Permit CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: MEC2010 -00685
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010
Parcel: 2S103CA00800
Jurisdiction: Tigard
Site address: 13285 SW HOWARD DR
Project: SPANGLER Subdivision: WOODCREST Lot: 13
Project Description: Gas furnace installation.
Contractor: GAROKEN ENERGY COMPANY Owner: SPANGLER, JAMES P & KAREN L
3565 SW 182ND AVE 13285 SW HOWARD DR
BEAVERTON, OR 97006 TIGARD, OR 97223
PHONE: 503 -848 -3838 PHONE:
FAX: 503 - 356 -9002
FEES
Specifics: Description Date Amount
Mechanical Permit - COM 12/28/2010 $90.00
Type of Use: SF 12% State Surcharge - Mechanical 12/28/2010 $10.80
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OU C by calling 503.232.1987 or 1.: •
Issued By: 40 __ y ermittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
DEC -23 -2010 16:31 FROM:GAROKEN ENERGY CO.IN 5033569002 T0:5035981960 P.1
Mechanical Permit Application rOIt 014 1(1: l('t: t!Sl•. ()N1.1
Cit of Tard C AI ! ; , 1 D. 4C-fir -fir 4C-fir n, • .
1 3125 S W Hall ig Blvd„ Tigard, OR 97223 r, -
Plan Review
'� , ::, I , Inspection Line: 503.639.4175 Phone: 503.639.4171 Fax: 503.598.1960' DateBy: Olher Permit.
i 1, DEC 3 Lulu' Data ied/Me t o d: Supplemental See Page 2 Information
Internet: www.tigard tJnNClea/Meh° �, , Supplemental lafarmalion
- TYPE' OF'WORK Li I� ' ' "COMMERCIAL ' FEE'- ,SCHE'DVLF,_= E_CH
USRC>
t i `th� s�3VIS
12 New construction Addition /alterationtrepl cement Mec permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, et ttipment, labor, overhead, and profit.
_ CATEGORY OF 'cOrmRUCnON Value: $ ,
1 -and 2-family dwelling RESIDENTIALEQU 1* 4SYY MB FEFlf1S• .-
y g ❑ C ommercial/industrial ❑ Ac cessory building
For special information use checklist.
❑ Multi- family 0 Master builder
❑ Other: Description f Qty. I Ea. I Total
J ST INFORMATION AND LOCATION. HeatIng/cooling
3a25 s - l I �� Air conditioning
/
Job site address: W AR, (requires site plan showing placement) 46.75
City/State/ZIP; � ag 97, Furnace ‚ ‚ ' I ' : TU (ducts/vents) 46.75
17.641,-,1, urnace 100 001 t TU ducts/vents 54.91 .q
Suite/bldg. /apt. no.: Project name: � n3 /,e `ea um 61.06
p P
Cross street/directions to job site: Duct work 23.32
/ a1 r Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32
Tax map /parcel no.: Other fuel appliances
t,'.. DFSGRIPTION °OF WORK - Water heater 23.32
� Gas fireplace
C QS 'll- 33.39
ii. •r Y) :z:� t Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
PROPERTY OWNER ' ' la TENANT h y/liner /fue/vent 23.32 ,
�;
- Other: Chimney/liner/flue/vent
er: 23.32
Name: 4J / y� 3)Q r n P �. Environmental exhaust and ventilation
Range hood/other kitchen
Address: SQ )r) e equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
� Single -duct exhaust (bathrooms,
Phone: (,3) 107.- / 9g9. Fax: ( ) toilet compartments, utility rooms) 23.32
, 0 APPLICAP.4 ' . ❑. PERSON Attic/crawlspace fans 23.32 _
Other. 23.32 _
Business name: A,r u r � e-
�1 �-' Fuel piping
Contact name: n a - N 514.15 for first four; S4.03 for each additional e .
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: , Wall/suspended/unit heater -
Phone: ( ) I Fax: : ( )
Water heater
ff Fireplace
E -mail: �CLK"Ok4€ eN cv,C - .e @ U €.v
,'Z 1. eve... - Range
';` .. CONTRACTOR. Barbecue
Clothes dryer (gas)
Business name:
Getro�, ,v'�c -`t` Co - %L N c-
Other:
Address:
35(.6 . 5 i. J ii:S a In 1 AiiG MECHANICAL ;P,ERIwr Fsgst-
City/State/ZIP: p EA V .exk 3 Ot C 11 Dap Subtotal
t Minimum permit fee (590.00) 94%0
Phone: (50) c.6 415. 3 I Fax: (5 0) 3 J I . 90.) Plan review (25% of permit fee)
CCB lie.: Lk %b la- Lt State surcharge (12% of permit fee) /O, ' 0
` TOTAL PERMIT FEE /pp _Re
Authorized signatu ee O_ 1 ev-- This permit application aspires if a permit Is not obtained within 180
days after it has been accepted as complete.
I Print name: iSp yn h 0. 0'6 _ a , t,t I Date: /a/ / Z) I • Fee methodology set by Tri- County Building Industry Service Board
I .\BulldirgPermiuO,45C•PermitApp doe 10/01/00 y 440-4 I rT (t 1/02/COM/ /EB)