Permit Y
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HANICAL PERMIT
_° ; COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00129
,TIiG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 3/5/2007
PARCEL: 2S110AC -01000
SITE ADDRESS: 11545 SW BEEF BEND RD 54 ZONING: R -40
SUBDIVISION: WELLINGTON ESTATES APARTMENTS LOT: JURISDICTION: TIG
PROJECT: WELLINGTON ESTATES
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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
PRINCESTON PROPERTIES Description Date Amount
7831 SE LAKE RD #200
[MECH] Permit Fee 3/5/2007 $72.50
[TAX] 8% State Surcha 3/5/2007 $5.80
Total $78.30
Phone:
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: ' // , 'r Permittee Signature: 4 / C_ CIS ) p
Call 503.639.4175 by 7:00 a.m. for inspections that business da
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.
Mar, 5. 2007 1 :02PM P,obben & Sons Heat 1 ng Inc. No 9942 P. 4
' Mechanical Permit Anplicaffdgt
Received 7. /f/ ' Permit No. ' Cc d'7 -- 4 ,2 . 9 of Tigard Datasy ") " !1 .
13125 SW HaII Blvd., Tigard, OR 97223 Plan Review Other Permit:
Phone: 503.639.4171 Pax: 503.598.1960 1 ,r.. (_,• c' ?Q1 " f ' - % ` ,.,,r; I Date/By: '
, I�` I
Inspection Line; 503.639.4175 p i a D ate Ready/By: I Jt I ® S eePage2fo r supplemental Information
Internet: www,ci,tigard.or.us � Notifl�/Method•
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' Mechanical permit fees are based on the value of the work
❑ New construction CI Addition/alteratiotnlreplacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Oche - mechanical materials - .ui. labor overhead % and profit.
❑ Demolition r' M1 value: $
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, * ... { V .kiri , ell C 9.r 1 C�J 1 I., ) J tit�Ctt41q) t ,tr . . 0 � i �' 4• ;_. ,, ,••''.�n l, - . '� Y {3Fd �X SCI .
,. _ , n y ,' • � „ . . }. I.'r' a ,. ..,, P ;t0 11 60 .i. ...rt-..kv L VI's. ry 7T �e:✓w 1. >, r 1!!9. F',':'
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building For special information use checklist.
0 Multi - family 0 Master builder ❑ Other - _ Description qty. 1 Ea. Total
is a:.. t i , •. .-..- r '�t'I
I ' V, ^`tip: D; 1L 9 C lilig � 'a�y1• 1; Tad Heatlog/eooliAg _ _
'�;:i' ";:, 4 '1't : . "7 L.[/i ,2..t" l t�: :./ ,tTl� .4.w g �J ' , � a . �4
:, y F E1 , Air conditioning or heat pt!
41-z( /' � r � / is site showing placement) 14.00
(requre p
Job site address:
Furnace 160,040 BTU. (ducts/vents
® Furnace 100 000+ B 14.00. TOI ducts/veets 17.90
Suite/btdg. /apt no.: Project name: Gas heat pump• 14.00 -
Duct work : - 14.00
Cross street/directions to job site: Hydronic hot t4aler Clem . 14,00
Residential boiler (radiator or 1400
hydronie) ,
_ -
Unit heaters (fuel -type, not electric), l 10,00
in - wall, in -duct suspended, etc.
_flue/vent for arty of above ■ 10.00
Subdivision: Lot no.: Other. 10.00
Tax map /parcel no.: Other fuel a 4 lianc es
:, ���r� �� ,,,{� c 7t a water heat 10.00
'i : . - i!. • . - " •,••.%• Tho'. rF',,P , 1 ��'+ : 4ti�C'1G4� .:, , 0 07 ' v }P l • Ce:Srti.- • ,Y G • ace , • 10.00
1111111111r,; Q Flue vent for water heater or gas 10.00
a/ fireplace
- I,a Ii ter a 10.00
Wood/pellet stove 10.00
+ Wood fireplac4linsett .10,00 -
_ E ' Chirnne /1inef /tlue/vant 10,00
Hil I!' i,�,� t t
® v " t t ' 3 ,Fl•;.::: �1 ;• - A, Other. :
/ Env ironmal exhust and ventilation -
� Range cue ntotlterkitcahen 10.00
i j �r ui m
a r` 10.00
` Clothes duct ryeratTjgxhaust
Single -daust (bathrooms. 6.80
( ) Fax: ( ) _toilet compartrltenis, utility rooms) -
Phone: r yy ��� 9 1���� "( € ' J, I i E"1 i� a ` 11 i l3. 1 . rtf , T'�n}� 111 if s Attic/crawispac fans 10
x� 1 i y k .'., !Nil.
t •t�oi; S t r X76 - td > . : 10 .V. ;, ; . .,. G 3tft :. 0.3a Othe a 1 �-
.` 'F .. 6n...a.. $J.
Business name. Aia pr N I grill Fuel .1,In:
/ � / M{,� ♦ $5.40ifor first four; $1.00 for each additional ..
Contact name: i�
jr Furnace, etc. ;
11=1111WrIngliiil .• �v Gas ;ea
eat pump. -
_ t� �, � �� Wa]Usus.andeil/unitheater
(5 5) � N • W ater heater
Phone: • C � • ; j�s� A Fireplace _ - - -
E- mail: Ran' e
r r a 'II, ; .{.' ( ' 1 t ' Barbecue
.` , ;z:- a ,. S Ftt4' Sv. Clothes dryer (eas)
//J_ i Other: , - �y .,.y •M !
. -
/�� �•' F'P,•,g Sint', ? .�_ •
Address: s3 } r.,, _,s. �,
-- y £ Subtotal
City/State/ZIP: 5 G'
Minimum permit fee ($72,50) Z.' _ -
Phone: ( ) ):ax: ( ) Plan review (25% of permit fee)
'. State surcharge (8% of permit fee) S %C)
TOTAL PERMIT FEE - 7 r l -
This permit apiplicellon expires Ira porn* not obtained ,..-
Authorized signature: days after It has been accepted es complele.
Date: • pee mettwdology set by Trl -County Building Industry Service Board
Print name: , ' • ` A-