Permit CITY TIGARD MECHANICAL PERMIT
4 410 I t DEVELOPMENT SERVICES PERMIT #: MEC2004 -00630
^`�''1" - 13 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/21/2004
PARCEL: 25111 DD -16400
SITE ADDRESS: 08642 SW HAMLET CT
SUBDIVISION: MILLMONT PARK ZONING: R -7
BLOCK: LOT: 041 JURISDICTION: TIG
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Replace gas furnace.
Owner:
•
FEES
EURICK, THOMAS Description Date Amount
8642 SW HAMLET CT [MECH] Permit Fee 9/21/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchari 9/21/200' $5.80
Phone: 503 684 - 8882 Total $78.30
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
Phone: 503 Heating Unt Insp
Final Inspection
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.
Issued By: �j t • Permittee Signature: Abp
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
SEP -2R 2004 07:45 FROM:GRROKEN ENERGY CO. IN 5033569002 TO:5035981960 P.1
10 /1 /2009 13:57 FAX 5035981960 CITY OF TIGARD a 002
Mechanical Perini _ • tioII FOI2 OFFICE l'SE ONLY
=-�-' Received Mechanics
'- Datc/13 :n 1 1.�G0y - ad (>_ d
Y 7 ,�/ '/? �� Permit No.:
City of Tigard Planning Approval 2 B u il ding
• Date/By Permit No.: jJ
SE
13125 SW Hall Blvd. P 21 20 04 Plan Review Other •
Tigard, Oregon 97223 r R� Date/ iy; Permit No.:
Phone: 503-639-4171 Fax Q�- Ev9- Post-Review land Use
•' �9 �`` °' Date/By: Case No.:
w•
Internet: ww,ci.tigard.or. 1 9t�fiNG ®1 � /1 Contact Juris.: Su See Inspection Request 39 -4175 "' "" -- �
Name/Method: Supplemental l for
1,fT Suppl a emenUtl Iorormotioo.
.. y , '417VPEOF..• W.ORK.r. `1, - .7,.:•i', . ;'. , :!: { i:. r .�:1 . CONIVI '+[\l�i/��il d tEDI/ 1� y SE E CKLIS � ,t• .
+
- `� 1 :
\:IIGIIiJiiL• �s�/+7iL.vilRiLiIwJJ L.��.: .-.'
❑ :- ` New construction ❑ Dernolition Mechanical permit fees' are based on the total value of the work
ddieion/alteration/replacenlent _ ❑ Other: performed. Indicate the value (rounded to the. nearest dollar) of all
4 -CA'I ORY OF'CONSTRUC IONF,:+ ? ii= :' .? mechanical materials, equipment, labor, overhead and profit.
1 & 2- Family dwelling Commercial/industrial value: $ See Page 2 for Fee Schedule
, ID
Building Multi- Family ` = '°. 1 kE =E4t7r /sYSZsVsc�Dmt;tr:;•• '`,.;
p Master Builder DI Other. neae^ • lion Fee es: Total
! • -- :Bestiag/Cootiog____
``; . ...,‘ '7, 1013 ' S14MINFORl4IA ?IiON'and', r : r.
