Permit CITY TIGARD MECHANICAL PERMIT
46 DEVELOPMENT SERVICES PERMIT #: MEC2006-00241
c� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/30/2006
PARCEL: 2S104CA -02600
SITE ADDRESS: 13571 SW LAUREN LN ZONING: R -7
SUBDIVISION: HILLSHIRE LOT: 026 JURISDICTION: TIG
Project Description: Install a/c
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: 1 DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
WILLIAM BOHRINGER Description Date Amount
13571 SW LAUREN LANE [MECH] Permit Fee 5130/200€ $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 5/30/200€ $5.80
Phone: 503 - 590 - 6395 Total $78.30
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97006
Contact #: PRI 503- 848 -3838
FAX 503- 356 -9006
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
0-
or 1 -80332 - 2344..
Issu d By: , l e ,,(_vjw Permittee Signature g
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business • ay.
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.
MAY-,R7 -2006 15:45 FROM :GAROKEN ENERGY CO. IN 5033569002 TO : 5035981960 P.1
r, r
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard ` 01ved
Date/By: Permit No.:
V �® > Oa 66 •�4 j/ FIf.0 k� d60 /,
13125 SW Hall Blvd., Tigard, OR 'i •t "' Plan Review
Phone: 503.639.4171 Fax: 503. et. c Dacd9 Other permit:
Inspection Line: 503.639.4175 I y
•-a j �'� I Data ReadyBy: 3 u3' is See Page 2 for
r Y 3 0 2 006 . _ . � .-
Internet: www.ci.tigard.or.us MAY NatiSed/Method; / a Supplemental Iafortnatlon
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F � j r � y l `5 i v ,. • ' 'I" .+!• [ [SS �� id ,q � r n <+ r y ,^ y 11Ji� IU� ,� r 1r �J r• �' ' t��� I u p,.ry /1 lL�.11 ri�d't3 ��. t�.(I €!ih R S - ��'[�jt ,f��'�•Q��'.e1Q;lsT
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r • ew construction _ ddition/alteration/replacement Mechanical permit fees* are based on the value of the work
Demolition ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
r ,,' ,-T, , ; 'S s e:. y , " 1 1 J, .1)�= t p...' fv 0 4 4 r{y 13 0 `'�+'4 -„ ?rr ! Value S
, k '". »_ � , _ � , ( M � ■ ,„r, � a h, Air s _: � 4 ,.� y � ? �, �� ��,.
�Y _ � i r d�*111 9r�y `21r- i 1:...1 .../St $,FEESe
:: - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building " � � - r ° '
❑ Multi -family ❑ Master builder ❑ Other:
t . For special information use checklist.
a 1�y Description Qty. Ea. Total
5 I i2 g+y� i, 1 ' ` I i i •r� (i ; 711 / i',_- a tpf ,, '(o'cc ; iti�t'o r k4.
'- - .. ". fve.. `, - ... s - `7 r_ 4 C) t _ _ems _ < .Yi g iuui -.' Olin;
13 5 I g I__QU, I • Air conditions • : or h eat
pump
Job site address:
uire • showing placement) � 14.00
City/State/ZIP: -1rLQ-41- q -7 Th unlace 100,000 BTU (ducts/vents) , (( 14.00
Furnace 100,000+ BTU (ducu/vents) 17.90
Suite/bldg./apt. no.: I Project name: 05 j, ,
1'l r1 Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
I H dronic hot water tern 14.00
'�" "l Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, induct, 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
h: i. c i rtP ,. _s ..
'-'7 1".341, �/. .' -71 < i. 1 t i ; ! - •l Water heater 10.00
dam.:. . .._. . _ . . 4l �.
.... � .:.., ". _ . . .. s . , Ak . .. t ): .1
- 1 _. �;.z.': A _ � . �. A. I.. Gas fireplace 10.00
• � i �1 ♦ = "1�A :[ Flue vent for water heater or gas
fireplace 10.00
Log lighter (Ras) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
ChimIIIIP . . .
Other: 10.00
Name: ` 5 ` • • • , i Environmental exhaust and ventilation
Address: - ■ _ Range hood/other kitchen
equipment , 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
/� Single -duct exhaust (bathrooms,
Phone: ( '7 ) co /). f „. $ Fax: ( ) toilet compartments, utility rooms) 6.80
jSu µ , „ � t , i l � ' S - irti ij ~ r
'/I t : 1 ,. /* S ; `� .Pz,11
l „_, t ..n d . " 1 ,.. ' ; a . q4 Other: fans 10.00
Other: 10.00
Business name: e z_ rz • 1 CS " Fuel piping
Contact name: 0 t%' -V%- - -0.--1,./....., S5.40 for first four; $1.00 for each additional
Address:
Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax:: ( ) Water heater
E-mail: `t ( Fireplace
_ _ rat, , lam'` �ge
d ' ti i- r
n r . r a(r)m+ 9 : fit i ii l a , '' x , t ; _ ' . ' r B arbecue L.
Business name: C�Sa.r ok • 6. y"'T- Clothes dryer (gas)
�V1/‘ Other:
Address: - -. . ~- ` r z p ( b q i(r .''Jl' a E ii.,..i
City/State/ZIP: to S ._ c � o() Subtotal • rjr.do
d Minimum permit fee (S72.50)
Phone: �p-7j) O ti _ �i 2 Fax: ( S•b-.5) 72 t � n .
.....
... Plan review (25% of.
7 J '� ( permit
CCB lie.: L V > ` State surcharge (8% of permit fee)
P�'\� TOTAL PERMIT FEE �� IV
Authorized si tort - ' �. ) fty " .��L �✓ This permit application e xpires If a permit Is not obtained within ISO
days after It has been accepted as complete.
Print name: \ 0 W - v ,, ,z . A � y A l Date: 1 • Fee methodology set by Tri-County Building Industry Service Board
i:[ SuildingWemvts .G x eermitApp.d 12/03 140.4617T (I 1/02/COM/WHB) t
MAYTR7 -2006 15:46 FROM: GAROKEN ENERGY CO. IN 5033569002 70:5035981960 P.3
also GAROKEN ENERGY CO. INC.
SIN0c 1 979 • 4 f * 5j2 /o‘,,
3565 SW 162ND Ave • SEAVERTON, OR 97007 • TEL (50 3104S-3530 • FAX (503) 356.9002 • CCB# 431 24
/35 Lat.rEn lam,
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\NIS\A'aM" ( trtr„,
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2O06 -0041
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/30/2006
Phone: (503) 639- 41714p�i @�� "
Inspection Requests (24 Hrs.): (503) 639 -4175 Jr: °�li..
INSPECTION WORKSHEET FOR DATE: 8/3/2006 TIME: 7:06AM PAGE: 0
1./4.tAJU 135
SITE ADDRESS: 13671 SW LAUREN LN CLASS OF WORK:
SUBDIVISION: HILLSHIRE LOT #: 026 TYPE OF USE:
PROJECT NAME: BOHRINGFR
DESCRIPTION: In =stall a/c
OWNER: BOHRINGER, WLLIAtVI PHONE #: 53-500..6395
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 503..8.3830
Inspection Request Scheduled For: Date: 8/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # 4 ., - -ag-
610 Gas line 034323-01 603.690.6396 Y
C ec ��jj �i - P) Nom_
tibns /Comments /Instructions:
4 11 1 0
•
.PASS n PARTIAL APPROVAL n CANCEL ___ _ • n NO ACCESS
I FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
•
Inspector: /F Date: 6 * C> ' Phone #: (503) 718- 26 4"