Permit •
C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00550
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/8/2006
PARCEL: 1 S134DC -02801
SITE ADDRESS: 11615 SW GALLO AVE ZONING: R -4.5
SUBDIVISION: GALLO'S VINEYARD LOT: JURISDICTION: TIG
Project Description: Install gas line to dryer.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: 1
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
STEPHANIE SCHECKLA Description Date Amount
111615 SW GALLO AVE
TIGARD, OR 97223 [MECH] Permit Fee 11/8/200€ $72.50
[TAX] 8% State Surcha 11/8/200€ $5.80
Total $78.30
Phone: 503- 620 -3216
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD
TUALATIN, OR 97062 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 692 -1565
FAX 503- 691 -1879
Reg #: LIC 5193
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: �- v Permittee Signature: ` {r
Call 503.639.4175 by 7:00 a.m. for inspections t at b 4 siness da
This permit card shall be kept in a conspicuous place on the job s' - until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application •._ . x • .....• 1.OR:i7FRC E°LSE ONLY . i
.,e City of Tigard EVES Received ` % '
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re view • '� 1
Phone: 503.639.4171 Fax: 503.598.1960 A' 1 / Date/By: Other Permit:
Lane: 503.639.4175 N 0 V ��� / '�J y ' IIMI Inspection L i ne: 5 d. 9.41 ��.. Date ReadReady/By: H See Page 2 for
Internet:
Sm _ CITY OF TIGARD • Notified/Me hod: Su Information :
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tea 6. t aisRt'�t� � � u n �.'u'' r_efiR. � .3 , $� a�� 1
'• � auw�'.� fi r_ .a�`S M�ar..s �.25a"� "' -..� t . _ +�A.. ..�..?� - �
❑ New construction 51 Addition/alteration/replacement Mechanical permit fees* are based On the ^ value ofthe" 'work
' performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other mechanical materials, equipment, labor, overhead, and p rofit.
r s � � � t e°za` ' 1 aR i rz 4k, 1 . m gr Value: d $ • • ', ,
19 1- and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building '¢ Y -
• Multi - family Master builder ❑ Other: For special information use checklist.
ID
e F Description I Qty. I Ea. I Total
Y ; =2 1/v a ::; `e CRR14 I,Q > YAW A M.W.V . A ? Hearin coolie
.. ,r�_ m . .�.�w•• 4 �.a:,; _, �r�� fit >;
Job site address: J / / �] I ,� Air conditioning or heat pump
F / ( (� e w f (5 AL-4-i> -,4i l/" (requires site plan showing placement) 14.00
City /State/ZIP: , / t%/ 9 ? Z2 Furnace 100,000 BTU (duets/vents) 14.00
• Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldgiapt. no.: I Project name:
Gas heat pump 14.00
Cross street/directions to job site 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: I Lot no .
Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
M f - ;1 - 4-:- tip' � : :tV > ''{��, ",;� z „q : ti . `e : ; t:) kx - ^.: t,'F>' -''3e' ,' � V:;27404-'1 Water heater 10.00
r '
�_;��.: �����'=< � a � :�' § " I1)wSi rT 2 T I'T' I OI � s OF � „WOR K''�� :'•. " �{ `
.��:= - �r -.. _y: , ..;'+,,•u� „_�,� �_ _. ._ . , __ - _ .. �x.v.�` ea. ' ����`�_,- � = :- -T = ...
Gas
/ z fireplace 10.00
A )./574 u ( 4S j /4,✓L'S M1 72) - , 6- Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove • 10.00
Wood fireplace /insert 10.00 _
+t• a ;s 1 -h Chimney/liner/flue/vent 10.00
�, ��•"�.`�k , �._ , �•�= t om _::: r, ��t4•� -, ��:_ -z. • ;.� � =r� >. `:� ��� Oiher: 10.00
Name: 57 NJ SCs.,/ Environmental exhaust and ventilation •
Range hood/other kitchen
Address: 10.00
City / State/ZIP: �� Clothes dryer exhaust 10.00
J Single -duct exhaust (bathrooms,
Phone: (57'�Z) Z U ,� 3 2 6
.1': / , Fax: ( ) toilet compartments, utility rooms) 6.80
a ; r a 2 - -tom CW �: as pl 'fit Attidcrawlspace fans 10.00
Other: 10.00
Business n. e: A ^1 /1O /ca L
Fuel piping
Contact name: j iz. r
i..../.14/ $5.40 for first four, $1.00 for each additional
Address: 1 0 3 3 J 5L.,/ 1744 L f-� 1. f Furnace, etc.
Gas heat pump
City /State/ZIP: UQ t-.A I - J, O2 9 7. 062 -c_, q . Wall/suspended/unit heater
Phone: (5b3) 6;3 Z. ,_ 756.'5 I Fax: : ( fib ) (o / / /g�. / Water heater
E -mail: Fireplace - •
' 4 1 - 3R cry 4: 1, •. ` y ,, S`'", ,* z+Fr'S.. t itg ,3. r .,, , * t r Y Range
v4. „ fit ,4 ,=z� * �:J4. jk47,%.. s`1 r ° '0? a %; Barbecue
Business name • / 2R O LD/ - / �e 4 f 1, e, AK__ _. - _ -_ ri 0
Clothes dryer (gas) ; r;� s_ .M � ` =
i re F . � .L
Address: A/ ., - ' . - - _ _.. _ r ` .•„� „y ' :„,, ", -t "h.. � F£i F fi t' q XS 3. s F ?z,
, art ! t . £ e .. _ ,
- Ci / State/ZIP: _ . - - -- . _ _ .• _ - - - . . ___ -.�_ - . _ . ' e # ;' : 'e :.;�. -- - --
Phone: (` _ :) _ _ - - - - Fax: ( ) {^ ./ Minimum permit fee:($72 }50) •.
` Plan review (25% of p fee)" • -
CCB lie.: . -' 3 State surcharge (8% of perinit'fee)' , -_' }. 's, • •
)e TOTAL PERMIT FEE` '�O _
if ,l
Authorized signature' 7 This permit application esplres if a permit k not;obtalucd _ 0.11180
��
days after k has been n' as lets {; "
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,... .
CITY -0E-TIGARD
. .
BUILDING DIVISION' .
PERMIT #: MEC2006-00560
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 11/0/21)06
Phone: (503)639-4171 7 4
Inspection Requests (24 Hrs.): (503) 639-4175 zgask 'IL
INSPECTION WORKSHEET FOR DATE: 11/9/2006 TIME: 7:02AM PAGE: al
SITE ADDRESS: 11615 SW GALLO AVE CLASS OF WORK:
SUBDIVISION: GALLO'S VINEYARD LOT #: TYPE OF USE:
PROJECT NAME: SCHECKLA
DESCRIPTION: Install gas line to dryer.
OWNER: SCHECKLA, STEPHANIE PHONE #: 603-620-3216
CONTRACTOR: ARROW MECHANICAL PHONE #: 503-692-1565
Inspection Request Scheduled For: Date: 11/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 039479-01 503-692-1565 N
Corrections/Comments/Instructions:
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I MATIVIDS. WillarAPAINE
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PASS . . PARTIAL APPROVAL I I CANCEL I I NO ACCESS
I FAIL ej L FOR SPECTION ADDITION' FEES ASSESSED
pri i
, • A
Inspector: Date: 1 C., 4; Phone #: (503) 718-