Permit (h .a
C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00062
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/10/2009
PARCEL: 2S 110AC -01000
SITE ADDRESS: 11545 SW BEEF BEND RD 15 ZONING: R - 40
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG
PROJECT: WELLINGTON ESTATES
Project Description: Replace furnace.
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:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
FERN VALLEY PROPERTIES LLC Description Date Amount
PO BOX 2968
PORTLAND, OR 97208 [MECH] Permit Fee 2/10/2000 $72.50
[TAX] 12% State Surch 2/10/2000 $8.70
Phone: Total $81.20
Contractor:
ROBBEN AND 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: n nliaL--LillaZ Permittee Signature: `
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.
Permit AppIi' 4
Mechanical Per i ' is ., :Irr c. v� USE ()NIA' - .
" "
. City of Tigard � ,� • p ived P ane No. • " r
1 1114
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Qq m �C vie z
■ Cp 9 'Z009 Plan Review
Phone; 503.639.4171 Fax: 503,598.1960 F 1- •! Date/By: Other Permit;
'1,ri i n st Inspection Line: 503.639.4175 CITY Data Ready/By: ei see Pagc 2 for
Internee • www.ligard•or.gov OF TIGARD Notirtcd/Mcthod; SUpplemenlal Information
BUILDIN . , a . a
y' a �t - vii ! .P .r.g ..,.` . v. • r ' ' � '1 . .z? n
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Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration/replaocment performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials c.ui. mein , labor overhead, and •rotttt.
e r3 ii 'j�� `.fit e o P x `27: -,,,sa t' r i Value; $ • a
r ' N 's ''v s ' . 1. , F:- / , ti 2.Fl ' k1 , i 7•• ' : -., i1 17,,•'•1 „ i'.: „. ,. li tre. ,,, „. ..' ' M 1
p li : ,,.:/ ., -` �, 1,,. .� � ,,7,.- "^ .i <if.S:{v:t; i.<C�i .,•,:! L , f� '14'f YRLY.6 � Qt '
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building t "" ��'" "
For special ecial Information use checklis!-
Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
�' , t � w r'+' j' f .�t 4�F; %1}i; "`��yd #.:4.0 g �5�
J •' . e> e 5 )1,:,!„,.. 1 i< IFS 1 1 • era " "�.;:=,s�;,.:�, ... <. Hestia' eaalln:
°" r`�' ! '�"� .,� � .������ -`di )c= 5 %trer err s' .t�'�o:tl
4.1- Air conditioning or heat pump
Job site address: •n ♦ t ■ l /.. j k ` 15- r e. uhei site 'lap ihowm' .lacement . 14.00 IIII
1 Furnace 100 000 BTU duels/vents �� 14.00 'UM
P' Furnace 100,000 +BTU ducts/vents _ 17.90
Suite/bldg.apt. no.: Project name: ens heat .um. 14.00 MIMI
Cross street/directions to job site: Duct work NM 10.00 MIN
H dronic hot water a :tem MN 14 -00
_ Residential boiler (radiator or
h dronic 14,00 IIII
Unit heaters (fuel -type, not electric),
in -wall to -duct sus.ended etc. 14.00
Subdivision: Lot no Flue /vent for an of above ' 6.80
- Other, .11 10.00 NM
Tax map/parcel no.: Other fuel a 11 limes
r ' w YT 5 3 �:.„:, ri v 'q1
v,A� � '��i E �r�., ,r y,. = °: � ,' Water 10,00
Al.; i k o ' ' S t�' } 1 N •1' Q 1 O r „ ,� c2 qi i�' CL ?. ( ' 6 . It „ '' f g. •! "
? _ :yr :ivz fir.. . �Q., . ,4'�i.F.r,��:Fi l�r�iii 's�:..:;.:,J•_,;.E�"£it�
Gas fire 'lace 10.00
Thi h ( cLt ►' frVAL_-Q . `3 Ll. qtr U -Q_ Flue vent for water heater or gas ii
t n(�. tiiro . lace 10 -00
Lo:li_ ter :as 10.00
- • Wood/. ellet stove _ 10.00
Wood fire.lace/insert _ 10.00
,f, ,, tv:3`sis� +� .:'a` t ,, 3 s Chimne /liner /flue /vent 10.00 NM
'#i+ n: 'q .' '49�. .M c �'�'ie �r& :if 1 l u ii# f ig lw, ;wL ira::.'�i4r1':ri Other- 10.00
Name: W jJlJ�,A " j. ( + - . ...... Environmental exhaust and ventilation
A ' Range hood/other kitchen
Address:
,.. -:.A /, r/, e.ui.mcnt . 10.00 -
City /StateIzIP: t ( _ ..‘ c1=1,-2,9ti Clothes d er exhaust 10 III Phone:
Single -duct exhaust (bathrooms,
�0 ) 6 - � a V (8' Fax: ( ) p toilet ulili rooms 6,80
y S r 1 Yp, e / Y �' f 3)a Attic
u" i�' �y> .�,,4A� nx � �s{�, i �� � 1 /crewl9.acePang 1000 .a {�t1�Xve��G�il::9�a�a:'.e2tS fury 1 ���xC {a %�p1�,Y: ;
_'__ Other: ._ 10.00 Min
i�tr.!!' L •'.1. •'t_ ,. K.�.1. Fuel 11.1u.
