Permit CITY TI CARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2006-00492
I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/13/2006
PARCEL: 1 S135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 450 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: TI Project Value: $3,288
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:
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
PORTLAND, OR 97258 [MECH] Permit Fee 10/13/20C $102.40
[TAX] 8% State Surcha 10/13/20C $8.19
Total $110.59
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: (itat4MA-Al Permittee Signature: y W/41 /A leX
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.
56 6464
. • •
.. _
Mechanical Permit Application • FOR OFFICE USE ONLY
City of Tigard Received ' i
Date/By: ',PA OP # Pe"it N°.: 14 ' - 1 •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
tnevillio li A Date/By:
Inspection Line: 503.639.4175 Date Ready/By: See Page 2 for
Internet: www.ci.tigard.or.tis • All•-,, ef.,...
' Notified/Method : Supplemental Information
MI
• • ,•,,,_ ..,. ..,. -,, .
,I,:Ifi;l:10:',-,':.,;;I-V,-l.!1;'::ll'''.:'.1:-.*:.;:r;U:'iyifed:Plit'r6./■llOW,i:'lilli:!•":'i',,:0; . 5 '4;66-ii;Mifeia,::ilgi;:'
. e,„-?,;!191,':4,•.,TT,- , , ,,- . ,, ;..:::fuoi!' 1- r - i' , ;:lm , ..:r :,. -....„ . . ,..- ...„ . . ..:. .--, -.
Mechanical permit fees* are based on the value of the work
0 New construction ;El Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other: - materials, equipment, labor, overhead, and Profit.
,
tvqhfitig.40-optoe.laP,,,w,,,,,4vAmittaimpgstAtmgnig4i.tvciiit I.05: J,70,1u,&.. Value: $ - 3 2 8 61
w ,,..,,il,p f . . , , ..rmAin. - ,'„, i9., lArr., . .,..-.:, -,,. :_,:i ,.,.,7, .,.;: , .. . ,,,,•,,„,,,,, ,.: ,.,. .. _,,., ,,,,,,•,,, . , .„,,,,,,, _,,,./ . ,•,,. „.,:„ ... -
' • --'''''''''''''' I'' '''' ''''''''' ''''''''''''''''' - " '' ' ''''',.FtiSititNi,TIA.tlE0,Tilii=i0Nr/ FEES*
*SYSTEMS
0 1- and 2-family dwelling 'Commercial/industrial 0 Accessory building For special infamy use checklist.
0 Multi-family 0 Master builder 0 Other:
Description Qty. Es. Total
WaVrn'19101,00,00atimiraleintiatiffegrowg.i"Almf !ic:q1iF:;' Heating/cooling
, • , , , , ,m41.•thei 4.4%,.„0 ,f.-11:54A.4.A....1- ',',,,.•k.,;s;41.1tIA.. 47, , l' 4, 44.4,44`44,1:
Air conditioning or heat pump
Job site address: 1 ,, 1 , -
v' Gi ,,,,,, (2 ,,,_ k_ (requires site plan showing placement) 14.00
' " A
City/State/ZIP: - T - 1,3 cur a 0 K rn Furnace 100,000 BTU (ducts/vents) 14.00
f Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: t.4 0 Project name: p [ ( a? (ix 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.:
Other: . 10.00
Tax map/parcel no.: Other fuel appliances .
'.:4) pf:or ii i' , 1 1,619vgsyk o rr , Ivtg ,,,, -
6 4
,.
f ' ? V Wat er heater 1000 ..,p.':p tit iV •
A C Gas fireplace 10.00
O A/ RC- MOO I -- Cia cf-7.611-4) . Flue vent for water heater or gas
, Art& LI Sue (i-e- dtk,ca-s (cl' 1CC Se- r 5 fireplace
Log lighter (gas) 10.00
10.00 _
• U41 a eL-C*- a rt 01,-0- Wood/pellet stove 10.00
• Wood fireplace/insert 10.00
fle ,L04:841,410001$1005#10100 1.00,1441P m,,, t-
y Chimney/liner/flue/vent • 10.00
•
K , , , • ,ttie. i',ri R....A, .; -....v.:;";:ft ,,.■ ' ,,rjry:AN 7,; tor .. ..,.,0 14,11..4',,,,'.colgit40 0. ,, 1 ' -.4#.,,,,,....,.., ..p.' 4, ',, ;',. th.q:AngMNA,..,-4 othe 10.00 .
