Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -10064
°T11 DATE ISSUED: 6/27/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 700 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: VAV boxes, 15 supply diffusers, 14 return grilles, pnematic thersostate, duct modifications Value:
$34,254
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 61281200E $548.75
[TAX] 8% State Surcha 6/28/200E $43.90
Total $592.65
Phone:
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 331 -0234
FAX 503 -331 -6906
Reg #: LIC 40981
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 - t- d /!_p --Pi-/ Permittee Signature: ..L / d
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busines -d -y.
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.
Mechanical Permit Application FOR"OFFICE USE ONLY
Received 2 ob �!�
City of Tigard Permit No.
13125 SW Hall Blvd., Tigard, O Q EIVE® Date /B � ��
Phone: 503.639.4171 Fax: 50 .5 Plan Revi w
Other Permit:
Inspection Line: 503.639.4175 v! Date Ready /By: 1 � s: 8 See Page 2 for
Internet: www.ci.tigard.or.us J 2 7 200 .. t Date/By:
g Notified /Method: � Supplemental Information
: .s,.., ; ., :�y'.. _.CITY
OF TIGAR
I e
. , -.._ _..: .� .. .. ,,. », ,.i'. „�,�,,,� :��> �:. •' OIGIIVIERGIAT ^f E *; IJ SE_CHECKLI S T
❑ 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.
: .: i1E6 :>.,,,,�” r,•:,':,,.,, Value: $ $34,254.00
GA EGURzY UE- ;;CO �°= ,
.::�_. "•� DENT � •: �-.. ",_..
" >r_RESI 1 AAI EQUIPMENT'% ^SYSTEMS'FEES sue
*, `
0 ,
I- and 2- family dwelling Commercial /industrial 1=I Accessory building
" "' " "" ` ` " "' °` ry• ° "'' " "
ID For special information use checklist.
❑ Multi - family ❑ Master builder
Description Qty. Ea. Total
WitiAllil,Nit OB":° STi' E �. INFORIIIATIONgAND ,QCATION`.4„.: ;5 Heating/cooling
Job site address: 10200 SW Greenburg Road Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Lincoln 5, Suite 700 Project name: A -Spire TI 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) I 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
2 1':.'" "- <._ : R ,'''-' Water heater ,
f
s= "� E S CRIRTzION ; �UF.�;WU
*� "��- ,��.� "::•di�Td?;A3 " _, c?aa .�- > s., - " '=- .,�- "-- - s =_ �,::{ ";:,:sr ." RT" �..� ' .%.. �4 " ^•
Gas fireplace 10.00
Install 2 new VA V boxes. Install 15 supply diffusers and 14 return grilles. Flue vent for water heater or gas
Relocate 1 fan powered box. Relocate 8 supply diffusers and 14 return air grilles. fireplace 10.00
Log lighter (gas) 10.00
Relocate 18 pneumatic thermostats. Duct modifications to accommodate new layout. Wood/pellet stove 10.00
Wood fireplace /insert 10.00 J
, FA ,, „ ,. , , . ,. Chimney /liner /flue /vent 10.00
PROPERTY : . O W N ER S ° T ENAN T g , :: i' :E� �;;`» ` . =>r : "
..... _^ � ® .. - � .,.,. .� --° ^. . °.� : � � E, � , .� .0 _. " . �.,._ :,>� "c ° °� , .,:: Other: 10.00
Name: Equity Office Properties Environmental exhaust and ventilation
Address: One SW Columbia Blvd Range hood /other kitchen
equipment 10.00
City/State /ZIP: Portland, OR 97258 1 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
x
_.:: "4-;
�; . ',; ._.. � ... ' ,,°.: Attic/crawlspace fans
:..... .:.. . ..: �< , ®;;APPLICANT..," ` ❑•xCOIV`T'�ACT:PERSON;.;
_ .w. � . . ..,,, m ��th ° .� „mss: ". »,,��n>�� -_; .:.�_ -';.
Other: 10.00
Business name: McKinstry Co. Fuel t m
P g
Contact name: Jason Carver $5.40 for first four; $1.00 for each additional
Address: 12021 NE Airport Way, Suite G Furnace, etc.
Gas heat pump
City /State /ZIP: Portland, OR 97220 Wall/suspended/unit heater
Phone: (503) 331 -2461 Fax: : (503) 331 -6906 Water heater
Fireplace •
E -mail: jasonc @mckinstry.com Range
�.: °.,,. _ ; ^^fi�r [..jH � ,�,
f: , i_: "1,s -�" CON'TRAC�TOIt” '., ,,;'','�' "1 Barbecue
Business name: McKinstry Co. Clothes dryer (gas)
Other:
Address: 12021 NE Airport Way, Suite G , _.
v, c. ,il 4.i. GHA'NICt1I PERMIT F g- lot. ° `i:, ? ; ` " ; . 0
City/State /ZIP: Portland, OR 97220 Subtotal $ .
Phone: (503) 331 -2461 Fax: (503) 331 -6906 Minimum permit fee ($72.50)
d Plan review (25% of permit fee) '
",.....1 CCB lie.: 40981 � ('� b
G State surcharge (8% of permit fee) 14,3 !�
// TOTAL PERMIT FEE S'2 a. & S
Authorized Signature: ( / , ` This permit application expires if a permit is not obtained within 180
Ni
days after it has been accepted as complete.
Print name: Jason e r Date: 6/26/06 * Fee methodology set by Tri -County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (l I /02 /COM/WEB)
r
CITY OF TIGARD E 0 100
BUILDING DIVISION j PERMIT #: 6/27/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 i 'oa'�� ii�ij� l f
Inspection Requests (24 Hrs.): (503) 639 -4175
7/21/2006 7:01AM 65
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10200 SW GREENBURG RD 700
SITE ADDRESS: LINCOLN CENTER /FIVE LINCOLN CLASS OF WORK:
SUBDIVISION: A-SPIRE LOT #: TYPE OF USE:
PROJECT NAME: VAV boxes, 16 supply diffusers, 14 return grilles, pnematic thersostate, duct modifications Value:
DESCRIPTION: $34,254
EQUITY OFFICE PROPERTIES TRUST,
OWNER: MCKINSTRY CO PHONE #: 503 - 331.•0234
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
C O 4 t # 'iVil r 1W -. r_9 (1#i0 qt9Il Me 1
0334 —a
Corrections/Comments/Instructions:
d r
l ` V j'L2_. j .. d_
(,(1: 1
. , d ;
if
. ,
ir, 1 ,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: V :.(. _ Date:7 2- 6 Phone #: (503) 718- 2--r .' Y.
CITY OF TIGARD MEC200610064
BUILDING DIVISION #: 6/27/2006 • e t .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 / �miirb t� �
Inspection Requests (24 Hrs.): (503) 639 -4175 '�_
7/21/2006 7:01 AM 64
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10200 SW GREENBURG RD 700
SITE ADDRESS: LINCOLN CENTER /FIVE LINCOLN CLASS OF WORK:
SUBDIVISION: A -SPIRE LOT #: TYPE OF USE:
PROJECT NAME: VAV boxes, 15 supply diffusers, 14 return grilles, pnematic thersostate, duct modifications Value:
DESCRIPTION: $3
EQUITY OFFICE PROPERTIES TRUST,
OWNER: MCKINSTRY CO PHONE #: 503 - 331 -0234
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
C% # IN c ��� D�` cription m -J 9 -t - 222 Mesgage
()53(4-4 —
Corrections /Comments /Instructions:
r 1 1 - 4 A' S 7 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
c � '
Inspector: Date: / A 4 Phone #: (503) 718 - T G /