Permit j
C ITY O FfrI`GARD MECHANICAL PERMIT
• -..'' DEVELOPMENT SERVICES PERMIT #: MEC2005 -00640
"''±i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/10/2005
PARCEL: 1 S133DC -11900
SITE ADDRESS: 13478 SW LAURMONT CT ZONING: R -12
SUBDIVISION: ARI GREEN LOT: 010 JURISDICTION: TIG
Project Description: Gas to gas furnace & A/C units.
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:
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
PAUL WEIDENBACH Description Date Amount
13478 SW LAURMONT CT
TIGARD, OR 97223 [MECH] Permit Fee 10/10/20C $72.50
[TAX] 8% State Surcha 10/10/20C $5.80
Total $78.30
Phone: 503 -524 -9923
Contractor:
SERVICE NOW OF OREGON INC
404 SE BEAVERCREEK RD #228
OREGON CITY, OR 97045 REQUIRED ITEMS AND REPORTS
Phone: 503- 655 -7558
Reg #: LIC 161582
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: -- Y. Permittee Signature: _S
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business da‘.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
•
10/07/ 2005 14: 5036557593 SERVICE NOW INC PAGE 01/02
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1Vitclianical Penni ,' - i r . 'iii - -e o . g I)
• . -,_-_____•■■••.■ ,....-1 : ()FP IC. V$E, ONLY
City of Tigard Received .
-'" I mi No.Ns e
Date/By: -- 1,/ - ,..r , 6 - e t
ve\ c
..-i-
13125 SW Hall Blvd., Tigard, OR 97223 •
i e 1.16 Plan Review
Phone; 503.639.4171 Pax: 503 7
.598. @g)1 0 7 ......- Other Perinin
Inspection Line: 503.639.4175 ..../4„, Datc/By:
-14-kfp■All I ' Date Ready/By: Juri EI See Page 2 for
Internet: www,citigard.ortis
Gay oF TIGAR Hof i lied/Method; 11 0 . Supplemental Information
:, • • DNISION
1 ' 'q I Wirtilinii'- "ciPtleiieri_iifif *qtlitii:Mrafirt "
" k.■ „':..., i. 4 - 0 ,.g... , ,.;:„..., ..,..,?.: :.•,:,., t..;•k , ( • ,, :-...,..!...:.: , • •:;• - , . ,,. ..,. :I . ., ., ,, ,
. .. .
0 New construction IN Addition/alteration/replacement Mechanical permit fees' are based on he value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition . El Oihcr: mechanical materials, equipment, labor, overhead, and profit.
$
TE.19 hri,",;: -tr.T.if. , , 41 s.,... .,,, _...._ . .. .,.... 5 , ,„ ; 5 ,..
..,- 1 ti Value: gheitti.:§, :.:...i ..P.. 1
Ei 1 - and 2 dwelling 0 CoMmeitial/industrial 0 Accessory building
For special i I ;! ....l
nformarion gise checklist,
0 Mi)lti-farni fy 0 Master builder D Other:
Description Qt T Ea. L Total
giatowo • . .C.:••,: ri.titi
Job site addrecs:
• LA - Air conditioning of heat pump i \
kt -
.
a . I. 1 r: 11 iii. ia _ li ro.aires site ! inn showing plareinen1) 14.00 1 y
1312 0 E_ 41P 1--__2.__ • Furnace 100.000 BTU (duets/vents) 4.00
Furnace 100,000+ BTU (duets/vents) 1 1
_i [ 4 ---
17.90 L
suite/bld no.: . Project name: an% a u,
- ■ _ - = AL.. L heat pump 14.00
Cross street/directions to job site: Duct work _ 14.00
1-1ydronic hot water system 14.00
. ..
• Residential boiler (radiator or
livcori:icl 14.00
Unit heaters (filel-ty)e, not electric).
in-wall, in-duct, suspended, etc. 10.00
. _
. Flue/vent for any of above 10.00 •
Subdivision: ' Lot no.:
Other: 10.00
Tax map/parcel no,:
Other fuel appliances
(!:* ,icskiiiK , ,I6N . ;..dkti5fiRy' , ; . ,.,.: , ; ',..: , .it ,• .... water heater 10.00
•:..5 ' ', '
40 WO • f 0 0 A-- Gas Fn.:One • 10.00
Flue vent for water heater or gas
I .
fireplace 10.00
- - - Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/inscrt ,.. 10.00
...... • • - .,rd: .ir,.:.; - ......... '4•:` , - • • •••• ,• • 1 ••••,, ..:.4c ,...;;; % , .
