Permit
l
f n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2010-00048
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 29
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 Notifica ii . 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 tions to OUN b ling 503.246.6699 or 1.800.332.2344. ` 14
Issued y: ' Permittee Sign re:
Call 503.639.4175 by 7:00 a.m. for an inspection that busing 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.
J
• j %1 Feb, 2. 2010 10:32AM Robben & Sons Heating Inc. No. 6707 P. 4
Mechanical Permit Applieat, CEIVED i.,,lc I('1. I (. .
R eceived 6 0 •
City of Tigard may, Pe,ul;tluo.: , t - 6
. ° 13125 SW Hall Blvd., Tigard, OR 97223 . Rev `
Phonic 503.639.4171 fax: 503,598.1910EB 0 2 2010 Plan Rev OthorPetmil' •
'I' I C A It U Inspection Line; 503.639.4175 Date Ready/By: suds: ® See Page 2 for
Internet: www.ligard -or.gov CITY OF TIGARD Notified/Method: Supplements) Information
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Mechanical permit fees' are based on the value of the work
❑ New construction ® Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: mechanical materials equipment, labor overhead and .rofit.
1 u Value: $ 51,550.00
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[] 1 and 2- family dwelling Q Commercial/industrial 0 Accessory building For special information use checklist.
l Multi- family ❑ Master builder ❑ Other: _ .Description 1 Qty. 1 Ea. Total
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:, Heannakaoling
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Air conditioning
lob site addreSS: 11545 BEEF BEND RD .uuessite . Ian showin • lawmen' r 46.75
City / State/ZIP: TIGARD , OREGON 97224 Furnace 100,000 BTU_iductdvents 1 46.75
Furnace 100,0004- BTU (dusts/vents) 54.91
Suite/bldg. /apt. no d / Project name: WELLINGTON ESTATES Heat pump 61.06
Cross street/directions to job site: Duct work _1 23.32
H dronic hot waters tern 23.32
Residential boiler (radiator or
dronic 23.32
• Unit heaters (fuel -[ electric),
(fuel-type, not electric
sp )
in -wall, induct, suspended, etc. 46.75
Lot no.: - Flue/vent for an of above 1 M
Subdivision: Other: 23.32
Tax map /parcel no.: Other fuel a . • fiances
4- l r- r 'r r- h iT F -n �» r 3 4•.- 7e r r u t -t : r 23.32
::,.MAIN i:.- , �f4:«Y. r y a. -tlmrr � � 1 1; °)t Tr �n)� V ti,.n1 X11 .. _ �_ -.::: t . - .Y .i . . ' l _�16 Water heater
Gas fireplace 33.39
REPLACE GAS FURNACE _ Flue vent for water heater or gas
fireplace - 23.3
- Logllighter (gas) 23.32
Wood/ . .11et stove - 33.39
Wood Pre'lace/insert 23.32
� Chimne /liner /flue/vent �MI
C� t 4. ,I - t. FFT� -1? .ti � F " r s d�. ' � g . , F ,'^ a � r F
,x�i �� � ii � r„ t ._ ^`ai_ �:� .d..., = •a: , . t r•,.s. •t - -•._ �+- -- Other. 23.32
Name: WELLINGTON ESTATES Environmental exhaust and ventilation .
Range hood/other kitchen
Address: 11545 BEEF BEND ROAD _ . • Ili .men[ 33.39
City/State/ZIP: TIGARD , OREGON 97224 Clothes d er exhaust 33.39 NM
Single -duct exhaust (bathrooms,
•
Phone; (503)6205088 Fax ( ) toilet corn , artntents utili rooms 23.32
Ai i r �.1_i 'Tf f` zq , ; �- (: :�,` ! t. dam. v i i , i +'���� I' 7•rn ti n' t , y t r 7 lP ` Attic/crawls ace fans - 23.32
: i•dik +,1 � i- ekm „t�.P i,m :. . r�zP;F21>.,i ..T.. .. .. 1 -_ .t, tea_ >,...ti , 3._0.! :._ ,
Other: 23.32
Business name: ROBBEN AND SONS HEATING Fuel .1 in.
Contact name: SARAH ROBBEN • $14.15 for first four; 34.03 for each additional
Furnace etc.
Address: 2214 SE 8 AVE Gas heat , um.
City /State/ZIP: PORTLAND , OREGON 97214 Wall/sus nded/unit heater - En
Phone: (503) 2334841 Fax: : (503) 238-8849 Water heater
• Fireplace
E -mail: sarah@robbenandsons.com L -- Barbecue
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Clothes d er :as
Business name: ROBBEN AND SONS HEATING Other:
. . •-:• l.r, i rif. t' / 1 '. !'-vr_ TiCi r
Address: 2214 SE 8 AVE :,F; I. r fw.:. (' ,,`� :.: C!U >� :;j t �'= E "- :,.:a_'°
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City / State/ZIP: PORTLAND, OREGON 97214 Subtotal 99.76
Minimum permit fee ($90.00)
Phone: (503) 233 -5841 Fax: (503) 2384849 plan review (25% of permit fee)
CCB lic.: 1884 State surcharge (12% of •ermit fee) 11.98
TOTAL PERMIT FEE
Authorized si ature: d This permit application expires if a permit is not obtained within 180
x11 , �1� "to _. . � days after it has been accepted as complete.
Print name: ��. ' r) � Date: Fee methodology set by 1ri •County Building Industry �4� Ba )
r:\BdiIdIe Permib\M6C- PermitApp,doc 10/01/09 4e. 61 (!1102/COMM'EB) (mil/