Permit ' CITY OF TIGARD MECHANICAL PERMIT
,r^k DEVELOPMENT SERVICES PERMIT #: MEC2005 -00254
! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/18/2005
PARCEL: 1 S133DB -11000
SITE ADDRESS: 13380 SW SUMMERWOOD DR ZONING: R -25
SUBDIVISION: SCHOLLS FERRY ROAD TOWNHOMES LOT: 036 JURISDICTION: TIG
Project Description: AC install.
CLASS OF WORK: OTR 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:
ELE 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:
Owner: FEES
HANUSKA, JUDITH M Description Date Amount
13380 SW SUMMERWOOD DR [MECH] Permit Fee 5/18/200: $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 5/18/200E $5.80
Phone: 503 - 590 - 6223 Total $78.30
Contractor:
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97006
Phone: 503 848 - 3838
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: e">-
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.
MAY -17 -2005 10:36 FROM:GAROKEN ENERGY CO. IN 5033569002 TO:5035981960 P.1
Mc h Permit Application FOR OFFICE USE ONLY •
City f Ti and Received
131 SW Hall Blvd., Tigard, O �.^ Date/By: 6'17 117--
? Pasrot No 5 - 00 2-
Phone: 503.639.4171 Fax: 50. E6Q = E I V E D , �. ' • Plan Review rmit:
1
aaa...... ��v// +. DatrlB Other Pe
Inspection Line: 503.639.4175 - a �-t 4i I y
Internet: www.ci.tigard.or.us _ ., Date NotiS e d I
d/Me Ready/By: S See Page 2 for
Me ` l.6k -- Supplementallnformadon
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�5 ^ta...�__ �.�.._.,� � c �:.Lat�..3t_- L4��ft:•:lt .. -
r- 'ew construction , ;�ti� )i� fyacement 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.
. � �;aF* € i ] u r ' t t w:� r ... ,, �r� 1,: Y�r Piy Value: S
,':.:41-:7..;•:-:..,f::`..!::' u (� ;C J,I ou t t iro, �+ �n pm {. - _ t ra: ' ,�1�._. P m s .yam ,,.�,yr we s� s.•
l Commercial/industrial 2- family dwelling ❑ Comercial/industrial ❑ Accessory building htiOh �� Yn �gM)fS�S;MSFES�
❑ Multi- family ❑ Master builder ❑ Other: For special Information use checklist.
;�� ' ; *} c r „ t-` 3 4�^7� 7" sl_ "P Iat i� Description � Qty• I Ea. I Total
" t r' 2 a a-`'.t. u 4 r ii:_ 1 , � ,boll .\ ' , JY)ytL C i f _ ., . r; i { .1 [ a n ' ����_, He an ,
Job site address: ! 3 3g6 Stic� e /�„ Air conditio ' or heat pump
Su hit 1,., r [.a?D 1�1� ette plan showing placement) 14.00
City/State/ZIP: - i Qe d Q /r73 Furnace 100,000 BTU (duets/vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg ./apt. no.: I Project name: t44 y 4 s kcc Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
` n / 3 r �/ Hydronic hot water system 14.00
T 1 "� Residential boiler (radiator or
hydronnic) 14.00
Unit heaters (Ebel -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
".3.:: '7.71 1 ... }* 1 ' " r 1 . " l71 1 a 0 /0 1 , : ` . . } x •riy.
r J , ,r 7 - .. - 7- lei' )1 l .li.ca � ..' 1 ...._.i ds
_ �. _ rte _ , t _ Water heater 10.00
Gas fireplace 10.00
1 r - .. • -' JAI . / I_�: Flue vent for water heater or gas
2 f /Z ,�� fireplace 10.00
r Lug lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
T'r .2 "l y r � - P 11',,r, t u �; Chirrmey/liner/tlue/vent 10.00
• .�S, .. tl luli t.'. �. f - r a 6 . ! 1 ...J. u...1 -,.. _.t c" ! Lt' , ` r � ,�l ll.1 , �� '_ .
- - Other: 10.00
Name: -<,L A ;, /z v.. U S Environmental exhaust and ventilation
Address: Range hood/other kitchen
:S a w` -- equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: Single -duct exhaust (bathrooms,
hone:
(cp'z) 5 gQ - (p D D -3 Fax ( ) toilet compartments, utility rooms) 6.80
i /.' n'� T 7 ti jl� -',....i.,_.,.::'',.\2 - ;; T .! ` i 1 /?.a 11 r41 l j ri - ciri n`i� ' 1 'l`i: a)� 't
E Attic/crawlspace fans _ 10.0
�L. _F_ _ __ , ._.__ . } : _.�_ _ - _ rv._ _ , 1 . L� _ ._. .ten . :c. Other 10.00
Business name: J41 -
Fuel piping
Contact name: S5.40 for first four; SI.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/ State/ZIP: WalVsuspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
E -mail: / a- - d K -k- ` ‘"...12.7/K--- Ra e
g 'IA y . r ';':-..-4. r Ran
L �1` = 7 nfi , i3 Si i s t" " . - ,, w., . - : p "i' Barbecue
Business name: ( i n�� G �� J "'7 the
Other: dryer (gas)
Address: - 3 ( ? oS ;5/..:) ` 1 P a. VkA t�W -'�- ,, _ . . , -.....
City / State/ZIP: ' , Aj QK.\..., l '\ I on 1'` Subtotal
Phone: G O - 7 j ) O L I B • - • F a x : ( ' b3) 77. / /�() Minimum permit fee (572.50)
(Q l Plan review (25% of permit fee)
I CCB lic.: ( 4 - -" F) \ a State surcharge (8% of permit fee) v l� r ,
TOTAL PERMIT FEE
Authorized si t ort. B` Ghi This permit appUcadon expires if a permit Is not obtained within 180
days after it has been accepted as complete.
Print name: r) Wv,_� ---- Y AGt..vN [ Date: 51 / n 41 • Fee methodology set by Tri -County Building Industry Service Board
,
is \BuildingWarnIzAMEGPermhApp.doc 12/03 440-4 Tr (11 M/WEB)
MAY -17 -2005 10:37 FROM:GAROKEN ENERGY CO.IN 5033569002 70:5035981960 P.2
CI 1 s-_- (` (.4..-]
ii RDKEN ENERGY Co. INC.
Siiwoc 1979
3565 sw l S2No Ave • ecwvcnrom, OR 97007 • TCL (5031 846.3938 • PAX 15031 356.9002 • CCB# 43124
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CITY OFT
IOW DIVISION PERMIT #: MEC2005 -00254
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1812005
Phone: (503) 639 -4171 id Nll
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/22/2005 TIME: 7:12AM PAGE: 91
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 13380 SW SUMMERWOOD DR LOT # TYPE OF USE:
PROJECT NAME: SCHOLLS FERRY ROAD TOWNHOMES 036
DESCRIPTION: HANUSKA
AC install.
OWNER: HANUSKA, JUDITH M, PHONE #: 503-590-6223
CONTRACTOR: PHONE #:
GAROKEN ENERGY COMPANY 503-848 -3838
Inspection Request Scheduled For: Date: 9/2212005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 016197 -01 503 -848 -3838 Y
Corrections /Comments / Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ,...
Inspector: Da t e: ''—�/ 05, Phone #: (503) 718-