Permit •
CITY OF TIGARD MECHANICAL PERMIT
:I ° COMMUNITY DEVELOPMENT Permit #: MEC2010 -00047
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/03/2010
Parcel: 2S110AC01000
Jurisdiction: Tigard
Site address: 11545 SW BEEF BEND RD 53
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 Notificati • • - ter. Thos= rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct • • - stions to Oil •y . I'• • - 03.246.6699 or 1.800.332.2344.
Issue By: Permittee Signatu,�t , j1 Lx—A■J
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.
•
',Feb. 2. 2010 10:32AM Robben &ai�` ei o c, ■ No. 6707 P. 2
- Mechanical Permit Application I ()It WI l SI: U.
iii City of Tigard FEB 02 2 i 1rt Y Permit1.1o.: YYkQQ ? 6( (7
a 13125 SW Hall Blvd., Tigard, OR 97223
Plea Review Other Permit:
Phone; 503.639.4171 Fax: 503.598.1960 CITY OF TIG ' i �' op y'
T I i.:1 lk t, inspection Line: 503,639.4175 ea d y lB y : k i s: ® See rage 1 for
Internet: www.tigard -or. gov BUILDING DIVI. I/, Supplemental Information
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El 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 D Other: mechanical materials, equipment, labor, overhead, and profit
?�! _= „ ?,? c_..�a v��{��7tc a - m;;p - - � ?, -� -�*. .: : - r -� ; � Value: $ $1,550.00
:i cfF'', ' 2 : f 'C:STE r`�.` g. E ., - )r . _ _ 1 p 3 ,it4-'�"'a .! -'! >7,,: "r' -F
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12 1- and 2- family dwelling Cl Commercial/industrial ❑ Accessory building ' "'� "' �"` ' �" " �""
For special information use cltecklisi.
® Multi- family Cl Master builder ❑ Other: Description Qty. En. Total
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y r. 3• :�r- ," -,� - :-•CI:_�.�•- -.,- Heating/cooling
Kc'
p c tr y %�-yih -/;•fir •ri �/Aa nd't'y Ttnj• 'iiitif , WL� 6!6 r0 : : "' r F. - : eangcoog
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Job site address: 11545 BEEF BEND RI) Air conditioning
(requires site plan showing Placement) 46.75
City /State/ZIP: TIGARD , OREGON 97224 Furnace 100,000 BTU (decisive es) 1 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldgJapt. no.: Project name: WELLINGTON ESTATES Heatkmp _ 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) - 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 1 23.32
Other: _ , 23.32
Tax map /parcel no.: Other fuel al .(lances
t �� t ..-,170 ;i 3 - 4 z - 'r4 .1.., i _.mv,. ` :mV - a 177 6 a • r;,a I ;(- , i :t " ;i -`gf '- T.,71,.,e. : :!Tf:� ;i : s Water heater 2332 .
Gas fireplace 33.39
REPLACE GAS FURNACE Flue vent for water heater or as
fireplace 23.32
Log lighteyges) 23.32
Wood/pellet stove 33.39
Wood ftreplace/insert 23.32
- ,._--- rT:. _,.- ,,:,-': ., --� -: , Chimney/liner /flue/vent - 23.32
� ii .r �l t �l�S,,. ". 1's c.:47.;} I�tijc c . : v? --- . :4 .:�y. "1 • ` • � 1 �' t ¢ jo - `�: O ther:
nx�lri .m,,, .... .._.. ,• i_:__d � - ,...7 23.32
Name: WELLINGTON ESTATES Environmental exhaust and ventilation
Address: 11545 BEEF BEND ROAD' Range equipmeant nt _ the, kitchen
- 33.39
City /State/ZIP: TIGARD , OREGON 97224 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)620 -5088 Fax: ( ) toilet compartments, utility rooms) 23.32
Atti
at>.- ,. 2 .T -nr.;,'p t;,ily1 . ; :i; ;,1,; • i [!M :.;- :: _ _ , _,i' ,; = '� ;?Yi ' - : - 1 c/crawls acefans 23.32
:,` .',1l'~ ' 1 � n, ' P' . +aiE� r -; ;: : iN �, ".: '. sii.4, - nr . , :3� t .-,p 1 n - C -,;•;...:;•.,:141..3.:!}:y12,-...;:...:..A:;::,1
. 23.32
Business name: ROBBEN AND SONS HEATING Other
Fuel piping
Contact name: SARAH ROBBEN $14.15 for first four; $4.03 for each additional
Address: 2214 SE 8 AVE Furnace, etc.
Gas heat pump
City / State/ZIP: PORTLAND , OREGON 97214 Wall/suspended/unit heater
Phone: (503) 233 -5841 Fax: : (503) 238 -8849 Water heater _
Fireplace
E -mail: sarah@robbenandsons.com e
- q -elf :r(-e771T. ,� i '•r- n N.:KI .1 d l1 1 . -'C 1 ;: ^' F,. -. r .sc i r # n l {-.(7cil Barbecue
��. {. ;s� i l.___'� 1.11 + ,rt 7r ' 4 ,1 Dj � '� 1 - .� _! t r-: _= i i t.�... : _. -. - . iai:1 _
iiiG�,iLS{ if n�7L.- I��7dj t!.. .i �,3R Vaii, .ia' lin.i__'l.' ��.•- _i.. �. t
Business name: ROBBEN AND SONS HEATING
Clothes dryer (gash
Other:
Address: 2214 SE 8Ttt AVE - 7,F=": ?.' .'� l h (x i iy`v'� ��y �ia``r`.
i '�. , �11 l i 6 r � c. i f
IL'��i.Y: : -ti •. .T 1 • - t �r { .,T . }}. .S^::'..:!: � !.i1:1 �'•?ry
City / State/ZIP: FORTLAND, OREGON 97214 Subtotal 99.76
Phone: (503) 233 -5841 Fax: (503) 238 -8849 Minimum permit fee ($90 40)
•
Plan review (25% of permit fee)
CCB lit.: 1884 State surcharge (12% of permit fee) 11.98
_ TOTAL PERMIT FEE I
Authorized signatu � . � T his permit application expires if a permit is not obtained within 180
�_�fa _ days after it bee been accepted as complete.
Print name goz . Ai. ! Its Date: r.J, • Fee meth s et by T Buildin I Service Bow}
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