Permit 110! I�° T1 GA ` MECHANICAL PERMIT
°= COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00447
aFw ,Al, DATE ISSUED: 7/23/2007
TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
Ti ard
to tikt,p .qi g PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 417 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: FUJITSU
Project Description: Install water source heat pump and ducting for server room. Project Value: $2,985
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
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 7/23/2007 $95.50
[TAX] 8% State Surcha 7/23/200 $7.64
Total $103.14
Phone:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
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.
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Issued By�/ E c/
� Permittee Signature: xx
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 FOR OFFICE•. lash ONLY
City of Tigard Received ty 7 ,3 p 7 la PermitNo.: H 7 4 t17
• 13125 SW Hall Blvd Tigard, OR 97223
Phone: 503.639.4171 , Fax: 503.598.1960 Plan Renew
DatelBy: Other Perme:
T I G A R 1) Inspection Line: 503.639 Date Ready/By: ^ . H See Page 2 for
. Internet: www.tisard- or.gov Notified'vtethod: id-- Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction ® Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 2985.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
0 1- and 2- family dwelling Zi Commercial/industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. I Total
`O SITE INFORMATION AND LOCATION Heating/cooling
Job site address: SW Greenburg Road # 417 Air conditioning or heat pump
(requires site plan showine placement) 14.00
City/State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 417 Project name: Fujitsu Server Room AC 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Ttx map /pRreel_no : Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Install a 1.0 ton Carrier Horizontal Water Source Heat Pump and all related duct Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Sorenstien Environmental exhaust and ventilation
Address: 10720 SW Greenburg Road # 417 Ran equipment 10.00
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT 0 CONTACT PERSON Attic/crawlspaoe fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: Robert J. Smith 55.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: American Heating, Inc Clothes dryer (Ras)
Other: I I
Address: 1339 SE gideon Street MECHANICAL PERMIT FEES*
City/ State/ZIP: Portland, OR 97202 S ibtdt %---• 50
Phone: (503) 239 -4600 Fax: (503) 239 -7038 Minimum (25% fee ($72.5)
Plan review (25% of permit fee)
CCB lic.: 33135 State surcharge (8% of permit fee) 7, (o
TOTAL PERMIT FEE /D3 • / T
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
CITY OF ��m w w ��n� n on�u������
BUILDING DIVISION PERMIT #: MEC200700447
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/230007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: • 7/31/2007 TIME: 7:O7AM PAGE: 60
SITE ADDRESS: 10220 SVVGREENBURGRQ417 CLASS OFWORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 005 TYPE OF USE:
PROJECT NAME: FUJITSU
DESCRIPTION: Install water souice heat pump and ducting for server room. Project Value: $2,905
OWNER: EQUITY OFFICE PROPERTJES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503'239.4600
Inspection Request Scheduled For: Date: 7/31/2007 Pour Time:
Code# Inspection Description Confirm # Contact # Message
699 Mechanical final 053048-01 503-209-0555 • N
Corrections/Comments/Instructions:
PASS 111 CANCEL r - l N(]ACCESS
FAIL ALL FOR INSPECTION ADDITIeNAL FEES ASSESSED
`x� / ` Z-6/7
=
. Inspector: Date: ��)` ^~ Phone #: (503) 718-
.. . .