Permit CITY TIGARD MECHANICAL PERMIT
j` DEVELOPMENT SERVICES PERMIT #: MEC2005 -00717
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/25/2005
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 500 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Install 2" chilled water piping from roof to 4th floor UPS unit. Chiller by others.
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:
OTH 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 I0/25/20C $72.50
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 10/25/20( $5.80
Reversal - [MECH] Perm 10/25/20C - $72.50
Phone: 503- 293 -2745 Reversal - [TAX] 8% Sta 10/25/20C - $5.80
[MECH] Permit Fee 10/25/20C $146.90
Contractor: [TAX] 8% State Surchar€ 10/25/20( $11.75
REITMEIER MECHANICAL INC Total $158.65
7051 SW SANDBURG ST STE 400 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223 -8011
Phone: 603 - 0205
Reg #: LIC 153770
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions 'OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: Akr _ .� ` Permittee Signature
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busines ay.
This permit card shall be kept in a conspicuous place on the job site until pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit A lication FOR OFFICE USE ONLY,.. -.
N
City of Tigard EM ED Received
DateBy: O a5 / 6 Permit No.:V __it." —oat I
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1 Plan Review
§Q T aci Date/By: Other Permit:
Line: 503.639.4175 U 1 2005 .f Ij$ Date Ready/By: H See Page ge 2 for
Internet: www.cirigard.or.us �
g Notified/Method: Supplemental Information
CITY OF TIGARD
" � �.` �;;5�'Er�'a ..°`..;;;i >;. ,�.r ,�, -- r�;�;:;�.,.::�;z, -- yes..- - ��; =s =:;.r;. �c�±,.�kr_�: -� --�,. -
al - ,> {' `'g .r "' "V° i `"f al '`;>ot :� ' ` =gGO GIM_ JAL FEE* 5SwGHEDULE=` -:USE- CHECKLIST`
❑ New construction Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
r >` �:;�.,... n 'r Value: $ 9a
er r .. , . ,t. zCAT O,F CO N5TRUGTIOIC ''� '; *-44 B�
.:. .;.HN r :+"'�.__.,r -,.v .�vs , ' .a
❑ 1- and 2- family dwelling Cotnmercial /industrial ❑ Accessory building PRESIDENTIALEQUIME1�iT %3YSTE1vIS,rEES*
N ,. -1 ES Ir-N_
❑ Multi - family El Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. Total
'.a e=. ' .*I � �"�a`' +r iaz _ . ;' ,;: - : E a.=x §:� ^s i ' tl %�r r;,R�s=.£> z^`�'�`• ;.a % " "N'
z_` ,`0,. l `, JOB�SIT -. I AND LOCA� rr K a t HeatIng/cooling
Job site address: (7 6'0 S u' ( i J r3 (4 / Lb
Air conditioning pshowing pump
�.LI (requires site plan showin placement) 14.00
City/State /ZIP: T4 A./2.6 OR, 9 7 223 Furnace 100,000 BTU (ducts /vents) 14.00
Suite/bldg. /apt. no.: Furnace 100,000+ BTU (ducts /vents) 17.90
aL 4# J Pro ject 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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
0 ` 1 * .t — DE SCRIP T ON O F WORK -. �`r Water heater 10.00
,. � � t
11 Gas fireplace 10.00
lkis rAct,4- 2 C.N l 1...E ta, rs:p. A ► P,iJ tf Flue vent for water heater or gas
�Lert: R-- w. P C Jw ` r fireplace 10.00
~ 62*aflF� 1 4:*** Log lighter (gas) 10.00
E . D IIA Q 8F- Wood /pellet stove 10.00
Q I ► - A - eT , b _ Wood fireplace /insert 10.00
b� L , Chimne /liner /flue /vent 10.00
.��% - � x � ^ ux va a s= - 8 : Fri s has 'S � �' s
: . > ,_' , H � R OP ERT� Y O N :11% _x C > ? : .�. „ EN �NT;rM . w . '
Other: 10.00
Name: L/ NcoL,v , � � Environmental exhaust and ventilation
Address: 1 02 & SC() � Cie) 3a. /] / _ Range hood /other kitchen
��-•�/ equipment 10.00
City/State/ZIP: ! t M DP_ g 7 �,�3 Clothes dryer exhaust 10.00
/ Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
' . h`�5,. --'•p ..� °�t%ti.," „?"' :sXh.�. .a } , ", - � ".F.'(..:rr.<,; .:e�k'JY9,„?. ;. Nt1:.
-` ® AP3'LICAN'P �� � n �CONTA04 - P SOLI ; ^ Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 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
.rte^ :, y . .> ..,,, ti ' „.n: <,a,�'�^.° :.as-e.�.' "����:, "'c;;,`a. .y. ;�. t> " ra
I ?: -c. : ° k y . ' ,,e, - , x ° Barbecue
Business name: Re I TM.•E (E2 Moak( 4 AN (c q2 Clothes dryer (gas)
Other:
Address: a ,...„, —,:, �: < -0 -
70 ( S CO S Ali.)07 5 a Q-4 5 40 n v%E:c nric .pExly
EE SF-
City/State /ZIP: Tt Ga O A. 9 7 27_3 Subtotal
Phone: (50 5) 6 ?, 02.0 Fax: ( C, � 2
� r D I S
Plan Minimum permit fee ($72.50) "Virg
/ J an review (25% of permit fee)
CCB lic.: 3 ? 7 State surcharge (8% of permit fee) ,j�. /� Qi TOTAL PERMIT FEE ... /
Authorized signature: This permit application expires if a permit is not obtained within 180
Print name: v l
days after it has been accepted as complete.
0 �� r7 b�� Date: I j� /ZQ /�S * Fee methodology set by Tr - County Building Industry Service Board /
i:\Buiiding\Permits\MEC- PermitApp.doc 12/03 440 -4617T (I1 /02 /COM/WEB) 7 ST • & 5
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Fee Schedule:
Total valu ation le e rmit lFee
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00. . , ,
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and . , ,
$1.25 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
s..
.
•
i:\ Building \Pemrits\MEC- PermitApp.doc 12/03 2
P `
CITY OF TIGARD
A BUILDING DIVISION PERMIT #: 11 �/ia, 00-5' D 0 4
1
1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7(7 I
Phone: (503) 639 -4171 IV l) l l
Inspection Requests (24 Hrs.): (503) 639 -4175 -1.4. 11. INSPECTION WORKSHEET FOR DATE: TIM PAGE:
Le)
SITE ADDRESS: / 6 ,)- CSC -, CLASS OF WORK:
SUBDIVISION: 1 LOT #: ` TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: I PHONE #:
CONTRACTOR: urr -C,.E . Pr FE ? Z e::::y= 1Z e'` PHONE #:
Inspection Request Scheduled For: Date: f /' I. 7 b5 \ Pour Time:
Code # Inspection D scription Confirm # Contact # Message
`' ", oiviiz 6 63 - d
--- k..,;■_0-9 ) , )6V2,6&{--e-- '7 8 "g - 7 / L - t - 1
Corrections /Comments/ Instructions:
7
7 ---- , /
1 l
Ai fl
P ASS H PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS
n FAIL CALL FO INSPECTION ❑ ADDITIONAL FEES ASSESSED
1,
l
Inspector: � /
r
Date: l 1 t 7 6' Phone #: (503) 718 -