Permit A , CITY OF TIGARD MECHANICAL PERMIT
�;� DEVELOPMENT SERVICES PERMIT #: MEC2004 -00125
^°`�" cell 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/18/04
PARCEL: 2S1 11 BC -01400
SITE ADDRESS: 10145 SW VIEW TERR '
SUBDIVISION: GREENBRIER ZONING: R -3.5
BLOCK: LOT: 004 JURISDICTION: TIG
CLASS OF WORK: ACS 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install A/C unit. Unit cannot be placed within required setbacks.
Owner: FEES
BUEHLER, GREGORY J & SARA L Description Date Amount
10145 SW VIEW TER [MECH] Permit Fee 3/18/04 $72.50
TIGARD, OR 97224 [TAX] 8% State 3/18/04 $5.80
Phone: 503 684 - 0754 Total $78.30
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
Phone: 503 Cooling 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: LL" Permittee Signature: 471/ 7 e4
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
03/17/2004 13:10 5033569002 GAROKEN PAGE 01
10'18/3003 :3:57 FAX 50 35031960 CITY OF TIGARD XO02
Mechanical Pef ti0n f -ORR OF lCI: t Sl•: 0).11
Received � Mechanical MAR 1 1004 o : d Y Perrrdt Ne.: rlt�aoo y-DD /oZ S
City of Tigard Pl anning Approval : u, . ms
13123 9W Hail Blvd, CITY OF TIGARD o° ' Permit No.:
P Review Other
Tigard, Oregon 97223 BUILDING DIVISION Date/U ; Permit No;
Phone: 503- 639 -4171 Fax: 503-598-1960 Post - Review Land Use
Internet: www.ci.tiQard,or.ts4 A � ) I ' Det _ ; Cue No.:
Mut 24 -hour Inspection Rt quest: 303 - 639 -4175 ,,' - NarneJme4 1uri:.: see Page for
Med►od: u , lemma' ' lntorroplioo-
::,:,.; ,.. .. •:; : OMIti>ERCiXh FEE!.SC'YDU _S'E,
,
New construction Demolition Mechanical permit fees' are based on the total alue of the work
ddition/alterat ion /replacemertt1. Other: performed. Indicate ttte value (rounded to the nearest dollar) of all
-• '' :'.f`•' • C4'FRS"rORY'OIIE'CONS'FRiICTI n •, ; ;i:':,P•'::'•• mechanical trtaterials, equipment, labor. overhead and Profit.
In 1 & 2- Farnil dwellin • Ii Commercial/Industrial Value a See Page 2 for Fee Schedule
•. B i • r 1� Multi-Family := • .4:-- . s , .
ti- Family sID>z -' tir ..�. ,.W. xL t� ...•.'7'.'.
II Master Builder N Oth De seripdoa Qey reties: Total
.: _ ,: �• IOB SITE RMATION:, , ., ., . •: , , , • ^
lose ootio
Furnace • ad. • air conditionings' / 14.00
Job site address: i ,r , //tt,_' r, • - . . Gas heat . • 14.00
Suite #: Bldg. /Apt.: Duct work 14.00
Project Name: e (,( e Itydtonic hot water system 14.00
Cross street/Directions to job site: Residential boiler
Sfor radiator or hydronic system) 14.00
/ Unit heaters (fuel, not electric)
4055 bie (in wall, in -duct, suspended, etc.) 14.00
_ Flue/vent (for any of above) 10.00
Subdivision: Lot #: Repair units 12.15
Tax map /paroel #: Other Fuel Applisseee
Water heater
' •O . .:.:: >. p)ESC'I nOriVO =:: ;:.:
OF RIC:. : ,a.;; 10,00
n Gas fireplace - 10.00
I-�'t t r
• `r-t cS1N.Ak Flue vent (water heater/ es tire vla 10.00
Loallghter ( k� 10.00
Wood/Pellet stove 10.00
Wood fireplace /insert 10.00
Chiznn / liner /flue/vent 10
e=� a :. NI _‘,. • o . gin i. A.'la :::•;si'..: :l:,., :. Other: 10.00
Name: F t /, I O. — ' 4i •ireataental $heater.& Ventlatien' .;
ce..
_ ;•: .5 w UI.r,.•.?�l�yv Clothes other kitchen equipment 1 0.00
Address: / U j l
City /State/Zip: Clothes d ryer exhaust 1 10;00
�i Phony' 8ipglc duct exhaust
`k - o7l �� Fax (bathrooms, toilet compartments
APP IACAN+ tr: %'•` C ON A,CWP'.p So N " utility rooms)
6.80
Name: Anic%rawl. apace fens 10.00
Address: Other: 10.0o
Fuel �i� -.
City /State/Zip: ••(SSAO for first 4. SI.00 each additional)
Phone: I Fax' Furnace, etc. � •• -
E -mail. - - _..Pat^' •
a.:....::, •
:. .;.;,.... �;;., -- suspended/untt h eater •
Gas eat •
WaIU •
_ : , . c. prFK1CCrOR:: ' _ :. :;; ;,:, Water heater ••
Business Name: IARoKeN r%) (Z&(.? 63 :rive- Fireplace ••
Address: 35( 1/ Il Nra AN e- . Range ••
Ci /Stete/Zi // -- BBQ ••
ty P: � � '7� 5P -Clothes dryer (gas) e.
Phon Fa x: 3 Other
CCB Lic. #: z 1 .AL4 Total
Authori ter Meehaded Permit Pon' Pon' Signatur Ca 3--0-4)1--i- Subtotal: ' 5
T Miniature permit Fee S72.50 f
\---?) ) �A _ Y 6 01 \ Plan Review Fu (2S% of Permit Fee) $
(Please print name) State Surchar 8% of Permit Fee S
TOTAL PERMIT FEE 3
notice: Tins permit application upiree ire permit ie not obisined within - •Fee methodology set by Tri.Countp Building industry , ervke Board.
ISO days after it his been steepled as complete. **Site plan required for exterior A/C units,
03/17/2004 13:10 5033569002 GAROKEN PAGE 02
7 7
J
GAROKEN ENERGY CD. INC.
5JNCE 1 979
3565 SW 1192ND AVE • 9EAVERTQN, OR 97007 • TEL (5031134E1-3133S • FAX 151731356-9002 • CCB# 43124
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Ding (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
MEC,
Received Date Requested / 7 ° � AM PM Bl» d 0 L y " 0D 1 b
. Location / � / L/C V / �� Suite MEC 7 ` a / AS
Contact Person .nrn Ph ( ) 3) 5 - Sao? PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 00 /171/
Footing ELC
Foundation Access:
Ftg Drain CO M ry�
t C ELR
Crawl Drain
Slab Inspection Notes: n SIT
Post & Beam
Shear Anchors 'n n /
Ext Sheath/Shear � C.f Jr / ! 0 ;00
int Sheath/Shear
Framing
Insulation
Drywall Nailing •
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final J
=ART FAIL
Post & Beam
Under Slab
Rough -In
\186
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
•
Ot
ina
SS PART FAIL
M ICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
ma
PART FAIL
ELECTRICAL -
Service
Rough -In
UG/Slab
Low Voltage
e Alarm
Ana Reinspection fee of $ • required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
SITE ❑ Please call for reinspection RE: • Unable to inspect — no access
Fire Supply Line
ADA V�)_Q S
Approach/Sidewalk Date Inspector 14 Ext
Other:
• Final DO NOT REMOVE this Inspection record fro the Jo site
PASS PART FAIL