Permit CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00025
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/14/2008
PARCEL: 2S112CB -14200
SITE ADDRESS: 14867 SW KENTON DR ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 3 LOT: 151 JURISDICTION: TIG
PROJECT: FRANK
Project Description: install 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: 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: 1
Owner: FEES
GEORGE FRANK Description Date Amount
6575 SW DALE
BEAVERTON, OR 97008 [MECH] Permit Fee 1/14/200E $72.50
[TAX] 12% State Surch 1/14/200E $8.70
Total $81.20
Phone:
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE
BEAVERTON, OR 97006 REQUIRED ITEMS AND REPORTS
Contact #: PRl 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: / _." _ Permittee Signature: 71/// A 04../
Cal 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.
JAN -11 -2008 17:37 FROM:GAROKEN ENERGY CO. IN 5033569002 TO: 50359819E33 P.1
'' Mechanical Permit An - ,A.
City of Tigard t V ` "„ . '-` Received
Date gy: /' Permit No.:
13125 SW Hall Blvd., Tigard, OR 97223 � ,� M {J(C �
Phone: 503.639.4171 Fax: 503.598.1960 JAN 1 4 C U 1 Plan Review
} y; Date/By: Other Permit:
Inspection Line: 503.639.4175 Date Read
Internet: www•ci.tigard.or.us CITY T 6 +• 1 �' - � i Ready /By: tur+r ® See Page l Information
i,/'TT �F 1 �{� ~� *� Notified/Method: Supplemental information
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ru €.. ar "' vthi� t a rv�u 1 R4 �t r� �.0 t1IrEt= (JSE'GHECJCUST
'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
ij Demolition ❑Other: mechanical materials, equipment, labor, overhead, and profit.
M= wR;e' j :d H s I r , ,. � n�'{ li Value: $
.. s7.s+ r r - 'r r ,'4i1 / t� ". {C u�� rt , t'l lea al':� '{tcWy 10 t l +f'{ *:i, < kl 0 .stls:uS mat it .t srr+.ri t_+:•.- ....•..
1 - and 2- family dwelling ❑ Co
o-mmercial/industrial —❑ Accessory building i;+ 4 '' y 4 ' 4; I l v �c 1i1GS S FEES*
Multi- fatnil For special information use checklist.
❑ y ❑ Master builder ❑ Other
, i.K,. �Q . , q y, 1 zn y� c3ru�,a ir ._. Description i Qty. 1 Ea. 1 Total
1
ke«w. 4741 si :i1( -5 { '7 t )° fI,�r..0 �,b tO y : fi9 1N6 n)'rir 1 .. ' «__.:. ,T a g/
M �A `:�_ ;.. � «. m ,.i' �.� Heatln coolin g
Job site address: 1 if �CtrJ l St i Jbyt be Air conditioning or heat pump
rut IhQwia placement) 14.00
City/State/ZIP: ' l _��� r)/7 0 . � r-�/ Fumace 100,000 BT,)(ducts/vents) f 14.00
Suite/bidg.lapt, no.: Project t n �/�/' `�" Furnace 100,000+ BTU (ducts/venrs) 17.90
D - OL Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
-\'''LLL 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: I Lot no.: Flue/vent for any of above / 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
, Y-4 I i t r r, . y ° I4 t i3(aai ., - „ s Y' .r Water heater
' 4...r :6
�-- _�"�SS �7r = � Q ti �- ., �1., s.2. - 'L..r .: i r .., u i.._..�a �...: yry 1000
A t Gas fireplace
L.JI_'\(' \i, • 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
LI r1 � t4L
"' , 4-:n IJ`fYe15,,'�- ,Ftitr. . ? x -,. x "� " 7' _~ ;i`S n ` ' r14 ''", `1I Chimney/liner/flue/vent 10.00
!rNte bf 1l, A
_.ate .... _ �.:�, ., m.t. �,_ �-._ _ - Other: 10 -00
Name: • G ebY
VCre:e v._3(___ Environmental exhaust and ventilation
Address: r D C n 5 b A � Range hood /other kitchen
t� / v equipment 10.00
City/State/ZIP: c:Z>N — Qt170D Q Clothes dryer exhaust - 10.00
Phone: U Single -duct exhaust (bathrooms,
( #, _ r w F ax ' ( ) toilet compartments, utility rooms) 6.80
i s ) s.V l',� �ti ' w .. � e eil k 5 {i . P 7 7 h 4I Attic/crawlspace fans 10.00
B" ''..t- i ∎ .�.o.. � 'rS 1 .. __+.x . t ( . l u l l YC1E M*-0,
Business name: L . ` . - / / :_ .; Other:
10.00
i� " °h. ^' Fuel piping
Contact name: 1,
OC1 Vs-../1 �� V'�..
$5.40 for first four; $1.00 for each addition
Address: `� Q Furnace, etc.
Gas heat pump
City/ State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
=a �� & Fireplace
E-mail:
e„^ - V a`C l z�v� y e�` Range
�� r� -2: 7 {1 ere A . '-,' F 1 �' r �) _ ,' '. -x1' sS ;":: 't t '"r' 4 , 71 T-' 1, 1
a_'c._ ''. ? -_ h...... _L _ . n Barb
el I
Business name: /;>� n 1J � / _ Clothes dryer (gas)
Address: � _ S � / 1 J- � 1�j a t t ?Aj:-'2:;-5\„,__ Other
City/State/ZIP: �� � l b '1;r1 -� ��` `�,`` ,i?a�.',�� lad(_ :i %�,t i "+ <: p''� i�i i jil� }':
ty 1( Z" 7 OIL 0t� '
d �QK Subtotal
,.. ... , ,.. �
Phone: GD�j) O �•7 _ ^Z Fax: ( ' b '5) �c/ - Q /',� Minimum permit fee ($ permit fee)
7 GP / ! Plan review (25% of permit fee)
-
CCB tic.: 44 \ 3- _ State surcharge (8% of permit fee) -
TOTAL PERMIT FEE
Authorized si aturr A Y This permit applicadon expires If a permit Is not obtained within 180
(++ j days after It has been accepted as complete.
Print name: 1 V` �
C) � Y A Dote: (,--' ! t .-..n 13 • Fee methodology act by Tri- County Building Industry Service Board
i l8uilding\Permiu C-PcnnitApp,dnc 12/03 440-4617T (I IN7/C0M/WEB)
. ' , •
C I tY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00025
13125 SW Hall Blvd., Tigard, OR 97223 ‘-
.i/eAditilt DATE ISSUED: 1/14/2003
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ...,....... r'■■••
INSPECTION WORKSHEET FOR DATE: 3/25/2008 TIME: 7:01AM PAGE: 41
SITE ADDRESS: 14867 SW KENTON DR CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO, 3 LOT #: 151 TYPE OF USE:
PROJECT NAME: FRANK
DESCRIPTION: install gas furnace
OWNER: FRANK, GEORGE PHONE #:
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 50
Inspection Request Scheduled For: Date: 3125(2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
609 Mechanical final 007111-01 503848-3838 y
Corrections/Comments/Instructions:
-
• -(6 t/t-c, / ,.,_/-0 , ,,z.- kelib,:oz., "'. 5 f' 5
(----
•
„--
..,
('" PASS fl PARTIAL APPROVAL 0 CANCEL El NO ACCESS
fl FAIL n ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: /
Date: 3- ar a Phone #: (503) 718-
•
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