Permit .Y ., CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00178
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2007
PARCEL: 2S114BA-13100
SITE ADDRESS: 16495 SW COPPER CREEK DR ZONING: R -7
SUBDIVISION: COPPER CREEK STAGE 3 LOT: 096 JURISDICTION: TIG
PROJECT: FRYKMAN
Project Description: Furnace and Add AC.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF 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:
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
JENNIFER FRYKMAN Description Date Amount
16495 SW COPPER CREEK DR
TIGARD, OR 97224 [MECH] Permit Fee 4/2/2007 $72.50
[TAX] 8% State Surcha 4/2/2007 $5.80
Total $78.30
Phone: 503- 747 -3001
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: P ermittee Signature: 7.1 r1zi4--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.
MAR -30 - 13:38 FROM :GAROKEN ENERGY CO. IN 5033569002 TO : 5035981960 P.1
A
Mechanical Permit Application / FOR OFFICE USE ONLY
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City of Tigard nat�isy / 07 ,t, / PetntitNo.: , .- pa /, i'
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revi•
Phone: 503.639.4171 Fax: 503.598.1960 II ,,. ¢ Other Permit:
MAR 3 0 2 F
Inspection Line: 503.639.4175 IVIH q <i� �1 Date/By:
Ready/By: Avis. Page 2 for
Internet: www.ci.tigard.or.us
CITY OFT Vii 1t) ' = �-d ® Notified/Method: Supplemental Information
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I--; • ew construction . 1. Addition/alteration/replacement Mechanical permit fees* are bawd on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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�4 }r>s �. ; 1' _ : 0 'n� r _ Value: - -
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and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building d,lii ""` �SyS1�'FEES*
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other
_ Description 1 Qry. 1 Ea. I Total
y a - vx a: Air conditions heat pump
Job site address: /� & Li. q g �r ( o 1. ?� y,04- i • At • • • wing placement) / 14.00
City/ State/ZIP: 0 "! &A./K.,/ 4 _Furnace 100 tut : (ducts/vents) / 14.00
/ unlace 100,000+ BTU (ducts/vents) _ 17.90
Suite/bldg. /apt. no.: 1 Project name: p
A k- Q�>n Gas heat pump 14.00
Cross street/directions to job site: t Duct work 14.00
1
Hydronic hot water system 14.00
LL� \AQiwl - v.1 Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: 1 Lot no.:
Flue/vent for any of' above / 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
^ilpr r - ..t a.,re' p Bel . , oi. o i 1s, t k F s + ,LZa t i as 4 � Water heater • t 10.00
(�Q-S / (O ce C
Gas fireplace 10.00
. Q r- �` � Q Flue vent ent for water heater or gas
/j� /� �] p fireplace 10.00
+� ` �'� `�` `Ot� Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert • 10.00
-r ;• ,r ,.r ] } y}t r . 4 -x., rrii � ,, ,,: Chimney/liner/flue/vent 10.0
1..2 l": la -' i. • � laiaLYV.4. 9 f 4 r1 -+. � 1 t �_ " Other: y 1000
Name:
e \ e‘ c., V" X" tL A Environmental exhaust and ventilation
Address: ,•-t2-
Range hood /other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( 04 Fax: ( ) toilet compartments, utility rooms) 6.80
- ° r y r tr.� 'r n-;:li'tr l l ° ' r V c e� *er . 1:444.4700-6.0. _
..t_.s> ss ... ..: �4.ra L.. ,:. . .i: t.... li Ise , x Jsls::� ml.k.1r'i Attic/crawlspace fans 10.00
Other: _ 10.00 ,
Business name: iLII/ Fuel elping
y� _
Contact name: S5.40 for first four; 51.00 for each additional
Address: Furnace, etc.
• Gas heat pump
City/ State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
'v � Fireplace
E - mail: < yp tZO
"^ r :" � s r+ ' ai . a Range
+ � .. " y ` * t{I N e t a G w,r r 7 , Barbecue
:,A1-: ... r �,�:• t' : r� � _ � � °� y �.�t �'.'w' � '3�,'r �1 ._�3i
Business name: (;
K Clothes dryer (gas)
GL/Y t7 Qi`n ��� �""��- Other:
Address: .S 9 6n S 5/ ,..:) IS a, ),- �.. - r :-
City / State/ZIP: Qe ( 1 .) , J a „ ( 4. 6 ,r1 Q( Gj I Do 4, subtotal
Minimum permit fee (572.50)
Phone: (S g ki.q - ? Fax: (Cp ?La ton Plan review (25% of permit fee)
CCB lie.: &43 \ a- State surcharge (8% of permit fee)
(\ TOTAL PERMIT FEE 7ge �
Authorized signature: ���/�,� GW
This permit application expires if a is not obtained within 180
days alter It has been accepted as comptste.
Print name: \ 0 �,� ��� Y A aM I Date: -6 -30 07 a Fee methodology lathy Tri- County Building industry Service Board
1 \Bwlduig\Pamm\MEC- PennaApp.doe 12/03 440461 (I 1102/COM/WEB) • -
MAR- 13:39 FROM: GRROKEN ENERGY CO. IN 5033569002 TO: 5035981960 P. 2
(GEO GAROKEN ENERGY CO. INC.
SINCE 1979
3565 SW 1 82ND AVE • BEAVERTON, OR 97007 • TEL (5031 648 -3839 • FAX (5031 356.9002 • CCB# 4312 4
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CITY OF TIGARD d20
BUILDING DIVISION PERMIT #: MEC2007-6te.
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007
Phone: (503) 639-4171 Ab i ti
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Inspection Requests (24 Hrs.): (503) 639-4175 i
INSPECTION WORKSHEET FOR DATE: 4/12/2007 TIME: 7:00AM PAGE: 6t
SITE ADDRESS: 16495 SW COPPER CREEK DR CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 3 LOT #: 096 TYPE OF USE:
PROJECT NAME: FRYKMAN
DESCRIPTION: Furnace and Add AC.
OWNER: FRYKMAN, JENNIFER PHONE #: 503-747-3001
CONTRACTOR: GARC)KEN ENERGY COMPANY PHONE #: 503-B43-3133B
Inspection Request Scheduled For: Date: 4/12/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 046334-01 503-848-3838 N
Corrections/Comments/Instructions:
1120 S-Z6a72-1, cfm, 1.- - r - t Aptik 1..- c2_ bs.-tp ri) by c 4- 6 — 7
1.4 PASS , PARTIAL APPROVAL EI CANCEL NO ACCESS
—
I FAIL I CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ,
Date: if- 1 2 - 7 Phone #: (503) 718-