Permit CITY TIGARD MECHANICAL PERMIT
'I4" DEVELOPMENT SERVICES PERMIT #: MEC2005 -00777
c � Jll 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/22/2005
PARCEL: 1S125DA-04201
SITE ADDRESS: 06820 SW WALNUT TERR ZONING: R -4.5
SUBDIVISION: KINGS VIEW LOT: 027 JURISDICTION: TIG
Project Description: Replace gas furnace.
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: DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
CLAYTON, STEVE Description Date Amount
6820 SW WALNUT TERRACE [MECH] Permit Fee 11/22/200 $72.50
PORTLAND, OR 97225 [TAX] 8% State Surchar€ 11/22/200 $5.80
Phone: 503 244 - 7341 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- - .
Issued By . 1 / 0(,C444...44b/ Permittee Sign ure:
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.
NO -21 -2005 13:45 FROM :GAROKEN ENERGY CO. IN 5033569002 TO : 5035981960 P.1
b ' �®
Mecha i<cil Perm>t ton Folt orr•ICI. us E ONLY
Ci ty of Tigard TO ' ' = rte PermltNo.:
13125 SW Hall Blvd., Tigard, OR - 97223 L4 aa O - �� Hie„. O� 7../ Phone: 503.639.4171 Fax: 503.598.1960" RO we Other Permit:
Inspection Line: 503.639.4175 �' - ( \G , , , 11 ' r
Internet: www.ci.tigard.or.us �( OF \j \S \ O - -----1-- " Ir. _ Date Ready/By: S See Page for
G \( Q \ �G p NoGfied/MtWodk �� Supplemental Information
L,___ ` : � ,cit. r 4 , . 4ir::;4 ', f`:. i�� t+ l l `I l`.�r(oi i - t � f � ` : �.. f - ; U,P s _ .. l. , d1t = a SFr° 1.31 TT
r- 'ew construction . Addition/alteration/replacement Mechanical Permit fern' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other
mechanical materials, equipment, labor, overhead. and profit.
•C' k " ."- i - ; . (;"=,:-Z } ,{ r _ 1 _", f - C ■\ ' r aTic?O� " . .r:K.,a , r ' '` :.:sIf! tr'� Value: S
r' 1, i ) n f; , u, r ' -�' " s,4.? TI - `
m r . , ,' j - 3 - v. q.ig':. tL4. ' �S § EMS FEES•
- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building r� "•,r r mot= rr;r��
I Total
❑ Muiu famll M , , For special information rue checklist
y ❑ aster builder
J _ ❑Other
Description ty. F Ea.
vr . - , - ` `,
.,--x-.--`Tr.: l l .- � o , o i � '1(GT ', , ,,t - -�� ", +e:19, I Q
ff
`'-''. ' -. /1_ _, `'t �. ,yl , � z , , .�r� , o . r, ' ' Heating/cooling.
Job site address: Air conditioning or heat pump
/1 • . _ / / /�_ ,Drat site. plan.shpwing p)acemeat 14.00
City /State/ZIP: t _ 9 7a• a 3 Furnace 100 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: er Gas heat pump 14.00
Cross street/directions to job site: Duct work , 14.00
1111111=11111,061 ORINIaMilliliMI Hydtonic water system 14.00
Residential hot boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suseended, etc. , 10.00
Subdivision Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
F .1 t,. y e . i.. -P ; i , , 1 , i114� G , ; � .7i`' 4 -, ;(01 f t r ; r t ,l , L I Water heater 10.00
One fireplace 10.00
r/ � �. /�� Flue vent for water heater or gas
fireplace 10.00
IIIWAIMLIM Log lighter (gas) 10.00
will J /� Wood/pellet stove 10.00
Wood fireplace/msert 10.00
N.71 . 1'1' :.
C : ad -. r '' l �. n, :ylr� k- +r , 7 ,r1-4- • S,.ri , .' n ih r - ChlRrney/Iitier/flue/vent 10.00
-' ) oth 10.00
Name: , , / / I _ ri la u -ramlmlimiiiiiiiim Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/ State/ZIP: Clothes dryer exhaust 10.00
Phone: rr,��{{ i A '�
Single-duct compartments, rt exhaust (bathrooms,
rooms) s,
r 'E�D�) Fax ( ) toilet corrtpartmrnes, utility ro 6.80
lr�k , : a ie YEA1f 4 t y ,; 1 �. i
Auic
� ,..; s � - '� _ ;• , � cr�,'F`,r uvc ,�,rt,,s�a) ; � /crawispace fans 10.00
-1 -r) Other 10.00
Business name: GiiY .41 .. e_ Fuel piping
Contact dame: • 041., S5.40 for Ant four; $1.00 for each additional
its. in -
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: WalVsuspended/unit heater
Phone: ( ) Pax: : ( ) Water heater -
E -mail: 1 T r . Fireplace
T Range
- ..SC t ^ � r ( .,'-_,:r;.-1 r • sl a Barbecue
, . IA - - Clothes dryer (gas)
_ 0 • la '. ea _414.- .. Other:
Address: , . ti ;�.r"4 si v '
City/State/ZIP: 4, a v x, -tail 01 ° :tzE i ra,,.wrigin1_> ;
�� - /' .. p_ Aha at► A a + Subtotal
Phone: 6 % c` - ea F ax: (,S I , . , Minimum permit fee ($72.50) 72._ s _ )
1 Plan review (25% of permit fee)
Cal lie.: C.- State surcharge (8% of permit fee) 10 1 U . m
TOTAL PERMIT FEE !
Authorized si urt. h �, This permit application expires ifs permit Is not obtained within 190
days attar It hat been accepted as complete.
Print name: v N , � �� j y A I Date: , , -)-1 '0 S I • Fee methodology sct by Tri -County Building Industry Service Board
�j
e1Bu17dingl?am C- PemmApp.dot 12/03 440.46I7T (I 1RA/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: MEC2005-00777
131,25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/22J2005
Phone: (503) 639 -4171 ,, 11
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 1t
INSPECTION WORKSHEET FOR DATE: 12/12/2005 TIME: 7:02AM PAGE: 67
SITE ADDRESS: 06820 SW WALNUT TERR CLASS OF WORK:
SUBDIVISION: KINGS VIEW LOT #: 027 TYPE OF USE:
PROJECT NAME: CLAYTON
DESCRIPTION: Replace gas furnace.
OWNER: CLAYTON, STEVE, PHONE #: 503-2447341
CONTRACTOR: GAROKEN ENERGY COMPANY PHONE #: 503 - 8483838
Inspection Request Scheduled For: Date: 12/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 023240-01 503-848-3838 N
Corrections /Comments /Instructions: q C O
•
MOM= l s�� aTiwtdra%
c -
•
PASS ❑ .PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL 11 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ( (7 �� Phone #: (503) 718-