Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00263
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
DATE ISSUED: 5/23/2005
PARCEL: 25101 AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD 3 ZONING: MUE
SUBDIVISION: BEVELAND LOT: 2 -3 JURISDICTION: TIG
Project Description: Ductwork, zone dampers, diffusers & grilles. Valuation: $11,500.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
ZIMMLER DEVELOPMENT LLC Description Date Amount
7115 SW BEVELAND ST
TIGARD, OR 97223 [MECH] Permit Fee 5/23/200E $168.50
[TAX] 8% State Surcha 5/23/200: $13.48
Total $181.98
Phone: 503 - 598 -3440
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Phone: 503- 239 -4600
Reg #: LIC 33135
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.
G
Issued By: � c/ Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections tha 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 ApplicapnrCEIV . - ED . . FOR OFFICE USE ONLY . . : ' . '
..,. _ .
City of Tigard Receiveds- ...., ,,....- . • ,., - ..,
a ---6 remut INC).. , ....,
13125 SW Hall Blvd., Tigard, OR 97223 iAN 2 2, 201 Date/By:
Plan Review - ••• •
Phone: 503.639.4171 Fax: 503.598.1960 r AO/400 \ Date/By: Other Perrnitri3L _2 a y- OS'? f
Inspection Line: 503.639.4175 o rry 0 ..„411„,.. Iv Date Ready/By: ME 10 See Page 2 for
Internet: www.ci.tigard.or.us • '' - Notified/Method: Supplemental Information
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ition/alteration/replacement Mechanical permit fees* are based on the value of the work
Add
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ 1 I MC eimawal
7;',:cA'Rps1R :,i-i .:.'':'--' ,,..„ .,. -,..,„ ,,,,„,„.._ ,, • ,,,„„„., „ „/„.,,,,,,,„..„ • . ,
's ' ' ' ' ' - - ' ' ' ' ' • :' ,, , ENTartQtfifsoNiri SYSTEMS FEES*
0 1- and 2-family dwelling C e ommercial/industrial [11 Accessory building
For special information use checklist.
1:1 Multi E] Master builder El Other:
Description Qty. Ea. Total
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RTKOt9.-.Wq1,%•PAINPAgg..aPalsh-:iugAi::;,-,-,'::,,,:..4.•,--? Heating/cooling
Air conditioning or heat pump
Job site address:7) i 7/ 8 SV NANO JR,C)A11■PAO 1 TI.- (requires site plan showing placement) 14.00
City/State/ZIP:m k memo 01 „
4 2 9 cr Furnace
64 ,1 2) Fuace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents)
I
17.90
'Suite/bldg./apt. no.: Project name:511A0 Z i g A,
Gas heat pump 14.00
Cross street/directions to job site: • Duct work 14.00
Hydronic hot water system 14.00
, 1 , Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
' in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: Lot no.: ,
Other: 10.00
Tax map/parcel no.: Other fuel appliances
R.EfiikinferiOX 0,4nVONtit5W s Water heater 10.00
-. ,,,,,, .v,.ply:•?
Gas fireplace 10.00
N IRKV le it''''ll:itA.C+4L9/7 POC.gkrg-t 2CILE Flue vent for water heater or gas
l fireplace 10.00
DAHWIS V If0991.5 i ti8 , Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
..: "` . " 3 . 0 = i ,' ,33333 7,4 0-'414AAWAIffliNiqi'firAfiWeirAMM:i, Chimney/liner/flue/vent 10.00
Mattai- III'S1';.rg';Z:4g::;'•-qM4.-_-,.,.,..4.:,....,,,11,-"i.itAl;-..,--
Other: 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address:
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms, •
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
''"'T'a0..'VWiiii'lr"'"r1&"'Na . kMV,PV , ,•.Iiozo - T,Trref; - f, - rigz - F s vx W.
