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Permit / M CITY OF RIGA I' MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00128 DATE ISSUED: 3/5/2007 tT.A 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110AC -01000 SITE ADDRESS: 11545 SW BEEF BEND RD 78 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: 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: Permittee Signature: Call 503.639.4175 by 7:00 a.m. for inspections that business y. 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 fiobben & Sons Heating Inc. No. 9942 P. 2 IV7 rerun,. H.ppIi :aiiuil wit mitt: l(.1, t;til? ONLY City of Tigard Received _ _if - Ta No. , - , d ,, - , `/ Date/B . • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960' ". 4* / `ry //rr,";, I , D 1 \, g Other Permit: Inspection Line: 503. 639.4175 ' .. . 77.11!' � . .4 Data 1Qesd / y:. Bee 'Page Z for Internet: www,ci.tigard.or.us Notit'ied/Method: Supplemental Information i ' ' �";Q; iti- a "` •f "F. a dam'";' ?t"T :.i.1T7 .�:�. �t� Fa Y - 4 ;q,5 _ i v.1 ,P,' 'i .7 l�j t?� S I n , '47 r r '� FM.3, '.,,(: r g k blek t§ `: ': , , i '!} .s5 .. Y " �� + i4;43 .' ,. ai rldR3!c ,t;,tl.. ....a" .. .? ar..t'i Pt- .. :24. ".;t1 �:' at `�� . 1 �rr -0r .: ; - tt,:- :a'''r" •..-• . Ill New construction ❑ Addition/altetation/replacament 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, e9npmont, labor, overhead, and profit. - ..:;:t7',:, "' ''''.:•K .y' sg jgliff ti his c •: "b i. � j' ; dti. 'fl T " i� • f y r v < , t��♦ y ♦ +�$T t d. i Value: S If 75:014 .. T ,' n , ., Y 13 .1 .1 .V: -. , .24.1. :07,77,7i:1.1"._:; l. a :lL/,3 lL , :�- N n, 9. ��•� y N ef f r. s t.,.Ltt ;. +, 's p " ° "Nr���¢• Y�1}'1$ r�i•�`! °s`�tS�MS�;'I�,Lg� r�. • ❑ 1- and 2- family dwelling ❑ Commercial/industrial El Accessory building ' `� " ' �'' Fwr special Information use checklist ❑ Multi - family ❑ Master builder ❑Other: -- ' Description Qty. J Ea. I Total i : , y i/y �a p �•ll iii i4 1 vtltl t > a ^ fed "y ' t� .'ir r( ,,!: , '':'.4.,',.i.:?::;':.::; ... ;T, ..r,:. -„ „, ..z4,�m, a ' )• - 44 . :;$ �e B 1r - , u n r {.1 - i , . „ Heating/cooling i } Air conditioning or heat pump Job site address: 1J', y & "e 1 r' 7Z (requires site plan ahowiny�placement) 14.00 ! Furnace 100,000 BTU (ducts/vents 14.00 Cit © t _( ) Suite/bldgJapt. no.: /%°6 Project name: Furnace IOO,OO.Of BTU (ducts/vents) 17.90 Gas heat pump! - 14.00 - Cross street/directions to job site Duct work - 14.00 , Hydronic hot winter system _ 14.00 Residential boiler (radiator or drank 14.00 - Unit heaters (fuel -type, not electric), in -wall, in -duct( suspended, etc. 10.00 _ Subdivision: 1 Lot no.: Flue/vent for any of above 10.00 _ Other: 10.00 Tax map /parcel no.: Other fuel appliances . r t uy :4:•" w :1' 34r ,tK :Tv" tii � �` Water heater ' 10.00 t : t 1 ' - t 8 ^. ,; . t U1:', ' 4*`. ,+ . t.? :y to r `r4A p` ,,, � ty �;r:..w %3 r 10.00 " /� � Gas fireplace �C I/ . c Gf_ % � Q Flue vent for water heater or gas / �"r fireplace _ 10.00 Log lighte Jgo)) 10.00 Wood/pellet stove _ 10.00 - Wood tireplac - 10.00 _ Chimney/liner /flue/vent 10.00 ' l#R(h r w yio r •a " " M IT °: a, .,174PiriWt / V ' Other: 10.00 Name: S / r . r5 0 %/��f �$ Envlronmentgl exhaust and ventilation r Range hood/otiter kitchen Address: 7 f� is ZOO Range ! 10.00 ■ City /State/ZIP: 6 r 1f t rC r1,/l Clothes e[ exhaust 10.00 - Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 r. w f r"•. L 'a. ' '� 4, 17Tt,.} lw., i�' rr �2, ; +' Attic/crawls p ace fans 10.00 .� ' .f�F H: =�iA, ., , r-�; e , - �aF� �;•,, • , , ,, 3 "r, ct 1. i e.t. ∎1 taW r wi > i 6 � , i ;� Ui..a r • „ P� Other: 10.00 Business name: .� � F p iping Coatact 'Arne: / , �' '� S5.40! for first four; 51.00 for each additional ---, Br Furnaee,etc. ; Address: J /� l�" Gas heat pump: City/State/ZIP. e /State/ZIP: tire- oil WalWsuspendeil/unit heater �/ i Phone: (5 -03) 3 5r (f/ I Fax: : (SO) 7 Water heater - , Fireplace E -mail: Range . - i' ^ f;. >!d' I:; i ?? ' ' ' S'{ � r '•' N i r rr 1 °'tR ^r n�,,• �� �r�. ?* •x,44 4 f its' t. a )r ' a 1 ' iii / g a z " { y y't' Batbecue Business name: sel-frite Ctothesdryer(gas) __ Other: Address: � } � , "r`��), .„f1! #���`Ti<•.i.y city / State/ZIP: Subtotal i Phone: ( ) Fax: ( ) Minimum permit fee (572.50) 7 Z t9 Plan review (25% of permit fee) CCB lic.: n : State surcharge (8% of gamin feee) S $ TOTAL PERMIT FEE 71 V. Authorized signature; Tills permit application expires if a permit is not obtained tt,.,... "„ days after It has been accepted as complete. Print name: ,� Da t e : are / " Fee methodology set by Tri- County Building Industry Service Board