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16470 SW MEADOWOOD WY
CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT!!: MEC2005-00099
13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 DATE ISSUED: 3/10/2005
PARCEL: 2S 1 14BA-10900
SITE ADDRESS: 16470 SW MEADOWOOD WY
SUBDIVISION: COPPER CREEK SYAGE 2 ZONING: R4.5
BLOCK: LOT:062 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COf LERS:
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:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15-:'0 HP:
RUNITS:
FIhE DAMPERS?: 30 - 50 HI-: ODS S:
O
GAS PRESSURE: 50�- HP:
CLO DRYERS:
F!"RN < 100K BTU: 1 AIR HANDLING UNITS C
OTHER UNITS:
FURN >=100K BTU: <= 10000 cf,.n: -�
> GAS OUTLETS:
10000 cfm:
Remarks: Gas furnac-replacement.
Owner: _ FEES
JEANNIE 14YQUIST Description Date Amount
16470 SW MEAr30WOGD WAY IMF,CHl i'ermit Fee 3/10/200,r- ".71.50TIGARD, OR, 9/224 [TAX]8%State Surcharf 3/10/2013; $5.80
Phone: 503-476-6520 Total $75.30
Contractor
GAROKEN ENERGY COMPANY
3565 SW 182ND AVE REQUIRED ITEMO AND REPORTS
BEAVERTON, OR 97006 —
Phone: 503-848-3838
Reg#: LIC 43124
OC
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore.
m Specialty Codes and all other applicable laws. All work will be dolie 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
W than 180 day:,. ATTENTION: Oregon law requires you to follow rules adopted in the Oreqon Utility
Notification Ckzn�-mr. Those rules are set forth in OAR 952-001-0010 througt- OAR 952-001-0100. Yoi
may obtain copies of ii ese rules or direct questions to OUNC by calling (503)246-6699.
Issued By: �aG «, _.s�.�c� � t- Permittee Signature: 2 Gt•,o1U�: u_;{i- .I —
Call(503)639-4175 by 7:00 P.M.for inspections needed the next business day.
This permit card shall be kept In a conspicuous place on the job site anti!eonirietion of the project.
Approved plans are required on the job site at the time of each inspection.
MAR-9-2005 13:53 FRW:GAROKEN ENERGY CO IN 50335G9OO2 TO:50359el960 P.1
Ii ical JPermit �� l ! �.
City of Tigard C„ems,( r NoM( ,, -uv 0`
Pla
Date
13125 SW Hall Blvd,,Tigard,OR 97223
Phone: 503.639.4171 Fax: 501.598.1960 Nt Review vmlr
inspection 503.639.4175 MAR 0 0 200 De R
we
Dale csdyBy: 0 Sol reg.I for
Internet: www.ci.tiptd.ar.us NotlBedrMabo4: supplem 'eltorwsadoa
CITY OF TIUARD
N :dare r•_'oSl7t381 erwis r
r !w-on,tniction dditionhtltt:ration./replcement Mechanical permit fees”are based on the value of the work
perfomxd.Indicate the value(rounded to it•�nean,at dollar)of all
�J Demolition 0 Other: mechanical rnatetiala ui .-nent,labor,overhead,andprofit
Value:S
Ano?-family dwelling []Commercial/industrialFEES.
El
C�Accessory building
❑h'::Iti•fanJiy ❑Mutter builder other: Forspeciol information use checkho.
Des iption Qt .L Total
Satin eaollnt —_
Job site address: f Air corditioning or heat aumn
(mWrts site Oln�,tw_w{pa Guf, 14.00
CitylState/ZBt: 1.0
-____ u ace 000 BTU duc ver's 14.00
Suite/hldg]apt.no.: Project no : Furnace 100 000+BTU duesiveAta 17.90
Oras heal purm 14.00
Cross street/directioru tojo, site: Duct wank 14.00
------. fes^ --. --- H rwtic hot water system 14.00 _
Rcaidential boiler(radiator or
h is _ 14.00 _
-- - — -- Unit beaten(f jal,type,not electric),
In-wall,induct,oustended,etc. 10.00
Sub,i visiun: _ Lot na. — -- Flurlve,t for any of above 10.00
Other: 10.00 '---
Tax map/parcel no.: Other fuel se pllanea _
Water heater _ 10.00'
Oas fireplace 10.00
o �" V-) !�p'i1 ase vrnt far watch hater or gas
ti lace 10.00
--- ---
Los li ter(Ps) 10.00
Wood/pellet stove 10.0C
Wood fireplace/insert 10.00
Chirnnev/liner/Aue/vent
Other: .�..----- _ __ _ 10.00 `-
rfame: �p ,hrr►�yp I�-� ^- Environmental exhaust and ventilation^
A:dress: "-' R=:*hoodlother kitchen
-SLL►wC equipment 10.00
City/StateIZiP: rAtt.'wcrawlswe
lothes dryer exhaust 10.00
Single-duct exhaust(bathrooms,
(
Phone: 0-9 'Sp� Fax:( ) oilet w wfrttents,utility soma 6.20
fans 10.00
Business name: I than; 10.00
Fuel piping -�+
Contact name: $5.40 for Orst four•$1.00 for nth additional
4' Address: Furnace,etc, - —
�
U) City/StatclZlP: — Wall/eutpendyfJunit heater
Phone:( ) Pax::( ) Waw heater
Fireplace
_J E-emil: Ran -
M Barbecue
Clotho etc
J Businrts nameme.��ar � �__� e. Other:
Address: _ MR111=1 pool IF 1"INW- 11C
Ciry/Statelzrp: C,. ,12 ej 007 _Subtotal
iJ e1 Minimum permit fee( 772.30)
Phony.(g-0�j) - 7 Fax's S6� ��i] Plan review(25%of emelt fbe)
CCB lic.: 4 aL4 Stats surcharge(814 of rmit fee) —
C � TOTAJ.REKNIT REE
AuthorlZe.'i s. tare t��,, � ---��-•.,�`1�p GZ.�i
This permit application expires If a per:nit Is not obtdn w chin
TW—
e l.e7` days after It hot been accepted err complete.
Fee mathndobay set T
b ri-Count Building Intlustry Sefvivt Bard
Point name: D wv ��Y Lt,v� Date: %Fj.-� -' y r
i.vjvibmgvermuXbOC.reMrxnn& twos 4e044tTT(nlmteosuwa11)
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CITY OF TIGARD-
BUILDING DIVISION PERMIT 0: MEC20 -00119.1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/10/2005
Phone: (503) 6?9-4171
Inspoctlon Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 418/20G'ri
TIME: 7 10AM PAGE: ill
SITE .ADDRESS: 16470 SW MEADCWOOD WY CLASS OF WORK:
SUBDIVISION: COPPER CREEK STAGE 2 LOT#: 062 TYPE OF USE:
PROJECT NAME: NYUUIST
DESCRIPTION: G.q%furnarA replacement.
OWNER: NYOUIST, Jf=ANNIE PHONE # 503.4766520
CONTRACTOR: GAROKE:N ENERGY COMPANY PHONE #: 503-848 .3638
Inspection Request Scheduled For: Date: 4/9/2(105 ?our Thee:
Code # Inspection Description Confirm # Conti.t # Message
699 Mechanical final 00382E 01 503.848-3638 Y
Corrections/Comments/Instructions:
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JI ---- _. _— -- -- —
f ❑ PARTIAL APPROVAL r] CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
Date: ¢--�`ds� Phorie 14: (503) 718- .
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