Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00451
�' 11� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/21/2006
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: HVAC modification and T- stats. Less than 100' gas line and 1 outlet for fireplace.
Value: $7,775
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:
NAT 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 #300
PORTLAND, OR 97258 [MECH] Permit Fee 9/21/200€ $191.90
[TAX] 8% State Surcha 9121/200€ $15.35
Total $207.25
Phone:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
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: , . , �_ ��'� 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.
, .
( (t° , ® FOR OFFICE USE ONLY.
� Permit App i l ,,,m .
Mechanical
ReceivedA i Permit No.
City of Tigard Date/By: / 012 1 IA
13125 SW Hall Blvd., Tigard, OR 97223 SEP Zn� Plan Revie OtherPemut:
Phone; 503.639.4171 Fax: 503.598.1960 / /vmnlr� ' {'�,
DI , Date/By:
Inspection Line: 503.639.4175 CIT OF' `'f Date Ready/By:
www.ci.tigard.or . us Juri' See Page 2 for
BUI w I SIO Notified/Method: 1 Supplemental Information
LD InIG
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�' " Y �Mechanical perm fees* are based on the value o
❑ 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. _
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l<5��`fi.' fit?+ �> i; i^ geL�ta l% ru�? H a�•: �r:::. r,; ue�r: Y, ' 4~ •�rttr:• r. �„ W txtc'. r�!. N�Grtii ,'! ?s!ann��..,�,tt.,,.:.,� �,;;rl ,.:.. ,r �, � ,.... ,.. % �� /�S I"S T EMS FE
.� RESIL)ENfPIAZ'.���[)PP)VIEN
❑ 1- and 2- family dwelling commercial /industrial ❑ Accessory building For special information use checklist,
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
::�.;v:;y: r3' :to' i'B t'.:k +'ia1'nF.1JYr' '.:,Sk 'r,It;E5t89aCA : .yar• { Y3 Jrr !'t ,tur�'t�rtix�ttM.l jlE:^aCy:S� y':k.t } rtaF.91'. ! f:: i::t).i 'il'.'{r;�„t f l:Y:i ::, _
tG:, ;.r"+ l'1a#05� , 1 tl., p1,, t;c "' gli Orl wiAl�IDf}� (#�C'r T,1FOk�Ir si Heating/cooling
��-JI L' {I !Y(1V4,1M3.1Li'P.4' tit °tl S r F�� k' 11 ' A 3 + , !e, 1, ', � .1. % :i:;;` i., , 'a r
1 & t� • : Aihf4.s� .arfi ii Gk J Atif `!..m_a.3r�.;'r..rp„ ^,:,ik:hr {N'!)•.'S Itra: r!!v 4. h. Gi.- A�i ,•.vi:�.x.:S.y "3VU,..4,.v,: .�...' -.�
Air conditioning or heat pump 1400 Job site address: 10 as 0 a(�-1 �
Q(A,f, e i _ j (requires site plan showing placement) _
n J Furnace 100,000 BTU (ducts /vents)
Furnace 100,000+ BTU 14.00
City/State /ZIP: `� ��{�� ( 0 `� 1790 (ducts /vents)
' Suite/bldg. /apt. no.: 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 1000
Subdivision: l Lot no.: Other: • 10.00
Tax map /parcel no.: Other fuel appliances
Of ,. • .ra ", i ::, '�S.6r .} a 7riari'arx lm hem- 'war , i '$ � r�rtVfis ° AYw�?'� °t iffri' 2 WrP1 7 Water heater 1000
rr O th r.4 i ,4 a7l` l t. 6 B fit) � ° lt F F'1' t , r ll f7
-i >. l %1 l h *y�°Pti��nl:dF�i f:tp t 10.00 .
,.;;,;' I�'t{. �.d�Y['�1'rt�� Orr X : aa:,tt.L 1',� ;v � �v', � Ntrr /C. Gas fireplace
A lr fC 1M od 4' (Q - 4 _S46(5 . Flue vent for water heater or gas
V Y t 1 fireplace 10.00
Log lighter (gas) 10.00
0, 4014-4 � / Wood /pellet stove 1000 P01/14
Wood fireplace /insert 10.00
x ,,. , Chimney /liner /flue /vent 10.00
n e r� ; rr n 4:4.b, vT,�!IC1A nHrF'1 r:;� "YF '. nil . 1 �1 drtt ?2S�'jG 114 1 "' 9 '^e;.:s.•rr (', i; rk; . s P f °11 1
" j - ,rint d* �' `IV 6if<'��.1 i „ ;n > M " t c r 1, ' ' ' Vit ' {t ld 4,f . t l� i. r �t.�,�' �dfi ^ V " �" i ,o,,; r 10.00
�h144FAV• Zkc'r `IN1P , �1L 116 .F` 1 r; :" Vi rM)lS`aT'r t A15tl,4 1 r . Vi 'S G:� Other
buF.:m:, +.rh'p�4 • , ' '..0 7„ a bhul•+ ?dl,&.-. Vr ,
Name: Environmental exhaust and ventilation
•
• Range hood /other kitchen
Address: equipment 10.00
•
Clothes dryer exhaust 10.00
City/State/ZIP: Single -duct exhaust (bathrooms, '
Phone: ( ) r Fax: ( ) • toilet compartments, utility rooms) 6.80
s -:rs r .a : � 1 k 1 5 : ,t e . ' = e�° *rr+li ,;,,e Attic /crawlepace fans 10.00
�. d. + k' a 1 i ",;_i® iy 5 t o i t �'t
?;s r' y.
is I I A,,, TQ A . 4 0: k . V i ' }a� � `�, A , ? ,in2 a p ,.,, ,: �RS' .it 10.00
( f Oih�'t S. 11N.'.p:CB. I.ernoPwZ thrtt J Kk t k t .'fii tr r.r +u "mi?kY�•'^3 Yn, +:IY' " #':+ 1 Ta ti�
Other:
Business name: T I ► ` , (( C U M 1 n 1 Tor , Fuel piping
Contact name: 1 t U $5.40 for first four; $1.00 for each additional
(��, Furnace, etc.
