Permit a }�
CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00434
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/18/2007
PARCEL: 1 S133DC -11900
SITE ADDRESS: 13478 SW LAURMONT CT ZONING: R -12
SUBDIVISION: ARI GREEN LOT: 010 JURISDICTION: TIG
PROJECT: WEIDENBACH
Project Description: Install new gas stove and run gas line.
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:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS: 1
Owner: FEES
WEIDENBACH, PAUL A + GLADYS A Description Date Amount
13478 SW LAURMONT CT
TIGARD, OR 97223 [MECH] Permit Fee 7/18/2007 $72.50
[TAX] 8% State Surcha 7/18/2007 $5.80
Total $78.30
Phone:
Contractor:
LUDEMAN'S FIREPLACE & PATIO
12675 SW BEAVERDAM RD
BEAVERTON, OR 97005 -2129 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 646 -6409
FAX 503- 646 -8034
Reg #: LIC 51469
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/
- - Issued -B Signature: Z& j
// / // _ /mot g ,f� / /r!/�/ /rte
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
JUL. 17.2007 1 12PM NO.862 P.2 /3
. Meehanic al P ermit Avacation 1 cm 01.1•((1 i 5i:: 0\1 -4
�ys te �...�.�,
.y ; lq$ty a l Third" :z Received
503.5
13135 51N (fall llivd , Tigard, OR 9i ►' ,�, Detefay: I0 S L J Permit No.. Mar Z5 _ , y J
Phone: 503.639.417l Pax; 9 1 D an Review
1•.Z E
Inspection Line: 503.639.4175 " " Gtn,ra' �iGi� Date/By; Other Permit
Www.el.tlgntrLor.u3 JUL 1 2QO " ". No tified/ M eth o d: s ph memnl [nimtnntion
1 Pp 1 Fr gR F @ g �_ COMMERCIAL FEE SCHEDULE -- USE CRECKLIST
❑ New construction :,:/�rr,�fli�n�eT i,A I Mechanical permit fecs* are based on the value of the work
fl �1 _J`�_v 1 1 performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition N • er mechanical materials, e.tti.men labor overhead, and , rof t.
CATEGORY OF CONSTRUCTION Value: $
and 2 - family dwelling RESIDENTIAL EQUI /SYSTEMS FEES"
!; 0 Commercial/industria [] Accessory building
0 Multifamily 0 Master builder ❑ Other: For special r,�/ornrar /rut use chech/isa.
JO>4 SITE �IYO Description — 7 Qty. I Ea, 1 Total
RIHATION AND LOCATION Heath] coon ._
+Job site address; /3 t"7g At1�"�7 t d f Air conditioning or heat pump
re. ewes site .4111311M/ill: lammed 14,00
City /StsteZP: Furnace 100,000 BTU (ductstventa) 14.0D
Suite/bi P /a t. no_: �J � l ! Furnace 100,000+STU (duets/mac) 17.90
Projectnnme e1 a Cp 0 r]
Gas heat um
P p 14.00
V
Cross street/directions to job site; Duct work _ 14.00 _
Hydronia hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct. sus. ende. etc. 10.00
Subdivision; ` Lot no.: rlue/vent for any of above 10.00
L Other: 10.00
Tax map /parcel no.: Other ate! appliances
JJ __ DESCRIPTION OF WORK Water heater 1 _ 10.00
7lS T� /f Gas fireplace 10.00
•
�' S ¢ 06IC 4 r 4h Flue vent for water hearer or gas
fireplace 10.00
. -
Lo li iter es 10.00
W. ■ , . ellet stove » Cr of 10.00 • 177. d 0
Wood fireplace/insert 10,00
_ krPROPERTY OWNER
_I ❑ TENANT Chimneylliner /flue/vent / 10:00 /0.40
// Oft 10.00
Nan te:_PQ 4/ ,6cc A _ Environmental exhaust and ventilation
,Addr y 7, _ Range hood/other kitchen
4Ar moat* e-', etripment 10.00 a
City /State/ZIP: 4• a d 9 7c 7.:2 3 Clothes dryer exhaust 10.00
Phone: - iagle•duct exhaust (bathrooms.
) Fax: ( ) toilet compartments, utility rooms) 6.80
Vi
APPLICANT ❑ CONTACT PERSON Artie%mwlspace fens 10,00
Business name: 4 uePe �Q 3 Other 10.00
Fuel I i ■ lu
Contact name: , QC e. A _ $5,40 for first fours SLOP for each additional c
Address: / � /7 Furnace. etc
r
IR
2II Gas heat pump ,
City/5tate
' 1/(r on 5. 7GQ Wall /suspended/unitheater
Phon ( �' ) C0 �t!p t!io yo Fox; ; (,��) _ s/� • Water halter {
&mail: Fireplace
Ranee IRE
CONTRACTOR Barbecue
Business name: A7 e _ Clothes drrr was)
Address: Other.
MECHANICAL PERMIT FEES'
City /State/ZIP;
Sn _
brotAl " ®
Phone: ( ) Fax: ( ) minimum permit Re ($72.50) 7 a, g (ji
Plan- review- (25 %of permit fee)
GCB - lie:: - -- - -
�/ r �J - vim - State surcharge (8% of permit fee)
TOTAL PERMIT FEEL r
Authorized signature. ThLl permit application eipirep If a Permit is not obtained Within 180
days alter it bra been accepted an complete.
177 11ame•�1 „O r/ p I late! '� _ / 7.. 07 1 • Feo methodo sat by Tri County Bu$dins Industry Service 9nerd
CITY QFTGARD
BUILDING DIVISION PERMIT #: MEC2007 -00434
13125 SW Hall, lvd., Tigard, OR 97223 DATE ISSUED: 71/8/2007
. Phone: (503) 639 -4171 / n uN��l " � +
;.
Inspection Requests (24 Hrs.): (503) 639 -4175 -- „, ° IL.
INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7 :03AM PAGE: 69
SITE ADDRESS: 13478 SW LAURMONT CT CLASS OF WORK:
SUBDIVISION: AR) GREEN LOT #: 010 TYPE OF USE:
PROJECT NAME: WEIDENBACH
DESCRIPTION: Inaall new gas stove and run gas line.
OWNER: WEIDENBACH, PAUL A + GLADYS A, PHONE #:
CONTRACTOR: LUDEMAN'S FIREPLACE & PATIO PHONE #: 503-G16-G409
Inspection Request Scheduled For: Date: 8/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052853.01 503. 524.9923 N
(,iO q/L3 )4 A5
Corrections /Comments /Instructions:
ASS I PARTIAL APPROVAL n CANCEL Li NO ACCESS
❑ FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 1— 0 "? Phone #: (503) 718- �Q4