Permit C ITY OF TIGARD MECHANICAL PERMIT
,.r • DEVELOPMENT SERVICES PERMIT #:- MEC2004 -00728 •
p 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/19/2005
PARCEL: 2S 101 AB -02100
SITE ADDRESS: 07157 SW BEVELAND RD
SUBDIVISION: BEVELAND ZONING: MUE
BLOCK: LOT: 003 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:
LPG 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 ductwork,
fire /smoke dampers, smoke detectors. Val. $25,560.
Owner: FEES
ZIMMLER DEVELOPMENT LLC Description Date Amount
7165 SW FIR LOOP SUITE 100 [MECH] Permit Fee 11/8/200 $442.10
PO BOX 230698 [MECPLN] Plan Rev 11/8/200 $110.53
TIGARD, OR 97223 [TAX] 8% State Surchart 11/8/200 $35.37
Phone: 503 - 598 - 3440 Total $588.00
Contractor:
REQUIRED INSPECTIONS
Phone: Gas Line lnsp
Mechanical lnsp
Reg #: LIC 000331 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)246 -6699.
Issued B • / / Permittee Signature: l(�(- , /44 4G571
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
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Mechanical Permit pip'lc�a ' FOR OFFICE USE ONLY •
C i � Tl t`�i" � � C �� Date Received
y ' Date/By: H
l !If CM Permit No.: ¢ /!!0 4 0
13125 SW Hall Blvd., Tigard, OR 97223 ( � `004 Plan Review /I
Phone: 503.639.4171 Fax: 503.598.1960 1 1(4 v / li 9 0 1 , l t� Date/By: y y� � Other Permit:
Ins ection Line: 503.639.4175
p Y O f TIGAR.,� 1,L Alf Date Ready /By: El See Page 2 for
Internet: www ^ci.tigard.or.us CIT G DIV1S1D� Notified/Method: Supplemental Information
BUILDIN
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_ r`s = t '(N firr dil WORK ", s: e` _?r =.��"'. ': ?�- ;r 4 `%COM MERC�IALFEE *-'SCHED.ULE -'U SE'CHECKL'IST.'
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ew 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.
7"' a::,� 9,;:.- w �;,'�._ - -;�;�- .�;a, - .r.,;�- :. -.� -,mm =•r.•.,�.� _ ;tea; . ,✓. °:::^ ,�,.., ? ' = Value:
` :
` r . ' CATEGOR `OFs }GOIVSTR1CTION ' , .. ,, , „ , e $ . / .
'RESIDE EQ - S FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ' •
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
'� °?rr `r," "x '� ;s „' "r•:*tf,'. ^:raxm.:r.: �;av;r,e.Ha O t .:z:s '! t§''e._:4, :.- :,i,' :....., r:, < ',,' - p;x1; ”, fie:
_„ �- <° .,�P _ = SITE F RIVIAI I 614 1ND_' LOCATION t =, j:,
� � �, , Heating/cooling
�� .� - 1 ���,R :�:� .mot '_„,- +�.��.�,:� ���_F .�. � a� 1;
Job site address: Air conditioning or heat pump
tl . "'—"^ A " � (requires site plan showing placement) 14.00
City/State/ZIP: :73:1 ■ , Fumace 100,000 BTU (ducts /vents) 14.00
^ `� i 1 Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project nam ' (5. / 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
n . ; ;. _ fTY: -haw ;-,�.:? t,a' '-. t ` 2,;` i .. ; ,:, .. , .:..:.. z a :a.°% �s >.sm_at ". .c t � `yt = Y.: :. g - .:7; M �k,.��:t i'i.
is 44 `t � ,DESCRI P, RrorOF' W ORKS , , n r4 : w ; Water heater 10.00
tc I 4TT ' r V /mod /ALMS a Gas fireplace 10.00
IifdKlJ Flue vent for water heater or gas
t , P f , \ A f ry It a i fr / fireplace 10.00
�►'T' ` l� / °Y1 [d w4I.1 t / Log lighter (gas) 10.00
l rt�P / Cr EN Wood /pellet stove 10.00
Wood fireplace /insert 10.00
.t:;; , = t;,:,:b :',x 3,n: a p -..: • +m.; Chimney /liner /flue /vent 10.00
`a, e r( PROPERT�X iblaR=:.Ii , %' "4.4 A,, ea:e ,,,. , .
