Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00032
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/22/2009
PARCEL: 2S110AC -01000
SITE ADDRESS: 11545 SW BEEF BEND RD 44 ZONING: R -40
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG
PROJECT: WELLINGTON ESTATES
Project Description: Push pull furnace like for like.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CALABAZAS CREEK LTD INVESTRS + Description Date Amount
CALIFORNIA BOARDWALK LTD INVES
2570 EL CAMINO REAL WEST #500 [MECH] Permit Fee 1/22/200 $72.50
MT VIEW, CA 94040 [TAX] 12% State Surch 1/22/200c $8.70
Phone: Total $81.20
Contractor:
ROBBEN + SONS HEATING
2214 SE 8TH AVE
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 -233 -5841
FAX 503- 238 -8849
Reg #: LIC 1884
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 503.246.6699 or 1.800.332.2344.
Issued By: carol jt Permittee Signature: ktitvi X11 -ALA
Call 503.639.4175 by 7:00 a.m. for inspections hat usiness day.
This permit card shall be kept in a conspicuous place on the jo• site til completion of the project.
Approved plans are required on the job site at the ti - of •ach inspection.
Mechanical Permit Application __ FOR OFFICE USE ONLY
lig °
City of Tigard D Received Permit No
'' `J g an Date/By: . 22 • Ga _ 4. Penult C •• t tlOQ .. .
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
Inspection Line: 503.639.4175 JAN 2 2 2009 DateBy:
TI G A RD Date Ready /By: NM Fa See Page 2 for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method: Supplemental Information
ILDING DIVISION .
TYPE. OF' WORK COMMERCIAL .FEE ,. SCHEDULE USE CHECKLIST
El New construction dition /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.
. CA TEGORY OF .CONSTRUCTION Value: $0
. RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling fLI-eunmercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. I Total
' ' •' JOB SITE INFORMATION "SAND LOCATION .. - ' , ' Heating/cooling
Job site address: I) IS 45 ° " y Air conditioning or heat pump
_ _ v \ t (requires site plan showing placement) 14.00
City /State /ZIP: Furnace 100,000 BTU (ducts /vents) 1 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) . 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
^ �� p Gas fireplace 10.00
0l
I � (,( tivv,LcA_ g Flue vent for water heater or as
fireplace 10.00
1 ;t6∎ -- c'e U e--- Log Wood/pellet t sto 10.00
Wood pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
PERTY OWNER- ❑, TENANT .
Other: 10.00
'Name: VV Qi ` < f 7Jf -� .5 Environmental exhaust and ventilation
Address: 1 l JJ' \� ` �p, ^�( ? J
Range hood /other kitchen
h q�'' Y' ` � " C _1
equipment meet 10.00
City /State /ZIP` Clothes dryer exhaust 10.00
�� �G(J� €�D
Single-duct rt exhaust (bathrooms,
Phon ) Fax: ( ) toilet t compartments, utility lity rooms) 6.80
APPLICANT ❑' CONTACT PERSON . Attic /crawlspace fans 10.00
Business name: ZA t* �,( —4 (� e ,. - I , Other: 10.00
l.Lvw/ ..k. l9tT!/l7C'l Fuel piping
Contact name: �M ` $5.40 for first four; $1.00 for each additional
Address: SE l c_____ Furnace, etc.
Gas heat pump
�_ '�
City /State /ZIP: A � It q Wall/suspended/unit heater
PhoneG(j�? )„ �( Fax: j ) �� �' t Water heater
tl/J'"'
Fireplace
�Q _ ��(,� ^,,� e ,,
E -mail: � VVI��Ixe �'0 / \�(,/ !'rte SAiS .. G(/1/�_ Range
- . - ,CONTRACTOR Barbecue
46(„-{1.---2.- Clothes dryer (gas)
Business name bigr\ tr iQ A (, Other:
Address: � C: � A .J(- , MECHANICAL PERMIT FEES *, . '
City /State /ZIP: R si-u l l Subtotal
Phone:Q 7 A .,. i Fax( )) - 2, T' L'7 Minimum( permit fee ($72.S �2 • �J0
l I Plan review 25% of permit fee
CCB lie.: l b State surcharge (12% of permit fee) e . 7 0
TOTAL PERMIT FEE 8k • 2,0
Authorized Signature: . ` f T his permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: _r'. / ��� Date: _ ZZ —6)3 * Fee methodology set by Tri- County Building Industry Service Board
I'\ Building \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (1 l /02 /COM/WEB)
Mechanical Permit Application - City of Tigard -
_Page 2 - Supplemental Information
Commercial Fee Schedule:
;'Total Valuations: `' . Permit -Fee:' >.r.
