Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00553
TIGARD,' DATE ISSUED: 11/7/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134DC-08200
SITE ADDRESS: 11640 SW GALLO AVE ZONING: R
SUBDIVISION: GALLOS VINEYARD LOT: 013 JURISDICTION: TIG
PROJECT: JOBE
Project Description: Install furnace.
CLASS OF WORK: ALT 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. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
RUSTY JOBE Description Date Amount
16640 SW GALLO ST
TIGARD, OR 97223 [MECH] Permit Fee 11/7/200E $72.50
[TAX] 12% State Surchai 11/7/200E $8.70
Total $81.20
Phone: 503- 936 -9566
Contractor:
OREGON HEATING & NC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503- 345 -6628
Reg #: LIC 172126
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. • -. -••9 or 1.800.332.2344.
Is - ued By: ' Permittee Si • ature:
Call 503.639.4175 by 7:00 a.m. for inspections - tn - • 4 iness 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.
I. .
iliMechanical Permit A Heath) CEIV - 714*-'4.4 - ''' ; - ',- '44.. ''• -PriCr4 ' ''' ''' ''' ''44-41 " e " C ' O
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vp City of Tigard Rectived
, Permit No.: , ,(5 ;
r 't, 13125 SW Hall Blvd., Tigard OR, 97223
.1 4 .- ; 2 .A Phone; 503.639.4171 Pax: 503.598.1960 0 2008
)1
NOV Date/By: // Ar 8'
Plan Review
Date/By: Other Permit:
, Inspection Line: 503.639.4175
Date Ready/By : • imt...--- 10 See rage 2 for
Ec6:iiit.:1W Internet: www.tigard-orgov oF TIGARD Notified/Method; ,...."7/0„ Supplemental Information
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Mechanical permit fees* are based on the value of the work
0 New construction 0 Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
111 Demolition 0 Other: mechanical materials, equipment, labor. overhead, and profit.
'7,1 !„ 1
1 „,.:;i1,!!! Lglii. 110 0! hi11: "ta.' it :. i; IT Tort,' lix):"!4'01 ■ ' F,E;i ::p0 , Tii ., ., ,. ,
li•nd'u.••'i zo.': ..iryt....,;,!1:,..,. i
,,0,g,, ,• r • ,&.,,..{ ■4 .,,,,, „
IV P; II! 1.. ,I It" . , ,.' . Mil,.21i *61,
Iffl 1 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special iqformation use checklist.
0 Multi 0 Master builder 0 Other:
Description 1 Qty. Ea. Total
ails ., tfl • •• + ,?- n: , .• .•• .; • • • 'itillitli, ; • 0 , , . ,.. . ,
: 1 ■ 11 ; 1 rilTil 11 glii*;5 1 1 ■ii;
- 40.21 1 :01:1 0 .4114. : , ' XI , TilM;; , 7 .. 1 :!J ,..,...,,, i.a illi 1 ::,:m mil, .p.:,:(4,A11 acathigic"ling_ i
.Air conditioning or heat pump
Job site address: 1 1 c, ii c., 3 v../ & 4 If . A ./ € (requires site an showing placement) 14.00
CitY/Statc./ZIP: 7;, a r i f ° qi 2 2 g Furnace 100,000 BTU (ducts/vents) 1 14.00 1
Furnace 100,000+ BTU (duets/vent) 17.90
Suite/bldg./apt. no.: 1 Project name: 0g - 0 1 q 1 Gas heat pump 14.00
...,,_
Cross street/directions to job site: Duct work 10.00
- _
14ydronic hot water system 14.00
- --
Residential boiler (radiator or
hydronic) 14.00
- Unit heaters (fuel-t)pe, not electric),
in-wall, in-duct, 3u5pcncied, etc. 14.00
_
- . _
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other 10.00
Tax map/parcel no.: Other fuel appliances
IrTifili •: iir ..:iliiiii ii; irl:., l:tlft?ill.;',I . Water heater 10.00
4. ,1 , 411' 41 4 .,. , , 3 ;= 3 3, , 1, 3 , it, 2 • . „l'., •:, ii - •,.•,.i•. ----
,.„,.,., ...,...• ',,, " 'r i...,i4, • I ,.. ,..•er , t OA. it, . I VI.... '1 • '' . • . ' . 4 • 1. , Gas fireplace
10.00
+CY 1 1 F1.4 CO Cr ce • . 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
. . .; i .13 l),',i41, Cliirriney/linerifittevellt i 10.00