Address: j
'' 1 ( 3, �3 �>1 Gas heat pump
City/State /ZIP: v i ( ( k ( `� - q U2 Wall /suspended /unit heater
c-rt o � /` � Water heater
Phone: () 2.'N:-L-(7600 Fax:: ( V. l b Fireplace
E -mail: p Range
d - VFW b N r i ,.. 0 ., ,, + ,1 a t mtr.. 'aP ^f 01v 4t k° k u '� ' t rr
, , '•: F S' � r ' � Y° t m�l r o e : V�i. � is 1a eA�r . � f, Barbecue
F 1 , a;r szeaa�d�Ih � t, r• 2 s s „, a Clothes dryer (gas)
Business name: At,Y\ call f- �1'� -1 c-)9 t (1( f Other:
Address: i 31 t) c i e1 thi �' r '..;k 'a ;'','XC; 4#100"'''''.:':'''
1 r ' `
:' „� ' '.fmlitS�,.. •
/�-� Subtotal %Cj�. �0
City/State /ZIP; ( "1 ► Minimum permit fee ($72.50)
L b 0 ( ) a1 � 0 - - 7� Plan revi (25% of permit fee) 1 � % 6 "
Phone: �� Fax: 5 ,
CCB lic.: '• \ ,.c State surcharge (8% of permit fee)
(� TOTAL PERMIT FEE
y� , p�� T his permit application expires If a permit is not plete. wttntn iBu
Authorized signature: l r �� r l & ����/ CCC days after tt has been'accepted as complete.
v • Fee methodology set by Tri- County Building Industry Service Board
Print name: "E {'Y1 m a, T , G, d v ej Q� Date: (4 � 3- (�Q
- _' _ --' ________ _-
CITY ������U�������� '
��nw nr OF nn�m��n���
BUILDING ��U��U«�U��0�
DIVISION "~°"~="~ PERM|T h8EC2006-00461
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/I006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ._
INSPECTION WORKSHEET FOR DATE: 11/1/2006 TIME: 7:03AM PAGE: 54
SITE ADDRESS: 10220 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: ATRIUM
DESCRIPTION: HVAC modification and T-stats. Less than 1DO' gas line and 1outlet for fireplace.
Value: $7,775
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 11/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
899 Mechanical final 039096-01 503-209-6682 N
Corrections/Comments/Instructions:
Itt
ITMAILUI. -~_ ~ ______,.,
________„ _ ce....._,
v.-~ PASS n PARTIAL APPROVAL ri CANCEL pi NO ACCESS
I I FAIL El CALL FOR INSPECTION | I AOO|T|•NAL EES ASSESSED
OA ` �
Inspector: i Date: ( / a - Phone #: (503) 718- Z- 4'
' . _-- ��/ � � --
•
CITW OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006.00151
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006
Phone: (503) 639 - 4171" "�I��
Inspection Requests (24 Hrs.): (503) 639 -4175 ��'
INSPECTION WORKSHEET FOR DATE: 9/26/2006 TIME: 7 PAGE: 5 i
SITE ADDRESS: 10220 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERfT WO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: ATRIUM.
DESCRIPTION: HVAC modification and T-stats. Less than 100' gas line and 1 outlet for fireplace.
Value: $7,775
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 23941600
Inspection Request Scheduled For: Date: 9/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 03717401 503 - 209.6692 N
Corrections /Comments /Instructions:
A _
. a - Y 4. .._ 0
/1
'. \. • I FRM ' 4gr r4 , ______
^PASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Dater Phone #: (503) 718- �23
.
' CITY �����7H��������
��nm m ���� nn�m��rm��
BUILDING DIVISION PERMIT #: &4FC2006-00451
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2006
Phone: (503) 639-4171
Inspection Reque�o(24Hnn�:(6O3)63A'4175 ^��0~ e�
Inspection �..
INSPECTION WORKSHEET FOR DATE: B/25J2006 TIME: 7:01AM PAGE: 11
SITE ADDRESS: 10220 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERITWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: ATRIUM
DESCRIPTION: HVAC modification and T-stats. Less than 100' gas line and 1 outlet for fireplace.
Value: $7
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4000
Inspection Request Scheduled For: Date: 9/26/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 837116'01 603-209-6692 Y
�r
Corrections/Comments/Instructions: +�v
It ---- 6 '
__.- �
/ ^ ' f77) / � � / �' ~-
,�^� � /
~
PASS F APPROVAL | | CANCEL NO ACCESS
| I FAIL CALL OR |N~PECT|ON I I ADDITIO AL FE~ ASSESSED Miff, / 0 •,..,4 Inspector: Date: A d -- Phone #: (503) 718-
__ ' ' '