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Permit
C ITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00051 TIGARD DATE ISSUED: 2/3/2009 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AC - 01000 SITE ADDRESS: 11545 SW BEEF BEND RD 68 ZONING: R -40 SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG PROJECT: WELLINGTON ESTATES Project Description: Replace furnace with like kind. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 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: Owner: FEES CALABAZAS CREEK LTD INVESTRS + Description Date Amount CALIFORNIA BOARDWALK LTD INVES 2570 EL CAMINO REAL WEST #500 [MECH] Permit Fee 2/3/2009 $72.50 MT VIEW, CA 94040 [TAX] 12% State Surchai 2/3/2009 $8.70 Phone: Total $81.20 Contractor: ROBBEN AND SONS HEATING 2214SE8THAVE 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. Issue By: 4 Permittee Signature: /r ` c- - Call 503.639.4175 by 7:00 a.m. for inspections 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. Mec1i nical Permit Appli' 'AEG ' : , FOR OFFICE USE ONLY' - - City of Tigard !1! ei t n .. ' ©"l . Permit No. ka e d OR `. r � se 13125 SW Hall Blvd., Tigard, OA C 97223 r E B iew ' ' n . Phone: 503.639.4171 Fax: 503.598.1960 RD Other Permit: T 1 GAIt'L7 Inspection Line: 503.639.4175 CTY 0 1 = TIGA Date Reedy/ay: see Page 2 for Internet: www.tigard BUILDING DIVI SIO Natified/Melhnd Supplemental Information { ^ „, t ;..,, •,d!>"?AA.,:. � "., �, s :1' t y `��' : F c D CKLI &'i�'• '" 1�T'�'P '' WO ak'?,e i "� :. � G . Ste. �'^ . iiir,.,i: �r. �, nSAe�i�,. ,^': � y.. R. 1,., ryiia��..f. r., � :,ncn.. +h...:,'r::..::.F.t ,:,�.. :�t�.t "„�dn,� -., .. �, !:f��41'� �:h1r � ���. Q:_:.i'�.' �* ..l �14�� .:.: .. .:..:: .... 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 ❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit. • Vatuc: $ s. , <1• to-u':i,u',,:.,:."sw, !'s- ' idii bits oceirkiiSTR eta ,�M , + 10 :\, Tl` ,';,, .G.,,,,. ,::,Eni „. , .r1 1 ).•::. A.p}r...: . - .-.„ „Iln.. t .. � t �1�E�I, �Ph 'Y t l�l'II ; �S�YSTEIFI�']zEES ��'fi.. (0 1- and 2- family dwelling ❑ Commercial /industrial El Accessory building For special information use checklist. vf ulti- family ❑ Master builder Iii' Other: Description 1 Qty. I Ea. LTotal ti n i .s Oy'r '& .dieo'E FOR1t4TIQH ANU` )t,OCi TIOi Heating/cooling - 1 1 Air conditioning or heat pump Job site address: ` y y is h ' o 1 4 4 - , ` L, (requires site plan showing placement) 14.00 City /State/ZIP: r tr 1 Furnace 100,000 BTU (ductslvents) J ` 14.00 ) Furnace 100,000+ 13TU do 17.90 Suite/bldg. /apt. no.: Project name: Gas heat pump 14.00 Cross street/directions to job site: Duct work 10.00 - 1'lydronic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 • Unit n , in-wall, n -duct, suspended, 14,00 Subdivision: Flue/vent for any of above 6,80 "T Lot no.: Other: _ 10.00 Tax map /parcel no.: s Other fuel appliances .z '-�W.tFk -', � M.Vs 9A. CR1 T ') -AII) ..t�.A. �ti < .. sf!' 5+ Water heater 10.00 Gas fireplace 10.00 - r j 5u. _ vV � . ` t 'C I X \.Q, .. Flue vent for water heater or gas T fireplace 10.00 - Log lighter (gas) 10,00 Wood/pellet stove _ 10.00 M Wood fireplace/ineert _ 10.00 �'W'�a rL `'''P OP t \ x r' s9n { ' : `, : `s, , , , a a , y «,. Chimney /liner /flue/vent 10.00 y,. , R i# Q.�',V,I,�,Ih'�,' i` WMOW. , .., i �� .,..- -... ? :A..4w q'� Other: 1 10,00 Name: , w Environmental exhaust and ventilation LA r — i a.a�, LA �_ Y� Range hood/other kitchen Address: I1S 1 equipment , 10.00 City/State/ZIP: —Tv c> larz q 1rY Clothes dryer exhaust Single -duct exhaust (bathrooms, Phone: s 0 ) / , . Fax: ( ) toilet compartments,utilityrooms) 6.80 al.' i 4.r` < t44XCt I`44..yti'': ?,�', 9"`: ,''r t' ..h fn Mgt ... 1r Attic/crawlspace fans 10.00 .. - ,. . :.h4•i .`:. -(.ar7.`,= R�.1,. ..'r:,.r:�,.r,...r,:,, .:...' „a;. , .��:', >SY� W�Y1rT&Y��c CC> C ::.....'�.__TAP.��..',!M �'�t��'Y..,..�UR�S ict — 6 � ; { Olhef: 10.00 Business name: (lY � c. i Fuel piping Contact name: 1 11'1 v $5.40 for first four; $1.00 for each additional Furnace. eta Address: -- -4- M` 4.—_-/ Gas heat pump _ City /StateJZIP. ' 0.4 t' '�la']) om� ( -y 91 - LI Li ,1 1 2.