Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 - 00031
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 2 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:
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
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 1/22/200. $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: � Permittee Signature: `kwllfll,
Call 503.639.4175 by 7:00 a.m. for inspect • ns tha business day.
This permit card shall be kept in a conspicuous place on th- . •b site ntil completion of the project.
Approved plans are required on the job site at the ti - each inspection.
Mechanical Permit Applicati0il1OiL'CENED FOR OFFICE US ONLY '
. City Tl and Received Permit No.:
- `J g JAN 2 2 2009 Date /By: 2.2.- a -o i A _ re • •�.•
q 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 Plan Review
Dt/By: Other Permit:
T I GA RD Inspectio Line: 503.639.4175 C Date
/By:
TIGARD Date Ready /By: - HI See Page 2 for
Internet: www. tigard- or.gov BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL 'FEE* E; SCHEDUL - USE CHECKLIST,
❑ New construction .4- 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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY'OF.,CONSTRUCTION Value: $ SL�U"
RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ' ,•
❑ l- and 2- family dwelling nmercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB'STTE INFORMATION AND. LOCATION, - ' .' Heating/cooling
Job site address: ' 1 S (� S m ..
Air conditioning
fires ite plan ho or heat i p placement) (requires site Ian showln lacelnent 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
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRH'TION,OE' WORK.' Water heater 10.00
� Gas fireplace 10.00
of `" t,f r\ cl.e_e _ �(�/ Flue vent for water heater or gas
r r , �'� fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
PROPERTY OWNER. . ❑ TENANT
Other: 10.00
Name: kOu` jNa •1. c � �- -�5 Environmental exhaust and ventilation
Address: l l . 'SQ w (� Range hood /other kitchen
`� equipment 10.00
City /State /ZIP: V', R ,& UC 9 - i Clothes dryer exhaust 10.00
`;� Single -duct exhaust (bathrooms,
Phone) (Q — 5 T ' Fax: ( ) toilet compartments, utility rooms) 6.80
�; ',PLICANT' ' ❑ CONTACT PERSON: Attic /crawlspace fans 10.00
` Other: 10.00
Business name: ft'. � C,� � 5�� Fuel piping
am
Contact named \ D k A �� $5.40 for first four; $1.00 for each additional
���) �� ^ . Furnace, etc.
a
Address: C Lk ... c7 )J Q____, Gas heat pump
City/State /ZIP � Zt.� Wall/suspended/unit heater
Phone:) 2Z3. c ELL ( I Fax: : (C.,,t,] 2z z.... ''L('1 , Water heater
g �((��� /� �,,c , 1 Fireplace
E- mail:36k Vl yew �U' /l Qr YJc � 11 ,, �J . - f` ( ,,_____ Range
CONTRACTOR Barbecue
d \ _ _ (- Clothes dryer (gas)
Business name: 1130 Other:
Address: G .MECHANICAL.PERMIT,FEES*
City /State /ZIP:' 9 -1-7--i L( Subtotal
Phone: L] V Z� S
3 _ t .L ( Fax: � 2.35s-, 3) 2.35s-, c 4C j Minimum permit fee ($72.5 7 z S6
Pl an review (25% of permit feee )
CCB lie.: l State surcharge (12% of permit fee) 413.7 0
\ TOTAL PERMIT FEE 1. 2..6
`, T his permit application expires if a permit is not obtained within 180
Authorized signature: , , ' l I n L days after it has been accepted as complete.
Print name: 4 4 `i,A-'-N---___. Date: ' —72 1 * Fee methodology set by Tri- County Building Industry Service Board
1 \Building \Permits \MEC- PermitApp.doc 01/19/07 440 -4617T (I I /02 /COM/WEB)
•
Mechanical Permit Application - City of Tigard .
Page 2 - Supplemental Information
Commercial Fee Schedule:
.TotalNalitatiOn: • • • Permit
$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.
. ,
•
•
•
I:\BuildingTennits\MEC-PermitApp.doc 01/19/07 2
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2009-00031
13125 SW Hall Blvd., Tigard, OR 97223 A DATE ISSUED: U7212009
Phone: (503) 639-4171 kw ope,(1:1\
Inspection Requests (24 Hrs.): (503) 639-4175 AO' *ILL
INSPECTION WORKSHEET FOR DATE: 1/30/2009 TIME: 7:O64A PAGE: 22
SITE ADDRESS: 11545 SW BEEF BEND RD 2 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: ROBBEN AND SONS HEATING PHONE #: 503-233-584 I
Inspection Request Scheduled For: Date: 1/30/2009 Pour Time:
Code # Inspection Description Confirm # Contact # Message .
699 Mechanical final 080074-01 971-570-9800 a°
Corrections /Comments / Instructions:
,----
...
'0 PASS El PARTIAL APPROVAL ID CANCEL fl NO ACCESS
FAIL • CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Aar
Inspector: A Ar..----- Date: 1 . 10 lir Phone #: (503) 718-
V.
1
CITY OF TIGARD A .:.
BUILDING DIVISION PERMIT #: mEG2003-00031
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/22/2888
Phone: (503) 639-4171 414 4,; 1 \
Inspection Requests (24 Hrs.): (503) 639-4175 .4* IL
INSPECTION WORKSHEET FOR DATE: 1/23/2009 TIME: 788Am PAGE: 8
SITE ADDRESS: ii1A6 SW BEEF BEND RD 2 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: ROBBFII + SONS HEATING PHONE #: 603 I
Inspection Request Scheduled For: Date: •/23/2009 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 079974-01 971-570-9000 410. • 1
ir 1
Corrections/Comments/Instructions: 149-ff Ci
. S 1. 1 1 11 - (88
- --------
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..i - , L
- AD—Pr--7- ,
_
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CC&>1,L2LLji)2 ' - - - C ---
._--
-- _....... _
awl f ' - (-1-5z--7 — V:). ___
d o - 0-ce,?- - - - c 5
__ ■11., ,.... ____
I, PASS 11 PARTIAL APPROVAL fl CANCEL
AP -----------.__,__
d o :A_ • q_CALL_FOR_INSP_E • k .:" 1 1 k - ADDITIONAL FEES ASSESSED
.
, -
Inspector _ _........ Date: ) Z-3 P Phone #: (503) 718 :44.72'
aill■
INSPECTOR'S SIGNATURES ARE NO
Inspections Required for: y.� 000s REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description PASS Date B .✓ 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
210 Foundation walls 130 Ceiling cover
215 Footing dram 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 I Post /beam mechanical
285 Drywall nailing 610 Gas line
E
287 'Suspended ceiling g 675 Mechanical rough -in
295 Misc.. inspection: 620 Hydronic piping
899 MFG- Structure final 625 Duct work
498 Grading final 630 Fire damper •
L 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 PLM - Plumbing Permit
910 Sprinkler rough -in
305 Plumbing underslab
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip rest
995 Misc inspection: 315 Post /beam plumbing
320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain dram
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 \ Norms \InspCard- AOP- Blank.doc 02 /02/07
CITY OF TIGARCI
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2009 -00031
TIGAA.D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 1/22/2009
PARCEL: 2 S 110AC -01000
SITE ADDRESS: 11545 SW BEEF BEND RD 2 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: 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 /22/200K $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 8TH AVE
PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS
Contact #: PRl 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: L Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for inspect • ns tha business day.
This permit card shall be kept in a conspicuous place on th- '.b site ntil completion of the project.
Approved plans are required on the job site at the ti - - each inspection.