11655 SW GALLO AVENUE-1 -r,
-- 11655 SW Gallo Ave.
CITY OF TIGARD — MECHANICAL PERMIT
PERMIT#: MEC1999-00291
DEVELOPMENT SERVICES DATE ISSUED: 7/8/99
13125 SW Hall Blvd.,Tigard, OR 97223 (5'&ft �NAL
PARCEL: 'I S134DC-07000
SITE ADDRESS: 11655 SW GALLO AVE ZONING: R-4.5
SUBDIVISION: GALLOS VINEYARD JURISDICTION: TIG
BLO^K: LUT: 001
FLOOR FURN: VENT
COOLERS:
CLASS OF WORK•. ALT VENT FANS:
TYPE OF USE: SF UNIT HEATERS:
VENT SYSTEMS: 1
OCCUPANCY GRP: R3 VENTS W/O APPL: HOODS:
STORIES: _ BOILERSICOMPF'ESSORS _
0 3 HP: DOMES. INCIN:
_ FUEL TYPES COMMI_. INCIN:
� 3 - 15 HP:
I_PG
15 -30 HP: REPAIR UNITS.
MAX INPUT: BTU
FIFE DAMPERS?: 30 - 50 HP: WOOPSTOVES:
GAS PRESSURE: 50 + HP- CLO DRYERS:
FURN < 100K BTU: AIR HANDLING U_NITS OTHER UNITS:
FURN >=100K BTU: <= 10000 ctric — GAS OUTLETS:
> 10000 cfm:
Remarks: Replace dryer type venting with Type"B" vF;nting.
FEES__
Own!r: — -- — —
JAY WIEGAND Type By Date Amount Receipt —
11655 SW GALLO AVE 4= PRMT DST 7/8199 $50.00 99-3161701
TIGARD, OR 97223 0.,j 5PCT DST 7/8/99 $3.50 99_316701
Total $53.50
Phone:639-2429 f
Contractor: _ -
ACTION WATER HEATERS ONLY INC
8948 SW BARBUR BLVD STE 418 REQUIRED INSPECTIONS
PORTLAND, OR 97219 --
Misc. Inspection
Phone:777-3990
Final Inspection
Reg #:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, S13te 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, o, If worK is suspended
for more than 180 days. ATT EN) ION Oregon law requires you to follow rules adopted in the Oregon
g �� 001-0 80.
Utility ( utificetion Cerr'er Those rules are set forth in OAR 952-001-0010 throu h OAR 9521-
You may obtain copies of these rules or direct questions to OUI by ailing ( 3)246 91
i /' e `
/�' Permittee Signatire
Issue 8Y: / W j tr
Call (503)639-4175 by 7:00 P.M. for inspections needed the next business day
CITY OF TIG 1RD Mecrtanical Permit Application Re �°c`"
13125 SW HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P.E.
(503) 636-4171, x304 Date to DST
Print or Type Permit#/
Incomplete or illegible applications will not be accepted Galled —
Name of Development/Prolf cl Description
Table 1A Mechanical Code Oty Prim Amt
,lob Street AQdrees ^�— une# A) Permit Fee 16.00
J S/�)� 1) Furnace to 100,000 BTU
Address J b (i including ducts&vents see footnote1,2 9.65
Bldg# C it to zip r 2) Furnace 100,000 BTU+
including ducts&vents see footnote 1,2 12.00
Namego)name of busles) 3) Floor Furnace
rimer ", D 1r Y_ �, t,� includingvent see footnote 1,2 9.65
Mailing Addre)� �L 4) Suspen ed heater,wall heater
or floor mounted heater see footnote 1,7 _ 9.65 _
5 Vent not included in appliance nnit 475
cityfstato zi Phone r Check all that apply: 'Boiler Heat Air
,�• ,
y' For Items 6-10,see or Pump Cond Qty Price Amt
Na, (or name of bus less) r footnotes 1,2 Comp I
All,
<3HP;absorb unit to
t00K BTU _ _ 9.65
Occupant Melling Address 7)3-15 HP;absorb unit
100k to 5001k BTU _ 17.65
Cnyrstate Zip I Phone 8)15-30 HP;absorb
unit.5-1 mil BTI I _ _ 24.15
9)30-50 HP;absorb
Contractor "an1ye' ) `��n r� y o ��UG unit 1-1.75 mil BTU 36.00
��Y 1 10!>50HP;absorb unit
Prior to permit Mei g Ad S / n j �) >1.75 mil BTU 60.15
Issuance,a copy ` �� _ 1+ +g �L 11 Air handling unit to 10,000 CFM
of all licensesC IS t Zip Phone 7.00
are required if �' 12)Air handling unit 10,000 CFM+
expired in COT Oregon C or�,poyd Lie.# rrp.Date 11 75
database /�� c / �' 13)Non-portable evaporate cooler
Architect "an1e . IRE 7.00
14)Vent fan connected to a single duct
4,75
or Melling Address
15)Ventilation system not Included in
appliance permit 7.0_0
Engineer CnyrSteie zip Phone 16)Hood served by mechanical exhaust
7.00_
Describe work to be done: 17)Domestic incinerators
f� 12.00
New b Repair O Replace with Iikii kind: Yes(A No O 18)Commercial or industrial type incinerator
Residential Commercial 48.25
7f 7 i > 19)Repair units
_ 8.40
Ad a/irn
��0e �
20)Wood stove/gas Mother units/clothe dryer/etc.
700
00
NOTE: For Commercial projects on;;; nits over 400 lbs regjire 21)Gas piping one to four outlets
structural gas calcs. See footnote 1 3 75
Type of fuel: oil O natural LPG O ele;tris, 22)More than 4-per outlet(each) .75
r Minimum Permit Fee$50.00 SUBTOTAL ,C `
OTA L
I hereby acknowledge that I have read�this a tion,that the information 7%SURCH.,RGE J ( '
given is coRG that �fnnAhe owner,"Tut ed agent of ,. PLAN REVIEW 25%OF SUBTOTAL
the ownolt ttr ` n ed Hance with Qreggp SC_, s. Re uirod for ALL commercial permits only
TOTAL
Sign ureof0 'er/Agent Date __,,__ v._.
Other Inspections and Fees:
1. Inspections outside of normal busin)ss hours(mininum charge-two
Contact Person Name Phone hours) $50.00 per hour
f�/j tJ f,— ` ) , ,�,1n��I �� �� 7 2. Inspections for which no fee is-peclfically indicated (minimum
�/ /�f/ _ charge-half hour) $50.00 per hour
Foonotes for commercial projects only: 3 Additional Flan review requ'red by changes,additions or revisions to
1 Provide full schematic of existing and proposed gas line and pressure. plans(minimum charge-one-half hoar)$50.00 per hour
2. Provide drawings to scale showing existing and proposed mechanical
units. _ _ "`'tate Contractor Boiler Certification required
"Residential A/C requires site plan showing placement of unit
I Unechperm.doc rev 02/4199