Permit CI TY OF TIGARD MECHANICAL PERMIT
4
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00067
IL DATE ISSUED: 2/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: HVAC modifications. Relocating grills and sensors, add H2O source heat pump & fan powered box.
$4579.00
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: 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:
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 [MECH] Permit Fee 2/1/2006 $132.30
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 2/1/2006 $10.58
Phone: Total $142.88
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
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: I� I Permittee SignaturL
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 Perm'; ,;f 1 e ‘ ' . FOR OFFICE USE ONLY "
" , _ _ ' ,, /
City of Tigard Received
Date/By/ ( (;)& L�.'/1 PernuiNo.r/`C v -00 /1
13125 SW Hall Blvd., Tigard, OR 9L7�R Plan Review Other Permit: '""' /
, •
Phone: 503.639.4171 Fax: 503.5 8X60 0 3 2006 //6i+ I'p e 5 ,t\ Date/13y: Inspection Line: 503.639.4175 U ■ �,�,. fI Date Ready/By: Juris: /// El See Page 2 for
Internet: www.ci.tigard.or.us C)TY ..re,... Notified/Method: �/ b Supplemental
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❑ New construction Addition /alteration/replacement
Mechanical d. Indicate it fees* are based de the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: • mechanical materials, equipment, = lab, overhead, and profit.
'm:•.HH v: . z ,;. ;:- IG : .:, it Y Wit:.,: ;'fix,:- rH;; ;, = Value: $ es-7 £ O
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❑ 1- and 2- family dwelling 'Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
, ,: a,. h, 4 •,, sa ps: . v.-; - < +'•. _ •: j ,-i= .F 'r
':'h +'.ni *;;.i;- 'da't:.r,.S'. '::!.i "' s ,. .;;: , . j `'„Y,:�g ,. .r' s r; : . :, s�
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t`Fr � y f, „'�l.y,:�`SYr�i,(;:1�f :7 ^ k M �� i� '� � V ::Srvy, )5FY'.L.�ii::a. :.,i.,. �. r... .• •.. ., ^
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tgconditioning epla tp ump
Job site address: / �� �CCC�'� (requires site plan showing placement) 14.00
City/State /ZIP:' . a d 2Z Furnace 100,000 BTU (ducts /vents) 14.00
r. � Furnace 100,000+ BTU (ducts /vents) 17.90
Suite Idg. /apt. no.: /57) Project name, 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.: 10.00
Other:
Tax map /parcel no.: Other fuel appliances
;P:,Br*.c..,,`r kG . i ,�;, ; �•: s ,, . � 'rra:'rrii d ;:rr,FUw?m'7�±` - +a,.-•.:, saoiaw-:"e.wSYt£'>,': =:'r !.';f;: ��iSi�r'.'•.fi` "n :' kiir,i. #g=i?'i'"rW.0 Water. heater 10.00
+ z �s�.�'a��.�rsnl..tt�` '�`' "� %,, Q ���,'�;? -i�i i t t �� ��?n i �•. ,�,.
'r d ='" , :.�.1 to l ✓�a' til MFr?±J. ':.f- I i:,,, ..+1w :�Qp - 's . '.ry +, kt � , `":.�'' f" ;l2;
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f? f / •.Dr�1 p F7P? I s^ Q 7iviewi Flue vent for water heater or gas
6)e, fireplace 10.00
1 .S ✓..,-,. 0 4e'I €€ .4 Log lighter (gas) 10.00
re JO C a - 1 l a5 u s t .5 E 5ut S Wood /pellet stove 10.00
J �� Wood fire /insert 10.00
new H sa c heG+ pug.e + F4 ; 6 ..oc 10.00
„1,: elasr r':��n:.~� at•,� +,;:>,,.,, •fa'f,•f,n;a,: , •. -; iiiif ; -t ^t t:r s =:y *Z40101 0 Chimney /liner /flue /vent
('?,�r`��'t.. -� : t�'�;, i;(y" .. "`g,. r . �; s "��xlt�: ,,,�,y,, ,: " F $ � i'(s'• r �•; ��? �:'�EN� T Wti = >r ; '.L:��� �,��
A ?e , t : t :;,BROPF�RtTY .OW x ?;:,:!) u rtxai . ,t N10e 0, l. sa; 4-:ra'sN:Li. ,,• :. _. •.1ai: Other: 10.00
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Name: 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
al ;:s;el " date - .,�, .,,; tr;l• `•t: %,, „�:.- arA,2�aez=•r; µ•' „rtvg;'s : :',ri it Attic /crawls acefans 10.00
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_ ... ., . ,.., k:. Other: 10.00
Business name: A ,77e4r,/�CGm / t4 / X 1 ,r,, Fuel I to
P k
Contact name: � �� + �„� $5.40 for first four; $1.00 for each additional
.- - Te Furnace, etc.