Contact name: C) nr - $5.40 for first four $1.00 for each additional
Address: l.-r►- ► 4___, Furnace, etc. __ Mil
City/State/ZIP �d.� • .r WalUsus. ended/unit heater _ _�
Phone i. , ) • ` . 40 V I TMIE Water heater _IIIMMIIII
Fire .lam
oi• • :_.� [• • *�.► 1 Ran 'e _ �
.i 't, r. �?�' 'rx °Y.° ," 1 , T41 5 'a; 3 k t � 3 � f
ng4'itc�` /a "' ' l 9 i: cp+:,
:: M t , . 'f,�.. N �fi in t ._. .., : all? �` 4 ,' ",;, , r t� ,i; �'. ; u Barbecue -
.. ` .� ,�:�.,,..
. �1,r -fi ,�'sr >�,:, v� . INN
name: \ 't`� V Clothes d er :as % Other: ���
Address: •
•
ke4E,Ys;. v le
-C+tr, ,r . c _ Subtotal
Phone: ya, ) _ _ In 1 Fax: ZW Y� • 7 , _ d .. Minimum permit fee ($72.50) REIM
! Plan review (25% of permit fee)
Illinsm... surcharge (12% ofpermit fee)
� TOTAL PERMIT FEE � A
Authorized signature: \ Thla permit a pp licat ion eilltras Ii a permit Is not obtained witbin 180
, days after II baa been accepted as complete.
Print name' r • • • ,, , e � f i r \ Date: c ) - rz l.'-tpl ' Fee methodology set by Tri•County Building Industry Scrvico Board
t:Mulldingwp . d Permit, 9 0 1 .0N7 . u 12 u 1 }'e a H s u o S ' 8 u; g q o d W d l 6 0 0 2 '6 ' q a d
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BUILDING DIVISION / PERMIT k4��C2O0[�ODOG2
| ~�~~^"�~�""~~� ~~"°"~~"~~^" r�� �
| 1312G8VV Hall B|vd.. Tigard, ORO7223 DATE ISSUED: 2/10/2009
Phone: (503) 639-4171 espAi
Inspection Requests (24 Hrs.): (503) 639-4175 AAUP' '112.
INSPECT WORKSHEET FOR DATE: 2y1 TIME: 7:00&1v1 PAGE: 14
•
SITE ADDRESS: 11645 SW BEEF BEND RQ15 CLASS OF WORK:
SUBDIVISION: WELLiNGTON ESTATES APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: VVE:LUNGT()NESTATES
DESCRIPTION: Replace furnace.
OWNER: FERN VALLEY PROPERTIES LLC, PHONE #:
CONTRACTOR: ROBBEN AND SONS HEATING PHONE #: 509'233-6841
Inspection Request Scheduled For: Date: 2113K2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 080510-01 971-570-9800 N
Corrections/Comments/Instructions:
.
ri CANCEL 0 NO ACCESS
FAIL INAALL FOR INSPECTION El
��
~ `^7 ^�_��«�r
Inspector: [ ^ / 4/.., - Date: Z y Phone#: (503) �-~'
` '
� '''' ~ `�,J
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: (Yvf'c 2roc .c 69 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description •PASS. Date .By'. ✓ Code Inspection Description PASS Date - BST •,I
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 Footii g 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 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 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 Hydronic 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:
/ k[ 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
PLM - Plumbing Permit
910 Sprinkler rough -in
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
\Build]ng \ Forms \ lnspCard- AOP- Blank.doc 02/02/07
CITYOF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00062
'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/10/2009
PARCEL: 2 S 110AC -01000
SITE ADDRESS: 11545 SW BEEF BEND RD 15 ZONING: R -40
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG
PROJECT: WELLINGTON ESTATES
Project Description: Replace furnace.
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:
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
FERN VALLEY PROPERTIES LLC • Description Date Amount
PO BOX 2968
PORTLAND, OR 97208 [MECH] Permit Fee 2/10/200 $72.50
[TAX] 12% State Surch 2/10/200C. $8.70
Phone: Total $81.20
Contractor:
ROBBEN AND SONS HEATING
2214 SE 8TH AVE
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
fe
Contact #: PRI 503- 233 -5841
FAX 503- 238 -8849
Reg #: LIC 1884
4100
I
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 010
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. CO
64.
Issued By: `--j l tk Ujj Permittee Signature: T CS Qti
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.