Permit CIT TIGARD MECHANICAL PERMIT
•
4� DEVELOPMENT SERVICES PERMIT #: MEC2006-00160
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/19/2006
PARCEL: 2S 110AC -01000
SITE ADDRESS: 11545 SW BEEF BEND RD 11 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: R3 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:
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 4/19/200€ $72.50
MT VIEW, CA 94040 [TAX] 8% State Surcha 4/19/200€ $5.80
Phone: Total $78.30
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: s_e .e.- `4\ p\,1)
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.
Mechanical Permit Ap licatio'n. FOR OFFICE USE ONLY
` I Ft j�� � ` I Received Q l Permit No. J -- O/ AO of Tigard U Date/By: / 5
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 (� (° (m�d�r \ DateB
Inspection Line: 503.639.4175 RPR 200 e!) I I Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
CITY OF '
�,t ,, _ - ,;i; :� "- - �,_,e.::." t,. E`CHECLT
IS
':: wizil � ailw WI, ?` Q Y dH ::t - ,.' ;x tom,. ;COMMERCIAI ; FEE * = SCHEDULE -:U K
S ` -
Mechanical permit fees* are based on the value of the work
❑ New construction Z Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
- r ,, �,'' a•N.. I, ;, '1"16-2W - Value: $
, :-'=-J-::-.::.' , r; ' �TION= ,; "•. ,, ,na ri: t ;:5 pi :v,e f.:- - 4
z ero ,CATEGOR'Ya:OF CONSTRi- '''' rn Na _ 'ra E� _ ' , . ' . , -- , `=;�r ,
�,'�'_• ". �� r; -, ,ter" � ~` " -:. " 'i � _ _: -` , �' } x� �RESIDE EQ /SYSTF
❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
�� a�• °ti;,s ss...sv. arc =,�•a- �= . w• - ����e
y ,9 c ;. -t Heating /coolin g
" - "JOB''` SITE'" INFORMATION „AND�LQGATIQN- „' "•�; ?, «,,. __ •�� _�� :
� �-
d 4S � B end 1
Air conditioning ho or heat pump
Job site address: � ( (requires site plan showing placement) 14.00
Furnace 100,000 BTU (ducts /vents) i 14.00 ��,(
City/State /ZIP: ` `���� ` et L�
Furnace 100,000+ BTU (ducts /vents) 17.90
. no .:
Suite/bldg./apt. \ e, ` 1 . i'VA k (�d'\ Gas heat pump 14.00
Proje name: �' 1 .
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above 10.00 .
Subdivision: 1 Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
.w : M O • - *,.. -:: ,,,,,�,, . ;" - m ; . ? Water heater 10.00
- �.i:;- DESCRIPTIONOT;�.WORIC ��`�'�..�* �". � -, .� :�+
„,. _ . . . ,,s. ,.. •,b_r:w - t•'' Gas fireplace 10.00
t Flu vent for water heater or gas
.e 0,r.„0. nc) C-1(,6 P �u�nc.o ' 10.00
J fireplace
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
Chimney/liner/flue/vent /liner /flue /vent 10.00
Y , ” - :M Yi!r� - t +.,..�,. <�,'a': 3%"��i �. '$i12F' Y -
Y . 'PROPERTY ^OWNE'R' ` ; c , ; 'a '_,'r ®TENANT,' 10.00
�� :'� �. " -��� = .... ,._ _ ,, f: Other:
Name: \ _ j f\ 'Ue ex. v:i [?5 Environmental exhaust and ventilation
Range hood/other kitchen
Address: - 3 2 5N l) E, Lc3c t e_ ?Do equipment 10.00
City/State /ZIP: Of \ . `Q �rt� �'v 6� -.4.221_ Clothes dryer exhaust 10.00
q v 1 Single -duct exhaust (bathrooms,
Phone: (sus) 3 C1 4 . Q.I) LA Fax: (503) - 3..0 1 q _9()L45 gnU5 toilet compartments, utility rooms) 6.80
- APPLIC _- . �,r _, ;' t; !j4 ,. n CCVTACT� ,a: - n = PER ,_ , �. SON* •�,n ,; a Itr Attic /crawlspace fans 10.00
= .', �` ya+ -.. P :: ,',:l, ?,, ,.�
,,.., Wi n. - :
Other: 10.00
Business name: ��b d-�onS -kel t t t �( '�, Fuel piping
Contact name: V�•� J $5.40 for first four; $1.00 for each additional
'+” Furnace, etc.
Address: l.` '� ' '- Gas heat pump
City/State/ZIP: vLRZ ( i4 Wall/suspended/unit heater Water
Phone: -2,-.3- g l Fax: c; _,n ' 49 Fireplace ater
E -mail: Range
'+' '-',7` - - , M"-- .'•.�:,: y ` --' :'.`r : 1,,,.-r . .. ;t ,l. Barbecue
' ""r�'' ' F ..''':, �, . ''- �{; �; �<:.,. ' ,•. . t,+ a , " . �� '�,,;i'N %�,'n � ',;..,..��. �. �. •-t- e.�= �:w•".air:.r b ." y ?}'�; '�A'. 3r °.: .>+" m•41'�„�r
Clothes dryer (gas)
•
Business name: _ � � Other:
Address: 4 R °' , ; ` MECHANICA ' EtPERMIT I FE ES * - • • '
City/State /ZIP: "! Subtotal ALL by
Minimum permit fee ($72.50) 2• ". )D
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lic.: `'c O State surcharge (8% of permit fee) . i 19
TOTAL PERMIT FEE 4. ,
This permit application expires if a permit is not obtained within 180
Authorized signa -• days after it has been accepted as complete.
Print name u' 4 + _ Date: L - — • * Fee methodology set by Tri- County Building Industry Service Board
.. 1
CITY OF TIGARD ' 1
i BUILDING DIVISION PERMIT #: MEC2006-00160
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1912006
Phone: (503) 639-4171
,...s. 1
Inspection Requests (24 Hrs.): (503) 639-4175 1 J fa
INSPECTION WORKSHEET FOR DATE: 619/2006 TIME: 7:02AM PAGE: 54
SITE ADDRESS: 11545 SW BEEF BEND RD 11 CLASS OF WORK:
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: WELLINGTON ESTATES APARTMENTS
DESCRIPTION: Replace gas furnace. di- 12_
OWNER: CALABAZAS CREEK LTD INVESTRS -1-, PHONE #:
CONTRACTOR: ROBBEN + SONS HEATING PHONE #: 503-233-5841
Inspection Request Scheduled For: Date: ' 619/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 031436-01 503-233-5841 N
Corrections/Comments/Instructions:
Z L F e-- t—i LC:: ,--
a • ■ SS I PARTIAL APPROVAL ri CANCEL 0 NO ACCESS
I I FAIL n CALL FOR INSPECTION 0 'ADDITIONAL FEES ASSESSED
Inspector: nVf Date: 6 - 1 . : 0 6 Phone #: (503) 718- 2.617/Li