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Permit CITY TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT MEC2006 -00114 Ad DATE ISSUED: 2/23/2006 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S110AC 01000 SITE ADDRESS: 11545 SW BEEF BEND RD 3 ZONING: R -40 SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG Project Description: Replace gas furnace. CLASS OF WORK: OTR 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: NAT 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: FEES PRINCETON PROPERTIES Description Date Amount 7831 SE LAKE RD #200 MILWAUKIE, OR 97222 [MECI -I] Permit Fee 21231200E $72.50 [TAX] 8% State Surcha 21231200E $5.80 Total $78.30 Phone: 503 -794 -9004 Contractor: ROBBEN + SONS HEATING 2214 SE 8TH AVE PORTLAND, OR 97214 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 233 -5841 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: 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. • r 1 . • M chanlcal Permit Application FOR OFFICE U ONLY City of Tigard d H C E Rec. / /�/ ® - DaC e n n 1 a. Permit No. • / >� UU/ / / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 _ /455 e' cn Date /By: Inspection Line: 503.639.4175 FE B 2 2 20 c'.'- ell' Date Ready/By: INA ® See Page 2 for Inte www.ci.tigard.or.us ( Notified/Method: Supplemental Information CITY OF TIGAFIn :,t. k..�',7.`-„6' �x �- x • : ��' i` i ' ; ' r y n E c . I „ � W.-.• - J t ::� e ;: " i'i,i : i '; ' i ? • -,, . _ COMM „- . ^. ERCI -LI . . , s . _ S E - ''USE CHE CKI' . ' , 1 " , �,.�` ':;::' � ;i �r �R�,��b�,��:�,r '� _*.'�� ii �rm...� '�, �ty_�., - ,. -.ern. ,.., .._,.,� -. ,- .: •. -.. - t � - � Mechanical permit fees* are based on the value of the work ❑ New construction lil Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. .i ,e,- u..s.:: „a.,' °•:.��,:,:c:�: »_ -c,.•...,s:;� '.71'' "` r•,- "i'`.•,.'•l�p;. ",',i+e.e�r Value: $ tiCATEGORY©F' CONSTRIICT O :,�.. _ , ,•,. , r� - : w�1-� _ r. � '�, „t - a = , ".,, .. � :.,� �:; -. _ �.- - � - ` ' " fi' RESIDENT,IAL�EQUIPMENT L•SYSTEM §!FEES* , 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. Multi family ❑Master builder 0 Other: Description I Qty. I Ea. I Total ' atrr- w._- # : s t.: ! . � r t E�r ' JOWSITE"INFORMATIONioAND LOCATION: f ", iat, e• � - Heating/cooling Job site address: .e�Zd V � . sto �~ ( R ct - Air conditioning or heat pump (requires site plan showing placement) 14.00 tc� �? Furnace 100,000 BTU (ducts /vents) i 14.00 14.00 City/State /ZIP: � , 4 � Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: I Project name: (, el U ors Gas heat pump 14.00 Cross street/directions to job site: "`/ Duct work 14.00 - - Hydtonic hot water system 14.00 Residential boiler (radiator or hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Flue /vent for any of above 10.00 Subdivision: I Lot no.: Other: 10.00 Tax map /parcel no.: Other fuel appliances :, "g. ,1-?i r Water heater 10.00 „•. m.a' �n • . � -il .0 +;v;: - -u -.� � - , i .�a s t� '� to 7 _p.r`p - , ;� ` � ' r �DESGRIP .T ?`- �� c ,.. r �• � == .x,.�.�` q "�_ s•.:,.x _.. -. , I �a� ,. a „z �t �. Gas fireplace 10.00 Ze,0 ( : CNa '� l 0 1 Flue vent for water heater or gas C`-' fireplace 10.00 Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 p, - c . _ . _ . _ ` . s ,�, s- ,s 3 - TENAN , nu , i `: ''s, .. r, . . :1, = PROPE,S4'ItAWN,ER; .:1 ; ; `, N. '. ",' , „"" ^. r _ _ •� - "= i Other: 10.00 Name: U t(\n �ces �.c� _ Environmental exhaust and ventilation Address: 'k � � e_ \ ; t'c LO( Range hood/other kitchen , ) equipment 10.00 City/State /ZIP: ff \ i t Uy 0.0i77 Clothes dryer exhaust 10.00 1 a Single -duct exhaust (bathrooms, Phone: RA) Lk _ (' W t, 1 Fax: (5n .9i (4, -ctb LL' toilet compartments, utility rooms) 6.80 t. �' - "`'° " ' " " "` " t Attic /crawlspace fans 10.00 r $_., a" : (.0 f�,;s rt " 'tbi GUN 1, PERSON; o °" b" _ �*:?i�PPI,IG?i1VTrr'.� ��� •: � � '`� ' °"�.;; - w° t . � _ a '� ?' �-. .- - +bk,t . = 10.00 , �.;�. ;_ ' Other: Business name: ���� � ' () NS t Fet" � l Nom, Fuel piping Contact name: $5.40 for first four; 51.00 for each a Address: 1 d � Furnace, etc. 2 "1 d 6�117 Gas heat pump City/State/ZIP: (5F , L A LA Wall /suspended/unit heater Phone: ( ): 2.9& _ 4 ' Fax: ��� 237 - %� V Water heater l Fireplace E -mail: Range ::;�,, CT - �. � RKW -n:•, ,r.�,., �- it k 4 Barbecue • ;r,':i" 4 „' f_ :xCO_N_ -. A'CTOR'4 !� 4 - . W " - .. 44 •= - - Clothes dryer (gas) Business name: Other: Address: r, < 7 PERIVIITFEES* - City/State /ZIP: Subtotal OP Minimum permit fee ($72.50) - Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: , U 1....‘ State surcharge (8% of permit fee) Cj V TOTAL PERMIT FEE to This permit application expires if a permit is not obtained within 180 fy\ Authorized si, • '.1 • - ,,. • days after it has been accepted as complete. Print name: _ A ,, COIN !1 ' 0 �"r 2� �, ' Date: * Fee methodology set by Tri- County Building Industry Service Board !� t -r) 1Q. CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2006.00114 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2123/2006 Phone: (503) 639 -4171 ti A, Inspection Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/9/2006 TIME: 7 :02AM PAGE: 55 SITE ADDRESS: 11545 SW BEEF BEND RD 3 CLASS OF WORK: SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT #: TYPE OF USE: PROJECT NAME: WELLINGTON ESTATES APARTMENTS DESCRIPTION: Replace gas furnace. OWNER: PRINCETON PROPERTIES, PHONE #: 503 - 7949004 CONTRACTOR: ROBBEN + SONS HEATING PHONE #: 503 - 233 -E041 Inspection Request Scheduled For: Date: 6/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 031434.01 503-233-5841 Corrections /Comments /Instructions: /1 Kt% • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C /p Date: 6. ® V Phone #: (503) 718 - 4147/