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11755 SW GALLO AVENUE i sof E- 7-6 17VO ru V , TO '!S77--YG ©/VdE- 15 TD QL— /9 (o "X28 � �Q�) �X TC�+/C► /N�, 1"NE- ,50U77-y' Z--.N, / S 7 'x /3 /=p OQ TD T'7✓E t,oqS T 0.10V "�o N T c:0 0& 10 73 , l 7.Z � r 1-7 I /IVALC Y 7.4�_J[JC7—/4AJ (503 /7 3 � � '� ��✓�� oJ�Z7-_ .��5 50�, SCG/ %/oma/ 0 ? ��E►I = 7 Z Z 3 �� v x o-r' - / 5 /34' DC - 075-00 D T ( — !�Ae D �� L/ 1v y�°► e / 1 \ . V I I EXiSr� •vG = / / 20 SF 26-17 5F 7.-V 7 l'7/ �s 6irr�RGE�vCY vENrC�C c' .6a q4e- ' NOTICE: iI= THEPRINTORTY?E ON ANY �� 1r � � � ( � � � � � II � � � � � r��lr '_I.� r_�_.1_ �.1r � � IT .� L��rIT r,-r �-r�1 rlr i1.� i11 �r �1� 1. i i_1.� ., � I i � � .� fi iri � � � I � � , � i � � r i � � � ( � [ Jill IMAGE IS NOT AS CLEAR AS THIS NOTICE, 4 - l 6 8 9 - 10 11 12 �o w - -- - ,. IT IS DUE_ TO THE QUALITY OF THE � - No.36 ORIGINAL DOCUMENT E 6Z 8Z LZ 8Z gZ 39 TZ OZ 61 81 LT 8T si vi EtT 1111ZT T i 6 I i 1111111 lil! Llil 1111 .1111 ��! 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I I i 00* i gnNSAV OIIVD MS SSLTT CITY QF TIGARD MECHANICAL_ DEVELOPMENT SERVICES PERMIT 13125 SW Hall Blvd., Tigard,OR 91223 (503)639.4111 PERMIT #. . . . . . . : MEC98-0 01 DATE ISSUED: 06/03/98 PARCEL: 1S134DC-07500 SITE ADDRESS. . . : 11755 SW GALA-0 AVE SUBDIVISION. . . . : GALLOS VINEYARD ZONING: R-4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :006 JURISDICTION: TIG ------------------------------------------------------------------------------------ CI.-ASS OF WORK. . :ALT FI...00R TURN. . . . : 0 L_VAP COOLERS: 0 TYPE OF' USE. . . . ..SF UNIT HEATERS. . : 0 VENT FANS. . . : 0 OCCUPANCY CRP. . :R:-', VENTS W/O ADPL-: 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES------------- 0-3 HP. . . . : 0 DOMES. INCIN: 0 :GAS 3-15 HP. . . . : 0 COMML. INCIN: 0 MAX INPUT: 0 STU 15-30 HP. . . . : 0 REPAIR UNITS: it FIRE DAMPERS!. . : 30-50 HP. . . . : 0 WOODSTOVES. . : 0 GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0 NO. OF' UNITS----------- AIR HANDLING UNITS OTHER UNITS. : 1 FURN ( 100K BTIJ: 0 (- 10000 cfm: 0 GAS OUTLETS. : 1 FURN ) =100K BTU: 0 > 10000 cfm: 0 Remarks : Installation of gas piping and exhaust fan for gas fireplace being relocated. Owner: -------------------------------------------------------- FEES FEES - DOUGI-AS SISSON AND SHANNON SISSON type amol-int by :date recpt 11755 SW GALLO F'RMT $ 25. 00 DEB 05/03/98 98-306250 TIGARD OR 97223 5PCT $ 1. 25 DEB 06/03/98 98-306250 Phone #: 684-5795 Contractor: PHINNEY CONSTRUCTION 1546 SW UPLAND DR -------------------------------------- 26. 25 TOTAI- F'ORTL-AND OR 972;'1 Phone #: 815-1407 Reg #. . : 109108 REQUIRED INFOECTIONS ------- This permit is issued subject to the regulations contained in the Gas Line Insp Tigard Municipal Code, State of Orr. Specialty Codes and all other Mechanical Insp applicable laws. All work will be done in accordance with Misc. Inspection approved plans. This permit will expire if work is not started Final Inspection within 188 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow rules _ adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-881-Ml through OAR 952-01-M. You may obtain copies of these rules or direct questions to OUNC by calling (583)246-9187. Issi-:e _ Permittee Signati-:re• ++++4-+++++++4.