Permit .\ • CITY OF TIGARD MECHANICAL PERMIT
IA DEVELOPMENT SERVICES PERMIT #: MEC2006 -10043
^' L'i, DATE ISSUED: 3/23/2006
,° 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 190 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Relocate (2) thermostats, (2) supply diffusers & modifyducting.
Project Value: $2,078
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: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300 [MECH] Permit Fee 4/5/2006 $74.80
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 4/5/2006 $5.98
Total $80.78
Phone:
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97220
Contact #: PRI 503 331 - 0234
FAX 503 - 331 - 6906
Reg #: LIC 40981
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 B : ► \ /�/4 �lJ .f'�.Y P Signatur Q ,. /.•1 �j
i
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busines • ay.
This permit carrel 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 USE ONLY
City of Tigard Received
i ,93 G G Permit No.: Ht , - /t i
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 A, Plan Review
Date /By: Other Permit:
Line: 639.
Inspection 503.639.4175 1 Pohl
Internet: Line: 5 .639.1 .. Date Ready /By: fur s: See Page for
g Notified /Method: /TIC. Supplemental 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: $ $2,078
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description p Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 10300 SW GreenBrg Rd. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Portland, Oregon 97223 Fumace 100,000 BTU (ducts /vents) 14.00
Fumace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 190 Project name: Mobil Solutions 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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Relocate 2 Thermostats, relocate 2 Supply Diffusers Flue vent for water heater or gas
Modify ducting to new tenant improvement plan 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: Mobil Soultions Environmental exhaust and ventilation
Address: 10300 SW Greenburg Rd., Suite 190 equip Range hood /other kitchen
pment 10.00
City/State /ZIP: 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Earl Salsbury $5.40 for first four; 51.00 for each additional
Address: 12021 NE Airport Way., Suite G Furnace, etc.
Gas heat pump
City/State /ZIP: 97220 Wall/suspended/unit heater
Phone: (503) 331 -0234 Fax: : (503) 331 -6906 Water heater
Fireplace
E -mail: earls @mckinstry.com Range
CONTRACTOR Barbecue
Business name: McKinstry Co
Clothes dryer (gas)
Other:
Address: 12021 NE Airport Way., Suite G MECHANICAL PERMIT FEES*
City /State /ZIP: 97220 Subtotal
Phone: (503) 331 -0234 Fax: (503) 331 -6906 Minimum permit fee ($72.50) 7 . ice)
Plan review (25% of permit fee) r�
CCB lic.: 40981 State surcharge (8% of permit fee) S.�]i5
TOTAL PERMIT FEE go, g
This p ermit application expires if a permit is not obtained within 180
Authorized signature: ( L L _.___ f : . ; — '
days after it has been accepted as complete.
Print name: Earl Salsbury Date: March 22, 2006 * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC - PermitApp.doc 12/03 430 -4617T (11 /02 /COM'WEB)
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I' CITY OF TIGARD /n) --C_
BUILDING DIVISION PERMIT #: DO
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 AA,
Inspection Requests (24 Hrs.): (503) 639 -4175 ,..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 306 R CLASS OF WORK:
SUBDIVISION: L• #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 L,/ -, 6 6 Pour Time:
\ .- , Cod # Inspection Description Confirm # / / Contact # Message
(099 VY 33/ -D-q(5
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Corrections /Comments / Instructions:
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L ASS U PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL • CALL FOR INSPECTION ❑ ADDIT ONAL EES ASSESSED
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Inspector: AWAI Data Z C --) Phone #: (503) 718 - 2 C
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