I:OCiITION °•;`� - :'< Ftrnace Ad-on air conditioning"' l 14.00
Job site address :�,k,4 Ly►�(i - e4.- eat pump 14.00
Suite #: Bl dg./Apt. #: Aucc work 14.00
Project Name: — T* e =t � Hydronic hot water system 14.00
Cross street/Direc 'ons to job site: Residential boiler +
��(`°t� (for radiator or hydronic system) 14.00
� Unit heaters (fuel, not electric)
(in wall, in -duct, suspended, etc.) 14.00
•
Flue/vent (for any of above) 1 0.00
Subdivision: I Lot #: Repair units • 12.15
Tax map /parcel #: Other Fuel Ap tunces
Water heater 10.00
.4. -.7 DrESCRIVO011:OF•:WOR C :' = :' Gas fireplace
10.00
''C P ,(a C, s /Y v.(34. a Flue vent (water heater /gas fireplace) 1 0.00
txy lf■ P tic-) Log lighter (gal) 10.00
`�° �� Wood/Pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner /flue/vent 10.00
popEar.Ow 'w; :: :... " :,` _i' N'A_i tiff i. ?: :,1 c 'r 'iJrl.r'v i,. Other:
Name: °"l�; o m r -11 'Eoviionmental Exhau & Ventilation " . •
Address :, a ,�.,� a,g
Range hood/other kitchen equipment 10.00 ■
City /State /Zip: Clothes dryer exhaust - 10,40
P h01]e: v �Z Fes; (bathrooms, toilet compartments,
Single duct exhaust
. ,onpI �., d • . , iI r•:' "--. CONTACTT.ERSON;;:r':{: - . utility rooms) 6.80
Name: Atticferawl space fans ,. 10.00
Address: Other 10.00
. Fuel Piping ;
City/State /Zip: ••(35:40 for first 4, S1.00 each additional)
Phone: (Fait: Furnace, eta ••
Gas heat pump ••
E -mail:
i r :r .• : • GONFRACFOR " _ . Wall/sustended/unitheater ••
: ', Water heater ••
Business Name: . l[} R � �6 . q ( - r i F ireplace ••
Address: 35( Sw 1 •r, Avg. Range ••
•,
City/State /Zip; R - pruER -rrN C � atiVO Clothes dryer (gas) • w
Phone: .541- 3R a 52, l Fax: 3� to-CQOa Other: ••
CCB Lic. #: a Lai-d- Total; _ -
Authorize Mechanical Permit bees'
Signature. Date: " oy Subtotal: $
� --�^ V Minimum Permit Fee 572.50 .. ) . ___7 4 9,57)
\ ----- e) \ ----- e) `
v• v0„ --`S A0.� _ _ Plan Review Fee (25% of Permit Fee) s
(Please print name) State Surcharge (8% of Permit Fee) 5
TOTAL PERMIT FEE S
n otice: This permit application expires if a permit is not.oble10ad within 'Fee methodology set by Tri- County Building Industry Se Board.
180 days after it has been accepted as oumptctc. "Site plan required for exterior A/C polls.
:.■N...AO- ..._t. C__-\I4_- 15- ■:•.n.- d.- n, :n•f
CITY OF TIGARD - 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION " Business Line: (503) 639 -4171 MST
'BUP
Received Date Requested // °2- AM PM BUP
Location CO / / at: Suite EC d '"dU G30
Contact Person Ph ( ) PLM
g
Contractor Ph ( ) 3 4 - . R ' SWR
BUILDING Tenant/Owner ELC N (4-
Footing ELC
Foundation Access: @}al_L oA."1 tai sr
Ftg Drain ELR
Crawl Drain �'` �
Slab Inspection Notes: /} i ` SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear Y I \ � r , �„ (l +i 1 ? W
Framing Y 1 , v�V/ �� 1% Ci /
Insulation g
Drywall Nailing
Firewall ) &-----
� ��
Fire Sprinkler , . 2� v t 1 ` / L F . til!L rL
Fire Alarm t C ., I e 1.,/� e e — 5 - y ST
Susp'd Ceiling ��
Roof - rj ( 't /' / 0, F s 7
Other:
Final - L
PASS PART FAIL �O `_ -- � 1 G � � A&/ L. -L
PLUMBING ( I l C.- 01- 7T7 J - I A t- oV ,��-
Under Slab �� ^� ��`�
Rough -In /Au b E ', 1 r) .Z — A- PL l/V (
Water Service
Sanitary Sewer N-6%--- %---- i A/ 1 174
Rain Drains - r-- lie,/ l /C:
Catch Basin / Manhole - 1 - 7-,-( s -1 , c l /Gi,2 - N 1 s O P/- o n/A-( Q 43
Storm Drain
Shower Pan A! I U"/ L--(.7 / S 4,„_// 7-74---- /I .P /N 6- \.
Other:
Final /,J fJ ,
PASS RT FAIL fi
L. - - -
Pos eam r 6 I, ' "
Rough -In ^ , W A
Gas Line `'
Smoke Dampers
CTRICAL : - d - _ w �
Service
' Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - , 0 Please call for reinspection RE: / ❑ Unable to inspect - no access
Fire Supply Line
DAoach/Sidewalk Date ' 1 ` Z • Inspector Ext
Approach/Sidewalk
Other:
Final DO NOT REMOVE this inspection record r om the job site.
PASS PART FAIL