Permit CITY TIGARD MECHANICAL PERMIT
4, DEVELOPMENT SERVICES PERMIT #: MEC2004 -00729
� 1-I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/19/2005
PARCEL: 2S101 AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD
SUBDIVISION: BEVELAND ZONING: MUE
BLOCK: LOT: 2-3 JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Mechanical work for new office building. Shell only HVAC, rooftop units, base supply & return air duct work,
fire /smoke dampers, smoke detectors.Val. $20,780.
Owner: FEES
ZIMMLER DEVELOPMENT LLC Description Date Amount
7165 SW FIR LP SUITE 100 [MECH] Permit Fee 11/8/200 $377.30
PO BOX 230698 [MECPLN] Plan Rev 11/8/200 $94.33
TIGARD, OR 97223 [TAX] 8% State Surchart 11/8/2002 $30.18
Phone: 503 - 598 - 3440 Total $501.81
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: 503 239 - 4600 Gas Line Insp
Mechanical Insp
Reg #: LIC 33135 Final Inspection
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling
(503)24. •.
Issu: d By: I _ ! ` I -AI L _, - Permittee Signature: )(Brow /44 4 es
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
b ' c4, D
7/ /S Mechanical Permit Application FOR OFFICE USE ONLY
I
a• Received q
City of Tigard DateB Y A ll M. Permit No.: Hi e i ,�� -eV 7 ?/
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review dl i�. .
Phone: 503.639.4171 Fax: 503.598,1960 //oyd/y G {r i 6, Date/By: I' Other Pemut:
Inspection Line: 503.639.4175 r!' I! Date Ready/By. ID See Page 2 for
Internet: www.ci.tigard.or.us " "'
g Notified/Method: 0 Supplemental Information
TYPE F;; s` t. .''
,�, (:� � ,_, �;�R � ; t ;O ,'WORK � ? � ��'- ri' *¢ ; y ��COI -� E * CEIEDJLE. ,USE G H -E CI C L, IST' "
i 3 � � a.,�„1.�,_��.� > .;��;:- ,.,_,-- ��.x: «_.,, , ,.�- ,.:Nx.�,�.�:� ; �� ter, : �� �� .�. ,u ..,. :�.,.-. _,;,„,_:,„.x.,,-,$,,,,„,,,,:, • .- - -
New construction ❑ 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.
t r a t,,``wr;: '.,� ;:>k._ GO O C a= z .P-4C ONS _r.::,�« E i IO 4, s r - Value: ' —
t 0''' " r ;- C 'ATE ,, $ ,
'RESID / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building NTI IPIVI
El Multi-family El Master builder El Other:
For special information use checklist.
Description Qty. Ea. Total
. , 1 OB SITE 3 AND LOCATION
- _,� .._ ��':�, : _ ,' ; ` Heating/cooling
---- " ° 3 , f� [ t.a �te e:.n. ;*z?,t. ti- %.,.�..c-, .,�€'a s..'� ,.- ...w'a..; ,,; .r2:'. -
Job site address:(�J�YC ��_� (�Q Air conditioning or heat pump
if �'v Q / (requires site plan showing placement) 14.00
City/State /ZIP j 6� 1 Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bld /a t. no.: " •' Rd , Project Warn • r Furnace 100,000+ BTU (ducts /vents) 17.90
g. /apt. J • ; , �
. /.t. 6� ,/ 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: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
s. �: -g w„�s 3 a'i :: :; z,�.e:. :,�i ..z.;u;,:u �':..:;- - :-.;�?,_�� _ec�` + `:- ';r,"- s.s,.- - - ":cF
-t+ =s ;. ' : ?F` ;x,�� ?; k , C.I i ., "� ;,.„ g ,, ; <x h ; ,: !' p. - Water.heater 10.00
t , ' mic r'" U �. DESCRIPTION OF WORK airs •.