Address:
,��.►.,,� 9 J � � � � Gas heat pump •
City/State /ZIP: sl--f /�;_ Wall /suspended /unit heater
Phone: ,S:ag,) Z39_4/600 Fax: : 4s222 ) 2 ,p3.0 Water heater
Fireplace . •
E -mail: Range
y ,',.. > r . ,!.- e e S r'�"' r . � "`i ;`ce •';;3 "i'`>u' §�a' ^.iv. r '.' 45 ::+.ir.',4S7r„ Ali' rvt,+ a s� v z• r., .. , . �4r ,t� a'c"il��•Si "- ' ':" ±'°s '+''+�i
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Clothes dryer gas
Business name: � . .. ^f � r Q � �, Other:
Address: LL , .. . , .-
/ 33 9 / /�/ �I /r , � T r 3z`; .� w; y, =;. C$ E ERMI fES*
S V V / Gi { /,/ 'e :•F��i�y5s11i�i °u.:�, i�91:•:tt.0 'i: iELA,�C4,rv.;•{dh,c, • Y �i.f. :< .. ,.:.
City/State /ZIP: ` fib / C{j- ) t.i e/j Subtotal i3,
,��+•, Minimum permit fee ($72.50)
Phone: 3) - V5 77 Fax: ( -
) e. -.739 Plan review (25% of permit fee)
CCB lic.: 3 13/ State surcharge (8% of permit fee) 0 a
OW: TOTAL PERMIT FEE • J a.
r � This permit application expires if a permit is not obtained within 180
Authoriz Signature: da aft I t has been accepted as complete,
Print name: 0 Date: 6 * Fee methodology set by Tri -County Building Industry Service Board
..YO..:t,;., AMP('- P.rr.,it Ann rine 12/03 440- 4617T(1 I /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200,&00067
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 211i2006
Phone: (503) 639-4171 zr
eAm A i r1,
i oi i '
Inspection Requests (24 Hrs.): (503) 639-4175 IL
INSPECTION WORKSHEET FOR DATE: 2/6/2006 TIME: 7:02AM PAGE: 60
SITE ADDRESS: 10200 SW GREENBURG RD 160 CLASS OF WORK:
SUBDIVISION: LINCOLN CEI4TER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: FIVAC modifications. Relocating grills and sensors, add H20 source heat pump & fan powered box.
$4579.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503•239
Inspection Request Scheduled For: Date: 21612006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 026300-03 503- 780-3222 N
Corrections/Comments/Instructions:
f*
NJW
.. 40.11-wry
e '-- . ' - )
......„
PASS PARTIAL APPROVAL 0 CANCEL n NO ACCESS
n FAIL fl CALL F07 INSPECTION fl ADDITIONAL EES ASSESSED
_. t ,.. .
, i
.„ 0 ,. zf-7.3
Inspector: • Date: Phone #: (503) 718-
CITY =OF TIGARD •
BUILDING DIVISION PERMIT #: MEC200&000 7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 211 /2QI)j
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ,���
INSPECTION WORKSHEET FOR DATE: 216/2006 TIME: 7 :02AM PAGE: 61
SITE ADDRESS: 10200 SW GREENRURO RD 160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN . LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: HVAC modifications. Relocating grills and sensors, add H2O source heat pump & fan powered box.
$4579.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 603. 239 -4600
Inspection Request Scheduled For: Date: 216/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
620 Hydronic piping 026300 -02 503 -73222 N
Corrections /Comments /Instructions:
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL n CALL FOR INSPECTION ❑ ADDITI t NAL F. ES ASSESSED
Inspector: 41111 OAP Phone #: (503) 718- ZA--z--3
CITY, OF TIGARD
BUILDING DIVISION PERMIT #: iViEC2006-00067
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/1/2006
Phone: (503) 639-4171
nn
Inspection Requests (24 Hrs.): (503) 639-4175 J . l
INSPECTION WORKSHEET FOR DATE: 216/2006 TIME: 7: MANI PAGE: 62
SITE ADDRESS: 10200 SW GREENBURS RD 150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FIELDSTONE MORTGAGE
DESCRIPTION: HVAC modifications. Relocating grills and sensors, add H20 source hed pump & fan powered box.
4579.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-2394500
Inspection Request Scheduled For: Date: 2/6/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
615 Mechanical rough-in 026300-01 503-700-3222
Corrections/Comments/Instructions:
.air..111
fl PARTIAL APPROVAL fl CANCEL H NO ACCESS
riFAIL I I
FOR INSPECTION ADDITIGNAL ES ASSESSED
- 11■ 4
I nspec r: Date: 6 W O Phone #: (503) 717423