Permit a
■
st I'
` CITY OF TIGARD
if MECHANICAL PERMIT
�
� \ PERMIT #: MEC2004 -00682
"1 :411' DEVELOPMENT SERVICES DATE ISSUED: 10/13/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S125DC -00900
SITE ADDRESS: 07345 SW LANDAU ST
SUBDIVISION: BOULEVARD HEIGHTS ZONING: R -4.5
BLOCK: LOT: 029 JURISDICTION: TIG
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: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS: 4
Remarks: Replace oil furnace with gas furnace. Gas piping for furnace, fireplace, range & barbeque.
Owner: FEES
DENNIS WEBSTER Description Date Amount
7345 SW LANDAU ST [MECH] Permit Fee 10/13/20( $72.50
PORTLAND, OR 97223 [TAX] 8% State Surcharl 10/13/20( $5.80
Phone: 503 246 - 7933 Total $78.30
Contractor:
ROBBEN + SONS HEATING
2214 SE 8TH AVE
PORTLAND, OR 97214 REQUIRED INSPECTIONS '
Phone: 503 Gas Line Insp
Heating Unt Insp
Reg #: LIC 1884 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(50- )24.6:6699. — —
Is ued By: — "Add _l , . Permittee Signature: /r 4�� / S
Call (503) 639 -4175 by 7:00 P.M. for inspections nee l ed the next business day
10/12/2004 10:05 FAX 5035981980 ' CITY OF TIGARD 0 001
..Mechanical Per nit Application � j }FOR OF;FiC E L S£ ONL1.
:;1 of 7[" rd Receive 4 ---....
3125 SW Han Blvd. Tigard, OR 97223 �l /� ..°19/71 U♦ Ai
karmic 503.639.4171 Fax: 503398.1960
:.: p Ocher ?omit
Inspection Line: 503.639.4175
Internet: www.ci:tigatdor.us ( '�� -. Date xeadyley star 111 See Z for
Notified/Method: Sappt wmtilYatweaation
11t*:* ?f3F' W°R ;" - . ' ' ... :."Coo 2L►R� m4 1 * SC .
6f1LDtFlv€ , " _ . "t1SB �Et�,l$'I'
[] New construction 0 Addition/alteration/replacement Mechanical adroit fees* axe based on the value of the work
0 Demolition 0 Other.
performed. Indicate the value (rounded to the neatest dollar) of all
mechanical materials. tllabor, overhead, and profit
••••. •- •.,- ".: CATEGORY- OF>CONbTAU .: ; :.::.,-:;!s. Value:5•
1 - and 2 - family dwelling ❑ Commercial/industrial R SSIDENTI [.SQUIRM TAT i'SYS NI$Yr7B3Eg ►; .
❑ Acce ssory building
❑ Multi family 0 Master builder • 0 00147, F.ortpcdrf;rtjnrrrearion use dteatdsc
Qty. Ea- Total
doe 8111.INFOR MATiON AND • _,z Tri*
IDescription � Io •
.. . _ . Hmtieg/eeolinR
Job site address: esa: / ' . C Air conditioning or heat pump
� ! 1 � , i J • (requires sine plan show to plaeett end) 14.00
CirylStatelZIP: V er ri 2 Z a Furnace 100.000 BTU (ducts/vents) ' 14.00 /
( ` — Furnace 100, ETU (ducts 17.90
Suite/bldghptno.: ! Project name: � S
e heat
street/dirrenons to job site! S'/ Dna work 14.00 •
liydronic hot water system 14.00
�---- Residential boiler (radiator or
mac) 14.00
-- unit beaten (fuel -type. not electric).
