Permit CITY TIGARD MECHANICAL PERMIT
j ib Q j� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00788
� II I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/29/2005
PARCEL: 2S 114AB -03300
SITE ADDRESS: 16455 SW 93RD AVE ZONING: R -4.5
SUBDIVISION: KNEELAND ESTATES LOT: 020 JURISDICTION: TIG
Project Description: Replace 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: -
3 - 15 HP: COMML: ' '
MAX INPUT: BTU 15 - 30 HP: ,
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: W,OOD.STOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS THER UNITS: T S: K
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: a M
> 10000 cfm:
GAS'OUTLETS:
Owner: FEES
LARRY GALIZIO Description Date Amount
14655 SW 93RD AVE
TIGARD, OR 97224 [MECH] Permit Fee 11/29/20C $72.50
[TAX] 8% State Surcha 11/29/20C $5.80
Total $78.30
Phone: 503 - 516 -1101
Contractor:
SUNSET HEATING & COOLING
0607 SW IDAHO
PORTLAND, OR 97239 REQUIRED ITEMS AND REPORTS
Phone: 503- 234 -0611
Reg #: LIC 161085
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: .c ,v
v / � Permittee Signature: . 0
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business.
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.
NQv 28 05 01:34p p. 2
Mechanical Permit ‘ / E 1.0H 0I l I t( i: I SI 0\1.1
1.1
City of Tigard c 3 Receiver' q •aZ Permit No..
13125 SW Hall Blvd., Tigard, OR 97223 NOV 2 2005 Plan Review r e'�.v w r -7 ) ' -5.-:"010 7 '
Pn Rc
Phone: 503.639.4171 Fax: 503.598.1960 ti. ±,; { y l edg Other P ermit :
Inspection Line: 503.639.4175 ., La ,. n i Date Ready/By: rim to See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD''' '" Notified/Method: Supplemental Information
BUILDING DIVISION
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Mechanical permit fees* are based on the value of the work
New construction
❑ ®Addition /a(tetation/repiacement performed. Indicate the value (rounded to the nearest dollar) of all
D Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
n k r t z ro� i z t -R i. 7 lit t ¢ l uw r �. .0 et f ,.* rjc r t 4 c yam... $
t a 11 - : 6�."'�y r - L d 4'. 2a y } t _ - * r 9a '•Jv # r j � < .:_ Value: $
rvki;.x, w .:f �•��z Fc�,�a:� ��.t ��.r, . n ..- .. • .,, � � � .... �f ,:. �. , ... .' ... v< , ;�a ., . < ` � r t 3 s �' t 9 � � x r y a a : ( i � :��� i'
W I- and 2-family dwelling ❑ Accessory building ,t� � A � i' � '
y g ❑ Commercial/industrial
For special information use checklist.
❑ Multi -family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
: i �$ +, � 0 „t 44'n tv -�'x3Ve -. �;V.rr^ #r t,Yy,,fi •r' q% a„X T140.1% a d :,
...:✓'fit- 5 u
.. '.',e.�,4' a�'�`.?��s.na .�a.o�.rx_.� s,.. :,�.,..� ga�a)a+.t���a��4:� :.0 u� .�:)?Is�. s �x�±a�3`s:S�kl'x:.�..� Heatinp,/COOling
Job site address: 1 / t G. � � , c ) ? ' . -{ _ . -V - Air ui res Cue plan showing p accmcnt) 14.00
R (n'9 P g P
City/State/ZIP:- I '" - T., t• Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt, no.: l Project name: L• ' " �: l C' Furnace 100,000+ BTU ( ducts/vents) 1 7.90
' I Gas heat pump 14.00
Cross street/directions to job site: '•. a Duct work 14.00
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: Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
t".. i< °i s: °: tjti:a�:+<; d
' g44, -Y 'ry ;41§ a '4`,'I'';;:;''' rTi t • 5s... . o' pan °.`" i s Water
,� , ,, 7 ` ,A x a ,� a :r >. r y a ; !a �' ` `a z heater • 10.00
.. ynpds ex,+x t;,u.'.'bs. ,+.� .;. t< r ,: ± >:7�? :...xc. � ,�. Ay '.xK s' (:1 .v'i?o.ai. "�, a?Rx♦ ,�',M�.+`� 5: ,xfit'��+ , N
�, + f Gas fireplace 10.00 • - -( , ` i, 't 0 . " t lam; Fl(..(L . Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplaceJinsert 10.00
e v .
