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Permit ys �.. C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2005 -00325 ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/9/2005 PARCEL: 2S 103CD -07000 SITE ADDRESS: 13930 SW 118TH CT ZONING: R -4.5 SUBDIVISION: CREEKSIDE PARK LOT: 001 JURISDICTION: TIG Project Description: Installation of A/C unit, replace gas furnace. CLASS OF WORK: OTR 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: 1 DOMES. INCIN: 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 KAMBERGER, ANNE C Description Date Amount 13930 SW 118TH COURT TIGARD, OR 97223 [MECH] Permit Fee 6/9/2005 $72.50 [TAX] 8% State Surcha 6/9/2005 $5.80 Total $78.30 Phone: 503- 684 -2725 • Contractor: GAROKEN ENERGY COMPANY 3565 SW 182ND AVE BEAVERTON, OR 97006 REQUIRED ITEMS AND REPORTS Phone: 503 -848 -3838 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: ,,)t Permittee Signature: ;� L 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. JUN -8 - 2005 14:40 FROM:GARDKEN ENERGY CO. IN 5033569002 TO: 5035981960 P.1 M Me Permit A p plica t io n c ' •- ' FOR OFFICE USE ONLY City f Tigard r 't "•., Received tY g b permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Da t eB y: - .,19 � ��i D Pi � �6...c....7762.15.. "'�" QQ� a0�� Phone: 503.639.4171 Fax: 503.5913.1960JUNI ® $ 2005 Plan Review l5,e, • , DatelBy: Other Permit: Inspection Line: 503.639.4175 a , t 11 1ii Date Ready/By: Jurb El See Page 2 for Internet: www.ci.tigard.or.us � � . j .- � ' ' �.. CI i J TIGARIJ ~ Notified/Method: i')(- Supplemental Information ' • L , _ f} i ajT4 ^{y F' r Y� r 1•7 f y + .�'l'?'r`7 a. ri t " S . Hi 4 .1: ,`fi' .. V l ti. .. .° : Ef'. -. :. ,. ', . "t- 44,.. ;i ' . ; : ... I ,.i'r..r. 41 ,t,':i.4' t` „, t.f,+ r ` I II R7 ' E - 1'S , G REGKLIST ST r ew construction Addition/alteration/replacement the nearest Mechanical permit fees* are based on the of the work performed. Indicate the value (rounded to the n dollar) of all d Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. `4. .4, a` a.; t ;'�ht u �1` b ^ a.ihr a � xrk ". i �.„ „. , . '^ r �� i d stl'„ t . ,t. 4 .L -. r'ti. �•,.0 and 2- family dwelling ❑ Commercial /industrial tit: >i1;� iT , + .. NfT / SYSTEMS FEES* ❑ Accessory building ❑ Multi - family 13 Master builder ❑ Other: For special information use checklist. .� .rr cy r * rx , , j rpy� R t.T.� Description I Qry. I Ea. I Total 3! : T -' 4:. , . _..tt " , ' 1 m .)e ' i 0' :�' • • • t f l\ii a l..� t1,a \ G -1 ' i t i�t�` �ef::.s, (.41ilititill t.. flea • .. • Job site address: f) ` 1 / k Air conditioning .• heat pump / ��L� V "� / / r = • • • . • showing placement) / 14.00 City / State/ZIP: Q � N�/43e._9/7=/..D Furnace ,000 B ducWvcnts) 14,00 J ' - t mace 100,000+ B l U (ducts/venisl 17.90 Suite/bldg. /apt. no.: Project name: AQ )41/4,eh Gas heat pump 14,00 Cross street/directions to job site: Duct work 14.00 t �a Hydronic hot were( system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: I Lot no.: Flue/vent for any of above / 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances ip�r� ; S - H.. 4f u +� f `. .,; � h4 -- ' f " y�u T�0 .f x t- 49 E . k-JitF ` ' 4 t 7, ?1! O tt yy �' i Water heater 10.00 A / - Gas fireplace 10.00 �fy Flue vent for water heater or gas C S rl Q�� Log fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 . Wood fireplace/insert 10.00 yt7 G ' t - 3= r`y; I r t t ij� ^ „ o f �.,.t r a _• t ra mney/liner /flue /vent 10.00 'fiE . C£? �Ai� .IRY�!.