,_ nr-, Ns u., -,,,t ,r,,,4:. .��iae?k x ,*/. .c ..,. a .,;, ,`< ,,,,,, ...a,,,,.,,,,a Other: 10.00
Name: X ),..4H `CJ , ���I,./ J Environmental exhaust and ventilation
Address: Po » (2...„„0 L7 9g • Range hood /other kitchen
equipment 10.00
City/State /ZIP: -4_12 y� a - 1 7 7 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone:) 6-9$ _ 7 4 , n Fax: ( ) toilet compartments, utility rooms) 6.80
'�' . '? . "s `-a :rK a: �� .r,: r.�::e, � a ,s .. t;; L.^s„sar., .., & >. P '"' ..
a' ,= r ; ® rA�P " ? n ' i b '� Clg X si • .- ,r Attic /crawlspace fans 10.00
' t'. s 1 ,a„.,, ,,, .� , ,,,, '%,- t ' ` C OlYTA G_ T_ ). - P ER SO N '; ,°
AIE 1 Other: 10.00
Business name:
1 Fuel piping
Contact name: 43N MC4i1,..1 L $5.40 for first four; $1.00 for each additional
�
Address: ' SE t �1 ,0� �� "- Fumace, etc.
l � � 7 Gas heat
City/ /ZIP rl.,� 1 0 Wall/suspended/unit d /unit heater
Phone: )49,211:. LIC Fax: : (ZZ ) D ,°7 Water heater
Fire
E -mail: �l�
r�,( �,r'fh\'' P : 1 Range
s�k �r °��',<_�: _;$�;;, � �. <a�w�� �,; -_ .���_� :sir <'� � . > �= °�1 '��.:,r. �_� .,.. �;
li � ,' W �r s'? G ONTRAGTORt ^ �; 5 ' t ; an 4 „:, Barbecue
Business name: � j 1 / ) N� Clothes dryer (gas)
It
pi delo �- ) Other: , -,.
` �;��` =.'?�.��.- a
/ � ��2- ; � J �;, 3 �.�zMEC$A`N1CA L �PERiVIT T `FEE I`
Address: ,; - -
City/State/ZIP: � �d / co , = .. Subtotal I/4 /g /D
Minimum permit fee ($72.50)
Phone: () -- Fax: () Plan review (25% of permit fee) /AO, 5 J
CCB lic.: ` 3 (C� s State surcharge (8% of permit fee) r
cc..��++ )1\ TOTAL PERMIT FEE , M - This permit application expires if a permit is not obtained within 180
Authorized signature: C IL I A + " ' days after It has been accepted as complete.
Print name: , G l Date: /e .0 0 ` Fee methodology set by Tri- County Building Industry Service Board
l
i:\Bui lding \Permits \MEC- PermitApp:doc • 12/03 440 -4617T (1 I /02 /COM/WEB)
CITY OE TIGARD
BUILDING DIVISION PERMIT #: MEC2004 -00728
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2005
Phone: (503) 639 -4171 nspection Requests (24 Hrs.): (503) 639 -4175 Jiritilisi __..
INSPECTION WORKSHEET FOR DATE: 6/312006 TIME: 7:14AM PAGE: 64
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ANDRUS
DESCRIPTION: Mechanical work for new office building. Shell only HVAC, rooftop units, base supply & return air
ductwork, smoke detectors. Val. $25,560.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 "598 -3440
CONTRACTOR: AMERICAN HEATING INC PHONE #: 603 -239 -4600
Inspection Request Scheduled For: Date: 6/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 006947 -02 503 -672 -4608 Y
Corrections /Comments /Instructions:
4.
Wir
711/ . f ilir-=t`
1
r
PI/ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: of' i Date: ✓ Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2004-00728
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2005
Phone: (503) 639 -4171 i hilik l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/3/2005 TIME: 7:14AM PAGE: 67
SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ANDRUS
DESCRIPTION: Mechanical work for new office building. Shell only HVAC, rooftop units, base supply & return air
ductwork, smoke detectors. Val. $25,560.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503598 -3440
CONTRACTOR: AMERICAN HEATING INC PHONE #: 603 239 - 4600
Inspection Request Scheduled For: Date: 5/3/2005 Pour Time:
Code Inspection Description Confirm # Contact # Message
635 Smoke detector shutdown 005947 -01 503 -572 -4508 Y
Corrections /Comments /Instructions:
r
•
'---- 6'1\ f C151 " I
p P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CAL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 1 \ / Date: 3 41 ° "hone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200400728
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/19/2005
Phone: (503) 639 -4171 a �v "�dn1i 4,
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' : � '' L .
INSPECTION WORKSHEET FOR DATE: 3/16/2005 TIME: 7:11AM PAGE: 61
. SITE ADDRESS: 07157 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 003 TYPE OF USE:
PROJECT NAME: ANDRUS
DESCRIPTION: Mechanical work for new office building. Shell only HVAC, rooftop units, base supply & return air
ductwork, fire/smoke dampers, smoke detectors. Val. $25,560.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 - 5913.3440
CONTRACTOR: - PHONE - #:- -
•
Inspection Request Scheduled For: Date: 3/16/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 001896-01 503. 572 -4508 N
Corrections /Comments/ Instructions:
! (., •
corL „--/ V__.A;°5:F IIP e.,- 0
j jj elk cg? ' S /&7- -
.
n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL \CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: _ Phone #: (503) 718-