Permit CITY TIGARD MECHANICAL PERMIT
i DEVELOPMENT SERVICES PERMIT #: MEC2004 -00369
�� ' I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/11 /2004
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 111
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 JURISDICTION: TIG
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:
Remarks: Relocate pneumatic t - stat, 8 return grilles and 2 diffusers. Value: 2000.00
Owner: FEES
SPIEKER PROPERTIES L.P. Description Date Amount
10260 SW GREENBURG RD [MECH] Permit Fee 6/11/200 $72.50
SUITE 100
PORTLAND, OR 97223 [TAX] 8% State Surcharl 6/11/200 $5.80
Phone: Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Phone: 331 - 0234 Final Inspection
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 callin•
(503)246 -6699.
I f
Issued By: _ , , �, _41 Permittee Signature: S
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day /
•
. .
Meshanical.Permit Application . . FOR OFFICE USE ONLY
City of Tigard '
Alik Received , .
Date/By: V i 1 Od
A
lit Ii. Permit No.: ta . 19 i --196
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ate441 A Date/By: Other Permit:
Inspection Line: 503.639.4175 ilj,-7.41 I Date Ready/By: Juns: El See Page 2 for
d...1.-^-^ = amill
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
itsitivigArt -- 4 , t: jA,tov;or*::oioe '--o*47
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
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
:::',::'; tifoi■rri I..!-ff ;'. ''''''?--;ViCfin Value: S 2,520.00
'', ...,ri! --- , --, -,,---
w•:?•-;lk§friENtrZegiiniifi?fEikis
0 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
V11-111 ii 01klAki' JTOV.,_ AR_ : 6, 1:6:6xefloi■iirilv Heating/cooling
Air conditioning or heat pump
Job site address: 10220 SW Greenburg Rd. (requires site plait showing placement) 14.00
City/State/ZIP: Portland, OR. 97232 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Suite 111 / Lincoln 3 Project name: American Express
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
n,,..,:, Water heater 10.00
?:q.Veti,'ST-J N '' ‘NWj221.Y
Gas fireplace 10.00
Relocate (1) Pneumatic Thermostat Flue vent for water heater or gas
Add (8) Return Grilles fireplace 10.00
Log lighter (gas) 10.00
Relocate (2) Supply Diffusers Wood/pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
'Il.9 ',i',:77 =T,,IAN,Tv„,„4., •
Other: 10.00
Name: American Expres Suite 111 / Lincoln 3 Environmental exhaust and ventilation
Range hood/other kitchen
Address: 10220 SW Greenburg Rd. -
equipment 10.00
City/State/ZIP: Portland, OR. 97232 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility moms) 6.80
timillit 0 it**17:1;itarr;60,65-g-i4jToiow..ip!::m:, Attic/cmwlspace fans 10.00
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Earl Salsbury $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 5400 NE Columbia Blvd.
Gas heat pump
City/State/ZIP: Portland, Oregon 972218 Wall/suspended/unit heater
Phone: (503) 331-2465 Fax: : (503) 331-6906 Water heater
Fireplace
E-mail: earls@mckinstry.com Range
OTWT,W§rig?- .: Barbecue
Clothes dryer (gas)
Business name: McKinstry Co.
Other.
Address: 5400 NE Columbia Blvd. WrOMI':'=:=14CBVNTaLiertiVrIfigE7-54';V-Wal
City/State/ZIP: Portland, Oregon 972218 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 331-0234 Fax: (503) 331-6906
Plan review (25% of permit fee)
CCB lie.: 40981 State surcharge (8% of permit fee) 4, 8
TOTAL PERMIT FEE 7S(.. 40
Authorized signature: . 1; . ______,9 i2 This permit application expires if a permit is not obtained within 180
eis— days after it has been accepted as complete.
Print name: Earl Salsbury ate: 06/11/04 * Fee methodology set by Tri-County Building Industry Service Board
i: \Building \Permits \ MEC-PermitApp.doc 12/03 . 440-4617T (11/02/COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received / Date Requested 6-13 AM PM BUP
`
Location 6 7. 7. Q Suite // M EC ��JeO 3(o r
Contact Person Ph ( .6C ) , PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof A
Other: )7a1
PASS PART FAIL - 5.
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
PASS PART FAIL
ELECTRICAL k
Service A0 11 �� "erArAill 'J
/ � : � / �� A Rough -In UG /Slab W g _
Low Voltage •
fir
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE - ❑ Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL