Permit i
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7 e1 CITY OF „ TIGARD MECHANICAL PERMIT
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1
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00582
TI GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 11/21/2006
PARCEL: 1 S134DC -07100
SITE ADDRESS: 11675 SW GALLO AVE ZONING: R -4.5
SUBDIVISION: GALLOS VINEYARD LOT: 002 JURISDICTION: TIG
Project Description: Install gas furnace & A/C.
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:
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: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
•
GARY STUMP Description Date Amount
16200 SW PACIFIC HWY
TIGARD, OR 97224 [MECH] Permit Fee 11/21/20C $72.50
[TAX] 8% State Surcha 11/21/20C $5.80
Total $78.30
Phone: 503- 708 -4241
Contractor:
THERMAL FLO
7236 SW DURHAM RD STE 100
TIGARD, OR 97224 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 670 -8343
FAX 503- 670 -9064
Reg #: LIC 151847
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: '• s Permittee Signature: —cep @N
Call 503.639.4175 by 7:00 a.m. for inspections that 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.
11/21/2006 09:04 5036709064 THERMAL FLO PAGE 01
5. Mccha,nical Permit Application FOR 01 I(I USE ONLY.
City of Tigard +) Rcoctvcd Pencil No,
E, Date /s I-- - _ . . G 1 L C2.06 - GO
Tall Blvd -, Tigard, o • r t . ! r _
13125 SW I
Phone; 503.639 4171 Fax: 5 e 17 • , P lan Rcvicw
�1� � D,�� Other Permit:
Inspection Line: 503 639.4175 e) (�6 j � l y
,1 fq \1 LOV S :1 Date Rtruly /By: El Sec page 2 for
Internet: www.ci.ligard.or.us
�\10\I Notified Method' Supplemental Information
wIrANBD
cmc ells
permit �� are tl� value � ,con��r � , s� c� tsT °:
New construction ttlon /alt:era.tion /replac tat Mcchantcal P r uc of the work •
performed indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other; mechanical materials, ..ui•mcnt, labor, overhead, and .rofit.
- and 2-family dwelling Commercial/industrial value,
' ' � $A � CUR3/ OF; CONSTRUCTION
/indu - �' . ;, , , RESIDENTIAL �'' U'; p $ - --
; . ', ' ;
Q. NIEPV I ! S 1'STEI4ISEE3
*„ ;;
l .trial ❑Accessory building
SIDENTI /"or ,rpecinl infor•mrxlron use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Q. Ea, Total
JOB 'SITE 'INFORMATION AND 'LOCATION , . ' , , Beating/cooling
Job site address: ('t `1S r �,� Air conditioning nr heat pwnp t
(requires 1311C plan showing placement) 14.00
City/State /ZIP, \cA� . Z c O1 Ci7 Furnace 100,000 BTU (duets/vents) ] ]4.40
Furnace 100,000+ BTU (dude /Dente) 17.90
Suite/bldg./apt nn.. Project name: Gas heat pump 14.00
Cross street /directions to . iob site: Duct work _ 14,00
Nydronic hot water vyatem 14.00
Residential boiler (radiator or
Nydronic) 1 4.10
Unit bitters (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 _
-DESCRIPTION .OF. WORK':, �. Water heater 1.0.00
Gas fireplace 10.00
[—Yl ACA\ \ (,C-k.-3 i. R�r`.� � "tA � ( ��} I CJ I +e1 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
' ' ",PIt01PER't7f,"ipWNElt :in,irE'I ,'<NT;; Chimney/liner/flue/vent r,er /iluelvent :000
Other 10.00
Name; ,f 11i, IP . Environmental exhaust and ventilation
Address: 102 60 Range hood /other kitchen
SW ,,c ic,. I4 (.t J equipment 10.00
City /Statc/Z_1P : \ • L Q7 ✓ Clnthcs dryer exhaust 10.00
—' Singie•du� exhaust (bathrooms.
Phone: (6)3) ` 3 (. r 7�� Fax: ( ) toilet compartments, utility mom9 6 $0
r APPLICANT ,,, ' '' " ,. U''ChNTACT;;PERSON' Attic /crawlspace 10,00
Business name:
Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00' for each additional
Address' Furnace, etc
Gas heat pump
City /State/ZIP: Wall /suspended /unit heath'
Phone: ( ) pax :: ( ) Water heater
Fireplace
E -mail:
Range
CONTRACTOR , Barbecue
Business name: Thermal Flo Inc. Clothes dryer (gas)
Other.
Address: 7236 SW Durham Rd STE 100 _ MECHANICAL PERMIT FEES *,. '
City /StaleiZiP: Portland, OR 97224 — Subtotal ,�Froo
Phone: (503) 670 -8343 Fax: (503) 670 -9064 Minimum permit fee ($72,50) . -(
— Plan review (25% of permit fee)
CCB lie : 151847 _ � �.. / State. surcharge (Rel., of permit fee)
, 1 Tli ls TOTAL PERMIT FEE
{ /
Authorized signature: � ,y) + permit no expirnc n permil it n or ohtglaed within 180
tlayv pprlcati nftcr n It hiu been if accepted Re. comptete-
Print name. 73 f pf ac d o 0 Date: 11:-.2/-0 " see metliodriinpy se! by Tri- Couray Building Indust, Service Board
1 Buiidint PCYni ∎MFC-PcrmilApp doc 12/01 440.4617T (T l /03/COMf\VED)
11/21/2006 09:04 5036709064 THERMAL FLO PAGE 03
Prepared y: ;11001„kte Plan
i% Date: L L ZQQ c
Customer Name Address ..
Customer Phon . _ ° 41$s
Property Boundary Line
I I . .
35 .
I
House .
? v. ...,; 4 N
di
1/ a
street
CITY OF. ARD
BUILDING DIVISION -', •
At■ PERMIT #: hfIEC2006-00682
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2006
Phone: (503) 639-4171 11 _ .
Inspection Requests (24 Hrs.): (503) 639-4175 461, ma.
INSPECTION WORKSHEET FOR DATE: 12/14/2006 TIME: 7:02AM PAGE: 57
SITE ADDRESS: 116Th SW GALLO AVE CLASS OF WORK:
SUBDIVISION: GALLO'S VINEYARD LOT #: 002 TYPE OF USE:
PROJECT NAME: STUMP
DESCRIPTION: EnsitailOs:fiKelWi*AiC„:
OWNER: STUMP, GARY PHONE #: 503-708-4241
CONTRACTOR: THERMAL FLO PHONE #: 503-6706343
Inspection Request Scheduled For: Date: 12/14/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical finai 041003-01 603-670-8343
Corrections/Comments/Instructions:
(Z
I PASS 12 PARTIAL APPROVAL I I CANCEL I I NO ACCESS
1 1 FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: X:, Date: /2— 14= Phone #: (503) 718-
_ _
~—+., , ��
CITY OF _„ —' '
��um o ��m� TIGARD
BUILDING DIVISION � • ' PERMIT #: W1EC2O06-00502
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/21/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 v1�� 111.
INSPECTION WORKSHEET FOR DATE: 17/21/2000 TIME: 7:00AkA PAGE: 74
SITE ADDRESS: j1676EW0ALL0AVE CLASS OF WORK:
SUBDIVISION: GALLOS V|NFYAgD LOT #: 002 TYPE OF USE:
PROJECT NAME: STUMP
DESCRIPTION: Install gas furnace & NC.
OWNER: STUMP, GARY
PHONE #: 503-708-4241
' CONTRACTOR: THERMAL FLO PHONE #: 503'070'8343
•
Inspection Request Scheduled For: Date: 12/21/2000 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041302-01 603-624'8238 N
Corrections/Comments/Instructions:
'�_� �
���� �������5� �~�^^su*u-- ' a- `5 /0 2._ , fo'Co C.A°X
S PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
FAIL CALL FOR INSPECTION | | AOD|T|ONALFEESA8SESSED
Inspector: '��^ Date: / Phone #: (503) 718-