Permit CITY OF TIGARD MECHANICAL PERMIT
F"1 : • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00214
T WARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/22/2013
Parcel: 2S102CA00938
Jurisdiction: Tigard
Site address: 13450 SW VILLAGE GLENN CT
Project: Coleman Subdivision: VILLAGE GLENN Lot: 38
Project Description: (2) ng inserts, (2) flues and (2) gas lines
Contractor: LUDEMANS INC Owner: COLEMAN, TONY AND SABIN
12675 SW BEAVERDAM RD 13450 SW VILLAGE GLEN CT
BEAVERTON, OR 97005 TIGARD, OR 97223
PHONE: 503 - 646 -6409 PHONE: 503 - 314 -8232
FAX: 503 - 646 -8034
FEES
Specifics: Description Date Amount
Wood Fireplace /Insert 04/22/2013 $46.64
Type of Use: SF Chimney /Liner /FlueNent 04/22/2013 $46.64
Class of Work: ALT Type of Const: Fuel Piping 04/22/2013 $14.15
Occupancy Grp: 12% State Surcharge - Mechanical 04/22/2013 $12.89
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $120.32
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Aljty `fi/ Permittee Signature: ioin
i /ceAL
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
04/19/2013 09:23 503 64668034 LUDEMANS «4822 P.002/003
Mechanical Permit Appiicatio ECEIVED ioi OFI•1(•1•: l•SE:
City of Tigard Received
SW Hall Blvd., Tigard, OR 97223 APR 2 2 f : P u� Review (.)-a_/ Permit *Yo.ti c . ° ) 3 - co �1 1 4-
Phone: 503.639A171 Fax: 503.598.196p Othcr Permit:
Date/Sy:
,., CG A R I , inspection Line: 503 - 639.x175 CITY OF TIGARD Date ResdyBy' dais. ` 21 See Page 2 for
Internet: www.tigard -or.gov BUILDING DIVISION Notified/Method- t � ' S.pptemeatal Information
,
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U New construction Addition/alteration/replacement Mechanical permit fees* are based On the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
2 ...- . . ,j,•ti t'itia'3' w v, ro'a rt ''''''''% alue ^
W y c 4, B i t t W$ '' f d f i w+ axe all. - 4 ., 't' V 'S i �(�
„_ �... �_ S.v 'F",. ..H1;U �IAI'.' : nT42.AwN." •7�"i". ... , n.. ::% t ,. '- _,. -' S . �,
.5 I - and 2- family dwelling ❑ Commercial /industrial 0 Accessory building �` „ ;.. ` L_.._:::..'
0 Multi family ❑ Master builder ❑ Other:
For credal information use checklist
i n:,4-..,..-4.4,, t ,rt s 1.,;, 1f' V a , , FSI t... _Description Qty. Ea. , Total
., . w .,. w 1 .. 1Y t y �'. . 4f a 4.. w. " T '
. � m,. }yui, , .>krc ,�". • : .� �; 3.�>Ekn w,� ' ° _ Heatink.iooll13 _
..' II Air condi
Job site address: /3 O ,S z,/,. / 4t< 9 -, y7 (respires site p lan sb owingptaccmcntj_ 46.75
City/State/ZIP: 7/667r O'f< 97c=7.- -?> Furnace 100,000 BTU (ducts/veins) 46.75
/ Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: C d /cam q I , _ Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 2332
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),l
in -wall, in -duct, suspended, etc. I 46.75
Flue/vent for any of above i 23.32
Subdivision: Lot no.: 1
Other: 1 23-32
Tax map /parcel no.: yea• Other fuel appliances
v e J L W..o,....�.,?s.,; .141wtss .I s 4 . , a , na 1 ` r �
'.i' 4 '' -'.' ''Z ' t er .:,!= 6 ,r .`P' f , ., f •,,, Water heater 2332
Gas fireplace 33.39
/1 M /f . ,,, 116- / /7 .S f . _ - S Qn o/ Flue vent for water heater or gas
fireplace 23 -32
gei i'1 -. ) ri.5 / /he S . Log lighter (gas)
23.32
Wood/pellet stove 33.39
Wood fireplaceJmsert /7 U 23.32 /(
- rte, - ;sr:i -- •v-��r . yy �� e (.'Mine /liner/ ue/vent 23.32 ..� te, (
.. -`k ..;-m,_ a> f.: +a , , 43 thus . ` tl � ,,, ' 4 r �"..'d 9 i
l M. .. . dw F
a , wS, s r3':::St.