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
olnavilm,sraforgegrapprongiwypiR, idowfrompordoi,f Attic/crawl space fans 10.00
1 , ,ito.,:,4'..1.,1i M:t.,-. ,q4., ,,, 4,1,ft 4 ',A ■ , Mit jr; 140 , ■ e. A 4, 4i A. r,4;,, *04494:al ,,,,,,, ,,, , '' , A= ,r..,. , ,a,,:l.'M'
l A l • Other:
Business name: Alm r ti 1-7 (4 Tor, Fuel pi 10.00 ping
I I
Contact name: '06d ntak t(-- • $5.40 for first four; $1.00 for each additional .
Address: -6c s.E, 6 ci ez ,.. ri 9 Furnace, etc.
,
Gas heat pump • . .
City/State/ZIP: Ro N-( arta - 1 (.. cii ,o, ,. . . Wall/suspended/unit heater •
Phone: 6) 'XN 4000 Fax: : ( 6:5) 26)_-70?) Water heater
Fireplace ,
E-mail: Range
gli-, IMISMItha "IMILVAiii 111 41,1E§,MA:* ,, -2,17mwwIthogroggolimewagrowilvegon
gbh , ,:reviRittPowytwor .rg t''.1' rpm, - A kg Itimmtriprw voRrpro Barbecue
„ ta IV ' tit-C, 111, 1 4i.' d' 4i :t. • .' -' ni.r - ' Ad: X.... - v.,,, - :x...71... ' ,., , ..e „mem, ,3pi „,,i n „,b, 1 ■ .
\ Clothes dryer (gas)
Business name: A mit ( Gail a 4-j c) 9 _I- IV e
( • Other: ,
Address: I - 539 (9 ( (106 C-1 aftetplA,) - 1, , . • ., .. - ,,
,,Z.,,,',,A44.,,,hrrii'til, 4,,,t:10.0, 6 '■:, .7 .44 ...,,, ,, f; ,,,, ,,, , i ,,, ' ,, '"' ' , ' ,' '. ' ',
City/State/ZIP: - P t ,-„, ( +)thl a p v...__ (Ari D o a . Subtotal a
Minimum permit fee ($72.50) / •
Phone: r-j(1) ')
)) Ci 4,( b o Fax: (Y fi
;) a --- 1 0-- . Plan review (25% of permit fee)
CCB lie,: •S5 \ s_ /
State surcharge (8% of permit fee) -
TOTAL PERMIT FEE /ffi. 7
This permit application expires If a peemlels not obtained wi thin n 180
Authorized signature: bYLIYUk d i&Y11121-)1 days after it has been accepted as complete.
Print name: '.., On M- e, , (-51 0 v I Gyi Date: ‘ 0 — ( 1 _ , . Fee methodology set by Tri-County Building Industry Service Board
,._ .
CITY OF TIGARD
.. ..,.
BUILDING DIVISION
PERMIT #: MEC2006-00492
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2006
Phone: (503) 639-4171
Inspection Requests Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:36AM PAGE: 65
SITE ADDRESS: 10200 SW GREENBURG RD 450 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: POLLMEIER, INC.
DESCRIPTION: TI Project Value: $3,288
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 10/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 038397-02 503-572-1638 N
Corrections/Comments/Instructions:
la t
_ 1."
I 1 A _ anwism.i. r.,•
v ,,,, ,.,,..k NI ''''' "Q• V IF
, 1
PASS 0 PARTIAL APPROVAL 0 CANCEL I I NO ACCESS
I FAIL 0 CALL FOR INSPECTION 0 ADD ITI N A FEES ASSESSED
4 7A)__.
Inspector: Date: 1,
6 6 Phone #: (503) 718-2 :F2_
. . . .
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC200G-00492
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/13/2006 A
Phone: (503) 639-4171 An
Inspection Requests (24 Hrs.): (503) 639-4175 A. - III.
INSPECTION WORKSHEET FOR DATE: 10/18/2006 TIME: 7:06AM PAGE: 66
SITE ADDRESS: 10/00 SW GREENBURG RD 450 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: POLLIviEl ER, INC. i
DESCRIPTION: TI Project Value: $3,288
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 603-239-4600 *
Inspection Request Scheduled For: Date: 10/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 038397-01 503-572-1638 N
Corrections /Comments/ Instructions:
1
All r ---
I I
---- ire
a i or
W
I in,s: El PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL IN CALL FO INSPECTION 0 AD ( D NA FEES ASSESSED
' Nif•
AillOPIA i.
Inspector: 1=11.4/11_ Date: 06 Phone #: (503) 718- 74-2--
_ , . _