Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00500
' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/8/2008
PARCEL: 2S 111 AA - 02400
SITE ADDRESS: 14385 SW 86TH AVE ZONING: R -4.5
SUBDIVISION: GREENSWARD PARK LOT: 014 JURISDICTION: TIG
PROJECT: MCCARTHY
Project Description: Gas furnace with venting.
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: 1
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
MCCARTHY, KENNETH E Description Date Amount
14385 SW 86TH
TIGARD, OR 97224 [MECH] Permit Fee 10/8/200E $72.50
[TAX] 12% State Surch 10/8/200E $8.70
Phone:
Total $81.20
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:/ � , , - 'ttee Signature: c�_�
CaII 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.
OCT -8 -2008 14:26 FROM:GAROKEN ENERGY CO. IN 5033569002 TO : 5035981960 P.1
echanical Permit Application = r # °4 4 $ + ;i ?" !;: FOR ) €F USEO • , � n , 4 +? 1 ,/
City of Tigard Received
g Date gy: /0 y /�-� Permit No. : l Locicr.P 1
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review 'V' ��/
Phone: 503.639.4171 Fax: 503.598.1960 � ; , „ other Permit:
Inspection Line: 503.639.4175 i
` Date R kris: ® See Page 2 for
Internet: www.ci.tigard.or.us ' •-- '�
Notified/Method: - J�'l,, Supplemental Iotormatton
c M.' " - �'� ytu s% � � • IS. 4A 4.' 5- + 1 ;ts i " * +e �� `. r p . " ,.: < r r .. r, ' , - _ F 3 ts. 0 D' �1SFs'CH
r' 'ew construction . Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
LJ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
s`?-' 3, x } ,�4�t r_ V o o /'}l at ,,j' ` W Value: S
`rF .x z ° ,1`w _ �' '�/ ,dAO �M -A0 ' .. • , ' e . l -: n.�.= • 1 , : ro.: •• u i E JA ;`EQ[JiI;IyIENWI - SXS PEES'
,hand 2- family dwelling ❑ Commercial/industrial ❑ Accessory building l""
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. ] Total
r
irk f "; .tt rM.. b . `" ► ' " °I'J! irl i ilia ';.. Heating/cooling
lob site address: , >Z Air conditioning or heat pump
s. i o . (r_uues site plan shtwuna.alacemeet) 14.00
City/ State/ZIP: l,�� ‘ 1 1 .--7 a-�ki 4 BTU (duets/ven) / 14.00 /cf.
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgJapt. no.: Project c ti
1 M ��� Gas Host pump 14.00
Cross street/directions to job site: Duct work 14.00_
, `� ` a.r 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 t(f
Other: 10.00
Tax map parcel no.: Other fuel appliances
i { ems Ref; k; ',1. c'` t s ti 9 4- _:..g.,' X I ° te n ' t' G'c tig
` Y {l: W ater heater 10.00
e /7_ J Gas fireplace 10.00
c' a c V'\C f' S� Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
a z "`' p pr i , ,1 r , ` atq Chimney/liner /flue/vent 10.00
s : ( � � i y 7 !; a� �� n k .fi t.' i u x -AL ' It r ',1 .
'�t.._�.a<�, �G f ,mot.: + 3ft,3r�il'eJ:.'• Z�'1 " �.; � \ .... i.. Other: 10.00
Name:
J2i1A IL C .1--- 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: () _ 6 .4. Fax: ( ) toilet compartments, utility rooms) 6.80
.art t r� r ,Ak,1 ;fl 1 i = r T.s i:i z r* V iiiiMS ol�: at �o . y i , Attic /crawlspace fans 10.00
t . r..;e �_..:� ; v�: �_.><.�.� ' �,_�:s.���,:��.�� � _�.
