Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00262
TIGARD 1 , 31 1 25 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/8/2007
PARCEL: 25101 AB -01604
SITE ADDRESS: 07307 SW BEVELAND RD 100 ZONING: MUE
SUBDIVISION: GILROY BUILDING LOT: 016 JURISDICTION: TIG
PROJECT: TIGARD OPTOMETRICS
Project Description: New furnace and duct work. $13,000
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:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: 1 <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
BEVELAND LLC Description Date Amount
7307 SW BEVELAND RD
TIGARD, OR 97223 [MECH] Permit Fee 5/8/2007 $272.00
[TAX] 8% State Surcha 5/8/2007 $21.76
Total $293.76
Phone:
Contractor:
SURE FLOW HVAC INC.
16209 SE WEBSTER RD
MILWAUKIE, OR 97267 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 653 -1636
FAX 503 -513 -5344
Reg #: LIC 109777
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and .II other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started in 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules a ►.pted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You m. obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: iy
Call 503.639.4175 by 7:00 a.m. for inspections that .u• idess day.
This permit card shall be kept in a conspicuous place on the job site unti completion of the project.
Approved plans are required on the job site at the time 0 each inspection.
Mechanical Permit Application �O s t ; e * A `FOR USE ONL ada2q ,t it ' 1 r� , , • ,,,.:,;;!;.11
rrr �' Received - .. r
j Clt of Tigard , f � Date/By: 'J g a / a 6 Pernik NO .. at e(JZ(c 2,•
13125 SW Hall Blvd., Tig O R 97223 P lan Revie
7, Phone 503.639. Fax: 503.598 1960 1 Other Permit.
DateBy:
t ; Inspection Line: 503.639.4175
T' G A R D , Note Rd o: See Pent fnr
' ,_ . Internet. www.tigard- or.gov Notified /Met Method: Supplemental Wormatiou
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
E construction performed. Indicate the v. .e r• nded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, , ipment, abor, overhead, and profit.
- CATEGORY. OF CONSTRUCTION • ` . ' • Value: /3 a.Qr
dwelling
' RESIDE • EQUIP' Ni' / SYSTEMS FEES *' -
❑ 1 -and 2-family g [Commercial /industrial ❑ Accessory building
❑ Multi family For speciarrnformation use checklist.
❑ M aster builder ❑ O ther: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 73 0 V e/ � Air conditioning or heat pump
r l , // (requires site plan showing placement) 14.00
7`i ./, d S' W 97
City /State /ZIP: � / e Z 2�3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: - Gas heat pump 14.00
Cross street/directions to job site: fan2b DI r elif q f Duct work 14.00
7.2-,`' W O / / 7 / /, Hydronic hot water system
J i 14.00
r! l7 / 0)/i (ie G lit CC{{ l G{ 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
DESCRIPTION OF WORK • ' • • . . , Water heater 10.00 •
Gas fireplace 10.00
Ac-haki ii CO / — / Flue vent for water heater or gas
/149r�( i V 9O �u /4OI lie 4 / du e— " fireplace 10.00
Log lighter (gas) 10.00
W O t K Ct c 0 rd l yi• To fi AP) fay- Q Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER - • ❑ TENANT Chimney /liner /flue /vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms, •
( ) toilet compartments, utility rooms) 6.80
0 APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other:
Business name: Ski-- C Q v j f �� C Fuel piping 10.00
Contact name: A i ,/ 0 D $5.40 for first four; $1.00 for each additional
D 2
Address: ( 0 g 5 F e b s-r e f U Furnace, etc.
Gas heat pump
/ W
City /State /ZIP: I ' + G 0 R .1 Z 06 Wall/suspended/unit heater
Phone: ( 5 r 6t 3 - (6 3,6 Fax:: (03 ) J 3 _ 3 ri v- Water heater .
E -mail: 1 Fireplace
Range
• CONTRACTOR • Barbecue
Business name: ✓ /4,e ! / 61/,4 c Clothes dryer (gas)
- -/^ Other:
Address: / -07 t it /e V S * �J f 1 x.0 - MECHANICAL PERMIT FEES*
City /State /ZIP: E=SL M I : DV f WA k. e 0 f + 17 w. Subtotal 11 VU _
/ /
Phone: (5v3) 6 5 3 - /6 37� Fax: (4 3) 67 3-5-3 ' y Minimum permit fee ($72.50)
review (25% of permit fee)
CCB lie.: /0 9 7 7 i
,t1/...2.s..7.2.6,6 State surcharge (8% of permit fee) 1_
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: M h., .-�,.N Date: - o * F ee metethodolo set by Tri Bu mg Indu �, / rwice Board
C\Building \Permits \MEC- PermitApp doe 04/06/06 440 -4617T (t I /07JCOM/WEB) "J" �t ,^O"r' - , la r4 1(.0
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total Valuation: - °gin .1:: _ Permit
$ 1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
I PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2007
Phone: (503) 639 -4171 J 441 4 1R t lk Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/2/2007 TIME: 7:02AM PAGE: 8
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRI.rS
DESCRIPTION: New furnace and duct work. $13,000
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: SURE FLOW HVAC INC. PHONE #: 503 - 653.1636
Inspection Request Scheduled For: Date: 7/2./2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 061299 -02 503.793.2621 N
/
Corrections /Comments /Instructions: /�
M Y . ii- e( ,.,.6, / Li! "7 (c)
. (.1 ' V
7
1
i ,
p
I PASS pi PARTIAL APPROVAL XCANCEL I I NO ACCESS
FAIL ' CALL FOR INSPECTION ❑ ADDI IONAL FEES AS 'SSED
Inspector: Date: Phone #: (503) 718-
•
CITY OF TIGARD
•
BUILDING DIVISION PERMIT #: MEC2007 -00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8 /2007
Phone: (503) 639 -4171 ll�ti�f �l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/29 /2007 TIME: 7 :00AM PAGE: 53
SITE ADDRESS: 07307 SW 43EVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: New furnace and duct work. $13,000
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: SURE FLOW HVAC INC. PHONE #: 503- 653 -1636
Inspection Request Scheduled For: Date: 6/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051169-01 503- 793 -2621 N
Corrections /Comments /Instructions:
•
I I
"rA PASS n r ' AL APPROVAL I I CANCEL ❑ NO ACCESS
1 FA • / W L FOR INSPECTION ❑ ADDITIONAL F ES ASSESSED
Inspector,: Date: / Phone #: (503) 718=
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2007
Phone: (503) 639 -4171 /omd+ i i,p�l� i ,�
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.._. W 12.