• . Chimney/lincr/tlue/vent 10.00
iM.97 ; i ',v.`0: i .., fe',/Ni '.'. '''' '''' ''''' '" : ;;. • i "'/P.; ...
',i'Is'iatflif.t.t, a....ti . .,,iiilai . ,di , .•..2., , •.- , 1, . • ' . t: , • : : • •,•• . !'. •': ;'.., • • ....• • •;,.., . g.../ *, :.',.,;!■. • :':.• :' . ' : • Other: 10.00
Name: ak) \ U.) i> ic \oa_0_, Environmental exhaust and ventilation
Range hood/other kitchen
Address. . \-&-‘c 3-
U1.0 MI, _ 11 _ A. S clitiipmeni 10.00
■
=IMO M. A"-Cz- . Clothes dryer exhaust
Single-duet exhaust (bathrooms, .
10.00
Phone: .S _ cf...tp_ r ax: ( ) toilet compartments, utility rooms) 6.80
PZAkIltgiiiIPRKh ' 413$41,g,f%" - i'11.1'cs 6 5', 41?....ta Atticierawlspace fans
W&A e.' .., :, r. v.t.:::h . 41, v., .!..' j i 1 ,?,,Iy.;; :.,„ ,;:,,,.... ■si/ri ..i '• ti • P ' tA le' '
Other: 10.00
Business name: G.f__ A j , .
Fuel piping
Contact name: AS D IC\ • \• .7 . . $5.40 for first fourt t 1.00 for each additional
Furnace, etc.
Address:
(..i5 neat pump
City/Slake/ZIP: ' Wall/sus i cnded/unit heater
Phone: (5t53)(v 5'. ;4'55 FN 7 ,,,,,:, T-„,)„,„..--,,,,
Water heater
Firepinc,e
E-mail: flange
, .. . . .
iiiX.VIRR.1.4175 :.:,?I'.:i , C.i,...:4, ... A ( -1.6 t i . !• , . • i . ., .. • ,,,..::::!,,:,,,:::*,::: ri „ tie
D .
ollies dryer (gas)
Business name: Ser, vice Wow of • Ore. on, Inc. 11111
-
Oilier:
Address: 404 S . Beav-ercreek Rd # 228 . 'llsiNle:2'i'it,044Asle:Al;:i'i,tr‘:#4filtirl:'7'.';ita;
„ .
Subtotal
CitYMILerAm Oregon City, OR 97045
Minimum permit fee ($72.50)
Phone: c5 0 - .
J/655-7558 Fftx:(503) 6557-7593 Plan review (25% of permit lee)
- - CCB - Itc.: 1 6 ' State surcharge (VA of fee)
TOTAL PERMIT FEE " ,...„yd
in permit a ppliention esnires ir 0 permit is not obtained within 180
Authorized signature: 0, 0,,, . r ii, gial .0 days after it has been accepted as complete.
Print name ji lt rirmir i_‘.., .0 yi
it
Date: b a , - . Fcc methodology set by rri-county ,flitildittg Industry Service B
uttionoioiors,,,,iinnitc_Noitiina Ivo . 440-461 7T (1 7 /07./COM/W ED)
1 .
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200&.0064U
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/12/2005 TIME: 7:04AM PAGE: 62
SITE ADDRESS: 13478 SW LAURMONT CT CLASS OF WORK:
SUBDIVISION: ARI GREEN LOT #: 010 TYPE OF USE:
PROJECT NAME: WEIDENBACH
DESCRIPTION: Gas to gas furnace & NC units.
OWNER: WEIDENBACH, PAUL PHONE #: 503. 524-9923
CONTRACTOR: SERVICE NOW OF OREGON INC PHONE #: 503-655-7558
Inspection Request Scheduled For: Date: 10/12/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 010076 -01 503 -655 -7558 Y
Corrections/Comments/Instructions:
AF
r
ASS ❑- PARTIAL — APPROVAL - - - - [I CANCEL U -NO- ACCESS
- - -- - --
FAIL ❑ CALL FOR INSPECTION H ADDITIONAL FEES ASSESSED
072,4
1
Inspector: Date: ` ' # Phone #: (503) 718 -