pbod,
L'A
�. r ti r"fnr hnulch cltcuits*1111=I,
ue tihPnr of Z
tervlce 0r feeder Its,nch bieneh clrnlil _
BFM tux briar!Mrcaiu w >rty+!�nRn L0tiu,tr .P:I' -_— -- pf errrirt m frnJc,for,fir4t(nnorlt dfcut:r■>S: k, n'.+iii Fachuldltivanlb,nncheircuit� —
bce jtknirc nt a,irr siN Intla - 2
cn cncle
3.ervlMnver2?Semt+e�mrmnril*1 ll Nrekhcael.tih[y Fjtebtl6nutuullbell �-
U Setvirxnver7lntmps•rttlnpof Itt1 !)1(ezentouRleeedmn SIP.naf wul,(tlorAllmllydennrnplinel, 2
fnnul.•twf41i,L- d Pulidlnu nver 10,M)r1P,em k"font a el tetenor,or entenefou' —
tl Fyrtem nvn tux)unlit nnndnel more nnidenlllt uniu In one rtmemw _
ll I1n114GnR aver three norirr O vvrrim.400 amps or Mare elJractiZUon_.. . - � �.- r .bnnn
l.i r.,nrpanl kudovrr 99�,n� U MMIfs_turM rnnctnr�or RV pat Fath ddllblul kneecllve Icer the lrnmw■bM M a" f ow
U rpr withdnRriml q Uher _ Per imittircholl --
SnMtt11_�rel■nl�wr*1111 key of the elwra irrvrrrttsedonta. -_,� _-,,. _.....�
71tr■h:ne■fie enl r Be■bte to tt�pAtllfy alln"d0*Wllce- t"1'^
eo
rt mit tec .... - .......
pe 11rmlon
1��'°.uer.,rtllcetA.rtreernnh.l.Ain+nnterlv.eM Nntioc.This lnlhlpp :'la
IM on areview(at 9t+) _ �.-----<
Q�'iar 6lMiatct� cxpitd It n pctmH is um obl.incd
within 110 darn Ante it he.+heen 5lnte atnrhAt2e(896)•.••$
�_ ■ocspW ut m-nipleir, TOTAL .....................low .f •��__ �.
-
at or,
-- PLEASE FAX RECEIPT \ uorelsle+anXyRn
THANKYOU-
TO 503.628.3076
I �`�
CITY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
MST
INSPECTION DIVISION Business Line: (503)639-4171
- -
BUR - - - --
Received _ _ - -- -_.Nab— -,tnd /_. AM. - - PM BUP
Location Suite. _ Mi EC
Contact Person _ _ _. Ph(. ) _ o ° 7�_ PLM
Contractor ---- -- Ph(—) SWR
BUILDING Tenant/Owner . ELC � 1
Footing----- - ELC
FoundationAccess:
Ftg Drain ELR
Crawl Drain --__
Slab Inspection NoiPs: SIT _-
Post& Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing -- - ---
Insulation
Drywall Nailing --
Firewall
Fire Sprinkler ---- -
Fire Alarm
Susp'd Ceiling ---- -- -
Root
Other: -- --------- _. _
Final
PASS_ PART FAIL - - - - - - --- - - - -
PLUMBING _
Post&Beam —
Under Slab -
Rough-In
Water Service ------- ------ -- -- —
Sanitary Sewer
Rain Drains - ---- ---- ---
Catch Basin i Manhole
Storm Drain _--
Shower Pan
Other: -
Final
PASS FAIL
AIL --- ------ -- — ------- -----�-�- -
--- -T FA
MECHAN��AL__
Post& Beam
Rough-In -- ----- -- ---
Gas Line
Smoke Dampers -- ------ -----
R
AS ART FAIL
----- -
-FAIL
Sery ce -
Rough-In
UG/Slab
Low Voltage
Fire Alarm
L
AS i PART FAIL
Reinspection fee of$_ _required before next Inspection. Pay at City Hell, 13125 SW Hall Blvd.
Please call for reinbpection RE:__. _-_-__ _— Unable to inspect-no access
Fire Supply Line
ADA Date I Inspector _-� �
Appronch/Sidewalk - ( L-�" Ext
gNier: __
Final _--" DO RIOT REMOVE this Inspection record from the job site.
PASS PART FAIL