+++++++++++++++++++++++++-r•++•+++++++++++++++++4 +F++++++++++++++++4 Call 639-4175 by 7:00 p. m. for inspections needed the next bL:siness day +++++++++++++++++++++++++++++1•+++++-++++++++++++++++++++++++++++++++++++++-�+++++ Plan Cheek- CITY OF TIGARD Mechanical Permit Application Recd Bye 13125 SW HALL BLVD. Commercial and Residential Date Recd 1i TIGARD, OR 97223 Date to P.E. (503) 639-4171, X304 Date to 0FkT Print or Type Permit N Na olDeZvelopmncomplete or illegible applications will not be accepted Called Description e r Table 1A Mechanical Code QTY PRICE AMT Job Street Address Suite$ A) Permit Fee -0- -0- 10.00 Address //7.SS c Bidgrr cny/State zip 1 ) Fumatx to 100,000 BTU 6,00 9722-5 includini ducts&vents Name(or name of business) 2.) Furnace 100,000 BTU+ 7.50 OwnerV�L."e^J_ including ducts&vents Mailing Address 3.) Floor Furnace 6.00 including vent $tatezip Phone 4.) Suspended heater,wall heater 600 7Z4?j or floor mounted heater Name(or name of businese) 5) Vent not included in appliance permit 3,00 Occupant Mailing Address 6.) Boiler or comp,heat pump,air cond. 6.00 to 3 HP;absorb unit to 100K BUT** Citylsut■ zip Phone 7) Boiler or comp,heat pump,air Gond. 11.00 3-15 HP;absorb unit to 500K BTU" Contractor N�("^ 8.) Boder or comp,heat pump,air Bond. 15.00 rCJ ci7,�J 15-30 HP;absorb unit.5.1 mil BTU" Prior to permit Mailin Address 9.) Boder or comp,heat pump,air Gond. 22.50 issuance,a copy -S�_ "/S(_'M'V'j �Q 30-50 HP;absorb unit 1-1.75mil BTU" of all licenses C )store q ,p Phone 10) Boiler or comp,heat pump,air Gond. 37.Eo- are required if /}.✓ej &/,-1gO7 >50 HP;absorb unit 1.75 mil BTU" expired in COT Oregon Const.Cont Board I C is � Exp Date 11.) Air handling unit to 10,000 CFM 450 database /o4io to Architect Name 12.) Air handling unit 750 _ 10,000 CTM+ or Marling Address 13.) Non-portable evaporate cooler 4,50 Engineer cayrstate zip hone 14.) Vent fan connected to a single dud 3.00 Describe work New O Addition O Alteration O Repair O 15.) Ventilation system not included 4.50 to be done Residential O Non-residential O in appliance permd Additional Description of work: 16.) Hood served by mechanical exhaust 4.50 j 17) Domestic incinerators 7.50 i Existirq use of 18) Commercial or industrial 30.00 building or property type incinerator 19) Repair units 450 j Proposed use of 20.) Wood stove 450 building or property 21.) Clothes dryer,etc. 450 Type of fuel-oil O natural gas O LPG O electric O 22.) Otner units `9450 I hereby acknowledge that I have read this application,that the information 23 1 Gas piping one to four outlets 200 givens correct,that I am the owner or authored agent of the owner,that plans submitted are in compliance with Oregon State laws. 24.) More than 4-per outlet(each) 50 Signature,or er/Agent Date 'SUBTOTAL /� r^ r 5%SURCHARGE1,44 0` Contact Person Name Phone PLAN REVIEW 250%OF SUBTOTAL Required for all commercial permits on -/ o,7 TOTAL } j 'Minimum permit fee is$25+5%sl-rcharge "Residential A/C requires site plan showing placement of unit. 1:Vnechprrnt.doc rev 4/15198 CITY OF TIGARD MASTER PERMIT DEVELOPMENT SERVICES F,ERMIT #f. . . . . . . MF)T98-0112. 