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: New furnace and duct work. $13,000
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: SURE FLOW FIVAC INC. PHONE #: 503 - 653 -1636
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough - in 051043 - 05 503 - 793 - 2621 N
Corrections /Comments /Instructions:
- DI ti ' f
PASS ' PA IAL APPROVAL n CANCEL ❑ NO ACCESS
n I I ' . • Fi INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: I 4111111 Date: Z 6 Phone #: (503) 718- Z.
7'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/8/2007
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 -
INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 9
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: New furnace and duct work. $13,000
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: SURE FLOW HVAC INC. PHONE #: 503 -653 -1636
Inspection Request Scheduled For: Date: 6/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. inspection 051043 -04 503 -793 -2621 N
Corrections/Comments/Instructions:
r �
R
I I PASS 2 P' RTIAL APPROVAL ••CNCEL I I NO ACCESS
Il FAIL • Cr FOR INSPECTION Il ADDITIONAL FEES ASSESSED
•
Inspector: _ ` Date: t' 2 ► Phone #: (503) 718 -
4
CITY OF TIGARD , 0 t,
BUILDING DIVISION PERMIT #: MEi•2007 00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/ 007
Phone: (503) 639 -4171 � � ���Cf�
Inspection Requests (24 Hrs.): (503) 639 -4175 .�2:� `:_..
INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7:01AM PAGE: 100
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: New furnace and duct. work. $13,000
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: SURE FLOW HVAC INC. PHONE #: 603-653-1
Inspection Request Scheduled For: Date: 5/11/2007 Pour Tim I
Code # inspection Description Confirm # Contact # Me age GA
6.5 Mechanical rough -in 048090 -04 503 - 793 -2621 Y
1Nj
Corrections /C m Instructions: �� �
-L, ' - . .-- 5--tk PASS 0 APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
V(;la---- CIL ( / cc
Inspector: Date. Phone #: (503) 718-
CITY OF TIGARD . , :
BUILDING DIVISION - PERMIT #: MEC2007 -00262
13125 SW Hall Blvd., Tigard, OR 97223 �i DATE ISSUED: 51812007
Phone: (503) 639 -4171 spfillI
Inspection Requests (24 Hrs.): (503) 639 -4175 __�
INSPECTION WORKSHEET FOR DATE: 51912007 TIME: 7:00AM PAGE:
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: New furnace and duct work $13,000
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: SURE FLOW HVAC INC. PHONE #: 503-663- 1636
Inspection Request Scheduled For: Date: 5/912007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 04792401 503.519 -4210 Y
Corrections /Comments /Instructions:
1\1.6
•
•
I I PASS ' - ARTIAL APPROVAL ❑ CANCEL Ill NO ACCESS
I/i FAIL % i . L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
0 0 Inspector: — ` ' 1■11.11► Date: t'' Phone #: (503) 718 - 2- C - 7 / y
I
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: MEC2007 -00262
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/812007
Phone: (503) 639- 4171�n�t +
Inspection Requests (24 Hrs.): (503) 639 -4175 `__
INSPECTION WORKSHEET FOR DATE: 5/9/2007 TIME: 7:00AM PAGE: 53
SITE ADDRESS: 07307 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: GILROY BUILDING LOT #: 016 TYPE OF USE:
PROJECT NAME: TIGARD OPTOMETRICS
DESCRIPTION: New furnace and duct work $13,000
OWNER: BEVELAND LLC, PHONE #:
CONTRACTOR: SURE FLOW•HVAC INC. PHONE #: 503 - 653 -1636
Inspection Request Scheduled For: Date: 5/9 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. inspection 04792402 503 - 519 -4210 N
Corrections /Comments /Instructions:
1--
> it C S c am - P (_ Sv Q
❑ PASS I I - IAL APPROVAL n CANCEL ❑ NO ACCESS
L FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: / Phone #: (503) 718 - Z--6/77.