.- ; induct, suspended, etc. 10.00 ■
Subdivision: Lot no : • - Flue/vent for any of above 10.00
Other. 10.00 1
Tax map/parcel fO.:
Otber fuel appliances • .: •:DESCRIP'I9 : . : - -•- q.. ;.:. Gas Waterhin 10.00
i trep ce 10.00
e /aie �/ 1 / u e iwea u 's Flue vent for water heater or gas
1 `^ if G> T/ t ! j dY / � T /LC fireplace 10.00
�� " J — _ liSner (PO 10.00
Wood/pact stove 10.00
Wood fireplace/lased 10.00
.: :
::: Q PROPERTY oiri _. ... Y
i
Q 2BNiiNIT . • _ ? '. i .. Other: 10.00
Name: (Al //�
� �1 �(1 / s ? Environmental exhaust and ventilation
`
L bodVother kitchen
Address: /73 v . �5' 4 ,.) 2 .7 ( ( 4 / c / 10.00
City/St:mei/1P: " / ,4th / . D/P u
7 Z Z. 3 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms,
Photo: (5Sb3) 9 / `e f��n ' `-7 9' 3� Fax: ( ) toilet compartments, utility rooms) , 6.80 • .:: - • •• _ . ' • APPLICiU'ri' • , ` . - :. :: • • :0 'coi'R'ACT. PERSON ' Attictcrawlapaoe fans 10.00
Other: 1 10.00
Business name: /a / d - / . S01 .S -
Fuel piping
Contact name: /> - ef $5.40 for first four. $1.00 for each additional
Address: Z S 7 ti 44/..e_ . Furnace, etc. • ( s Y�
Gas heat puny
CCity/State/720: ep 4,..., s" � 9 /9 ------- 1 7 Z W all/suspended/unit heater
Phone: (, a.3 ) 07,3 3 .SJ « / a / ( Fax:: 4s 3 . W>tterh Q
���� Fireplace
E-mail: , •
Range 1
.. ' ONrRA
Business name: Clothes dryer (gas)
Addres /I trei rd POI Other:
City/State /ZIP: Subtotal
Mii
nrmm� p ermit fen ($72.50) � 5�
Phone: ( ) !Fax: ( ) - (j ) / Z
CCB lie.: iQ Q Plan n surcharge (� % of permit fee)
�- - (a--LJ / • State scurh (8 %of permit fee) ,C V
TOTAL PERMIT FEE 7 7i 34
Authorized signature: _ �2 This permit appireattea expires it a permit is pat *Wmiped within 1 80 • •
- !� _ days altar It bas been .accepted as complete " far rnett o,iology se by TO-County _ --
Printearns: paid; lD � � I Building try
1 utxy Buildin Indus 9etviee Board
.
•
•
Case Activity Listing 6/4/2008
,,,CCEIL Case #: MEC2004 -00682
1:08:02PM
a.....,..,,.,, �,-
,.,,.. _ .. .. ....., . �.. ....... � ,. ;,< , .:•H ,�;�.:... �
I rs
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a.
D Date2 =��- Dat H xai d e s
'`rDes¢i•i" tion� =; �' ate:l � s ° ° 'Co�. �B � N o t
A tiv � F
F. F
VV
MECA007 Application received 10/13/2004 None DONE DEB 10/13/2004
RCP
MECA008 Create Permit 10/13/2004 None DONE DEB 10/13/2004
RCP
MECA705 Gas Line Insp 10/20/2004 None PASS KBS 10/20/2004
KBS
MECA725 Heating Unt Insp None 10/13/2004
RCP
MECA799 Final Inspection 12/2/2004 None PASS KBS 12/2/2004
KBS •
MECA060 (F) Issue permit 10/13/2004 None DONE DEB 10/13/2004
RCP
MECA800 Case Finaled 12/2/2004 None PASS KBS 12/2/2004
KBS
Page 1 of 1 CaseActivity..rpt
•
_CITY OF TIGARD 24 -Hour -
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date R- quested /2 AM PM BUP
Location ilif "�� Suite MEC o76! --
Contact Person f Ph ( S$ Lf ( PLM
Contractor Ph ( ) S W . R
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ( _ 77) S SIT
Post & Beam
Shear Anchors •
Ext Sheath/Shear
Int Sheath/Shear ' �� _� �� � v\--e
Framing C%
Insulation i 3 ' L)
Drywall Nailing '
Firewall
Fire Sprinkler
Fire Alarm L4" C C[ 7!;
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab -
Rough -In
Water Service
Sanitary Sewer
Rain Drains -
Catch Basin / Manhole
Storm Drain
Shower Pan
Other: '
Final
- T FAIL
Post & Beam u w
Rough -In (0412
Gas Line
Smoke Dampers
1;1. PART FAIL
ELECTRICAL' , ,.
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ • required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE° ° ;, ': E Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA f �—`
Approach/Sidewalk Dat Inspector Ext
Other:
Final . . DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL
•