Permit C ITY OF T I GA R D MECHANICAL PERMIT
PERMIT #: MEC2008-00407
COMMUNITY DEVELOPMENT
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/8/2008
PARCEL: 1 S135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C -
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT: JURISDICTION: TIG
PROJECT: CORVEL
Project Description: Mechanical for tenant improvement. Valuation: $1,642.00.
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: 6 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:
CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: 1
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SHORENSTEIN REALTY SERVICES Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 8/8/2008 $72.50
[MECPLN] Plan Rev 8/8/2008 $18.13
[TAX] 12% State Surch 8/8/2008 $8.70
Phone: 503 -412 -4800 Total $99.33
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.
�
Issued By ✓� M A-fl° C S Permittee Signature:
Call 1 39.4175 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.
rOd &-u. Grr-e/Viots(D eit -
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Mechanical Permit A e . licatibj -.., , k r . ,..',"" ' '. FOR OFFICE USE ONLY - *. • . ': : - ' . ,
-
City of Tigard Received
,, .. Date/BY. 0 flo!.-r- 1 111.1101.11 •
. A J.,
LY. Permit No.: J,,
13125 SW Hall Blvd., Tigard, OR 972 dip'' . _ ci villi,t\ • Plan Revie - I'D ( IE
Other P mit
• Phone: 503,639.4171 Fax: 503.598.1 .0' , ‘- ' Ca 1. ,94 er;
Date/By:EN
Inspection Line: 503.639A175 ‘;.,\\ `)- `144 4 ;,I..r3 Da ) (7
te Ready/By: luris: 0 See Page 2 for
Internet: www.ci.tigard.or.us 4 "' Notified/Method: Tp.{ supplemental Information
V,Vail:'!')..74:ii,tiiii,1411i ',t i C.il,i0!ii*itjWilp---7-71.?sir'T'''..i,N.,,ii :4iid6fS;M:idi&i:;AWkditti.i501t,. ;! ;-,;;, ' PSE(k•EOWST . .
,.,,,,,,R:-. v -,,,,. t ,ealf,mamA.e...nk-!,1 . ;k9;:tv' , 1 ,. :7'x . -: ,.,,, fi%rr .,,,5,, .:; '1%-' -.., -- - ,! . ' , - -- " '" ' . - •
0 New constructon Additionttelation/replacement
' *
Mechanical permit fees are based on the value of the work
Performed.Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor overliead, and profit.
ggaraagj.Unttgg,„ti Klat0,71W00,".i4r`WV'MV06:"4: • 1 • • •
.. ' "I.RtSiDENTFAZTAOOPPIONT7 SYSTEMS FEES*
0 1- and 2-family dwelling Nii Commercial/industrial 0 Accessory building For special information use checklist
0 Multi 0 Master builder 0 Other:
Description I Qty. I Ea. I Total _
IMITINE-IliritteltIMMEN,SMONWHIAMMara Heatin We" 1 in g -
Air conditioning-or heat pump
Job site address: i 6S 0 Sib a Nj2 e C (requires site plan showing placement) 14.00
City/State/ZIP: — CI o ard- , 0 ‘L . Furnace 100,000 BTU (ducts/vents) 14.00 .
Furnace 100,000+ BTU (ducts/vents) 17.90 ,
• Suite/bldg./apt, no.: ,t 5 1 Project name: CIN qe_,\ a Gas heat pump 14.00
Cross street/directions to job site: i r
• k..._41 Duct work 1400
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: 1 Lot no.: . ,
Other: 10:00
Tax map/parcel no.: Other fuel appliances
___--11:,---REP,AgnienitaNSOMEN,-aoMfaRlieffia Water heater
Gas fireplace 1000
10.00
MaRalingw,i-MINIP,04101K-tissAimiksw-Y-ettA,MOTAW ,,em Ve-gi'A',Fdlagafiffr AV WV-
(; C,k \ afq `f 6-61_ ci 4 (3. • ou . Flue vent for water heater or gas
C ) ,,(. Lle,s , (2iNoca.:u -r-Sk-ct.A- fireplace
Log lighter (gas) 10,00
10.00
Wood/pellet stove 10,00
. . Wood fireplace/insert 10.00
•• m, • , y , , ,,- ; , ; ,,, ,- ,4 1 , , , - -., , ' , u , ov . - 4 , - r 04 ,■■■, Chimney/liner/flue/vent 1000
. ttliggit OSPOr e 'V,S6V4, 'L'-; 1 '4 141 r ,t 2 , Pr.09 I ht"0" , . At0:1`;e I I 10.00 I
. .06.1 Rum :.. L ', , , ,,,,,, 0 , , , kv,,,,,n,,:t,v,,,;1A o t h er:
Wile! _ _ _ 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
DifilP: fillg16110,111L,451:.,;f4:akf,,,WICiallti:MiNk AtticicrawlsPae fans 1000
l Other: 10.00
Business name: airiv2, ( .a..4._., (1 mr , .
