Permit ,`
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00841
c�II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 12/28/2005
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 400 ' ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: HVAC modification for new restroom.
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300 [MECH] Permit Fee 12/28/20( $145.10
PORTLAND, OR 97258 [TAX] 8% State Surchaq 12/28/20( $11.61
Phone: Total $156.71
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: � / � J 11 _ Permittee Signature
g /[47C k5 ° �-
Call 503 - 639 -4175 by 7:00 a.m. for inspections t at 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.
v
Mechanical P oq- gi FOR OFFICEUSEO y� ; _ .
City of Tigard a Received _,j i pernutNo��h� + L/ v im �/
Date/By: ,or .e7i
13125 SW Hall Blvd., Tigard, OR + 7,223 l2 nt15 Plan Revie
O Other Permit: 503.639.4171 Fax: 503,598.1960 / /H N tdi I : t'1,i Date/By: Ins ec tion Line: 503,639.4175 ` I� Date Read B See Page 2 for El
P OF TIGARD z y y
Internet: www.ci.tigard.or.usCIT G DIVISION
Notified/Method: _ Supplemental information BUILDIN
.,,.w.,. ,::,.., 1 :,::_ .r.:..;,r... ; :,.::.: [ ;;. SE CHECKLIS
Mechanical permit fees* are based on the value of the work
❑ New construction SAddition/alteration/re lacement performed. he value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
-,-',7 ;,, `a : A,, Value: $ /y0
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cj ;.
- �,'. ter:::.; -r..
�TION' �'"
,,.3 >� :GON TRUC
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� ;.,,,t:, ,'i,,:�,::i<�� „N -�,.. - ,_ . ..:.........za._,�.. - �,x;. EQU NT” /SYSTEMS FEES*
al ❑ Accessory .... =' `J.;::;',; � '.'RESIDENTI'AL;j. I'PiV1E
❑ 1- and 2-family dwelling Commercial/industrial building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
I, rS ,• i:JVI yF.r. .NV -1 •: %� ".�;:i - ;-.�'`✓ - �' _ -- -
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..s, r :�. .,�..: : ".i `,� '� * °' - ; z: Heating/cooling
"<'r i„ ,Jt [[���i'S' �OR�ry•��eT�LON�:AN f. y'� °;;`;.,'.�: .:, p✓
- t' "sGi,'n=r ..t�i,t,€I;':f ✓, - FQ�!{- ..A{,_ ,; .1�,�,?,'."f:.. eat,:Y';�.,, ��Lei_ : ,:.:..J.S. -..., . 'it.:,q�.., ; a, ,. . e,
Job z+,,.vt, ?; ;•,we,,.
.
' s -, k: �,<:. t,,:§. �. 4t.-: �fm..,,, s„_,,..-f';: z. e, �, �,.- n,..,:;a;y . .-. .,x�r s..... _ -u. � . ,.
°' Air conditioning or heat pump •
C S ite address: /0200 c - r eer, JA,Ar5 rall (requires site plan showing placement) 14.00
City/State /ZIP: - 775a on, Furnace 100,000 BTU (ducts /vents) 14.00
' , Furnace 100,000 +BTU (ducts /vents) 17.90
Suite ldg. /apt. no.: 5o U Project name: ))0y, M r Gas heat pump 14.00
Cross street/directions to 1 ob site: .,�
�l ` ,i ' s4' 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.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
. , cilia` Wiirr. ?.';: rSLiec,+ �ih° 95r ur': -i'fin,.;c•:.a�cix;^ _Hjz ,r iii r,F' 4 E' {'x;, 1
iiii.0SUP + Water heater 10.00
a:� F'T'C �rivik^�.���is; "G(�a:; 5 >:Y �: ,:��''�,,;�, .r „�lY; ry� � �3� ,.a , , ,.,t; ( t; . t ,� �'1 �.�
f. 1 , } n ,, . D.F1S RIJfI�I �.(71. ^` n �t '�? �; Jam? n q p % :o ,;' , i• ,
:: i=- h.l,j(.yy.%y,..'.�F,,o,lvz"'� "' air,.e r �Nxr.. -:.:, s�:; e..t ?'°- kr�ters' a. z:'.,, t. , cY:S > ^,: r]:.t , ✓.
