Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00718
fi 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/1/2005
PARCEL: 1 S135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 400 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Rooftop chiller unit (piping by others) Project Value: $29,930
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:
ELE 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 11./1/200f $500.15
PORTLAND, OR 97258
[MECPLN] Plan Rev 11/1/200E $125.04
[TAX] 8% State Surchar€ 11/1/200E. $40.01
Phone: 503 293 - 2745 Total $665.20
Contractor:
•
CARRIER CORPORATION
7841 SW CIRRUS DR BLDG 24 REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97008
Phone: 503 642 - 5540
Reg #: LIC 71449
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 -8 - 32 -23-∎•
/ r� //
Iss ed By: 1 /� �i,�L P Signature: 'i - '
Call 503 - 639 -4175 by 7:00 a.m. for inspections,, - 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.
0 r • Mechanical Permi 1� w �� i [l• FO OFFICE USE ONLh -a
City of Tigard - 1 -- look Received permit No.:
`J g�
Phone: 503.639.4171 Fax: 503. 96 Date/By: /I D M ¢C8'oo5 ot77ig
O R:,}
' 13125 SW Hall Blvd., Tigard, ' ._
-.+ 0 ( C Plan Revie , 1
Other Permit: � L Q r ^ O J . I *r - Ni'�iP:l1 s . Date/By ,„
Date Re.: I t OS OP - 003
Inspection Line: 503.639.4175 J L ^ rt- luris: ® See Page 2 for
('`
Internet: www.ci.tigard.or.us flt✓ f `(.� � Notified/Method: Supplemental Information
16 t 00 \ K ' COMMERCIAL FEE *'SCHEDULE - USECHECKLIST"
• lyt�� Mechanical permit fees* are based on the value of the work
❑ New construction ,L�J A�dttton/alteration/ replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, lahrr ^ - a -
CATEGORY OF CONSTRUCTION Value: $ z 9 ) 9 3 . 0
RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ,-
❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description I Qty. 1 Ea. 1 Total
JOB SITE INFORMATION AND "LOCATION Heating /cooling
Job site address: �J) Air conditioning or heat pump
�� ��V� - i/ f`O1 (requires site plan showing placement) 14.00
City /State/ZIP: _ 1 7 Z` Furnace 100,000 BTU (ducts/vents) 14.00
L-4 / Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: S . E660 Project name: _ ._
' - A '''`' A as heat pump 14.00
• Cross street /directions to job site: . , Q4 1Q. 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: I Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
•
DESCRIPTION OF WORK Water heater 10.00
1 . _ a
Gas fireplace 10.00
C L :1 2 -✓ Cs I4s.D" Flue vent for water heater or gas
fireplace 10.00
. Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
0 PROPERTY OWNER I ANT
Chimney /liner /flue/vent 10.00
'
Other: 10.00
Name: a9� ' 74,& „ Environmental exhaust and ventilation
/ Range hood/other kitchen
- Address: �(fn 1) 4 v1.5 equipment 10.00
City /State /ZIP: ( \ 0 t . g 6 1 7 2 T2--, Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( 5) '. - 2 §-"/ 8 Fax: ( 503) 2-.3V - 7)_ toilet compartments, utility rooms) 6.80
APPLICANT ❑ , CONTACT PERSON Attic/crawlspace fans 10.00
\o,2.7- Other: 10.00
Business name:
C� ✓ If P Fuel piping
Contact name: r, Cosy .,(•: .S 'f $5.40 for first four; $1.00 for each additional
�7 Furnace, etc.
Address: ! 8 Y Se C-iv p.� - Gas heat pump
City /State /ZIP: � ��- / }.. q 7 txpis Wall /suspended/unit heater
Phone: ( "J 9 C�- f - 53 I Fax: : (•j - Dj) c(' 1 -7 1 9? Water heater
• Fireplace
E -mail:
Range
CONTRACTOR Barbecue
• Business name: y Clothes dryer (gas)
� � a S � l f�� �� Cu`� Other:
Address: MECHANICAL PERMIT FEES *'
• City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: 7 Iv [ State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signatur e - ' - '''' This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: a 2. Date: fC -2r- Z pa> ` Fee methodology set by Tri- County Building Industry Service Board
i ABuilding\ Permits \NEC - PermitApp.doc 12./03 440 -4617T (I I /02/COM/WEB)
f.
Mechanical Permit Application - C ty of Tigard
Page 2 - Supplemental Information .
Commercial Fee Schedule:
• Total `Valuation: " . " Permit -Fee: • .
$1.00 to $2,000.00 Minimum fee $72. ,0
$2,001.00 to $5,000.00 $72.50 for the fir I $2,000.00 and $2.30
for each addition. $100.00 or fraction
thereof, to and i luding $5;000.00.
$5,001.00 to $10,00000 $141.50 for the rst $5,000.00 and •
$1.80 for each • dditional $100.00 or
fraction there. , to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for 4 e first $10,000.00 and
.35 for e.ch additional $100.00 or
fractio eof, to and including
$50,000.40.
$50,001.00 to $100,000.00 $771.51 for the first '; 100.00 and
$1.25 '.r each additional $11 i.! 1 or
fracti' n thereof, to and including
$101,000.00.
$100,000.01 and up $1 .96.50 for the first $100,000.00 and
$ .10 for each additional $100.00 or
action thereof.
Note: All new comm : cial buildings require 2 sets of plans.
.
i:\Building\Permits\MEC- PermitApp.doc 12/03 2 .
CITY OFTIGARD
BUILDING DIVISION PERMIT #: MEC200S-00718
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2005
Phone: (503) 639 -4171 .11,,A, ypi��l� (,
Inspection Requests (24 Hrs.): (503) 639 -4175 , =_
INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 66
SITE ADDRESS: 10200 SW GREENBURG R 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: rflOPPA
DESCRIPTION: ooftop chiller un (p by others) Project Value: $29,930
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503- 293 -2745
CONTRACTOR: CARRIER CORPORATION PHONE #: 503- 642 -5540
Inspection Request Scheduled For: Date: 11/23/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 022291 -02 503.641 -5540 N
Corrections /Comments /Instructions:
.....
.... .,
i\k,cR. ,,,,4A,. or(
•
•
,,..
I ASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FO' INSPECTION n ADDITI NAL F S ASSESSED 1
k AA
Inspector: .M Date: (i CLit'hone #: (503) 718-
CITY OW,TIGARD
BUILDING DIVISION � ` PERMIT #: MEC2005-00710
13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 11/1/2005
Phone: (503) 639 - 4171 ihit i i l l Inspection Requests (24 Hrs.): (503) 639 -4175 ll `U...
INSPECTION WORKSHEET FOR DATE: 11/16/2005 TIME: 7:03AM PAGE: 65
SITE ADDRESS: 10200 SW GREENBURG RD ifiD0 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: L ORP
DESCRIPTION: Rooftop chiller unit (piping by others) Project Value: $29,930
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293 -2745
CONTRACTOR: CARRIER CORPORATION PHONE #: 503642 -55410
Inspection Request Scheduled For: Date: 11/16/2005 Pour Time:
i
Code # Inspection Description Confirm # Contact # Message `
699 Mechanical final 021421 -01 503.641 -5540 N
Corrections /Comments /Instructions: P ok. 1 0
I '
. 1
- ----7- PL-C - erva:*. 1- _._. F (,.0B_Dta),
EN6 ( lu
'Ss ❑ PARTIAL APPROVAL Ti CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITI NAL FEES ASSESSED
Inspector Date: ` Phone #: (503) 718-