Fuel piping
4 _4 .. __ 3 1
Contact name: Oak_ Ka, _fft •_ ). $5.40 for first four; $1.00 for each additional .
.
Address: 1 'nq S.E,, 6 t () 9 , Furnace, etc.
Gas heat pump .
City/State/ZIP: - iia
. a c c-D-- . • Wall/suspended/unit heater
I
Phone: (5) 214(000 i Fax: : ( 6I 2q._703S, Water heater , -
Fireplace
E-mail: Range
"1"0115'1',MVP)k 741 ' ' ' ',ie ' 31 0?IF 1' .'"VAEL-740.8Mitte Barbecue
.• - o, - ' .i. • •Ae , ' , .1 1 a - 4 ,1 .e. - o .. ‘,,i, z, wt. : t.I
Business name: Pk CCLa -0 _L ( Clothes dryer (gas) . •
Address: I ' S cl.a015)-(1 ski t or mi lot*twomommimo;;. , ,,, .„ „
City/State/ZIP: e,--.{ (4 12__ Ca Subtotal
( Minimum permit fee ($72.50)
Phone: (f ( 6 0 Fax: (alp)) Plan review (25% of permit fee)
CB lic.: - \,._;- State surcharge (8% of permit fee)
• TOTAL PERMIT FEE
. • .6.112----)1
Authorized signature: t::: (L6(- This permit application expires If a peerrilt is not obtained within 180
days after It has been accepted as complete.
I Print name: `P rY1 PA.../2 TT , GI. 0 v /, Gyi Date: S--A4 k i‘ . Fee methodology set by Tri-County Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200W.00407
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2006
Phone: (503) 639 -4171, y AL
Requests (24 Hrs.): (503) 639 -4175 s
INSPECTION WORKSHEET FOR DATE: 9/3/20013 TIME: 7:01AM PAGE: 49
SITE ADDRESS: 10200 SYd GREENBURG RD 150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CORVEL
DESCRIPTION: Mechanical for tenant improvement. Valuation: $1,642.00.
OWNER: SHORENS'TEIN REALTY SERVICES, PHONE #: 503 -412 -4800
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-2394600
Inspection Request Scheduled For: Date: 9/3/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074898-02 503-780-3222 N
Corrections /Comments /Instructions:
4 -1. % PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
AIL a CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: S 178 Phone #: (503) 718- 7//2
110
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M C2008 -00
13125 SW Hall Blvd., Tigard, OR 97223 -0 DATE ISSUED: 8/8/2008
Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/2812008 TIME: 7:O0AM PAGE: 45
SITE ADDRESS: 10200 SW GREENBURG RD 150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CORVEL
DESCRIPTION: Mechanical for tenant. improvement. Valuation: $1,642.00.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503 - 412 -4600
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503- 233.4600 •
Inspection Request Scheduled For: Date: 8/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 074762-02 503-780-3222 N
Corrections /Comments/ Instructions:
tom- an -
11
❑ PASS %) PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
e lPIP 1111 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ 4811! Date: g .Qe Phone #: (503) 718-
•
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MFC2000 00 07
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8 /2088
Phone: (503) 639 -4171 , j
Inspection Requests (24 Hrs.): (503) 639 -4175 ° „ i i "' ' II �� it'
INSPECTION WORKSHEET FOR DATE: 8/11/2008 TIME: 7:t]1AM PAGE 13
SITE ADDRESS: 10200 SW GRF_ENBURG RD 150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: CORVEi
DESCRIPTION: Mechanical for tenant improvement. Valuation: $1,642.00.
OWNER: SI-IORENSTEIN REALTY SERVICES, PHONE #: 503 - 411 - 4800
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239 -4600
Inspection Request Scheduled For: Date 8/11/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 074016 -01 503- 2014389 N
Corrections /Comments /Instructions:
i AV
' /PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ri CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ —
8il
Inspector: `�� Date: Phone #: (503) 718 -