L I Other: 23 -32
Name: /2 t --5c,.,67- ^lq
CO /C,3/1 Environmental exhaust and ventilation
` / / 1 Range hood/other Idtchen `
/Q J � l/��!_Q e �e It �. T _ equipment 3339
Address: . y ' �
City/State/ZIP: / 0 d O P 9 7 � Clothes dryer exhaust 3339
sipgle -duct exhaust (bathrooms,
Phone: (.3 / y- 3 .. Fax ( ) toilet compartments, utility rooms) 23.32
r: e s� 4 tt +° t t y d a to ": .ti :,,y),0 ,Yazt7,' ,-^!.: "�! i t` ti : Attic/crawlspace fans 23.32
�.::..� L . ss , X -, ..:.s Sub a, r1 ,.:. s aacs ze . . r?vz'aG� -r .a " ia ' i
/ Other: _ _ 1 23.32
Business name:
u�Gm 4,,i S Fuel piping
Contact name: -�7 . 3 �C h $14.15 for first four, $4.03 for each additional
Address: �r , Furnace, etc.
/a C' 7j c4) / ec, /LCl c7 / ��T /2C?' / Gas heat pump
City/State/ZIP: �cJ / ., .,4 <y2_ c' 7007 `j p �/ Walvsuspended/unitheater
.
Phone: .�Jyay - 6 7/09/ Fax. ( -.5Z 64/6 f1 ;}` Fireplace id,-.3° E- mail: on c., / GlC7C +'. • p Range
? "Ei9 Kq' ^, ;,47 J•-74 '"^^� x r :. r a u7; q "�" "- ".1 „"'^'1N'.'$ t'�Tr . .
v 7 7�, w : ' 77:
ii w , a +!r id 9 T , BsfbCClk
r . :'I '' ai n...wa'T,',P. ^a wa1,� .'d ilk:?'wiS„ h:'xca%" nu °5 .:1 1�i '. .. L"M : .> �dFa S� .. Yi�u'.'+C.:
Business name: erC/ // r' Clothes dryer (} + )
I,. 2 s Other: y
Address: '',.._-)r17 �" Itt � e" ` r
City/State/41Y: Y' Subtotal / . / .. 5 -,,r
Minimum permit fee (S90.00)
Phone: ( ) Fax: ( )
Plan review (25% of permit ice)
CCB ,/ State surcharge (12% of permit fee) / `7 9
� TOTAL PERMIT FEE /3 /p. / 7
4uthorsed signature: /K.� This permit app ti w it ha been irk permit is not pI obtained within 280
days after it has been accepted as complete. te.
] Print name: (
c ��- c I Date: Y--/ 9- /2) ( • Pee methodology Set by Tti- Cotmty &dMing 1.04u y Service Boa:d
/ ;_ 3 :.)--
04/19/2013 09:23 503 84068034 LUDEMANS #4822 P.001 /003
•
•
646•6409
l' 126 SW CANYON ROAD
BEAVERTON, OR 97005
1.800- 886.5683
i F.: I . P. . _ _.... _ _. FAX 583 8@34
d rir
FACSIMILE TRANSMITTAL
To: C,p4 o/ T/r azcS: Date: - . / 9 _ /2
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07 i , +�Cl�4nic4 � l� r f"
From: Joni Hacker
CUSTOMER SERVICE Pages including this..
Ph: 503 -646 -6409
Fax: 503 - 646_8034
jonih @ludemans.com
Re:
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•
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13450 SW VILLAGE GLENN CT, TIGARD, OR,
97223
Residential - Mechanical
610 Gas Line
04/24/2013 00:00
MEC2013-00214
PASS
10 lbs for 15 min standard pressure verified
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13450 SW VILLAGE GLENN CT, TIGARD, OR,
97223
Residential - Mechanical
610 Gas Line
04/24/2013 00:00
MEC2013-00214
PASS
10 lbs for 15 min standard pressure verified
Violation Summary:
Inspector Contractor