9650 SW MURDOCK STREET-1 9650 &W MURDOCK STREET
If W 1W
CIT' OF T167A ME�.",IT NO. : PERMIT
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COMMUNITY DEVELOPMENT DEPARTMENT
gA'T'L•"•: ISSUED: 7/1.1/88
13125 S.W.Hall r Bow 23397,Tigard,Oregon 97223,(50J)639-4175 PRIM. PMT .NC) . 8431.338
,JO 3 AD17RE=:a S : 9t.. 0 SW M(. PDOCK Si T
T'A:( MAF>/L.OT 5101: LJ : BK :
1...A!, D USE:
1...01 SIZE:
T'TE::M: NO : NO:
WORK CLASS :: Al...'TEnATION F'I.IRNACE: (111.00K AIR HANDL N (10
USE 'TYPE::: SiINGI...E:: FAMILY F LIRNA(E:' 100K•1• 1. ATR HANDL.R 1.OK
C(:)NS I* . 'T'YPI-: : FLOOR OR F LJRNAC;E. U'VAP .COOLER
OCCUP.(IPP. : I-IrFATEk Yl.:.NT FAN
VENT 9Ei:N'T' . SYST'E::M
8L.R/CC)MP ( 3HP H(501)
NO . STORIES : EILR/COMP 3•-1.5HP 1NCINERAT0P(DOM
DWELL .UNITS wtl._P/((:IMF' 1.5-3014-' INCINEPA TUP(LUM
F (.IEL. TYPE GAS ElL.R/C.OMP 30---50HP PE-PAIR I.1NI'T�i
MAX . :CNF)IJ'T' 1:L.R/(::OMP 50+HP (' 1'HE'R
N'Im DMpRSi'r (:•;A5 pllol:M(:y OUTI...E's'T'S 1.
HIGH
REi:MARKrS
JI'Mt.e113. :1.10 ,000 btc.1 9 1 fmi'll-Inc.,zi
—
0 Wilcox .Joon PlsRMTI $ 1 0 00
N 96::10 SiW M1.11^(Jac.-k Sit, PL..AN RIEVIIEW >a�l E3E3
E J'J.gal rc:l Or, 97'PPA F,3:X'T'URE:5 109 . 50
R PHONE:: ( 503) 6:39••-:3901. STATE 'TAX 111 .98
OTHER
C
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N AAA Ii'T'Nt". . AND ('.'001...1 NG.
T
R 291.15 NE': UNION AVE: .
C r)ar•tTutn(J or. 9'7RIS
C
T PHONE (50:3) P.84•-21.7:3
O REi:ui sTPA'T ION NQ . 2P2
R
RE:(:'E:1:F)T NO.
This permit 13 issued subject to the regulations contained in 1 itle 14 „W._..___.__..�.„__...... ..„__.� ..._......„.
of the TMC. State of Oregon Specialty Codes. zoning regulations Rip-QUIREE) 'J:N!3C�Ei:"1'IClN6
and all other applicable codes and ordinances, and it is hereby
agreed that the work will be done in accordance with the plans and GAS I...1.NI:
specifications and In compliance with all applicable codes and
ordinances The issuance of this permit does not waive restrictive
covenants Contractor and subcontractors shall have current city
business tax permits This permit will expire and become null and
void if work is not started within 180 days.or If work Is suspended or
abandoned for a period of 180 days any tirne after work has
commenced It shall b,3 the responsibility of the permittee to assure
all required inspections are requested and approved.