�telt'��: 1 di'4�� _ �.. n a °" Oth 10.00 Name: a W1 Q Environmental exhaust and ventilation Address: S Range hood/other kitchen equipment _ 10.00 City/State/ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( j 2) l Li_ a Fax: ( ) toilet compartments. utility rooms) 6.80 VI ii: 11 yet a t ? f I ' ' l � ' ©l i c,° M, _ 1.; a? IF r33 Attic/crawlspace fans 10.00 ;Mali 1 �� Other: 10.00 Business name: 4 �� jr Z Fuel piping Contact name: r 55.40 for first four; S1.00 for each additional Address: Furnace, etc. • • Gas heat pump City / State/ZIP: Wall/suspended/unit heater Phone: ( ) I Fax: : ( ) Water heater Fireplace E -mail: - at . �" ," r . �r rx RV Range �� ,y " ` .: " t . 0S II_1 - N i o i . � i';47.- // ; 7 7 t Barbecue - 1.1 .F� ;44,'' . 11 i_ _ r..t -. Business name: � ( ; n��QM cl .�/" ^ T Clothes Address: thes dryer (gas) ` 7�)5 3/ )2) , L7 .cv �Y11� .�; .` . -, (-� u[.. , ieaay.i CAI a4tP4M41. 4"Si:': City/ State/ZIP: D.)e , 1 a a s C i on Subtotal Phone: D r W � `\ ^^ Minimum permit fee (572.50) 7 t j(> �) t �� - +1� Fax: ( ��>� d () M � . ° Plan review (25% of permit fee) CCB lic.: !_� 1 a 11 State surcharge (8% of permit fee) _ } TOTAL PERMIT FEE Authorized signatu - �G� G'ty This permit application expires If a permit is not obtain hin I80 days after it has been accepted es complete. t Pri nt name: � ��U Y ckU� Date: IS - 0 • Fee methodolo Y Y K trY methodology Tri•Count Building Indus Service Board 440-46177(1 I/02/COM/WBB) iA Building \Pcmvts \MEC•PcrmitApp.doc 12/07 JUN -8 -2005 14:41 FROM:GAROKEN ENERGY CO.IN 5033569002 TO:5035981960 P.2 I3AROKEN ENERGY CO. INC. SINOC 1 979 3565 9W 192ND Avg ' 9CAvcgrQN, OR 97007 ' TEL (503) 949.3839 • FAX 15031 356.9002 • CC8# 43124 • ‘./g/065-- � t -s. P ' ka i bP....4/a N • Poo • . • • 401.E or,� • 3d 6qya nvz-rS t CO 6yue CITY OF TIGARD • "r BUILDING DIVISION PERMIT #: MEC2006-00326 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/9/2005 Phone: (503) 639 -4171 k „ oti��i ;il l � hl Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/12/2005 TIME: 7 :06AM PAGE: 76 SITE ADDRESS: 13930 SW 118TH CT CLASS OF WORK: SUBDIVISION: CREEKSIDE PARK LOT #: 001 TYPE OF USE: PROJECT NAME: KAMBERGER DESCRIPTION: Installation of NC unit, replace gas furnace. OWNER: KAMBERGER, ANNE C, PHONE #: 503. 684 -2726 CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 503 -848 -3838 Inspection Request Scheduled For: Date: 7/12/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 011183 -01 603-848-3838 N Corrections /Comments /Instructions: �► C S , I — C j 6 8 U it‘- • • i (f - Tv it.kt (:-_--- m @_ I : L/ S - Pi-'k 2 � Srf (4 7 A. di ll” Itig , SS VA PARTIAL APPROVAL ❑ CANCEL )k ==- it _ a c ^ L L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: * 7L- 1 41 - ione #: (503) 718-