A W Attic/crawlspace fans 10.00
P AI- - NsftI r V aiggiq0101i B.Ar!;fAL.,..wz'tA,:-, , ,,..:i-':''V'"!'*: '
Other: i 10.00
Business name: Amai 49Int41.1 I it•Z.,
c Fuel pping
Contact name: i<lo M C4.1 KU $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 13zei sE' A soresvra
Gas heat pump
City/State/ZIP: Thrrjk1/4 , CA , Cp ..,.,
/ . Wall/suspended/unit heater
Phone: (i8) ga9....t4en, Fax: : ( at:I.:7ms Water heater
Fireplace
E-mail: Range
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Clothes dryer (gas)
Address:
Business name: 144 Gneetl....) H.95fri wac .....
Other:
t sg a si : -• . - •
iteage:tnro„-:„:,,,,--..,::!,-T.-„,,,-,..„ ,.,,,,,,,,,,„,.,-,,,, • .,, , - 4.
City/State/ZEP:RWITO1/4,00 CA e Onc)-0a-•-. •
i Minimum Subtotal
permit fee ($72.50)
Phone: (aZ ) Fax: (1/42:0) 6 ...7
Plan review (25% of permit fee)
CCB lie.: .p. 6 .-- State surcharge (8% of permit fee)
TOTAL PERMIT FEE jy/, geY
i This permit application expires if a permit is not obtained within 180
Authorized signature: , , •
days after it has been accepted as complete.
Print name: 1,eGN\ 1.4Cel 1,3 t42 Date: 61p Fee methodology set by-Tri-County Building Industry Service Board
i \ BuildingTermits \ MEC-PermitApp.doc 12103 440-46 I 7T ( I 1/02/COM/ WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005.00263
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/23/2005
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/6/2005 TIME: 7:13AM PAGE: 57
SITE ADDRESS: 07117 SW BEVELAND RD 200 CLASS OF WORK:
SUBDIVISION: BEVELAND LOT #: 2 -3 TYPE OF USE:
PROJECT NAME: EWING FOLEY
DESCRIPTION: Ductwork, zone dampers, diffusers & grilles. Valuation: $11,500.
OWNER: ZIMMLER DEVELOPMENT LLC, PHONE #: 503 -598 -3440
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239.4600
Inspection Request Scheduled For: Date: 6/512005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 008516 -01 503 - 572 -4508 N
Corrections /Comments /Instructions:
ord■
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ALL FOR INSPECTION ❑ ADDITIO ,AL F S ASSESSED
Inspector: Date: ! v ✓ Phone #: (503) 718 -
•
Inspections Required for: MEC2005 -00263
✓ Code Inspection Description PASS Date By ✓ Code Inspection Description PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover
410 Fill 110 Temporary electrical service
415 Grading 115- Electrical service /reconnect
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG Structure set-up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling X 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final X 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection _ 635 Smoke detector shutdown
640 Exhaust hood
•
695 Misc. inspection:
X 699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
•
915 Fire alarm rough -in 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
• 995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 325 RP/backflow preventer
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation . 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \IVR \InspCard- AOP.doc 02/02/2005
CITY TIGARD MECHANICAL PERMIT
• 41 01 9 ,01 _ DEVELOPMENT SERVICES PERMIT #: MEC2005 -00263
;'4, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/2312005
PARCEL: 25101 AB -02201
SITE ADDRESS: 07117 SW BEVELAND RD ZONING: MUE
SUBDIVISION: BEVELAND LOT: 2 -3 JURISDICTION: TIG
. Project Description: Ductwork, zone dampers, diffusers & grilles. Valuation: $11,500.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
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:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
ZIMMLER DEVELOPMENT LLC Description Date Amount
7115 SW BEVELAND ST
TIGARD, OR 97223 [MECH] Permit Fee 5/23/200`. $168.50
[TAX] 8% State Surcha 5/23/200E $13.48
Phone: 503 - 598 -3440
Total $181.98
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Phone: 503- 239 -4600
Reg #: LIC 33135
•
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: 2/ Permittee Signature: � i
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.