Permit •
CITY TIGARD MECHANICAL PERMIT
^r .. I DEVELOPMENT SERVICES PERMIT #: MEC2006 - 00076
" �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/6/2006
PARCEL: 2S111 BA -00303
SITE ADDRESS: 14077 SW 97TH AVE ZONING: R - 4.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT: 027 JURISDICTION: TIG
Project Description: Gas furnace and fireplace insert/outlet.,
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: 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: 1
Owner: FEES
PREWITT, LINDA SUE Description Date Amount
14077 SW 97TH AVE [MECH] Permit Fee 2/6/2006 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 2/6/2006 $5.80
Phone: 503- 684 -5148 Total $78.30
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97006
Contact #: PRI 503 -848 -383
FAX 503- 356 -900
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: 46,,t ,t/Zz Permittee Signature:
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.
FEB -3 -2006 09:57 FROM:GAROKEN EN IN 5033569002 TO:5035981960 P.1
ECE
Me li ital Permit App FOIt OFFICE USE ONLY
City of Tigard FEB 3 2006 Dates b U M oa
13125 SW Hall Blvd., Ti y (p r r Pu ma No.. jfl _ 7
Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
inspection Line: 503.639.4175 CITY OF TIGA" '' ` , ill Date/By: J . ® See Page s for
Internet: www.ci.tigard.or.us BUILDING MI Notified/tvtethod; Supplemental Information
•
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Mechanical permit fees° are based on the value of the work
e ew construction . Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
J Demolition ❑ Other: t t mechanical materials, equipment, labor, overhead, and profit.
rp,r k w , ' r { ,.. ,il•a,; a :(b l
OV ij,,) (C%(uf;f ll a D� }0t a� �' } aa''i"Kr,to
_ - ter__ ` �� a
Value: S • r 1..1,4-3,10.1,...._:!,,,,,, i a ` ` I� FS FEES'
and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
❑ Multi family ❑Master builder r , For special information use checklist.
❑ Other:
,, i r y-rr ,� : . e 1 '. ` , . � , i „� r ,- e zE tc -, , Description Qty. Ea. Total •SJ. 3.d , rji�i S - .�.. ,,,. i �7 (I�iJ 1- . ...,• , . . i t, .. - i + ` , , , h (I r , I ' , 1 , p .
i .. .a
i.. �1.63 . , - .� ...,_. s. ., ,_: � as: � � ....... S p � .._ ry!" � )Qeatlgg/COOIIgR
Job site address: , 7 . ,V Air conditioning or heat pump
�. -:� , ._. ; 14.00
City/State/ZIP: 7 Ycl. c 721_.. i ' umace 100 000 B r' (ducts/vents) 14.00
-
Furnace 100,000+ BTU ( ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: v I -H L Gas heat pump 14.00
^
Cross street/directions to job site: Duct work 14.00
M /}} ��` Hydronic hot water system 14.00
' ` i - ) hY1 Q - Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. , 10.00
Subdivision: Lot no.: Flue/vent for any of above / 10.00
Other: _ 10.00 F
Tax map/parcel no.: Other fuel appliances
rd 'A r i t
. ` � R Pj .. # a ir d ( r ' r .�71 f ' . � ' : _,I;+,u Water heater 10.00
a.- , k _.,. s �a�. .Y -.: ..._ l�._��; .�- ,:•._ �2.,._:: Gas fireplace 10.00
G as v N+rt ek ..- Flue vent for water heater or gas /
fireplace / 10,00
[ � Log lighter (gas) 10.00
0 C'�`( ` 0.(s_ \ C15� ' � � Wood/pellet stove 10.00
Wood fireplac -� l e-S / 10.00
- 7 "Y Res -4.,2,........443.5.-3.,-,4. r 4,;:i a -r-+ r ,u. _..kt r<; , rtme /liner /flue/vent 10.00
1 ll � A.. ?:. t I ! J_ �t 4�IIP
.._a irF. ..._xv.,. .�,1 �-. _t_ . �� 14_0,-..,..:1,-a_ ..L l .e � t ' F . .�, ..a. � Ch `,
/ Other: 10.00
Name:
I v�. , Ye. W \.."---\----- \ Environmental exhaust and ventilation
Address: Range hood/other kitchen
61./s...." equipment 10.00
City/ State/ZIP: Clothes dryer exhaust 10.00
Phone: (� 6414,-51 1 j Fax: Single -duct ozhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
t r • } P l � i 'Frr ` .;..F, k r zxm a Y!v r�,ly r ry . Y. C - 1
(G- 1 1 1:9 1' 4 - -,I Attic /crawlspace fans 10.00
_ , . Cl � :_ `t _ .__- _ !.: -_ _ L' . t . h�a': Other: 10.00
Business name: -
Fuel piping
Contact name: $5.40 for first four; 51.00 for each additional
Address: Furnace, etc. l
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E-mail: Fireplace
Range
.- r � ri . 5W, t 7 , ti `i • v 4i• - i ce. ' -'• s 1 ,,,I Barbecue
Business name: C�`a� n � � Q � � ` '- _ Clothes dryer (gas)
i 7 . J (p 5 . , ' a Y>'r1 , `
y v� Other
Address: =" , :r. Y 'ni- . .
4 7 ,)ale"" �'� a u v ail .i , 7 y
,r z[+�I' y � ,.:L.. kcZi7ir�r
City/State/ZIP: t e „ , 1 el I DC) permit - , Subtotal -
50 g t .. 3 Fax: (S b3) � i'Jn.. an review permit fee r mit fee)
Phone. (
y � � Plan review (25 °/d of permit fee)
CCB lie.: a - _ State surcharge (8% of permit fee) q r
.^ ���) �1{ TOTAL PERMIT FEE { �I 0
Authorized Si.•, , tur�.,' �.UL,� ( - ° !� This permit application expires If a permit is not obtained within 180
days after It has been accepted as complete.
Print name: 1 v w , ,, Y C� , Date: - � - /0 ( • Fee methodology set by Tri -County Building Industry Service Board
is \Buitdng\Pumiu∎MEC- PermlcApp.doc 11/03 Ml
03 440-4617T (11/02/CO WEB) 1
pi L,-Do i 0 e i VA—
CITY OF TIGARD
BUILDING DIVISION - ,. ,•
PERMIT #: NE0006,00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED 2/6/2006
Phone: (503) 639-4171 A,„490iiiT\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/17/2006 TIME: 7 PAGE: 06
SITE ADDRESS: 14077 SW 97TH AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE HEIGKI'S LOT #: 027 TYPE OF USE:
PROJECT NAME: PRE:WTT
DESCRIPTION: Gas furnace and fireplace insert/outlet.,
OWNER: PRFWITT, LINDA SUE, • PHONE #: 50
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 603
Inspection Request Scheduled For: Date: 2/17/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
$99 Mechanical final 026901-01 503-848-3830 N
Corrections/Comments/Instructions:
iNdonen /ai-e_e ''-- 7/ 7----
,.---
[KIPASS 0 PARTIAL APPROVAL 17 CANCEL 0 NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL F ES ASSESSED
—
Inspecto • ii Date: f ( 06 Phone #: (503) 718- 2 -7a6.