Permit I'
,• �°
CITY O F y 1,
1 ' I GARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006 -00074
` 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/3/2%OiOOO 06
c „Are PARCEL:
SITE ADDRESS: 11545 SW BEEF BEND RD 60 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 2/3/2006 $72.50
MT VIEW, CA 94040 [TAX] 8% State Surcha 2/3/2006 $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
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: Ac- +6_. Permittee Signature: _
__ P
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 Application r. FOR OFFICE USE ONLY
. Received _ V
City of Tigard ®� Y ° ® Date /By:, - a� ��� Permit No�� �/a i .. • / LJ
13125 SW Hall Blvd.,�R " i°� v v •
Plan R tew Other Permit:
Phone: 50 .639.4171 03.598.1960 Date /By:
Inspection Line: 503.639.4175 0 2 ./ 00 I Date Ready /By: Ju s IZI S Page 2 for
Internet: www.ci.tigard.or.usR3 O F. Notified/Method: {i Supplemental Information
ucrt O F i GARD I
� 3�� � t ta ( �' l6tbRK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction '�Nlim 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: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building
• ii For special information use checklist.
"4 Multi family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: 1 1 Air conditioning or heat pump
G �� � � J � (DO site plan showing placement) 14.00
City/State /ZIP." — t [ 1 `'1 T7 �l Furnace 100,000 BTU (ducts /vents) 1 14.00 t
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name:
061 1 fin In Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
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. 10.00
Subdivision: l Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
I f oe ) A` ��(t� -1 f (irINC a Flue vent for water heater or gas
8 fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00 .
PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: 1 _Environmental exhaust and ventilation
tQ�� �` (� ` - try , � t Range hood /other kitchen
Address: �� 1 �^ 1 � � S C c a s , - equipment 10.00
City/State /ZIP: rnN i 1/ ` 0 2 101 Clothes dryer exhaust 10.00
{x [� 1 e- \ (7,(2_ Single-duct exhaust (bathrooms, •
•
Phone: 6,6s) `�qz4 - qbo l 1 Fax: 6p3) — 4(1L.t _ CKAS toilet compartments, utility rooms) 6.80
AM rl APPt.II'Ala'T ❑ CONTACT PERSOF N Attic /crawlspace fans 10.00
Business name: Q�+-' b���� a $ �5 e0. Ih ( INC I l
Fuel ,piping
Contact name.45tA $5.40 for first four; $1.00 for each additional
^_, J _ Furnace, etc.
Address: (� q k � �'� \ ��� Gas heat pump
City/State /ZIPI- ` ,_J t vvv O � ^ 4 Wall /suspended /unit heater
Phone: ( ') J _ 1 L 4 k tJF Lax:: (5o 3) 23s)' g 'gr ,c Water heater
' J 't Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Business name: .Clothes dryer (gas)
� Other: •
Address: • _ 'MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal i q.00
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50) I- 17 � 50
Plan review (25% of permit fee)
CCB lie.: O % ,per 10 2 - - I t State surcharge (8% of permit fee) �`�` TOTAL PERMIT FEE a Authorized sign. This permit application expires if a permit is not obtained within 180
t days after it has been accepted as complete.
Print name: ` �t `\ t� (p C� Date: t i 36 - 0 * Fee methodology set by Tri -County Building Industry Service Board
CITY,OF TIGARD .
.?...
BUILDING DIVISION
PERMIT #: MEC2006-00074
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 213,120-06
Phone: (503) 639-4171 4#14,90 A.
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2113/2006 TIME: 7:03AM PAGE: 74
SITE ADDRESS: 1154E; SW BEEF BEND RD 60 CLASS OF WORK:
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT #: TYPE OF USE:
PROJECT NAME: WELLINGTON
DESCRIPTION: Replace gas furnace,
OWNER: CALABAZAS CREEK LTD INVESTRS +, PHONE #:
CONTRACTOR: ROBBFN + SONS HEATING PHONE #: 503 5641
Inspection Request Scheduled For: Date: N13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 026695-01 503-233-5041 V
Corrections/Comments/Instructions: AV\
--:--, -- 9
--.
t '
ff 7 it
•
PASS 0 PARTIAL APPROVAL fl CANCEL El NO ACCESS
I FAIL III CALL FOR INSPECTION 0 ADDI 10NA FEES ASSESSED
4 - -."- ---
Inspector: ( If Date: ( 0 . 6 Phone #: (503) 718-
. , . .