Other: 10.00
Business name: (a/, -O 62..-1/ \„,.... " E, _ „ • -•c 4
Q "-� � Fuel piping
Contact name: R) � 3,-,� - aY- � 55.40 for first four; $1.00 for each additional
Address; Furnace, etc.
� < GA U Gas heat pump
City/ State/ZIP: Well/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater ,
Fireplace
E 4s �L� t ) v.a- 7 .41V v _1' Range
7,7 - e mail
Y `, sf:-� L ` { '_ ° - ° �- T ` y i 4;s0 T i � t X, (, B arbecue .
Business name: 6.an (.1\i\ P� � -__ 4 Clothes dryer (gas)
Address: /, S 3/ s J \S Y1, A ,UQ , t V1/� Other: , iNeg a Et 5 *'
cit P: (?e Q^(-‘.S.1 QR 10() l
� i Minimum permit fee (572.50) -V ,' 7.2
Phone: (S'b )' L' -. s . Fax: (cp 72. / �7i n(, Plan review (25% of permit fee)
CCB lic.: 43 \ a- LCD _ ( State surcharge Ofpetmmit fee) - ; � O
C l TOTAL P RMIT FEE
,��- The penult a ll p Authorized si [ter "' �. /� -� -` G� P PP catto expires I a permit is not ob[alne wtihin 180
days after It has been accepted se complete.
Print name: v \ y A Date: i _'_) 1 • Pee methodology set byTri- County Building Industry Service Board
is lBaib N.O rn
inawermiuC- PedtApp.doc 12/03 440 TT (1 I102/COM/WBB) 1
^T OF TIGARD
AMDING DIVISION PERMIT #: MFC200t -0(ma
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/8/200Q Phone: (503) 639 -4171
A l ∎I��
Inspection Requests (24 Hrs.): (503) 639 -4175 -'�±i
INSPECTION WORKSHEET FOR DATE: 101/2009 TIME: 7:00Am PAGE: 22
SITE ADDRESS: 143135 SW 86TH AVE CLASS OF WORK:
SUBDIVISION: t: REFN,°3tA/ARf) PARK. LOT #: 0.14 TYPE OF USE:
PROJECT NAME: MCCARTHY
DESCRIPTION: Gas furnace With venting.
OWNER: MCCARTHY, KENNETH E, PHONE #:
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: ? O1 -WIR- 313:313
Inspection Request Scheduled For: Date: //210009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mec:hc.::eic:al final 0791371 -01 603.620 -0783 Y
Corrections /Comments/ Instructions:
' _.....ric b E\ (( li ii
______
___
__
..
.,. _______________________
._____,,
. ......
ANNIPmmmilL'
almItion
--..........-
PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL 7 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: f Date: lir 24W Phone #: (503) 718 -
(ITY OF TIGARD
I D ING DIVISION PERMIT #: h�It C 700t 00500 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: .10/042000
Phone: (503) 639 -4171 �� ����
Inspection Requests (24 Hrs.): (503) 639 -4175 ��'' "
INSPECTION WORKSHEET FOR DATE: 10/16/2008 TIME: 7:01AM PAGE: 23
SITE ADDRESS: 14366 S 136TH AVE CLASS OF WORK:
SUBDIVISION: GREENSWARD PARK K LOT #: 014 TYPE OF USE:
PROJECT NAME: hJIC'CAR "THY
DESCRIPTION: t furnace with venting.
OWNER: PHONE #:
CONTRACTOR: MC(:;ARTHY KENNETH E , PHONE #:
GAROKEN ENERGY COMPANY 503.M-3638
-3638
Inspection Request Scheduled For: Date: itlf i8J �t10f3 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 IVicc:hanicai final 07679501 01 503.620 -0783 Y
Corrections /Comments /Instructions: A
a - .: , AL. CA I. . Doti 4 S 177 C, 26 v -.aol ;e c',,—
❑ PAS ❑ PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
FAIL f l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A .
Inspector: D ate: /d � ---0PJ Phone #: (503) 718- •