Permit 1 Et.
CITY F 1 i GAR ® MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00497
DATE ISSUED: 8/12/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135A8 01004
SITE ADDRESS: 10220 SW GREENBURG RD 150 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Add (1) hard lid return air grill & (1) sound boot. Valuation: $500.
CLASS OF WORK: OTR 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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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 #300
PORTLAND, OR 97258 [MECH] Permit Fee 8/12/200E. $72.50
[TAX] 8% State Surcha 8/12/200E $5.80
Total $78.30
Phone:
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Phone: 503- 331 -0234
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 By: . Permittee Signature:
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.
Mechanical Permit-Ap,pIicati a0 F OR OFFICE US E ON d Ci of Tigard � U �� DateBy ' ' - 7 �I PemitNo.� �
i i ® d V/ ►
13125 SW Hall Blvd., Tigard, OR 97223 y
Phone: 503.639.4171 Fax: 503.598 j1960 i Plan Review
� � y �� 2, ��� �6dr# �� .11 Date/By: Other Permit:
Inspection Line: 503.639.4175 �!i Date Ready /By: lin B See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
C6TY OF I IGARD
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tiuii_t,ii4� �. .
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ 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.
CATEGORY OF CONSTRUCTION Value: $ 5,1
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 family dwelling [Commercial /industrial El Accessory building
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
( 7.() JOB SITE INFORMATION AND LOCATION Heating /cooling
Air conditioning or ite addr ice s: /0 'Z'30 G ve.t. L � Q �� ./ (requires site plan showing pump
ng,G placement) 14.00
City/State /ZIP: * 7-1 A Z-b f ct . q7 ZZ3 t Furnace 100,000 BTU (ducts /vents) 14.00
/ Furnace 100,000+ BTU (ducts /vents) 17.90
Suite ldg. /apt. no.: / s Project name: `rL ' j •i LE-
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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
l`i /I Gas fireplace 10.00
A � c),....,0 IJc3za.� F� [.c c e�� A , L 1 Li a.� Flue vent for water heater or gas
ii) p - fireplace 10.00
1-..S CDNIr �' 1.41::. 1.41::. b.r Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 •
titAPPLICANT ►�� CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: M Gk1NSi L l Fuel t in
P�P� K
Contact name: 1)4.T '\ $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 11_0 2_ t 1...3 ►..., Pcr1.17
Gas heat pump
City/State /ZIP: {`cs2 4_ i (.0._ , 97 Wall/suspended /unit heater
Phone: (y3) 33 ( -- 2,-i (1 Fax:: ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: /Y` C trvc� 1
Clothes dryer (gas)
Other:
Address: / ID./ ( t ■& /kl LQoa? r L..) 4 .1 MECHANICAL PERMIT FEES*
City/State /ZIP: 1 ) c „� O I L 517 2 Subtotal
Phone: (�S) S3/-02.S9 Fax: ( ) Minimum permit fee ($72.50) 'R.
Plan review (25% of permit fee)
CCB lic.: t. wig( State surcharge (8% of permit fee) rj ,(�
TOTAL PERMIT FEE 7 0
Authorized signatur`\ ✓� / This permit application expires if a permit is not obtained within 180
da after it has been accepted as complete.
Print name: 1 ci A4) pA__ . Date: g - // -(j, j � * Fee methodology set by Td -County Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION . , PERMIT #: MEC2005- O0497
13125 SW Hall Blvd., Tigard, OR 97223 • ISSUED: 8/12/2005
Phone: (503) 639 -4171 �FN�alii�� '
I n s pection Requests (24 Hrs.): (503) 639 -4175 ,,_.3.41.
INSPECTION WORKSHEET FOR DATE: 9/9/2005 TIME: 7:07AM PAGE: 82
SITE ADDRESS: 10220 SW GREENBURG RD(150 i CLASS OF WORK:
SUBDIVISION: UNCOLN_CENTERfTWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: TICOR TITLE
DESCRIPTION: l AdW >1) hard lid return air grill & (1) sound boot. Valuation: $500.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY CO PHONE #: 503..331 -0234
Inspection Request Scheduled For: Date: 9/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 015238 -01 503- 331 -0234 N
Corrections /Comments /Instructions:
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Y ,0
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n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAI I CALL OR INSPECTION ❑ ADDITISNAL FEES ASSESSED
Inspector: A i 1 Date: I Phone #: (503) 718 -
IF