1 **14. i 11 ' . wilim Ti .1:"!.ili ;;,IF.1,i'Aillf.n. Iiii, Ad ,I11315.44 ot„t, 10.00
Name: p-(c-t-- roi, 141 il . Q Environmental exhaust and ventlla lou
Range hood/other kitchen
Address: I ( c ‘A C. 1 /0 A Ve equipment 10.00
City/State/ZIP: -7 9 c t r 0 1 i 0 fr.,.,... c i 1 2 - 2 3 Clothes dryer exhaust 10.00
-- Single-duct exhaust (bathrooms,
Phone: • ) al ?4 .. 5 Fax: ( ) toilet compartments, utility rooms) 6.80
• - ^tror , Tprur - i.ri -
' ' -"pit 1 Attie/crawlspace fans 10.00
ir detAinlill ill i':' AO' ''' , 1 111 1 1, ' t,: 1 6 , 000 1 °A vt l 'i' 0 1 W I. „ .,d, fal I 1 o.00 I
Business name: & f a r , e l f - 1 e a t ; i 4: 4-/C_ Fuel piping
Contact name: 1• s . 1„,.. G r`, el 55.40 for first four: $1.O0 for each additional
I 5-- Furnace, etc,
Address: 7
_ Gas heat pumy
City/State/Z1P: 1:P ry i e e 0 0 q li Ls Wall/aispenCled/unit heater
Phone: (9.1,?) 5 38- 2ctS? IF...:,5c3)Ccii-g-S547 Water heater
Fireplace
E-mail: Range
1r !i tilsWirCP illigip"011 r 41,,i i 011; i B v b ecuc
2 ° lc M il: '':: : II fr "1:44glit4clia illiAliii.ill ll'aidll23
Clothes dryer (gas)
Business name: S c t yvt e, Other
Address: 'fiiigil 1 .0 00 114tri
■i6tnliFi`;hilttil'iliviiiii!It ••• • 17TrET4;131 ., v ' -1 Itri , • t, .1, '' •i••• a OM
City/State/ZTP ,■,.. V... • • -
Subtotal j - 7 - 1 ,Se.
-, _
Minimum permit fee ($72.50) ---
Phone: ( ) Fax: ( )
Plan review (25% of permit fee)
CC B lie.: l - 7 2 f 2. 6 State surcharge (12% of permit fee) 7 . 7 c
_
- " TOTAL PERMIT FEE g 1. 2.c-
-,...
tills p ermit applicadon e;ciires if a penult is not obtained within 180
Authorized signature: • t,/ days after it has been accepted as complete-
Print name: o 4 cji D ate: _ /il (121 ° Fee methodology ‘..et by Tri-Counry Building Industry Service Board
_. .
I: \Building \Pertain\ NIEC-PerrailApp,doc 01 440.46171"(11/02CONIAVE2)
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CITY OF TIGARD . MECHANICAL PERMIT
COMMUNITY DEVELOPMENT • PERMIT #: MEC2008 -00553
T1 I P : DATE ISSUED: 11/7/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S134DC - 08200
SITE ADDRESS: 11640 SW GALLO AVE ZONING: R - 4.5
SUBDIVISION: GALLOS VINEYARD • LOT: 013 JURISDICTION: TIG
PROJECT: JOBE
Project Description: Install furnace:
CLASS OF WORK: ALT 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. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
RUSTY JOBE Description Date Amount
16640 SW GALLO ST
TIGARD, OR 97223 [MECH] Permit Fee 11/7/200E $72.50
[TAX] 12% State Surchai 1117/200€ $8.70
Phone: 503 936 - 9566
Total $81.20
Contractor:
OREGON HEATING & A/C
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -538 -2953
FAX 503- 345 -6628
Reg #: LIC 172126
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. 9 or 1.800.332.2344.
Is - ued By: 6. L f 4 J Permittee Si •
Call 503.639.4175 by 7:00 a.m. for inspections . iness 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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: ItAppg -q,5' 3 REQUIRED ON GREEN INSPECTION CARD.
✓ Code 1 Inspection Description I PASS Date I By ✓ Code Inspection Description PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
•
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
•
. 260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 " Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
•
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
320 Plumbing rough -in
998 Alarm final
999 Sprinkler final 322 Shower pan
•
330 Water service
335 Rain drain
•
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
1:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07