Permit 4 111h , CITY OF TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006-00487
IL
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/11/2006
PARCEL: 2S103BB -11300
SITE ADDRESS: 12135 SW 123RD CT ZONING: R -4.5
SUBDIVISION: YE OLDE WINDMILL LOT: 032 JURISDICTION: TIG
Project Description: Replace 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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WO
GAS PRESSURE: 50 + HP: CL DSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS O DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
FLAMING, DAVID J AND Description Date Amount
EDITH D
12135 SW 123RD CRT [MECH] Permit Fee 10/11/20( $72.50
TIGARD, OR 97223 [TAX] 8% State Surcha 10/11/20( $5.80
Total $78.30
Phone: 503 -590 -2331
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED ITEMS AND REPORTS
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 or 1- 800 - 332 -2344.
•
Issued By: Permittee Signature: 1 - 2 / c ' _..
Call 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.
_CT -10 - 2006 17:25 FROM:GAROKEN ENERGY CO. IN 5033569002 70:5035981960 P.1
Mechanical Permit Application n • FO OFFICE USE ONLY
City of Tigard H',U.til VE® RDatrle�iVedBy ,0 Eg Permit No. - _O,
13125 SW Hall Blvd.. Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 .i rPemut:
C T Il _ 1 2006 � I - DsDate/By: 8Date/By: Othe
Inspection Line: 503.639.4175 " .f ' t
.!� Date Ready/By: 1 Si See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method; Supplemental Information
BUILDING DIVISION
p` xa ,' , M a A ; • '° 7tt: r"pJ"C �r- sk" �s ...✓ !"'-'1;.'t. . _ . .
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4 ua,�}r, tl f`M , . r , 1 - � '.. - 0 ) - r..0 ) ' , •b � - .. 47. fro s ` T ,
j�1 `� - L «... -. may._.` ` ,r.� tt, :_ r ttbl ,t (u- - - „l �` =`•� },t1��.aJQHECICI:IST
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ew const ruction , 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
L, Demolition ❑ Other: , mechanical materials, equipment, labor, overhead, and profit.
F « :i' iia' 'w.'� ;y0 c; 3)� `Y " L .�". j � -.. .t - i'ia "7 �� Value: S
(lerr_, - ., C/ ` 1 4 �i' 4�' _ ,. .. J:�(c.,ojil:rvtlr tiliio)y5 ; y ",i?*rg4 .. r f �s rr ';;W ,
tt'`t"3yii arurasc+, ^s,.
- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory buildin glfi ° ' ' rl �x FEES`
r For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other
r�Tl'' N r a_ , 1 v s 1 r , Description Qty, I Ea. I Total
• 1TI-�� � °s ". -i ,'` } ~7(0. �)t1 ':.i d :4 �lr �Jb ?(1 1 elf �"'�7 -0 (t "YT' Heating/cooling
xr_
Job site address: 2 d W 13- Air conditioning or heat .0 .,
-• . t ' . plan a • • wing placamea 14.00
City/ State/ZIP: . , Furnace l i t , to : .., A' A. to 14.00
Furnace 100,000+ BTU (clued/vents) 17.90
Suite/bldgfapt. no.: Project name:!' • • Gas heat pump 1 4.00
Cross street/directions to job site: Duct work 14.00
IMIIIIIIIIIIIMEII 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: i 10.00
Tax map /parcel no.: _ Other fuel appliances
i
F ,� b -- n TV= . (' c r F{" ci` ,J tl)
.. ti .v i-,r ., 4I.4 .- , r.t.:.--... n -°i'''',)';'-`L_.'. 1 _
�Ait'i]: 0) ,:_. -mac ; ', � t r �i fi : 'in .• Water heater 10.00
�Y.. _.... -n . - s. 1... - . : _:u ,.t a ... ...s_ .., ..-a • . . ,.:t -GI ..,,. ,� 1 . .:=.t. s'
- Gas fireplace 10.00
' : 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
o - F rr ii •" " . c - `i' r ' '; , v tt , ,c T Chimney/tiner /flue/vent 10.00
, l'=-2.'.-_3°- " :r' . ) ),, s,,''0.:, � aa •: ,, , , "N : ,1 1 , Other: 10.00
Name: YJIIIEIIMIP Environmental exhaust and ventilation
Address: Range hood/other kitchen
_ - • equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: ( exhaust (bathrooms,
�p� �� _ ( F ax: ( ) toilet compartments, utility rooms) 6.80
fir: n ; r r �M-_ 0 .tTe +y f -), "',. yv i -._t ,a,..,-1.'._,-1-:'
' ... y ' � '>r !< s -1 a c tr { ; k at ,,, j ' ' ') . 1 7t1�IT -e - -- 7 r ' I 10.00
Attic/crawlspace fans 10.00
II /1 Other:
C9 . • A Q ..! Fuel piping
Contact name: ®, _ _ • $5.40 for first four; 31.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Walt/suspended/unit beater
Phone: ( ) Fax: : ( ) Water heater
E-mail: Fireplace
- 0. - c� K.2 - 4 e V42YN�.+. • Range
r ....... ;' e3 . - .., "A;),'t .;a i u)V 1 F' «. t j Barbecue
Business name: - Clothes dryer (gas)
0 • '.. e _. -. ' _ A.'- Other: 'Ti Address: 1 b .. a- ` : , � k a i' �a?{ ta���oZub� : r ii; 5
City/State/ZIP: f ' i . • t , % . do ; • a ., Subtotal
' , •ne: t.. D )' �! � Z�� Fax: (Sp�
Minimum permit fee (57230)
• Plan review (25% of permit fee)
CCB lic.: a State surcharge (8% of permit fee) _
( TOTAL PERMIT FEE a
Authorized signature. �� �� T is permit application expire* if a permit b not obmine w ithin 180
(\ days after It has been accepted as complete.
Print name: \ "o - ., z 5 - Aa ^ I Date: I • Fee methodology set by Tri- County Building Industry Service Board
11Building\Pemuts C- PcrmitApp.doc 12/03 \ 440- 4617T(I1/02/COM/Wn8)
CITY O` 11GARD
BUILDING DIVISION 1 c� PERMIT #: h4E0200&.00457
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/1112006
Phone: (503) 639 -4171 /1i4
Inspection Requests (24 Hrs.): (503) 639 -4175 12.
INSPECTION WORKSHEET FOR DATE: 10/24/2006 TIME: 7 :02AM PAGE: 67
SITE ADDRESS: 12135 SW 123RD CT CLASS OF WORK:
SUBDIVISION: YE OWE WINDMILL LOT #: 032 TYPE OF USE:
PROJECT NAME: FLAMING
DESCRIPTION: Replace furnace.
OWNER: FLAMING, DAVID J AND, PHONE #: 503-590-2331
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 503 -848 -383£ •
Inspection Request Scheduled For: Date: 10/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 033701 -01 503-848-3838 N
Corrections /Comments /Instructions: I
-- (= 61-'2L c4Zi L� - L 7V a �-- YL,' Z c S
•
•
PASS r n PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: • Date: Phone #: (503) 718-
5,