«i �.0 �- .� -s:z. tea. =.y,�...�»,4 �_�. . tt... �. ��:: *�. ".�t.�.- .,- �„e......,�.� :... .: ........ �, 4s< - 4 ...� .� - �"„�. �°�.���._
c e:/.1_,,L1 " ` � , gas
Gas fireplace 10.00
� B-1 � Flue vent for water heater or as
t 0fV A r tt „�¢`-� t fireplace 10.00
hlls(�lVl.fiL V� �((, Log lighter (gas) 10.00
43 / '
QUACY° Wood /pellet stove 10.00
• Wood fireplace /insert 10.00
-, - „.-; � .w's.r,_ �.x,;;� :4r.;::,— •,- •, r
' _ t e , : , tt,2 , i t, - ,.. ;. ,,t,: Chimney /liner /flue /vent 10.00
- ll lt� , t N ' PROPERWOWNER a �� 7 : ' ..u x E TENANT 1 ' 1 ” - ° ,
Other: 10.00
Name: Xt M H Creil '-- 0gJ f S7 0-- Environmental exhaust and ventilation
Range hood /other kitchen
Address:
�Jo ) . 3c tog R equipment 10.00
City/State/ZIP-1 4-/1)-- o2 1 ? gS / Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: () 5 984iU Fax: ( ) toilet compartments, utility rooms) 6.80
%4; "g ' °.' i ;>F�c:_ ;.. x iiire f w,; q it t h - `.' ^ »: , ;• "zya r.:.- , y.. : , - ;. s,.a
s t n, ,, m.. ,APPL , ICANT , t 614 :1 4 ®tC ONTAC T 'PERS Attic /crawlspace fans 10.00
Other: 10.00
Business name: t � r,,, / ,�. ►�//�� Fucl piping
Contact name:
I� [mod I'�1. P P $5.40 for first four; $1.00 for each additional
Address: lay/ CF /4� I �� + Sr Furnace, etc.
C r Gas heat pump
City/State /ZIP: AID i e OP ,-if:AP------. Wall/suspended/unit heater
Phone: (3)3.415-1,--46:)0 Fax:: `�CJ )) a - .VC,7 Water heater
E -mail:
A#4694014414/91/417401 1 !∎ 1 Range
Barbecue
= *3x�.•�: "'.„cam "�.;4:`- ^- r `�� ai "'xY � .p�,�a :""„'4xi53�z'm�sa�a; �::i*t.. �x asr _�i,' �: .tr §''�e^ "e:. @a��::iY`- - • - x:3.3? :'
, .. ; .) M :" ; ,, > coNTRACTO12 ° >� Z ,..� : " .�.'-`, ijf
Business name: t� �' Ni� Clothes dryer (gas)
Other:
Address: 1 se g i -' v"z , -. . . _ . _ _ . . _...- • � ; �:. MECIiAN =FEES
City/State/ZIP: iFtIrrti4C440, Subtotal W 30
Phone: ( j Fax: (61:33) Ag 7 Minimum permit fee ($72.50) iC
Plan review (25% of permit fee) 9ii . jJ
CCB lie.: �1 P t State surcharge (8% of permit fee) Q
TOTAL PERMIT FEE � /
Authorized signature: This permit application expires if a permit is not obtain wi in 180
days af it has been accepted as complete.
Print name: 1 P� Date: I Fel * Fee methodology set by Tri- County Building Industry Service Board
t
i:\ Building \Permits\MEC- PermitApp doe 12/03 44 -4617T (I 1 /02 /COM/WEB)
CITY OF TIGARD
BUILDING' DIVISION PERMIT #: MEC2004 -00729
1 13125 SW Hall Blvd., Tigard, OR 97223 DA TE ISSUED: 1/19/2006
Phone: (503) 639 - 4171 ° ���������IV�1�1 ,11'\
Inspection Requests (24 Hrs.): (503) 639 -4175 . &..
INSPECTION WORKSHEET FOR DATE: 5123f2005 TIME: 7 :08AM PAGE: 39
SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: ANDRUS
DESCRIPTION: Mechanical work for new office building. Shell only HVAC, rooftop units, base supply & return air duct
work, smoke detectors.Val. $20,780.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 - 598 -3440
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 6/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007497 -01 503 - 572 -4508 N
Corrections /Comments / Instructions:
1,\I
0 . ,
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL F"' INSPECTION ❑ ADDITIO AL F ES ASSESSED
Inspector: bii Date: VS I Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2004 -00729
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2005
Phone: (503) 639 -4171 �"�� °�N @1pulj�i
Inspection Requests (24 Hrs.): (503) 639 -4175 `__..