permittee SI nature
Issued By -._ „ �fi� F-trs3�--a49-iKaL-
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE
CITY OF TIGARD MECHANICAL PERMIT Rece;pt#
CITY Permit w ____ 3-G�—
Description
Table 3A Mechanical Lode QTV PRICE AMT
City Of Tigard 1) Permit Fee 0 -0- 10.00
13125 S.W. Hall Blv•
P.O. Box 23397 2) Supplemental Permit 3.00
Tigard, OR 97223 — --
639-4175 t t Furnace to 100,000 BTU 6.00
incl.ducts&vents
2) Furnace 100,000 BTU + 7.50
incl.ducts&vents 7.5
Name of Development 3) Floor Furnace 6.00
Incl,vent
Job Address a Suspended heater,wall heater 6.00
Address 9650 SW MURDOCK ,r iloor mounted heater
Tax Lot _ Map No. 5) Vent not incl.in 3.00
appliance permit
Lot Block Subdivision
Name(or name of business) 6) Repair of heating,ref rig., 6.00
JOAN WILCOX---_ _ cooling,absorption unit
Meiling Address Y� Phone 7) Boiler or comp to 3 HP 6.00
Owner _absorp.unit to 100,000 BTU
9650 SW MURD�CK 3991 Boiler or comp to 3 HP-15 HP
ciryip 500,000 BTU 11.00
TIGA Zip
RD� OREGON 97224 8) absorp.unit to GA -
-�— Name — 9) Boiler or comp 15-30 HP 15.00
AAA HEATING 6 COOLING, INC absorp.unit 1/2-1 million _
Melling Adaress Phone 10) Boiler or Comp to 30-50 HP 22.50
2915 NE UNION AVE 284 2173 absorp.unit 1 -1.75 million
Contractor --- ---- Boiler or comp to 50 HP 31.50
PORTLAND, ORE 97212
cuy� _ Zip 11) absorp.unit 1,750,000 BTU
State Registration No, City Bus.Tex No 12) Air handling unit to 4.50
10,000 CFM _
1 2 2 1184 Air handling unit 7.50
1 hereby acknowledge that I have read this application that the informatioc given Is 13) 10,000 CFM f
correct,that I am the owner or authorized agent of the owner,that plans submitted are In
compliance with State laws,that I am registered with the State Builders'Board,that the 14) Non portable 4.50
number given Is correct(If exempt from State registration please give reason below). evaporate cooler
15) Vent fan connected 3.00
to a single duct
Ventilation system not
16) 4.50
Included in appliance permit
_ Hood served by 4.50
7/8/88 17) mechanical exhaust
Signature(owner or^g �t) M�SPRZZA_ Da.e 18) Domestic type 7.50
Describe work 11 addition I alteration [I repair i Incinerator
to be done_ residential I I non-residential [1 _ 19) Commercial or industrial
INSTL 110'000 BTU GAS FURNACE _ type Incinerator
ro _
Existing use o Other i.e.,woodstove,water
building or properly ___ __—____. ___—_ '0) heater,solar,clothes dryers,etc. �J
Proposed use of
building or property RESIDANCF. _— _ ___—
21) Gas piping one to four outlets 2.00 2.00
Type of fuel- oil CI natural gas L_I LPG ;I electric I_I
22) More than 4-per outlet
NQTICE SU8-TOTAL L9150
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON-
STRUCTION
ON SX 49'e SURCHARGE
STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180
DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER TOTAL 0.4A
WORK IS COMMENCED. — --
Special Conditions ___--
Date issued by
A' by--- - --
�A In
A'
!
City of T° lgolyd
for
W".?PFCTION TIME: _ _ PERMIT
DATE: __,,.J ..�L DATE; ISSUED
,. N ERS NAME :--
A D P, R E S S
AME : _ADrRESS
CONTRACTOR
TEST : Air n, Waiter Viall ai , Laburotory
',�CrSULT; Approved Pisapprovnd inq
_' D A I E !
UNIFIED SEWERAGE AGENCY NO. June 95'70 _
-I 16, 1976
VVASII NGTON COUNTY DATE - -
Tigard -
CITY OF-_-- '
APPLICATION FOR `EWER CONNE=CTION PERMIT
Earle R. Wilcox and Joan K. Wilcox
OWNER: - — - -
- R2 9650 SW Murdock St, Tigard
OWNER'S ADDRESS: _.- sTReET
97223
}} 33 sTATe
BUILDING SITE:
LTU,25' Darmel lLPK __�_Washin9 l�
'tY ' OR
clry
TAX LOT NO. -
___-___ TYPE CSF OCCUPANCY __..__._
ADDRESS
DWELLING UNITS- l - - -- FIXTURE UNITS ______----------- --
SURCHARGE IF APPLICABLE --
300-00 25.00 TOTAL DEPOSITED
I'L_I Ml f FEE ---- -- --._ INSPECTION FEE ---
-----
Fanno Creek - ----_ __
(NLW) (EXISTING)
BUILDING SEWER SYSTEM _ -
The Applicant agrees to comply with all rules and regulations of the Unified Sewerage Agency.
APPLICANT - _ -
SEWER PERMIT
THIS PERMIT AUTHORIZES CONNECTION TO THE SEWER SYSTEM.
LINE SIZE _.--_.__._._--
____._ INSTALLER --- -- - -
RECEIVED BY..._
(A(;ENCY OR ITS AGENT)
COMMENTS:
This Application and permit expires in ninety (90) days. The amount paid will be forfeited I
should expiration occur.
11� .
5
I
11
7
1
cS �U
ADURESSr F'FRMIT N0.
PERMIT CHARGE none
CONNECTION FEE :7
PAID BY (r `� l✓�� ___
TYPE OF BUILDING �t DATE CONNECTED
SERVICE RATE INSPECTION FEECONTRACTOR
PAID B Y _ DATE
ASSESSMENT PA IO
S 1 7.E U F C O N N E C T I O N _____._� ____._ ---• -----