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 ?DATE ISSUED: 04/20/98 FIARCEL: i S 134DC-0'7500 SITE ADDRESS. . . : 11755 SW GA1_L_O AVE S(ABD I V I S I ON. . . . :GAL-LOG VINEYARD ZONING: R-4. 5 BLOCK. . . . . . . . . . LOT. . . .. . . . . . . . .. . :006 JURISDICTION: TIG Remarks: Sisson addition PATH 8 ------------------------------------------------------------ BUILDING -------------------—------------------------------------- REISSUE: STORIES.......: 1 FLOOR AREAS----------- BASEMENT...: 0 sf REQUIRED SETBACKS---- REQUIRED------------- CLASS OF WORK.:ADD HEIGHT........: 11 FIRST....: 266 sf GARAGE.....: 0 sf LEFT..........: 23 SMOKE DETECTRS: TYPE OF USE...-SF FLOOR LOAD....: 40 SECOND...: 0 sf FRONT.........: 21 PARKING SPACES: 0 TYPE OF CONST.:SN DWELLING UNITS: 1 FINBSMENT: 0 sf RIGHT.........: 0 OCCUPANCY GRP.:R3 BDRM: 0 BATH: 0 TOTAL------: 266 sf VALUE..$: 17795 REAR..........: 17 ------------------------------------------------------------ PLUMBING ---------------------------------------------------------- SINKS.........: P WATER CLOSETS.: 0 WASHING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TREWS.........: 0 LAVATORIES....: 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: : CATCH BASINS..: 0 TUB/SHOWERS...: 0 GARBAGE D!SP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: p GREAT TRAPS..: 0 OTHER FIXTURES: 0 - --------------------------------------------------------------- MECHANICAL --------------------------------------------------------------- FUEL TYPES----------- FURN ( 100K ..: 0 BOIL/CMP ( 3HP: 0 VENT FANS.....: 0 CLOTHES DRYERS: 0 GAS FURN )=100K ..: 0 UNIT HEATERS..: 0 HOODS.........: 0 OTHER UNITS...: 0 MAX INP.: 0 BTU FLOOR FURNACES: 0 VENTS.........: 0 WOUDSTOVES....: 0 CAS OUTLETS...: 0 -------------------------------------------------------------- ELECTRICAL ---------------------------------------------------------- —RESIDENTIAL UNIT--- ----SERVICE/FEEDER---- --TEMP SRVC/FEEDERS-- ---BRANCH CIRCUITS--- ----MISCELLANEOUS---- --ADD'L INSPECTIONS-- 1000 SF OR LESS: 0 0 - 200 amp..: 0 0 - NO amp..: 0 W/SVC OR FDR..: 0 PUMP/IRRIGATION: 0 PER INSPECTION: 0 EA ADD L 500SF.: 0 201 - 400 amp..: 0 201 - 400 amp..: 0 1st W/O SVC/FDR: 1 SIGN/OUT LIN LT: 0 PER Ha1R......: 0 IIMITED ENERGY.: 0 401 - 600 amp..: 0 401 - 600 amp..: 0 EA ADDL BR CIR: 0 SIGNAL/PANEL...: 0 IN PLANT......: 0 MANE HM/SVC/FDR: 0 601 - 1000 amp.: 0 601+amps-1000 v: 0 MINOR LABEL -10: 0 1000+ amp/volt.: 0 ----------------------------------- PLAN REVIEW SECTION --------------------------------- Reconnect only.: 0 )=4 RES UNITS..: SVC/FDR)=225 A.: ) 600 V NOMINAL: CLS AREA/SPC OCC: - ELECTRICAL - RESTRICTED ENERGY ----------------------------------------------------- A. SF RESIDENTIAL----------------------------- B. COMMERCIAL--------------—-------------------------------------------------------- AUCIb I STEREO.: VACUUM SYSTEM..: AUDIO I STEREO.: FIRE ALARM.....: INTERCOM/PAGING: OUTDOOR LNDSC LT: BURGLAR ALARM... 