Permit 1' l
ppl! CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00604
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/28/2006
PARCEL: 2S109AB -04100
SITE ADDRESS: 14366 SW 133RD AVE ZONING: R -7
SUBDIVISION: THREE MOUNTAINS ESTATES LOT: 034 JURISDICTION: TIG
Project Description: Installation of 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: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BRUCE MCFARLANE Description Date Amount
14366 SW 133RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 11/28/20C $72.50
[TAX] 8% State Surcha 11/28/20( $5.80
Total $78.30
Phone: 503 - 590 -4506
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: _ Permittee Signature: _s_e_:. A
Call 503.639.4175 by 7:00 a.m. for inspections that business al,.
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.
NCI0-2 2 @ @6 11:13 FROM:GRROKEN ENERGY CO. IN 5 @33569 @OE TO:5 035981960 P.1
Mechanical Permit App i0 a $ ^ FOR OFFICE USE ONLY
City of Tigard °� '� R eceives - , . _ 10 e If Dote/B Permit No a
13125, SW Hall Blvd., Tigard, OR 97223 y / It. � �
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 NOV n c. s, ' i\ Date/By:
M- Other Pe '
Inspection Line: 503.639.4175 ° 2 - �'''`�I!. y
Date Ready/By: � El See Page 2 for
Internet: www.ci. tigard.or.us CITY OF TIGH Notified/Method: Ian' Supplemental Information
li ►_ •I I ilN _
� at`�:�fi��i taB o o l��'' u`�.i�= �r M'M`�� 5 , ik 5: UIs7Lt" $FiQBEC- KL'IST
r - 'ew construction .{ .ddition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
iJ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
F,r• ;i� � ' ■� ���7y �j-:. � `�Jy]��Fy� �.. � �' Value: S
r elian i t'Vi4 r ��"�!.'.t-1 i � 4,:iVt Mi vs�.g,t F. '�tE ' '
�tf ,� r t..,.�e�. !.
- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building lip' "l �1 /SxSTEMS FEES'
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
?vr 1 T Ffiz 4 '',rr. Description QtY• I Ea. Total
r `Ytt. - e a � .!0 .c i a +•4 , )p� ? 1 , 41 Heating/cooling
Job site address: .. �l &A Air u conditionin s pump 14.00
(requires ritap showing .. _
City/State/ZIP: `-T- q at--,,,i____ ° - . er7 Fumace100,000 BTU (due v .ts) 14.00
/ F
Suite/bldg. /apt. no.: I Project name: u rnace 100,000+ BTU ducis/v is I 17.90
�� —
� f :A . pump 14.00
Cross street/directions to job site: Duct work 14.00
F� / f n Vl /gyp[ /� l Hydronic hot water system 14.00
(( / Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: I Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
la...: ^"_s.i. .,.'�urii.Li: - s..�a� � ', :.H b•.(r G 71'x^ 4 ,. ' i f ,h i1 `�ttf Water heater • f 10.00
Gas fireplace , 10.00
�Q S VIA-- r) _ 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
r ' tE VI- o Fi° � t 4 r 9 .:1_s.�a t' ' ,., .i4 t, �� • Chimney/liner /flue/vent 10.00
.., 1 { _'._. a , k. (7 ' 31. '
< 'i p. other: to
^^ 00
Name: 0 �,-,,,,,r p / L .j ca...44,, Q,, Environmental exhaust and ventilation
Address: '{t Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust , 10.00
Single -duct exhaust (bathrooms,
Phone: ( (3) -1 Fax ( ) toilet compartments, utility rooms) _ 6.80
• 'f (r,7'tii$;7 "' 7'' f 'L _ �r ' % e at 5 • V rt' Attic /crawispace fans 10.00
/? Other: 10.00
Business name: C� C., D Fuel piplaQ
Contact name: S5.40 for first four; $1.00 for each additional
Address: �` Gas h ea t p
Gas heat pump
l �
City/State/ZIP: 4 ir'''(_O -) WalVsuspended/unitheater
Phone: ( ) j Fax:: ( ) Water heater
t Fireplace
E -mail
t>t.w C1v\1Z.e 7 \ /0 \ 41.411. n.a .4. Range
F AVI.1ti - A St]t }t?' ffirc c 4 41 - j �j c..'y� x � i o 3 i., T i` { 4 ,p 7 'try - • ,�.,_ i b '4 • .:awbd�.• t � - "Y " /Q.. F 1, 1 :110^1' '' _.: f B arbecue
Business name: , / / Clothes dryer (gas)
c C -�Gi�r 0 V.,e.„ ��C • c' other:
Address: - 71QS . J1_,-. , I� a Y'1;4 ti. vr,... �..W, i 'a L'.' , .' 't � .
City/ State/ZIP: Q) / QK'�f1 'ts CR ID() 10 Subtot
Phone: (S -1 7)•S tid _ •' 77 1 Fax: ( Cif5) --.c/ Minimum (25% of ($72,50)
it fee)
��� CQ — ( � Plan review ((5% of Permit fec)
CCB lie.: State surcharge (8% of permit fee)
/� TOTAL PERMIT FEE, 3C
Authorized sigttatur �—e•✓ This permit application expires if a permit Is not obtain w thin 180
days after It has been accepted as complete.
Print name: v v .,., •••"'",) Y A ` Date: \ \ ` Z 4 0 I • Pee methodology set by Tri- County Building Industry Service Board
i,\HuildioglPermits\,t C- PerrnitApp.doc 12/03 440-4617T(11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION " PERMIT #: MEC2006 -00604
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/28/2006
Phone: (503) 639 - 4171 a
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' `?'L
INSPECTION WORKSHEET FOR DATE: /218/2006 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 14366 SW 133RD AVE CLASS OF WORK:
SUBDIVISION: THREE MOUNTAINS ESTATES LOT #: 034 TYPE OF USE:
PROJECT NAME: MCFARLANE
DESCRIPTION: Installation of gas furnace.
OWNER: MCFARLANE, BRUCE PHONE #: 503 - 590.4506
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 503.840838
Inspection Request Scheduled For: Date: 1202006 Pour Time:
Code # Inspection Description Confirm # Contact # M o w , `Z ,
699 Mechanical final e s 1 "I� X03 f348 3638
Corrections /Comments /Instructions:
CD CD 1-11
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fz -ASS H PARTIAL APPROVAL ❑ CANCEL I I NO A ' ` SS
I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: (.1+1 h Date: le- Phone #: (503) 718- i-