1...r=s: ;. �;.,M,�✓ ,,,�.:� >. Gas fireplace 10.00 rr
04/ Pe r „� d; 4, i r+� p eso m -i t` ,O'n a - Flue vent for water heater or gas
r fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
T,eaa x = :.nom > d 4 k.'. „,. ,,,. +' , 1 , s Chimney /liner /flue /vent 10.00
;4 Eti• +itii,l,.[-_,, , i G, ,t,�az„ r^`sbr �l,�;'" ;'C d ,i,oZ” •,'n:n ; ",G'; +',�;r [ -'i ii ,3i ,, ,, 'i4 Dw,-, t „xp
t ; ”. " ;= ,r., r r; k + N; _.. , .:::; „, 10.00
p �1);! ai: y,i ;� " ;�Nll;e ,r :�, W:..� :;u..w:. ,....zi:i €r:
r -- �,..�,a e .�..i ,,,'ix�ue "'<- ,t � �'1, -:- a .w ;z�,.�:'.;.a., .r.�w Other:
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
' {: nurry .,U�: ns::; ,'; o:.,,, 'r,'.:< `;;v. „h�.1; ,':.: •:�.�:» $ , 4{ Attic/crawlspace fans 10.00
:is °° K•,f''Y1i +'Iran:= '��<!: , • ,, �., i , *,;m::a`�':i�` i�,�,,;4.:,,k., ,:.��kw;kr ;� , �4 "`'= ^• P
h.,.q�rnt +,,l;.;rf ` ''+: _rt; CA.NT u.it?,Ga,,x _ ? r,�fij: 1r;,-s.:,mi.$,t ^ � . CON -TACT. . 6',,,:y.T t�::
{<:iXa 'v +rzo7 i i3 p.wcIv.r;rm,,, .:;x ?;. t ..t, a „r,. t, f? ^;y',.;. ,,a; ^i:... ..,.,• 5 , :.. ,c,,,, ..... . <, 10.00
” Other:
Business name: le?m erve„.i ,, hi , j , • z,,, Fuel piping
Contact name: '—'2)124, ,02— mg),e -7 $5.40 for first four; $1.00 for each additional
/ J a _ Furnace, etc,
Address: Y �Q09� Gas heat pump
City/State/ZIP: 4- ,— 1�
,c3 O.+. ', / de, 07 ".-- Wall /suspended /unit heater
Phone:,�� ),,Z9-40e Fax: : ( ') 23,,,:+,3.1i3 Water heater .
Fireplace
E -mail: Range I D
-' a.i {: ; .t r,. :' - e ,. s p w n.'. i' �' ,tk "; =,;' rR`s #Y*;e''_' �
tr9Vi li �;t .1.: u,K 3 tt, r r.,, , r ,=1rYr` :-; f, ,, .::z;, Barbecue
g n p }',;,,, ",.:xt A:�r<«,`lad t ;" Iw• ,aY, l 1 4� ,S,;CI -' a, ,,�` �;at` - , - ' + ';,tAr eti— ` - I �.,,�' ;,: i "at... 0t �F.kt`eG,� ::$i, Z 10 I
., ��t r -... rv. ��6 'lls`E'��i1.✓.- ".h..,a.-s�s�°i . urw ;,rc,3.�ia�F"d!.'1t,.,'�' }x... r,,, urea:: a:. ter' xSkfR��..s ��:�rt.:PT�..,.:.'a, 9.c9tilVs„ 05:, 1.
_ / Clothes dryer (gas)
Business name: 0 eri Carl 7 e 67, "9 . : ,1,-0%., c ,„. Other: ` `. 7 � s�
Address: 2339 .sz 0 ,,,,, s ly— s ;',:.::. _ s �: ;,,> '': ;C <x'..;E5:::..
City/State/ZIP: -- /aj, J 7t Z 5 Subtotal _
w Minimum permit fee ($72.50)
I Phone: ) &31.... woo Fax: 42 ) 0292038 _ Plan review (25% of permit fee)
CCB tic.: 3 43..r- State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: rillt / ;i ?�/ days after it has been accepted as complete.
Print name Date: * Fee methodology set by Tri- County Building Industry Service Board
.- -- - .. . nnnAKI - ITn 11n,rnM /WF.R1
A ,
CITY OF TIGARD
PERMIT #: N1
, BUILDING DIVISION
A
1
1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 2/28/2005
Phone:, (503) 639-4171 _11-"Illti
Inspection Requests (24 Hrs.): (503) 639-4175 fflafsfr 6! --...
02AM 7: PAGE:
INSPECTION WORKSHEET FOR DATE: 212112006 TIME: 108
SITE ADDRESS: 10200 SW GREFNBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: HVAC modification for new restroom.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
ir.
0 Inspection Request Scheduled For: Date: 21210006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final • 027174-01 503.209-1103 . 14
Corrections/Comments/Instructions:
l i
. . ?
i i "aft •
i !•■•-- .....-4.. V
ii. I >----)'
,..,
1 ‘..
I
PASS 0 PARTIAL APPROVAL n CANCEL fl NO ACCESS
El FAIL [ CALL FOR INSPECTION fl A DDITIONAL F. ES ASSESSED
w Inspector: it Inspector: d i V Date:1 al 040 Phone #: (503) 71
• , •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: IVIEC2005- 00€341
j 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12J2f/2006
Phone:. (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 1/31/20t)6 TIME: 7 : 01AM PAGE: 10
SITE ADDRESS: 10200 SW CREENIURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /I :WE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: HVAC modification for new restroom.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503
t
Inspection Request Scheduled For: Date: 1/31/2006 Pour Time: •
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 026028-01 503. 209.110 N
Corrections /Comments /Instructions:
csgt-)64 WIT
PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FE S ASSESSED
O
Inspector: dr Date: ( Phone #: (503) 718 -