0TH: :: BOILER.......... HVAC...........: LANDSCAPE/IRRIG: PROTECTIVE SIGNL: GARAGE OPENER..: CLOCK..........: INSTRUMENTATION: MEDICAL........: OTHR: HVAC...........: DATA/TELE COMM.: NURSE CALLS....: TOTAL I SYSTEMS: 0 Owner: -----------------------------------Contractor: ----------------------------- TOTAL FEES:$ 255.21 DOUGLAS SISSON AND SHANNON SIM PHINNEY CONSTRUCTION I REMODEL This permit is subject to the regulations contained in the 11755 SN GALLO 1546 SW UPLAND DRIVE Tigard Municipal Code, State of Ore. Specialty Codes and all fTGARD OR 97223 PORTLAND OR 97221 other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is Phonr N: Phone I: 816-1407 not started within 180 days of issuance, or if the work is Reg C.- 001091 suspended for more than 180 days. ATTENTION: Oregon law ------ --------------------------------------------------------- requires you to follow rules adopted by the Oregon Utility Notifiration Center. Those rules are set forth in DAR 952-001-0010 tnrough OAR 952-0014080. You may obtain copies of these rules or direct questions to OUNC by calling (503)266-1987. -------------------------------------- ---------------- REQUIRED lW3PECTIONS ------------------------------------------------------ Footing Insp Framing Insp Building Final _ Foundation Insp Insulation Insp Post/Beam Struct Ayp Board Insp _ Electrical Servi Rain drain Insp _ Electrical Rough E1 rtrical Final Issr.red By :_ �.Y Permittee Signat r.rre: ++++++++++++ +++ ++++++++++++ -+++++++++*++++++++++.4-+++ +++++t+++++++++++-1-++� Call 639-4175 by 7:00 p. m. for an inspection neer.ied the next business day L— Plan Check# (�"7�/ C'TY OF TIGARD Residential Building Permit Application Recd Bv 13125 SW ALL BLVD. New Construction Additions or Alterations Date Recd t TIGARD, OR 97223 Single Family Detached or Attached (Duplex) Date co V 503-639-4171 Date to DST - F 503-684-7297 Permit#MS" - Print or Type Called S7ET1&tJ zo xr d 2- I�omplete,or illegible applications will not be accepted r. Name of Project Name Job �� l /� i Address Site Address Architect Mailing Address Gf=/' 1F'1 City/State Zip Phone Name Name Owner Mailing Address i V City/State Zlp Phone Engineer Mailing Address i /Lo i �- City/State Zip Phone General Name Contractor - , y Describe work New O Addition)a Alteration O Repair O Mailing Address to be done: /j4),,j,/ to,_.p T 0 ` vrK &6 Ij < F On/7 Prior to permit / �� _ ��, tsi a Additional Description of Work: ssuance, a copy City/State Zip Phone of all licenses /E ", + � > f ' PROJECT are required d Oregon Const.Cc t. Board Exp. Date ,i expired in COT Lic.# VALUATION $ 7 ) database Mechanical Name NEW CONSTRUCTION ONLY: Sub- // Ay Sq. Ft. Housse: Sq. Ft. Garage Contractor Mailing Address Prior to permit Corner Lot YES NO Flag Lot YES NO ssuance a copy City/State Zip Phone (check one) (check one) of all licenses Restricted Audio/Stereo Burglar are required if Oregon Const.Cont. Board Exp Date Energy System Alarm expired in COT Lic# - database Installation Garage Door HVAC Plumbing Name Opener Slystems Sub- !✓/ (check all that Other: Contractor Mailing Address apply) -_ Will the electrical subcontractor wire for all YES NO restricted energy installations? _ Prior to permit City/State 7ip Phone Has the Subdivision Plat recorded? N/A YES NO ssuance,a copy of all licenses are Oregon Const. Cont Board Exp Date --.— required if Lic# Solar Compliance expired in COT (Calculation Attached) database Plumbing Lic.