Permit 14 �� CI 1 Y OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00305
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/16/2008
PARCEL: 2S103BB - 04300
SITE ADDRESS: 12485 SW KATHERINE ST ZONING: R -4.5
SUBDIVISION: BROOKWAY LOT: 043 JURISDICTION: TIG
PROJECT: MCKENZIE
Project Description: Installing gas furnace.
CLASS OF WORK: ALT 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:
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
PAUL & DANA MCKENZIE Description Date Amount
12485 SW KATHERINE ST
TIGARD, OR 97223 [MECH] Permit Fee 6/16/200E $72.50
[TAX] 12% State Surch 6/16/200E $8.70
Total $81.20
Phone: 503 - 590 -3328
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.
2
Issued By: /- Permutes Signature: ��-- ��/ ��
/4 ....e -
Call 503.6 .•175 by 7:00 a.m. for inspections that business say.
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 -13 -2008 15:53 FROM :GAROKEN ENERGY CO. IN 5033569002 TO : 5035901960 P.1
'y `" Mec hanical Permit ARM hi ED
r+ F OR OFFICE USE ONLY ', '
City of Tigard Received /��f
13125 SW Hall Blvd., Tigard, OR 97223 JUN 3 2008 Date/BY:
vie //=� `'' ' Muir P4, < �� , , � < '♦
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Outer Permit:
Inspection Line: 503.639.4175 a'. Vb./ I
Internet: www.ci.tigard.or.us CITY OFTIGE1R,P D ate Read y /B
y See Page 2 for
BUILDING DIVISION
Notified/Method: �. Supplemental Information
+
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[ 6 t�s- U ..,= i5... 7 3. - - �' es r+ f t i r e i i �R..S ' S.: L Et `' 13SE:C3Bl `'ICLIST
r- V ew construction ddition /alteratiort/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
(J Demolition ❑Other. mechanical materials, equipment, labor, overhead, and profit
prr { v ` 'e3st °' r,.'," 1�� V n a
r �vy�e� 1`"S a tc; , + /pN �;t� . /. ��.�.�.�.�c.�a � , � u ,7 , t. y , ,,,; Vu
k T 3 . z , Y{� >y�ic. 11 : , .. _= .4.0t lrvr� - iicric 'e 1- ,A df'} + L "" - i ale: $
.e1Tt�:� A'Y. ✓. WJ4L �.l. e��. } V l u _
- and 2-family dwelling l ti' f i4. %k� : ; ? 1x2 / ch T k l is
❑ Multi -family ❑ Master builder ❑ Other ;. FEES*
y g ❑ Commercial/industrial 0 building
For special information use cRecklist.
r > g Description Qty. Ea. .1 Total
r t ��'F 4, ,l lli l� ,.�' % t�(0'.1s� il FX U.L'41H�A1 I�j �� `
�t __-.2. ms`s _.. iQ R .t ..s 3 Neating/cooling
• • • • Air conditioning or heat pump
(re. wires site plan showirig pl ace - 14.00
City / State/ZIP: -7o-a- umace 100,000 BTU (ducts/vents) ,) / 14.00 l V
Suite/bldg. /apt. no.: Project name: �{C - umace tt,tvs I .uerrvents) 17.90
• Gas heat pump _ 14.00
Cross street/directions to job site: Duct work 14.00
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
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
.SF'i?J i Y{ fn 1 .� b j, n ' y �. -
ti � .. ' ' .�+ 4 � 9 t 1 . e)��1. P4k raS`� g i , l � ,p' r ,. i i Water heater
r. `?+£,� ; y.tK , u, . 10.00
Gas fireplace 10
di' � , / -
� Flue vent Coe water heater or gas
fireplace 10.00
_Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
7 -9t4 ° , " r a-r { `3 , rr GG r - ti Chimney/liner/flue/vent
_ t...4, rAil _r%' ..i l w .bita_.. .' <l ,..',2.- _ ,,C , - � k'bSt r ,-,,,..,0,,../,A4-,;64,-, Y 10.00
' --- id . :r Other: 10.00
Name:
Environmental exhaust and ventilation
Address: • '„„0 di. Range hood/other kitchen -
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.60
Phone: (rte) 10 3 3 a Fax: ( ) Single -duct exhaust rs,
) 6.80
� toilet compartments, (bath utility oom rooms
�� zt 77 r [f,I� "lip. t°-• pr ;i c ,trti i .'u r �`' 4r- i s
.s+� ,e { i _ �"dr.- �ry.)•,� � S �t� � ._r��! _P1' . i �''� • i o .d� c+ . W_- ��"� °�'r ., Atiic /crawlspace fans 10.00
Business name: Other: 10.00
-..f' . . -/.. .� _. ry Fuel piping
Contact name:
Illla 41. - - a ..• S for first four, $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
(1,..,(c> Fir lace
E-mail: r ' r Q t/e ` Zd>"t vk-Qk age
�5 s . : ,_;:i ' t t r 7 1, - 0hn 1 4e f !v Y. : , J Barbecue . -
Business name: -- /^ a Clothes dryer (gas)
4 • f ♦� - heater C� AA.
Address: C Other
as ,., _ .. ,',: J, . Ni l . . . .:.':c
City/ State/ZIP: �► � IS . 0 s■S / a • ■ - a Jp Subtotal
Phone: ISb5) t _ ; Fax: (c - i I • Minimum permit fee ($72.5 ��, S'�7
^� Plan review (25% of permit fee)
CCB lie.: . State surcharge t:CI,.f permit fee) a - . 9
r TOTAL P RMIT FEE 'r >AYLiI '
• Authorized signatur �Jt/� � C� •--4 This permit applicadon expires If a permit Is not obtain: It in I :
11
days after It bas been accepted as complete.
Print name:
v W � 2! � ( �1 i Date: 0 , 0 , • Fee methodology set by Tri- County Building Industry Service Board
i: 4 BuildinelpenninlMEC- PerntitApp•da4 12/03 440 - rt . (' I '2/COM/WEB)
CITY OF TIGARD
.._ •
BUILDING DIVISION PERMIT #: MEC2008-00305
13125 SW Hall Blvd., Tigard, OR 97223 . .
DATE ISSUED: &1&20013
Phone: (503) 639-4171 Ln_ . /4 n
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 711/2008 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 12486 SW KATHERINE ST CLASS OF WORK:
SUBDIVISION: BROOKWAY LOT #: 043 TYPE OF USE:
PROJECT NAME: MCKENZIE
DESCRIPTION: Installing gas
OWNER: MCKENZIE, PAUL & DANA PHONE #: 503-590-3328
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 503-848-3838
Inspection Request Scheduled For: Date: 71112008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 072018-01 503-590-3328 Y
Corrections/Comments/Instructions:
410 6
• le..44. 1.4...t_ t*.a,o1.,_ 4A-66-6_ 9it 5 I 4---9 27e
_
- -- 1: 7- A - §§ ----- 71 PARTIAL APPROVAL 7 CANCEL [Ti NO ACCESS
El FAIL CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspeetor: •
Date: 7-1-e A.- Phone #: (503) 718-
. '