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or •
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
• $50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
.•
.
l:\ Building \Permits \MEC- PermitApp.doc 01/19/07 2
• . , .
CITY OF TIGARD
BUILDING DIVISION .. PERMIT #: MEC2009-00032
13125 SW Hall Blvd., Tigard, OR 97223
DATE ISSUED: 1/2212009
Phone: (503) 639-4171 Amato ,
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 1/30/2009 TIME: 7:06AM PAGE: 21
SITE ADDRESS: 11E145 SW BEEF BEND RD 44 CLASS OF WORK:
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: WELLINGTON ESTATES
DESCRIPTION: Push pull furnace like for like.
OWNER: FERN VALLEY PROPERTIES LLC, PHONE #:
CONTRACTOR: ROBF3EN AND SONS HEATING PHONE #: 503-23:5841
Inspection Request Scheduled For: Date: 1/30/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 080074-02 971-570-9800
1111)
Corrections/Comments/Instructions: S re) - 9 /e82._
, .......,
i ___.
I n P : M PARTIAL APPROVAL 0 CANCEL NO ACCESS
_
r7 FAIL VIA CALL FOR INSPECTION II] ADDITIONAL FEES ASSESSED
Inspector:
Date: i 070i 26 lz
_ ■ Date: #: (503) 718-
I.
•
CITY OF TIGARD A
A - , 'V
BUILDING DIVISION
All PERMIT #: MEC2009-00032
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/220009
Phone: (503) 639-4171 - N4P,Mllit`
Inspection Requests (24 Hrs.): (503) 639-4175 ,.,-.-IkW IL
INSPECTION WORKSHEET FOR DATE: 1/2312009 TIME: 7:00AM PAGE: 7
SITE ADDRESS: 11545 SW BEEF BEND RD 44 CLASS OF WORK:
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: WELLINGTON ESTATES
DESCRIPTION: Push pull furnace like for like.
OWNER: CALABAZAS CREEK LTD INVESTRS +, PHONE #:
CONTRACTOR: ROBBEN + SONS HEATING PHONE #: 503,2335841
Inspection Request Scheduled For: Date: 1/23/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 079975-01 503-441-1882 Y
Corrections/Comments/Instructions:
•
0 PASS FA PARTI4.L n CANCEL t in NO ACCES ,
fr
liftple
41 • . . . . . . . __.1 '6 ALL F INSPECT ON
El ADDITIONAL FEES ASSESSED
Inspector: Date: i -*, ("7 Phone #: (503) 718- ..'
• . , I. i
- .. .
C , INSPECTOR'S SIGNATURES ARE N6 =F----
Inspections Required for: I'y`Ee 20oR_aoc REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date B I ✓ Code Inspection Description • PASS Date B
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover •
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG-Structure grading /footing 125 Wall cover
I 210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 ivlisc. inspection:
235 Shear walls/ anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls _ 135 Low voltage
260 Tilt -up panel 195 1Vlisc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 •Suspended ceiling 615 Mechanical rough -in
295 - Misc. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection l 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in
920 Suppression trip test 310 Crawl drain
995 Misc. inspection:
315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain .
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection: •
499 Final inspection 599 Final inspection
I:\ Building \ Forms \1nspCard- AOP- Blank,doc 02 /02/07
' q CITY OF TIGARD
COMMUNITY DEVELOPMENT MECHANICAL PERMIT PERMIT #: MEC2009 -00032
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/22/2009
PARCEL: 2S 110AC -01000
SITE ADDRESS: 11545 SW BEEF BEND RD 44 ZONING: R -40
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG
PROJECT: WELLINGTON ESTATES
Project Description: Push pull furnace like for like.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: ME UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
• FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
--
Owner: FEES
CALABAZAS CREEK LTD INVESTRS + Description Date Amount •
CALIFORNIA BOARDWALK LTD INVES
2570 EL CAMINO REAL WEST #500 [MECH] Permit Fee 1/22/200c. $72.50
MT VIEW, CA 94040 [TAX] 12% State Surch 1/22/200 $8.70
Phone:
Total $81.20
Contractor:
ROBBEN + SONS HEATING
2214 SE 8T1 I AVE
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 233 -5841
FAX 503- 238 -8849
Reg #: LIC 1884
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 503.246.6699 or 1.800.332.2344.
Issued By: q al O1,un Q WjtiAA Permittee Signature:
`\ kW, l
Call 503.639.4175 by 7:00 a.m. for inspections hat , usiness day.
This permit card shall be kept in a conspicuous place on the jo. site til completion of the project.
Approved plans are required on the job site at the ti - of •ach inspection.