Permit C ITY OF TIGARD MECHANICAL PERMIT
CI DEVELOPMENT SERVICES PERMIT #: MEC2005 -00276
� 13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171 DATE ISSUED: 5/26/2005
a v -
PARCEL: 2S101AB -01606
SITE ADDRESS: 07357 SW BEVELAND RD 100 ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT: 017 JURISDICTION: TIG
Project Description: New furnace & A/C unit, (2) bath exhaust & (1) fan for espresso area.Valuation: $7500.
CLASS OF WORK: OTR 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: 1 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: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
TOM CLARKE Description Date Amount
7355 SW BEVELAND ST
TIGARD, OR 97223 [MECH] Permit Fee 5/26/200E $130.00
[TAX] 8% State Surcha 5/26/200E $10.40
Total $140.40
Phone:
Contractor:
SURE FLOW HVAC INC.
16209 SE WEBSTER RD
MILWAUKIE, OR 97267 REQUIRED ITEMS AND REPORTS
Phone: 503- 653 -1636
Reg #: LIC 109777
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 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 Application , `L . a ' y FOR OFFICE USE ONL
City '
Received City of Tigard Date/By: y: '' I /� PemiltNo..7 !
��� q ►
13 125 SW Hall Blvd., Tigard, OR 97223 ��� Plan Review / Other Permit:
`
Phone: 503.639.4171 Fax: 503.598.19RECE � A tts0 � I,, tI Date/By: ��®
Inspection inc. L 503.639.4175 ei' Date Ready/By: ATP
Mil B See Page 2 for
Internet: www.ci.tigard.or.us ��" Notified/Method: Supplemental Information
�' : � €� ' a � r � as� z , « �* 3 . ,.:;.r, � . `� ' ° � "' u; '� ; ' i; �, ' V r�'.�.�.."�. ���ti� �' ". : >.v�:� »:.R:7�..<:u : r��. r�� °� '.'�°�'a ar;�x�� « - ..zm�.z
:, ='E , ti s �` a TYP O Q w ° w _COMMERCI AL::•,:F,EE* SE IIED, a i6 iCH'EC° is' ii,::
", ❑ New construction ®Add t�t�n(a tiafiar`Wp��m I N ent 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.
i t 'i+< „'ate= • ".:: �.z,,:: .:.>„ .`' c" jI ,"�' r;r. :� ^' ;'. ; .v�,_3f... aes g'ra'te ,nj , t%rrf.'° ". *:;.L;., ,T x - ' 1 Value: $ "F Cf�
C ' ' ..„: t�...` � c :CATEG.ORY °OE CO. s s t CTION � Wit l �€
'zk,.. ,..� .,. �.- �� �sE;r��ar.:: t:..eks..,.s 3s ass.va.r. z., �.. _ b,.,a�.r . :.�°.3n?•a�" a� �a �.. . k,. ,�,.�e=iett �cx �a ° - �ss :.�-e F : - _. , - ,
❑ 1- 2 dwelling i, 11=P N ¢ T / S ;EISIS
y g E Commercial /industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. Total
6 JOB' +SI rEINFORMA ION''AND LOCATIO >c g/cooling
�c:. �:,' �i, �y, _..a.'"a�:�;��.cFsas:�;. ° >��> � ..- _. �"..�.�.: r �,:t- �.�,r. v.<.n�, , ..._ �z. Imago
a`'
Heatin
Job site address: 72S— 7 l,/ -e e � e /' 1 J/ Air conditioning or heat pump
sT (requires site plan showing placement) 14.00
City/State /ZIP: �' 1 Q 972 2 Furnace 100,000 BTU (ducts /vents) 14.00
i � r r Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: / 7 s Project name: c 2 / e ,f7„ // ' Gas heat pump 14.00
Cross street/directions to job site: ! 7. � / 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
w. ' � ` tat ». "� !r« i '" D , 9 1, OF W 7 ` k 2 4 Water heater 10.00
/ Gas fireplace 10.00
A /P .14,A / /: vii a C G .-+- , �� apt r' / ✓ Flue vent for water heater or gas
// ' e7 /� 2 ' f '7.<- / fireplace 10.00
Log lighter (gas) 10.00
•'/ / 4 m / S O �---��� ,_ • - ` Wood/ sellet stove 10.00
Wood fireplace /insert 10.00
1,A b1 Chimney/liner /flue /vent 10.00
E: °, is � Y ,,. „.',` PROPF RT3�Q NER ® tl `T : '
rrt e �, r?a -:r�y,�:.. ,� ...,.�Y � � �a,,� ;.,,..� _ . ._ � .v.te l Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
rSAtit A 417! A ® ; G OIV TA T P-. . Attic /crawispace fans 10.00
!� / //� Other: 10.00
Business name: ��, - - // v/T Z. _r'l� - Fuel piping
P �P�
Contact name: e ,..._., / x,G 4 $5.40 for first four; $1.00 for each additional
Address: //Z d 7 4,...-- . ”' Furnace, etc.
Gas heat pump
City/State /ZIP: / /�Z u , t � . 97.c---7 Wall /suspended /unit heater
l ) /� 7� (% ) ` r j J ` { S � , ` Water heater
Phone: C? ��� J Fax:: � /
�` /' ,, Fireplace
E-mail: ft,, �� 7 //, 4..... __ �✓ Ce: ii,..; CGef� �f Range
:° . t e, :Jt.,I:, L, 'CONTR4CTbR� f� �- 4:s e ` Barbecue
Business name: Clothes dryer (gas)
e_
Other:
Address: ; .�,.x , •.:.e „''x :3.:�:
i °x: t ° CB:
City/State /ZIP: Subtotal 43” J
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee) 11.. V 0
TOTAL PERMIT FEE ! Va. y 6
Authorized signature: This permit application expires if a permit is not obtained within 180
d ays after it has been accepted as complete.
Print name: G ` , c Date: 5 20 * Fee methodology set by Tri- County Building Industry Service Board
1 :\Building\Permits \MEC- PermitApp doc 12/03 440 -4617T (11/02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total " 3 ' % y Permi , F ee ,i _ ; i. ii Ai: X ;..
$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.
17
V '
vi
I
i:\Building\Permits\MEC- PermitApp.doc 12/03 2
•
CITY. OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2006-00276
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/26/2005
Phone: (503) 639-4171 :2100 11)1\
Inspection Requests (24 Hrs.): (503) 639-4175 J. 1 :11 . ....
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: 7:04AM PAGE: 84
SITE ADDRESS: 07357 SW BEVELAND RD 100 CLASS OF WORK:
SUBDIVISION: CLARKE BUILDING LOT #: 017 TYPE OF USE:
PROJECT NAME: BEVELAND STREET COFFEE SHOP
DESCRIPTION: New furnace & NC unit, (2) bath exhaust & (1) fan for espresso area.Valuation: $7500.
OWNER: TOM CLARKE, PHONE #:
CONTRACTOR: SURE FLOW HVAC INC. PHONE #: 503-653-1636
Inspection Request Scheduled For: Date: 11/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 020053-01 503-793-2621 N
Corrections/Comments/Instructions:
•
/---
/ 1
y /
, irAtr, /
i ,.-' — . 1r _
,
\I ,
7 Ass n PARTIAL APPROVAL 7 CANCEL I I NO ACCESS
0 FAIL ( I CALL FOR INSPECTION fl ADDITIO AL FEES ASSESSED
b
Date: •
Inspector: / o ne #: (503) 718-