# Exp. Date I hearby acknowledge that I have read this application, that the information given is correct,that I am the owner or authorized Names agent of thq- ' ner, and that plan submitted are in compliance with Ore26n State laws. Electrical t I . r Signa r Own Dat Sub- Mailing Address y �, Contractor r Cct Person N e — %- Phone# ont City/State Zip Phone /_L'A'A Prior to permit FOR OFFICE U NLY: ssuance a copy _ Plat* • r / w Map/�L#: of all licenses are Oregon Const Cont Board Exp. Date l i 1 required if Lic# Setbacks: Zone. Solar: expired in COT _ _ 1_ database Electrical Lic # Exp Date � Engihe i g A to I. Planning Approval: TIF: I SFREM DOC (DST) 4197 SEE 35MM ROLL#. 23 FOR LARGE DOCUMENT CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 J q _ Date Requested Cr—Gey' �� / AM BUP PM BLD _ Location C Suite MEC Contact Person ph (QL�—S ��% .S PLM Contractor Ph _ SWR �Ag!LDW — � Tenant/Owner ELC Retaining Wall ELR Footing Access: — Foundation FPS Ftg Drain - Crawl Drain Inspection Notes: SGN _ Slab Post& Beam --� --- — — SIT _ Fxt Sheath/Shear Int Sheath/Shear Framing Insulation ---_�. ,--_ _..---- — --- --- - — Drywall Nailing — -- Firewall ---------- --------- - Fire Sprinkler _�— Fire Alarm Susp'd Ceiling ----- _ — - --- ------ --—--- Roof - — Misc -- ---- — PART FAIL - - -- - - - --- --- ---_ --------------------- PLUMBING Post& Beam --- ----- .- --__ Under Slab Top Out - ---- - Water Service Sanitary Sewer --- - - - --- Rain Drains Final RT FAIL ECHANI A Post&Beam - - - -- - - - - Rough In Gas Line Smoke Dampers CS q:> PART FAIL ELECTRICAL _-- Sery ce Rough -- Rough In UG/Slab Low Voltage Fire Alarm Final PASS PART FAIL SITE backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Lfie ( ]Please call for reinspection RE: [ ]Unable to inspect-no access .ADA Approach/Sidewalk Other Date - Zy"�� inspector: _ Ext — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2k-0112- 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 '� BUP _ Date Requested C= ! C AM ^..PM BLD Location 6ctl Vj A Suite MEC _ Contact Person , G Ph �-��'S ��S PLM Contractor Ph _ SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS _ Ftg Drain SGN Crawl Drain Inspection Notes Slab SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ------ Firewall Fire Sprinkler -_ / � - — --.---------- ---- Fire Alarm Susp'd Ceiling ---- -- - ----- — Roof Misc: - --- ---- — _--- -- -- -- ------ - Final --- PASS PART FAIL PLUMBING Post8 Beam -- _..---__—------- -- - __-- --- - -------- --- _--- Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& Beam - - - - - - - - - - -- - - Rough In Gas Line -- - - - - - - - --- -- - - - -- _ Smoke Dampers Final - - -_ - - - - -- - - ---- - ---- PAS& PART FAIL LECTRI C --------------- ---- ----- -- - ---_-- _ ------ — -- - Service Rough In UG/Slab - - ---- - --- - --- --- Low Voltage . Fire Alarm11"POS)S PART FAIL - -- ---- --- - -- - Backfill/Grading Sanitary Sewer Storm Drain I ► J Reinspection fee of E required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin I J Please call for reinspection RF [ )Unable to inspect-no access Fire Supply Line — ADA ApproachlSrdewalk Other Data �'`� Inspector_ Ext Final PASS PART FAIL 00 NOT REMOVE this Inspection record from the job site.