Permit .
• CITY OF TIGARD MECHANICAL PERMIT
v
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00059
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/6/2009
PARCEL: 1 S 134AD - 00300
SITE ADDRESS: 11356 SW IRONWOOD LP ZONING: R - 4.5
SUBDIVISION: ENGLEWOOD LOT: 022 JURISDICTION: TIG
PROJECT: FRANK
Project Description: Replace gas furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: 1 VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
ELAINE FRANK Description Date Amount
11356 SW IRONWOOD LOOP
TIGARD, OR 97223 [MECH] Permit Fee 2/6/2009 $72.50
[TAX] 12% State Surch 2/6/2009 $8.70
Phone: Total $81.20
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 848 -3838
FAX 503- 356 -9002
Reg #: LIC 43124
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be 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 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 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: OVA: I , ; � � Permittee Signature: %__R Q p ` (J u.J1/1
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FE- .5 -2Fl9 17:24 FROM:GAROKEN ENERGY CO.IN 5033569002 T0:5035981960 P.1
Mechanical Permit Application I ,,,lt I ICI 1 •I. 0\1,1 .. " City of Tigard I E I
Date jay: d 5 O c t ived Permit No
IIN
13125 SW Hall Blvd., Tigard, OR 97223 Da ��!^ ?�(9�, V+ f}
Phone: 503.639.4171 Fax: 503.598.1960 FEB 5 2009 Plan Review
Datc/By: Other Permit:
1 t i:,,\ R t9 Ins Line: 503.639 Date Ready/Fly: lun.: to See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: t Supplemental Information
BUILDING DIVISin ' .
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees° are based on the value of the work
❑ New construction .,.,Addition/alteration /replacement
performed. Indicate The value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value:
- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory b uilding RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ Multi- family ❑ Master builder Far special information use checklist.
❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 1 / , _ _ - 1 J - Air conditioning or heat pump
3 � txal' [ !X',� (requires site plan showing placement) 14.00
City/State/ZIP: 14.00
ty `71 r�Qr�,f " d Q 9 '7 "oZ Furnace 10 0,000 BTU (ducts/vents ) J
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: l " Project name: M U e - . y - S Gas heat pump r 14.00
Cross street/directions to job site: -1 Duct work 10.00
SY C� , Hydronic hot water system 14.00
�� C? �" Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot Flue/vent for any of above / 6.80
of no.: Other _ 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK . Water heater 10.00
Gas fireplace 10.00
a. S + 6a S TCIt_ , v QD"__S:2_ _ Flue vent for water heater or gas
fireplace 10.00
. Log lighter (gas) 10.00
Wood/pellet stove 10.00
-. . Wood fireplace/insert 10.00
1
ROPERTY OWNER Chimney/liner/flue/vent 10.00
� ❑` Other: 10.00
Name: . b �t [ " A \ (-e r s Environmental exhaust and ventilation
Address: ` Range hood/other kitchen
C' 1,c2_ equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: (3"7 3 ...c-,O g 3, Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT l ❑ CONTACT PERSON Attic /crawispace fans 10.00
Other 10.00
Business name: Ga ✓e Fuel piping
11 P'P nA
Contact name: . Y� �. e\ $5.40 for first four; $ 1.00 for each additional
Address:
�`� Furnace, etc.
Gas heat pump
City/State/ZIP: Wall /suspended/unit heater _
Phone: ( ) Fax :: ( ) Water heater
E-mail: `J � Fireplace
�a'>'c'Il^^ e - s - nsv 6,> v`Cev t Z.c P % . Range
_ CONTRACTOR Barbecue
Business name: C ago M � • " C_ Clothes dryer (gas)
L'i Other.
Address: ���p -,/.,,) 1'54-). `tom MECHANICAL PERMIT FEES*
City/State /ZIP: ,(� ,-,. .)e l _ d?-...._ «7 ° C ubtotal
��� �(� � Minimum permit fee ($72.50)
Phone: (57;(5) $ L,{% _"..,-5? Fax: qb3 )35(0 oc-_, Q. Plan review (25% of permit fee)
CCB lie.: 4 - - 6 - \ a L t State surcharge (12% of permit fee)
/ TOTAL PERMIT FEE 1, )j J
Authorized signat>lze: �/ This permit application expires If a permit is not ob w ithin 180
I / " _ , el p, days after it has been accepted as complete.
I .. /] I c -. _..w.a_t•_. __. r... r.: n,,., o..aa:_.. r - a..�. c__.:__ o___a
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CITY OF TIGARD _
BUILDING DIVISION � PERMIT #: MEC200 -00059
13125 SW Hall Blvd., Tigard, OR 97223 DAT ISSUED: ?11:?0t1!�
Phone: (503) 639 -4171 44101 01 r1' 10'
Inspection Requests (24 Hrs.): (503) 639 -4175 �4' II C----f 6_ -� �
INSPECTION WORKSHEET FOR DATE: 2110/2009 TIME: 7 :01AM PAGE: 10
SITE ADDRESS: 11356 SW IRONWOOD LP CLASS OF WORK:
SUBDIVISION: ENGLF_WOOD LOT #: 022 TYPE OF USE: I
PROJECT NAME: FRANK
DESCRIPTION: Replace gas furnace.
c J
OWNER: FRANK, ELAINE �1 PHONE #:
CONTRACTOR: GAROKEN ENERGY COMPANY b PHONE #: 503 -848 -3838
L `5—V
Inspection Request Scheduled For: Date: 2/10/2009 95 Pour Time:
Code # Inspection Description Confirm # Contact # Mes g
699 Mechanical final 060436 -01 503~330 Y
Corrections/Comments/Instructions: /3 9
1
/
S,) ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
` Date: I DA,-;_v
6 A 9 Pho #: 503 718 -
Inspector: ✓ Ve__________ )