INSPECTION WORKSHEET FOR ... DATE: 3/16/2005 TIME: 7:11AM PAGE: 57
SITE ADDRESS: 07117 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2-3 TYPE OF USE:
PROJECT NAME: ANDRUS
DESCRIPTION: Mechanical work for new office building. Shell only HVAC, rooftop units, base supply & return air duc
work, fire/smoke dampers, smoke detectors.Val. $20,780.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503.598 -3440
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239.4600
Inspection Request Scheduled For: Date: 3/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 001898 -01 503 -672 -4508 N
Corrections /Comments /Instructions:
______T' -70 Croes 60L For-P:3014/K-) .
' ' 2.--k____ ci
• ,
..
r
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i� Date: 3/t hone #: (503) 718-
BUP - Building Permit ELC - Electrical Permit
Inspection Description Date Passed By Inspection Description Date Passed By
Footing /Setback _ _ Underground cover _
Foundation walls Wall cover
Footing drain Ceiling cover
Waterproof bsmt walls Electrical rough -in
Slab Electrical service
Crawl drain Electrical final
Underfloor insulation
Post /beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing
4 Inspection Description Date Passed By
Firewall Low voltage _
Tilt up panel Electrical final
Masonry /Reinforcement
Framing
MFG- Structure set-up MEC - Mechanical Permit
Insulation
Drywall nailing _�_ Inspection Description _ Date Passed _ By
Suspended ceiling Post /beam mechanical
•
Engineered soils Gas line
Welding Lab Final Mechanical rough -in
Concrete Lab Final • Fire damper
Bolting Lab Final — Duct work.
Structural observation Smoke detector
Fireproofing Lab Final _Mechanical final
(1 Final inspection
PLM - Plumbing Permit
AI
BUP — Fire Protection System Permit Inspection Description Date Passed By
Plumbing underslab
Inspection Description Date Passed By Crawl drain
Sprinkler underfloor /slab Post /beam plumbing
Sprinkler rough -in _Plumbing top out
Sprinkler final RP /backflow preventer
Fire alarm final
Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
Inspection Description Date Passed By Culvert /catch basin _
Footings Pump /fill septic tank
Foundation walls Plumbing final
Sprinkler supply lines — --
Sprinkler underfloor /slab — — —
, Catch basin /Manhole SWR - Sewer Permit
Engineered soils 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits
is \dsts \ forms \InspRecordBUP.doc 04/17/01
MECHANICAL PERMIT
. CITY OF TIGARD ,, w DEVELOPMENT SERVICES PERMIT #: MEC2004 -00729
+ 1 3 41 DATE ISSUED: 1/19/2005
- �' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 101 AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD
SUBDIVISION: BEVELAND ZONING: MUE
BLOCK: LOT: 2-3 JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
GAS 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: a
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
I R
Remarks: Mechanical work for new office building. Shell only HVAC, rooftop units, base supply & return air duct work,
fire /smoke dampers, smoke detectors.Val. $20,780.
Owner: FEES
ZIMMLER DEVELOPMENT LLC Description Date Amount
7165 SW FIR LP SUITE 100 [MECH] Permit Fee 11/8/200 $377.30
PO BOX 230698 [MECPLN] Plan Rev 11/8/200z $94.33 •
TIGARD, OR 97223 [TAX] 8% State Surchart 11/8/200 $30.18
Phone: 503 - 598 - 3440 Total $501.81
Contractor: 1
J
AMERICAN HEATING INC " a
1339 SE GIDEON ST, STE. 1
PORTLAND, OR 97202 REQUIRED INSPECTIONS
Phone: 503 Gas Line Insp
Mechanical Insp
Reg #: LIC 33135 Final Inspection
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)24 9'.
Issu d By: I . � .14 . Permittee Signature: , , „., ,.t' � � �`; 4 ex t-
"—
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day