Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00432
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/18/2008
PARCEL: 2 S 102 C C - 04 300
SITE ADDRESS: 13655 SW STEVEN CT ZONING: R
SUBDIVISION: BEREA LOT: 004 JURISDICTION: TIG
PROJECT: SCHEIDERICH
Project Description: Installing (1) A/C unit, (1) furnace and (1) vent system.
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: 1 DOMES. INCIN:
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
BILL SCHEIDERICH Description Date Amount
13655 SW STEVEN CT
TIGARD, OR 97223 [MECH] Permit Fee 81181200E $72.50
[TAX] 12% State Surch 81181200E $8.70
Total $81.20
Phone: 503- 639 -7624
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: 71 / Permittee Signature: � / 7/(/
Ca 59.4175 by 7:00 a.m. for inspections that business d .
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.
AUG -18 -2008 10:46 FROM :GAROKEN ENERGY CO. IN 5033569002 TO : 5035981960 P.1
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Wchanical Permit Application, FOR OFFICE USE ONLY
City of Tigard IP , Received
13125 SW Hall Blvd., Tigard, OR 97223 Date/BY • /Gl / ' i m ` . ; , t1 � �
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
.. , :. Date tt Other Permit:
Inspection Line: 503.639.4175 AUG 1 '' 1 t� `.1 II y
Internet: wnvw.c(.tigard.or.us _ Date ReadyBy: ®See Page 2 for
Notified/Method: i Supplemental Information
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!- T"_f'[;.. J]L: :/ A��_ LL •. 11��•I/ ^1 • rl It 131';21'' e V1�: . . S.t.`_YD' SFiQBECKL''IST
ew construction • Mechanical permit fees* are based on the value of the work
Addirion/alteration/replacement P
(J Demolition performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor. overhead, and profit
. �' "j i4 { grt 1.g. Vu) =1i;:1 r _ lnt :p f iVr, .24, et `'�r , (� . .k . s ' r Value: s p
', - ' ' ,,�� I %S' ' -FEES
- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building t "''d%
❑ Multi- family 0 builder For special information use checklist.
- 0 Other: Description I Qty. l
rkr-y... �� rw j .3 a i� . . 0. a-. V g '_ ao o i t , , . P P Es. Total
11 :z
-* - _�slt• L 1 i _ 1 ,._, a_) _;� - ..- Heath
Job site address: it conditi ' r heat pump
1 ! - • Ur:ma to Ian showing placement) 14.00 /4 W
City/State/ZIP: / . Q �� Ay a0 .123 Clumace- 140,000 BTU (ducts/vents) 14.00 At LL)
Suite/bldg. /apt no.: Project name: - Furnace 100,000+ BTU (ducts/vents) 17.90
r Gas heat pump 14.00
Cross street/directions to job site: Duct work
14.00
/ - �. Hydronic system 14.00
- •� 1 - •
Res idential hot boiler water (r or
i
hydronic) 1
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above r 10.00 (0 Ltd
Tax map /parcel no
Other: 10.00
r c . d , y y4 P 1 4== . 5 ;iS� ,
� Other fuel appliances
'd`'� kti- 11:L.:? Sc_Z_£JZ�� 0 �•' ' 4 ° 7 ` ' 1 - Y Y 42 tg i Water hea
tiL r� .. al,r ,. s: 10.00
Q Gas fireplace 10
d • Flue vent for water heater or gas
A ./ da - Il1L • fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
�.`. p. •1}al ot" 7off s ;• { f� .; .•z [ ; ;r• �.t ° " +t .; mne/li/
yner flue vent
c sr • �u i�� t_sn ! t u,l.: `. y ea ii �:'_�p ' , I Chi 10.00
` ,- __ _._.:�_ � . , a ,: _=__ Other: , 10.00
Name: G. G ' \.. e lc...
a. Environmental exhaust and ventilation
Address: S �, +_ _ . Range hood/othhood/other kitchen
[.VrY�J equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: ( p ) 0. �� �l Single -duct exhaust (bathrooms,
` / " a F ( ) toilet compartments, utility rooms) 6.80
z ,fL' -,91 1_&: �rA �r .r •..' f
a } '� J ^ o ,tr/ av ' f.;,9 Attic/crawl 00
t41 i lf ....� .. _ !._LS:..Si• L.1!_.: at I ' • ` u , �1�91j.7. -1c0 ����� ��J Attic/crawlspace fans k0.00
Other 10.00
7 � - e 411111101111191111111. L �L! Fuel piping
Contact name:
53.40 for first four; $1.00 for each additional
Address: Furnace, etc.
City/State/ZIP; Gas heat purr
WalVsuspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
� yi ?{'�' r�z r'y. ✓ �' a� Range
y ��+?J � ± �y '.. .� _4. _ 1.4 . it_ �.. = Barbecue
Business name: .� /� Clothes dryer (gas)
• ,.', AA.. Cla • .
Address: � �' - Other:
City/State/ZIP: r • - •'
+ At. - p �� et a -... Subtotal
Phone: G - 0 - j)$ sZ - "_ TI/!'��I�l�r � Minimum permit fee ($72.50) '7 .
Jb 7 . Pl an review (25% of permit fee)
CCB tic.: a _ State surcharge i f permit fee) ,r �
���� TOTAL PERMIT FEE o
Authorized si stun `J � � T h4 permit applleatron expires If a permit Ir not obtalne0 within 180
- days after It has been accepted u complete
I Print name: v Wti4,, 1d y to ,.\ I Dat 1• „ ( • Fec methodology set by Tri -County Building Industry Service Board
i:\ BuildieePerrninlrtBC- PemtitApp.dot 12/03 440.4617T (II/02JCOM/WEBB)
AUG -18 -2008 10:47 FROM:GAROKEN ENERGY CO. IN 5033569002 70:5035981960 P.3
D •
�f- �" GAROKEN ENERGY CO. INC.
SIN= 1 979
3565 SW 192ND Ave • 9eAVERTON, OR 97007 • TEL (503) 846 • FAX (503) 356.9002 • CCB# 43124
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008 00432
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/18/2000
Phone: (503) 639 -4171 Vi r� r
Inspection Requests (24 Hrs.): (503) 639 -4175 "' ��
• -
INSPECTION WORKSHEET FOR DATE: 9/5/2006 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 13655 SW STEVEN CT CLASS OF WORK:
SUBDIVISION: BEREA LOT #: 004 TYPE OF USE:
PROJECT NAME: SCHEIDERICH
DESCRIPTION: Installing (1) A/C unit, (1) furnace and (1) vent system.
OWNER: SCHEIDERICH, BILL PHONE #: 503-639-7624
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 503 8:18-3838
Inspection Request Scheduled For: Date: 9/5/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mess e
609 Mechanical final 074986.01 503-639-7624 /-+"
Corrections /Comments/ Instructions:
•
e_1 , •i►- II PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL % CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1 (/g Phone #: (503) 718 - t
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