-g p _ Wall/suspended/unit heater - Phone r , J t Z] l , Fx :: I. 7 - 2.0 5 F ater heater E -mail: Ann • a' � ” G Range .:x.�',i:' L „ ° " ^ ^� / «+,:iV , "ii; � t,, a +.i * .!N.i o ii�:t� ?:. $ "r, . ��;'�1' ?, .i, � '�ji,. Barbecue :... :...:...:.. .1..,,. .1^,....... r,.�.- "i _,,.....,�r�.�.xr a „` :.... i. : .3 ?;c`e .... -. s name: k, IZ Qf1� c . . �, L �� Clothes dryer (gas) Business Other: s �,rt+�iaiAN,� •!ii. Address: 5 ! �� }. -t AL _ T ESi..:. , , ,4:,. :. .. City /State /ZIP: CRi Q2_, C _ Subtotal Phone: ) F cc,�� ��� Minimum permit fee ($72.50) 1 a "sz� �J U ax: �,[ � U `I t Plan review (25% of permit foe) CCB lie.: ' DA,'c State surcharge (12% of permit fee) IS, `( TOTAL PERMIT FEE � ‘, 73)J , Authorized signature: \ ai V0\ t ' A \ ' N\A„ -'-... Thus permit applicen0h expires if a permit b not obtained within ISO days after it has been accented as complete. Print name - • , , , ; ° - Date: c p . _ J • Pte methodology set by Tri- County Building Industry Service Board I: uilUinyTermit l ' d «a, �� Ai B960 ' °N 'oul Au }eaH su °S '8 uaq 1 Wd5ti :5 6002 'Z 'dad . . . CITY OF TIGARD BUILDING DIVISION , PERMIT #: mEC2009.00051 4 13125 SW Hall Blvd., Tigard, OR 97223 v DATE ISSUED: 2/3/2009 Phone: (503) 639-4171 ,.._W-" Inspection Requests (24 Hrs.): (503) 639-4175 $, It )T 1 INSPECTION WORKSHEET FOR DATE: 214/2009 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 116 SW BEEF BEND RD 68 CLASS OF WORK: SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: WELLINGTON ESTATES DESCRIPTION: Replace furnace with like kind. OWNER: CALABAZAS CREEK LTD INVESTRS +, PHONE #: CONTRACTOR: ROBBEN AND SONS HEATING PHONE #: 503-233-580 Inspection Request Scheduled For: Date: 214/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 080266-01 971-570-9800 N Corrections /Comments/ Instructions: __........... . --, i 0 PASS NI PARTIAL APPROVAL E] CANCEL I] NO ACCESS H FAIL CALL FOR INSPECTION - El ADDITIONAL FEES ASSESSED z al , Inspector: Date: ...... 0 Phone #: (503) 718- INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: He_e_A6109 -c 5 / REQUIRED ON GREEN INSPECTION CARD. I ✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date - By 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 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 Misc. inspection: 235 Shear walls /anchors 199 Electrical feral 240 • Exterior sheathin• 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. 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 Hydroruc piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab 910 Sprinkler rough -in PLM - Plumbing Permit 915 Fire alarm rough -in 305 Plumbing underslab 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 \inspCard- AOP- Blank.doc 02/02/07 111 a CITY OF TIGARD MECHANICAL PERMIT ' ` COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00051 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/3/2009 PARCEL: 2 S 110AC -01000 SITE ADDRESS: 11545 SW BEEF BEND RD 68 ZONING: R -40 SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG PROJECT: WELLINGTON ESTATES Project Description: Replace furnace with like kind. CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: MF UNIT HEATERS: VENT FANS: OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 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: Owner: FEES CALABAZAS CREEK LTD INVESTRS + Description Date Amount CALIFORNIA BOARDWALK LTD INVES 2570 EL CAMINO REAL WEST #500 [MECH] Permit Fee 2/3/2009 $72.50 MT VIEW, CA 94040 [TAX] 12% State Surchai 2/3/2009 $8.70 Phone: Total $81.20 Contractor: ROBBEN AND SONS HEATING 411§ 2214 SE 8TH AVE PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS VI k illiN Contact #: PRI 503- 233 -5841 FAX 503 - 238 -8849 Reg #: LIC 1884 0 eD 11 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. O 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 IIZO calling 503.246.6699 or 1 800.332.2344. Issued B y: (I( Permittee Si na ture: . t ., ,,K g - F P �- f rc9 __ Call 503.639.4175 by 7 :00 a.m. for inspections 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.