,,tv b, p s ;� g pmt . Chimney/liner /fue/vent 10.00
� ,. :, :c� Other: 10.00
Name: * __ ytt 'R t_
6-A c4 1, .( 2 i C) Environmental exhaust and ventilation
Address: e C:: ? r t Range hood/other kitchen
I� ; b'� <� J . 3 equipment 10.00
City/State/ZIP: ..--- 1 , -- - -.:› L { Clothes dryer exhaust 10.00
P i L i ) i f Single -duct exhaust (bathrooms,
Phone: (i. L) ) Di t l t r / Fax: ( ) toilet compartments, utility rooms) 6.80
" ,
, '' s - mr x ,t}' 2r 'r ` z Y fi I- t v1 t Rr s' Attic/crawlspacc fans 10.00
v t u. S , t ,, .; w t ,, `.mer � . 'el t.. ` 1 44 5 1 l ` vxik i a'• ill: "stAk €c5 ?ri .10144 '' . ` .1.4X :, 1 : p
Other: 10.00
Business name: .
Fuel piping
Contact name: $5.40 for first four; $1.00 for each a dditional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) I Fax: : ( ) Water heater
Fireplace
E-mail: Range
''' � ' g^y�q ��^a y , � . T x ° cWc" k ` LV. - '�� r f F. -^ �.t `A fi re
t ;' � 7f�o5 T ' J"ai"`„�i � S - �r'9 �" f"' i
Ygc•sp .
th ;,:i��3 ; act 'rt , - u a :'.Y.' `a ( yt , . . �" .! 4 'j iry,glit k..era'y '" i ' `a T ..a ' . Barbecue •
Business name: Sunset Heating and Cooling Clothes dryer (gas)
Other
Address: 0607 SW Idaho Street , ; ^ .I, A-r ' ` a e i ,, d - .:x Tc , .�,�,,�
City /State/ZIP: Portland, OR 97239 .,, s h t :� Subtotal . y r ?;t: '-
1 iq
Phone: (503) 234 -0611 Minimum permit fee ($72.50) j 7 0)i
( ) Fax: (503) 234-0439 Plan review (25% of permit fee)
CCB lie.: 161085 State surcharge (8% of permit fee) C. (,,:::i)
...,< TOTAL PERMIT FEE _ 7 r . , -t 1
Authorized signature: k, (' / .. - Thu permit application expires if a permit is not obtained within ISO
. `-' - days after it has been accepted as complete.
Print name: Shauna D'Anibrotia I Date: (/ i .:A) (r • • Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Pamiu\MEC- PcrmitApp.doc 17103 444346177 (I UO2/COM/WEB)
CITY OF TIGARD 14-3
BUILDING DIVISION PERMIT #: MEt~°2005 -0078f
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/29/2005
Phone: (503) 639 -4171 mep AI i
Inspection Requests (24 Hrs.): (503) 639 -4175 ..: •I
INSPECTION WORKSHEET FOR DATE: 12/22/2005 TIME: 7:03AM PAGE: 61
SITE ADDRESS: 16455 SW 93RD AVE CLASS OF WORK:
SUBDIVISION: KNEELAND ESTATES LOT #: 020 TYPE OF USE:
PROJECT NAME: GALIZIO
DESCRIPTION: Replace furnace.
OWNER: GALIZIO, LARRY PHONE #: 503 - -1101
CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503 - 2340611
Inspection Request Scheduled For: Date: 12/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
625 Duct work 023812 -01 503. 516.1101 Y Ps W1Weit 4 ,,
() ? -) (cd Arid"
Corrections /Comments /Instructions: l = 6 P -
_y_ . Zetf 5 C /24
7 /6 J c _ cP-11--;e1" ,
____\
1
•A PASS I I PARTIAL APPROVAL l CANCEL ❑ NO ACCESS
FAIL ❑CA FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: J 2 Date: i : /' 2- ?Jr Phone #: (503) 718- 2-70-