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16660 SW MATADOR LN
CITY CSF TIGARD
• MECHANICAL
COMMUNITY DEVELOPMENT DEPARTMENT PERM 1 1
13126 SW Hall Blvd.Tigard,Oregon 07223.111199 (603)639-1171 PERM I_r. #. . . . . . . : MEC94-02 58
r,:a;`i 4i 71 DATE ISSUED: 09/16/94
PARCEL: 2SI16AD--08100
STTE ADDRE 11. . . : 16660 SW MATAD'3R L.N
SUBDIVISION. . . . : ZONING:
ial_OCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .
CLASS OF WORT-',. . :NEW FLOOR FURN. . . . : EVAP COOLERS:
TYPE OF USE. . . . :SF UNIT HEATERS. . : VENT FANS. . . :
OCCUPANCY GRF'. . : R3 VENTS W/O APDL: VENT SYSTEMS:
STORIES. . . . . . . . : BOILERS/COMPRESSORS HOODS. . . . . . . :
FUEL TYPES-------------- 0-3 HP. . . . : 1 DOMES. I NC I N:
: /E:LE/ ! 1 3-15 HP. . . . : COMML. INCIN:
MAX INPUT: I-ATU 15-30 HP. . . . : REPAIR UNITS:
F,I RE DAMPERS?. . : 30--50 HP. . . . : WOODSTOVES. . :
GAS PRESSURE. . . : 50+ HP. . . . : CLO DRYERS. . .,
NO. OF UNITS--- ----- - AIR HANDLING UNITS OTHER UNITS. :
FURN ( 10011% BTU: 1 (- 10000 c f m: GAS OUTLETS. :
FURN ) =100K BTU: > 10000 cfm:
Remarks : FURNACE/AIR CONDITIONER NOISE READING REQUIRED FOR AIF CONDITIONER
Owner: ________.___________________----__________._--______ ._-- FEES --- ------- --_._.
GRAHAM HAYNES type amount by date r-e( pt:
16660 SW MATADOR LANE PRMT f 25. 00 KS 09/16/94 —
PLCK $ 1. 25 K5 09/16/94 —
KING CITY OR 97224 MISC f 20. 00 KS 09/16/94 —
F'hone #:
C:ontr-actor: ------------------------------
THF FURNACES DOCTOR
1173.3 SE FLAVEL STREET
PORTLAND OR 972'66 ----------•---_-----------------------_
Phone #: t 46. 25 TOTAL
Reg #. . : 55017
------- REQUIRED INSPECTIONS -------
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi sc. Inspection
applicable laws. All stork stili be done in accordance with Final Inspection
IL approved plans. This permit will expire if work is not started
a within 180 days of issuance, or if work is suspended for more _
N than 180 days.
Permittee 13ignat1_tre:
UJ
J Issi_ted By :
Call for- inspection 639-4175
City of Tigard MECHANICAL PERMIT PlancWRec. #
13125 SW Hall Blvd. APPLICATION Permit #A1 11FG Rq—09,59
Tigard, OR 97223
(503) 639-4171 �}
scnpson^"
Table 3A Mechanical Code CITY PRICE AMT
Job F(�U s,Oy/ 4l 0/,Lctire 1) Permit Fee -0- -0- 10.00
Address - — --
I r] C f 9/ 2) Supplemental Permit 3.00
1 13Furnace
/� �✓ a I u r� f/a r'E'S t) Incl.ducts&vents 6.00
umace +
Owner r,e 2) Incl, ducts b vents 7.50
ap Floor umanoe
3) incl. vent 6.00
Suspended heater,wall healer
4) or floor mounted heeler 6.00
Occupant Vent not Incl.in
_ 5) appliance permit 3.00
ao Repair of henting,rerig.
6) cooling,absorption unit 6.00
i er or comp,heat pump,air cond. --
f t-',-ate 7) to 3 HP absorp unit to 100K-§TU` I 6.00
miler or comp,heat pump.ai-r-66507—
Contractora?,
. ----
r i _ 8) 3.15 IP absorp unit to 500K BTU 11.00
ap �iG or camp, a pump.av corT
L I (� ' y7 9) 15-3)HP absorp unit.5.1 mil BTU 15.00
�iTei of con P.heat pump,air cond.
