Permit . R
CITY OF TIGARD
MECHANICAL PERMIT
40 tvI DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00085
� 1 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/3/2005
PARCEL: 1S134DC-07000
SITE ADDRESS: 11655 SW GALLO AVE
SUBDIVISION: GALLOS VINEYARD ZONING: R -4.5
BLOCK: LOT: 001 JURISDICTION: TIG
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: AC install.
Owner: FEES
GASSNER, AARON Description Date Amount
11655 SW GALLO AVE [MECH] Permit Fee 3/3/2005 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchar€ 3/3/2005 $5.80
Phone: 503- 961 -2094 Total $78.30
Contractor:
ABLE HEATING & COOLING INC
12420 SW SUMMERCREST DR REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223
Phone: 503 - 579 - 2250
Reg #: LIC 108535
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.
f r /
Issued By: ,tor- Permittee Signature: 6
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 until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mar -02 -05 03:25P ABLE HEATING & COOLING 503- 579 -9104 P -03
Meich ical Permits pli atiib j �l I . f1c (it I"It I I SF :O\I 'i
h am x:
' �° R.,....0 City of Tigard flllte/By ' g- fi t-- Yertatt wo - c s - 41
13125 SW Ilall Blvd . 'I Igard, OR 97223 0 Plan Re tew
Phone 5()3 639.4171 Fax. 503 598,19� AR 0 2 2005 dla,�t%p,, „,,s 1` ` ' Dutu/Bv: Olin Ptsttmt:
lnape lira Line 503,639 4 175 �" Oa; Ready /Hy ,UnS: 6Z1 Nee hoer 2 for
Internet www 4.1 ligani3OT.u"1 D
CITY OF -CIGAR . > -. / J rr „t;rLAMe(ht/d �� wrpplentctttal information
1 3th 011\1r4 DIVISIO - _ __ .-
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
❑ Ncw construction U Addition /afteration/rcpla emettt
Mechanical permit fees* are hescd on the value of the work
performed Indicate the value (rounded to the ueatess dollar) of all
❑ Demolition ❑ Other. mechanical materials, equipment, labor, overhead, andprufit.
CATEGORY OF CONSTRUCTION Value: $
- -- 1tSI TlAL EQUIPMENT / SYSTEMS FEES
1 - and 2 Itsmiiy dwelling ❑ Master Commercial/industrial l ❑ Accessory building information - - - - - - -
For red use checkiisl
Multi- famil El Master builder ❑ Other ])mCriPtrnn Qty I _Ea I Total
JOB SITE INFORMATION AND LOCATION Heating/cooliry; _ - --
) Air conditioning or heat ptuup _ 1
Job site address' �/
)11+:1(7. , J, Zte "1 (f 4-"'t / Y (requires site_plan showing placement) . 14 (X)
City /Statc/G1P' z .2_2__. \ Furnace 100,000 BTU (d,tetvlvem.) 14 (X)
( - Furnace 100,000+ Will ad:J
drvents
Suitc/bldg /apt, no Project name: - - ) 17 9t)
” ”
-- __ . , •, "" - -• -- -- - _ - _Cue hcatpump _ _ _ I4,(0)
Cross street/directions to job site: Duct work ._ 1 - 14 (X)
_ l of water system 14 00
7 - / H dronrc h _ ` _ —
' • C I � c txn ler(radiatoror
_ � .�i�� ( �+ IZ ORIIlentl .
Y ) 14 UO
Unit heaters (fuel -type, not electric),
in -wall, inl -dtwt, suspended, etc 1000
Subdivision. Lot no.. Flue/vent for any or above - -- - 10 (l[)
I
. Other 10 00 i
Tax map/pared no„ Other fuel appliances —
DESCRIPTION OF WORK Water hotter — - 10
Utua fireplace fireplace ]UU(1 4k.. - Flue vent for water healer or Kos
Iii lace __ _ - . -. 10 (x)
10 a)
Wood/pellet stove - -- - -- - -- — 10 (X) -- - -
Wood r luce/insert 1000
❑ PROPERTY OWNER 0 TENANT ('htrrincy/Im«3r /t7uaJvcnr IO (x)
Other 1 o.a)
Name: ,
-- - --- -- Environmental r kitchen f anal ventilation
Address: Runge hood/other kitch
equipment 1010()
Ci /Staic ZIP; g011 e r exluru ., 10.00
Single -duct exhaust (bat
Phone: ( .6)--2 u ,,, mil l _ c\l� fax: ( ) toilet compartments, utility rooms) 6.140 ❑ AP �(""' - ❑ CONTACT PERSON Attic/crawlaFace 10)00
Rosiness name: r- --- --- ---- ____- -- --- --- - --- -- ____ _ 10.00 _
— — - -- — Furl piping
Contact — — -- - - -- - - --
Contact naate. $5.40 for first four; $1.00 fur each additional
Address'
Furnace, etc.
-- Clue heat ptmrp _
City/State/ZIP: Wall /auarcndat/nntt heater
Plume: ( ) I I'a,c ( ) Wat(:r,heater
Fueplace __ ..._._.__ .. _.. _.. _..._.
F,_mait ., , , „ - - -- Hartgc
ONTRACTOR _ .y Barbecue ‘,.. g g. Busin nature _ 4 f ^—/ Clothes dryer (gas)
- _....._. a. iJif " . J/ f (then
Address:
G ` r> - -- MECHANICAL PERMIT FEES*
City/State/ZIP '� r � eeA ,� f j ,7 ?. Subtutal - --
* `�f Minimum permit fee ($ 7
Phone (_ - t /! x' (.,../9 �7 [/ " " Pkan review (25e /nOt(ttYn)tfare)
l ' J �-
CCD lie.,, ■ - , as. Suite suncharge (8/u of permit fee) 5, CSC
TOTAL PERMIT FEE s
Authorized s1 _ -t '40',/ Mix permit application expires if a penult is net oblaine.t vnih ^ 7 it(1
.�• ,. C (' I ! ._ da afte it has Isom xrrepted a exae
Print alias; - -" ��� ? / �/� �/l D II(C : �G � 7 �� �� Ice mMhti(to10 vNCt by 'hi-Comity Hutldmg ]ndualry Service errand
.u ,. PcnnitApp.tla. 12/03 JJ 440.4617T( 1 /ILCOINCWW:1)
Mar -02 -05 03:24P ABLE HEATING & COOLING 503- 579 -9104 P.02
Heating and Cooling Air Conditioning Site Plan
Customer JJ( �� c h/G
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Address Ctty•f; Z1 /�__
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CITY OFTIGARD
BUILDING DIVISION PERMIT #: MFC2005 000135,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:, 3/312005
Phone: (503) 639 -4171 av ii
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR DATE: 9/1212006 TIME: 7 :04AM PAGE: 93
SITE ADDRESS: 116 +6 SW GAL LO AVE CLASS OF WORK:
SUBDIVISION: GALLOS VINEYARD LOT #: 001 TYPE OF USE:
PROJECT NAME: GASSNER
DESCRIPTION: AC install.
OWNER: GASSNER, AARON, PHONE #: 503 - 961 -2094
CONTRACTOR: ABLE HEATING & COOLING INC PHONE #: 503.579 -2250
Inspection Request Scheduled For: Date: 9/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 015370 -01 603- 997 -4547 Y
Corrections /Comments /Instructions: - - ..
CI GiaZ /iu t•.ub.� /����' ~ 5 4 7 ( ii _ c
14X --- -- - --....., _ _ _ . _
PASS I I PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
I I FAIL I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: Date: q-42-----0,) Phone #: (503) 718-