Permit CITY OF TIGARD MECHANICAL PERMIT
_ " ' ' ` COMMUNITY DEVELOPMENT Permit #: MEC2011 00354
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/28/2011
I1C r. Parcel: 25111 DA08100
Jurisdiction: Tigard
Site address: 8912 SW GRAVENSTEIN LN
Project: Axberg Subdivision: Lot:
Project Description: Install A/C. Unit must meet 5' minimum rear and side yard setbacks.
Contractor: GAROKEN ENERGY COMPANY Owner: AXBERG, BROOKE K
3565 SW 182ND AVE 8912 SW GRAVENSTEIN LN
BEAVERTON, OR 97006 TIGARD, OR 97224
PHONE: 503 - 848 -3838 PHONE: 503 - 997 -1613
FAX: 503 - 356 -9002
FEES
Specifics: Description Date Amount
Air Conditioning 07/28/2011 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 07/28/2011 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 07/28/2011 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
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 by calling 503.232.1987 or 1.800.332.2344. //
Issued By: (/ Permittee Signature: 6 — /X 7 2. /e — 770/L/
' 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.
JUL -26 -2011 14:56 FROM:GAROKEN ENERGY CO. IN 5033569002 TO: 5035991960 P.1
Mechanical Permit Applicatio brio c►r11c Ic t: I. <rN1 1
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City of Tigard Receive Date/By: `7 0 p / _, i _ _PetmitNo. 7J , /- /03
11 r 13125 SW Hall Blvd. Tig OR 9722 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 JUL 2 6 2011 Date/9y: Other Permit:
11,i A I, I) Inspection Line: 503.639.4175 Date Ready/By: 81 See Page 2 for
Internet: www.tigard - or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
. TYPO or WORK - '. . 'C00141ER014.1 40E S (.'HED .4 i ;C ECIKISIS'.E -:+
❑ New construction Addition/alteration/replacement Mechanical permit fees' are based on the value of the work
❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ O ther: mechanical materials, equipment, labor, overhead, and profit.
C�ATEGORY'OF CONSTRUCTION. •
Value' $
- and 2-family dwelling A tRE$iDE)N'ilgo.*.144. F �cfl•5Y .�A{p1V� 3S�i iFS
y g 0 Commercial/industrial ❑ Accessory b uilding For special information use checklist.
❑ Multi- family ❑ Master builder 0 Other: Description I Qty. I Ea. I Total
,, n ; . A _T, : ' JOB: SIT Hejtting/coolm ''
Job site address: C conditioning /
��,� Cam/ \} Qp �, (requires site plan showing placement) / 46.75
City /State /ZIP: - ; . ps ar( A- -79-D- Lf Furnace 100,000 BTU (ducts/venta) 111 46.75
- Suite bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 54.91
.1.. Heat pump 61.06
Cross street/directions to job site: • Ductwork 23.32
Du Q,-/ ,, Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
-
Unit heaters (fuel -type, not electric),
in -wales in-duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other 23.32
Tax map /parcel no.; Other fuel appliances •
- • DESCRJPTION':OF WORK Water heater _ 2332
^ } � � �J • Gas fireplace 33.39
. J t t f c y ' JA o f 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
Chimney/liner/flue/vent
ROJI R`I'Y OWNER 4 a ,TENANT'
Other. 23.32 _
Name: Fy onV .Q 4x�u-3-e-PC Environmental exhaust and ventilation
Address: Range hood/other kitchen
�O/ Q,.-- equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39 ,
Single -duct exhaust (bathrooms,
Phone: 7 ( C? � C Fax: ( ) toilet compartments, utility rooms) 23.32
• Q APEI: TcAN'r , aiCONTACT PERSON. Attic /crawlspace fans 23.32 ,
Other: 23.32
Business name: 1e. rO ,el„ r ert'-- Fuel piping
Contact name: /�. ,, a -`` c■ in S14.15 for first four; $4.03 for each additional ,
Furnace, etc.
Address: Gas heat pump _
City/State /ZIP: Wall /suspended/unit heater
Water heater
Phone: ( ) Fax: : ( ) -
i _ Fireplace
E -mail: gQra 4 €.t/1 �v.e.'r `1`- & u -v t i.cvl• n i-4- Range
"'" , y : CONTRACTOR • Barbecue
Business name: QY- p K eye �tne,� Cc) '' L
Clothes d (gas) _ _
Address: 3'5 4 5 l7S D. r.,. 4 G MECHANICAL1 ER_ M1T FEES' . -
Subtotal
City /State/ZIP: ,g .6 1A1 ex _ f ap._ on 0 Cl6 5
(50 Fax: ( p� J Minimum permit fee ($90.00) 90,00
Phone: (S0
' , / L 3. 3`b3 Jj2- lf2)r; Plan review (25% of permit fee)
.Ay' CCB lie.: L&', > a-4 State surcharge (12% of permit fee) /O.70
00 " TOTAL PERMIT FEE J , gD 1'
Authorized signatureT OL l r 11,-4,-.^' This permit application expires if a permit is not obtained within 180
days after it bat been accepted at complete.
Print name: i'Sp , ,..,a " ` Date: r • Fee methodology set byTri County Building industry Service Board
I:\ Building \Permita\MEC- PermitAoo.doe 10/01/09 440-46 Tt' (I I /02/Ct M/WE81
JUL -26 -2011 14:57 FROM:GAROKEN ENERGY CO.IN 5033569002 T0:5035981960 P.3
(GER GAROKEN ENERGY CO. INC.
StNice 1979
3565 SW 1 82ND AVE • BEAVERTON, O 97007 • TEL (5031849•383E3 • FAX (503) 356.9002 • CC8# 43124
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