Permit CITY OF TIGARD MECHANICAL PERMIT
I. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00046
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/03/2010
Parcel: 2S 110AC01000
Jurisdiction: Tigard
Site address: 11545 SW BEEF BEND RD 66
Subdivision: WELLINGTON ESTATES APARTMENTS Lot: 0
Project:
Project Description: Replace gas furnace.
Owner: FEES
FERN VALLEY PROPERTIES LLC Description Date Amount
BY CAMBRIDGE REAL ESTATE SERVICES, PO Furnaces < 100K BTU 02/03/2010 $46.75
BOX 2968 12% State Surcharge - Mechanical 02/03/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 02/03/2010 $43.25
Contractor:
ROBBEN & SONS HEATING INC
2214 SE 8TH AVE
PORTLAND, OR 97214
PHONE: 503 - 233 -5841
FAX: 503 - 238 -8849
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $100.80
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 -0100. You may obtain a copy of the rules
or direct q ons o UNC by calling 503.246.6699 or 1.800.332.2344.
Issued y: riC eru/buf Permittee Signet
Call 503.639.4175 by 7:00 a.m. for an inspection 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.
a Fe'o, 2. 2010 10 Bis ..:CtivEIDt ing Inc. No. 6707 P. 3
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Mechanical Permit Applicat t 1 V L fit[[(
Received Permit No. n2C • 0n G Tvl
City of Tigard FEB 0 2 2010 Date/By:
1 111 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
• Phone: 503.639.4171 Fax: 503.598.1960 TI y jj� Date/By
Lion Line: 503.639.4175 CITY OF "+"' Date Ready/By: I ri ' ® See Page 2 for
T I " t Ins P� BUILDIN IVISION j Notified/Method: I
Internet: www.tigard -0r.gov Supplemental Information
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Mechanical permit fees* are based on the value of the work
0 New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials a•ui'men labor overhead and .rofit
:, �r- - 7 .- 1 ._ ! = y. i : j;, _ '_ r -;: ` ; , ?s„ Value: 5 51,550.00
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❑ 1- and 2- family dwelling ❑ CommerciaUindustrial ❑Accessory building For s. era! information use checklist.
Eg Multi - family 0 Master builder 0 Other: Description Qty. Ea. Total
°' e - r r,.yyte�` 1 n ,0pii�' r�`^�N "Tr fiitr +,{ l
s l r r � : 1 ,- t F .: 1 Heafn cooling
•. •�1'( �� �:G��fa��11ZT.'�:•l R' ^Y= Kr.. _Z'L.. Air conditioning
s Ie ' 46.75
Job site address: 11545 BEEF BEND RD alias Bite •tan showin. • I - __
City/State/ZIP: TIGARD ,OREGON 97224
Furnace 100 000 BTU ,M 1 46.75 NM
Furnace 100 000+ BTU rims/vents 54.91
Suite/bldg. /apt. no.: , , Project name: WELLINGTON ESTATES Heat pump 61.06
Cross street/directions to job site; Duct work 23.32
H dronic hot waters stem 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall in -duc sus 'ended etc, 46.75
Flue/venl for an of above a 23.32
Subdivision: Lot n °"
Other 23.32
Other fuel a ' ' Mantes
Tax map /parcel no.: _ 23.32
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� �76r :,;- , _,SI F 1tlp)� i 9_, � -: ;"4: ;: q: z'i,: ,:t,i` -, 3
'EiR110 bfsr ,i tt1.1iv. 1:. : Ym . „ rti r• . •.: �•.,.;_1='s'- ts. - , ; 33. 9
REPLACE GAS FURNACE Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) - 23.32
Wood/ ellet stove - 33.39
Wood fire' lace/insert 23.32
:. ,,., Chimn= /liner/flue/vent 23
� 0 , "t .a, ',1' .'1 t1 a - .j !„)' i �� r . -,-•. :r��� - ; :, s.!': Other: 23.32
f"4rivJk' =.. ..�ts:.r3"1t< n� •` a .�..t .1;.,:c..r,•a - f » >,.'.t. Lo- . � t,.
Name: WELLINGTON ESTATES Environmental exhaust and verttiladon
Range hood/other kitchen
Address: 11545 BEEF BEND ROAD e ui .meet 33.39
City /State/ZIP: TIGARD , OREGON 97224 33.39
Single -duct exhaust (bathrooms,
•
Phone: (503)620 -5088 Fax: ( ) toilet corn.: nts utili rooms - 23.32
:,S':pt(! -n f .'!.i _ •. r I <+7 =."" !'�•',`.`�. virtu r y - - -- :. ;; . Attic/crawlspacefvps 23.32
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N,. ki,�u.- .{- .mac ) .:+0,„. :Ti. r.z..lt,. s.s v _ i ;- ..... . s r. ,, _,. , .. 23.32
Other:
Business name: ROBBEN AND SONS BEATING • Fuel ' i , in:
Contact name: SARAH ROBBEN 514.15 for first four; 54.03 for each additional
•
Fumacc. etc.
Address: zzlb SE 8 AVE Gas heat ' um'
City /State/ZIP : PORTLAND , OREGON 97214 WalVsus .ended/unit heater
Phone: (503) 233 -5841 Fax :: (503) 23 &8849 Water heater
Fireplace
E-mail: Ra
sarah@robbenandsons.com Ran:
. 1 t .; (7 J 17 - ?r 4 t lt:fiF i ll + :',..:71' } r U� T i ., .. 1 3z a . ; 17 fi i i ' , Barbecue
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oth
Business name: ROBBEN AND SONS HEATING Cl Cl o h :
Address: 2214 SE 8 711 AVE l !! +'+c• :_ ; i�c n:=�W ✓ �!hr.k7, :::.'E_ ;: h t rw - _ � = '°W r �-4
City /State/ZIP: PORTLAND , OREGON 97214 Subtotal 99.76
Minimumnermit fee (590.00)
Phone: (503) 233 -5841 Fax: (503) 238.8849 Plan review (25% of permit fee)
CCB lie.: 1884 State surcharge (12% of pemnit fee) 11.98
TOTAL PERMIT FEE 1 11 .71
��.' Wet This permit application expires If a permit is not obtained within 150
Authorized signetur =. i days after it has been accepted as complete.
Print name: A 417.11 4 ... ._. 411 - I �� Date: �,[$ • Fee methodology set by Tri- County Building Industry Service Board
� t 60.8
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