10) 30-50 HP absorp unit 1-1.75 mil BTU 22 50
rare y
acknow1w Igo at I have read min ap r-a ion, a a— Miler or comp,heat pump,air co .
information given it correct,that I am the owner or authorized agent 111 >50 HP absorp unit 1.75 mil BTU 37.50
of the owner,that plans submitted are in compliance with State — r hanaing u y --
laws,that I am registered with the Constructkin Contractor's Board, 12) 10,000 CFM .nom 4.50
that the number given is correct. (If exempt from State registration, -any unit
pleasegive reason below.) 13) 10,000 CTM+ 7.50
Nen por
14) evaporate cooler 4.50
Vent
15) to a single duct 3.00
o `i5u;eTon sya e—f m nod
-6 / 16) inch:.d in appliance permit 4.50
Hood served
17) mechanical exhaust 4.50
escn wor new addition alteration repair -— Commercia or indiListrial
to be done residential& non-residential 0 18) type incinerator 30.00
Existing use of -- er i.e., s ve- w—a "--
a buiiJing or property 19) heater,solar,clothes dryers,etc. 4 50
�
Proposed use of � ^
H P 20) Gas piping one to four outlets 2.00
N building or proporty
21) More than 4-per outlet
Type of fuel-oil O natural gas Q LPG O `lectrb
m _ _
C7 pNOTICE
Minimum Fee$25.00 SUBTOTAL Z"S
--1 PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR 3%SURCHARGE S
IF CONSTRUCTION OR WORK IS SUSPENDED OR c
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME V-1^ �low O
AFTER WORK IS COMMENCED. ---
TOTAL
Special Cond�Ons —
Date Issued by
AN/EdIpEfT
McMeenklry
AUC,-31-'94 61ED 12:53 iD:CITY OF KING CITY FAX NO: - P01
KING CITY
I&MO S.W. 116th Avenue,King City,Oregon 97224 Phone:639.4082
COMMUNITY DEVELOPMENT
APPLICATION FOR BUILDING PERMIT
(Instructions on reverse)
DATE -3 1 I q / /�1
1. NAME OF APPLICANT:LpgdM Lo w &q.b�1 RA�Pham No. LA 0 - I a-6_
ADDRESS:_—JQ 5y; i2jignTbot-
ADDMS OF PROPOSED
2. TYPE OF CHANGE.;, IMPROVEMENT OR CONSTRUCTION FOR WHICH PERMIT IS RDQUESTED.
DESCRIBE BRIEFLY - ATTACK TWO COPIES OF PLANS OR DRAWINGS frF
PROPOSED PROJECT: /__N.3T LC- FUd6 NA f1irE n-
3.
n3. NAME AND ADDRESS OF (7wmr ToR OCT'O E e T �5
PHONE NO. fpi�-0314 LICENSE NO.
4. NEIGHBORS WHO MAY BE AFFECTED BY THIS PROJECT WILL BE NOTIFIED BY THE CITY.
5. APPLICANT OR HERMIS REPRESENTATIVE MUST BE PRESENT AT THE PLANNING s 'MISSION
MEETING NEXT HELD ON
REPRESENTATIVES NAME _ PHONE NO, —
%.he Ring city Planning couission rill consider only thos applications received t least five (5) daps
prior to a oeeti ) f�
SIGNATURE
APPLICATION RECF i VED BY _--� 1)AT E —
APPL I CABLE FEF RFf--E I VED $ TOTAL_
PLANNING CCDMIiSION DECISION: Approved__ Denied
CONDITIONS—
Approved applications are valid for sit Ronths only r�
Signature _ Date
NOTE: Or eq onrbudl-jets Law requires that itlersons who contract
Pfor work on thele residence be
regi Bred vita the Buildets loard Which leans the contractor is bonded and insured on the job site.
For your prntrr-tion, be certain your contractor is registered by calling City well Ph: 631-4011,
C
D
NOTE: A permit must also be ccbtained from the City of Tigard Department of
0 Ce munity Develay ant YesNo _
CITY OF TI NSPEGTION ,Zgff
The above listed project has been inspected and Approved
ed
Date Cotmwnts +��i
Signature
f iftAPe&*AL p&UL4qL 4A4&mL M& (1) copy to Kine Ckty T
CD 2-8y �
AUG-31-'94 IED 12:54 1D:CITY OF KING CITY FAX NO:503 639-3771 "639 P02
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