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Permit CITY TI GA R D MECHANICAL PERMIT iT I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00829 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 1/5/2005 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 125 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: T[, relocating ducts and grilles. Project Value: $1,198 Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 [MECH] Permit Fee 1/5/2005 $72.50 PORTLAND, OR 97258 [TAX] 8% State Surchart 1/5/2005 $5.80 Phone: Total $78.30 Contractor: AMERICAN HEATING INC 1339 SE GIDEON ST, STE. 1 PORTLAND, OR 97202 REQUIRED INSPECTIONS Mechanical Insp Phone: 503 Final Inspection 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. C` - �nc /c e� Issued By: � ��� Permittee Si � 1 " , Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day ilir /62t; 5 G r -Ur/ r 1' (A. _ _ act D� - . ' : Pi i� kl Mechanical Permit Alri tl Or,, _,_ _ _ FOR.OFFICE_USE.ONLY '_, _ -__ _ _ _ __ City of Tigard i ��� i y� ( �l Received - _ ` � � ' / ^ 6 Permit No p C/ a) '`"t I V r I.. • Rec eiv S j�i[_ 7 _ Lj L%f�./ li / it 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 DEC 2 3 200 r/o9, rdl�, y , ,. Date/By: Plan Review // a..< Permit: Peut: Inspection Line: 503.639.4175 n . `� ��„ Date Ready /B : t, ( e ) 5 luris: 0 See Page 2 for Internet: www.ci.tigard.or.us id/Metho.: CITY OF • Not /( Supplemental Information 1 1 lU „, „;"s;A;ti :: ,:,•,>iY�' ;e - ypr,:.. t',.. 1 - . ;;2in. . q' €r= z i.K1r - :�:•fM - .a s. =i;• . _ +1' ; 5,1.ts-"'X,,t ` ' . D °I } \ . � - - "� w � > : *; :l' , a . ''„ . `' CON11MERCIAL:FEE* e . SCHED. ULE AU • c...._ r , v v �t - sr - -. ,�'s � � *�xe����-�y_ m �_xev -a -,.. s „..: �»ka:; , .ot?- ..a, rc ,.. , '''a �. - ,r , . � . .. ❑New constru 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 0 Other: mechanical materials, equipment, labj overhead, and profit. }rt, iglMi �` _ 'r`%,F 1: __ ;w..- z i il_: i,3= .4- _:ica::ax++r ' i V...i� .,,Te -'c., i'ft£: Value: 1 ° � :�i` "�.;, a�: . €�"` -O ' ' - T � w_..:< $ /,J��. ,_.� .,3t. ilft•i :^.. ,. CATEGO R' n �F GQN UCTION . .E; , RESIDENTIAL E QU IP M E NT'/ SYST FEES* ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. Total O i,y>3 "n . `s ,mss "g�ize :; s:; . .. �,• '�;.*:k:� .: 15. YN' sr„ �: z_ c; r: �`., � n^ .'.r��s.s:,a ":4:s - rl' et ':::F -' 'm5�,s -: is E; '. - .• •'7i 'f It ri' `. � t' i'o'ij zS FORIlATIO LO`CA, TION= > " :�_" ^°° x.1M 3-WQ; �. ;s »- : �n ,,.��.:� w, ; ,, , •4 a•�. : __ ,_ . ._ H e a t mg/cooling Air conditioning or heat pump Job site address: /0.220 6, „.. Rol (requires site plan showing placement) 14.00 City/State/ZIP: 7 , © Furnace 100,000 BTU (ducts /vents) 14.00 - Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg./apt. no.: /a X l Project name: GL "C3 7 Gas heat pump 14.00 Cross street/directions to job site: /9"... i e7 L -�,J 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: I Lot no.: Flue/vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances �=sl ,��. es;� :�;:� t e„ �:a ....RY` -�? Water heater 10.00 i � ' ,j ESCRI lYaOFr WORK __. - -r :..4, . `ct. : ., i�.r'�,a Ac °e..a =,sue �� .;.��;' � :tea:= :_,...,`�. c ,*,.,, its, s.��.. = i�::.�::�,r�3...'.r..r�:. Gas fireplace 10.00 „ /--/ I; C I --, c; c/ . ..o. 1 Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace/insert 10.00 $; t •. ~.; -. ,_. ^;Ix liiii a; . : 1,.� ; , ; z ; . ` , i Chimney /liner /flue&vent 10.00 .RO ER tOWNER , - ` \ .:- ra;) 0 . ���� ENA`N€Tc,- <.._`�w��_x?<rr, �>�af ��ucx.����+x�4eT5sra.. "?w i.�._��a�':v..�Rxts4svr:a __..•„ € :,.;�.�u Other: 10.00 Name: 47 ea y 5 ., T , / 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 -f. , %S i",si - V. - • p, . `' 04,K - ` : .5' .IY Attic /crawlspace fans 10.00 t ` -,f..,;.i i;IC r � . : - , ` CON n r >BEl t °_ ' } � . Other: 10.00 Business name: /t3.z -„ ` .„ ea „ ,r/� Zip C Fuel piping Contact name:� � $5.40 for first four; $1.00 for each additional Address: i3,_5 ,...5E- 6.l.a/ca� s,,c.. Furnace, etc � °-� Gas heat pump . City/ State/ZIP: Qa'°'741,Z „ `,/ ef, de 972c 2 Wall /suspended/unit heater Water heater Phone: (s-2,)3) 23 9,-- 4 Fax: : (20 ) ,2.3 _ 26cA Fireplace E -mail: Range h r - x._ �� c�,.'� , =•re. __`;�'�.= :'. ^«-: ' "= �:.»..�y�r"�s "_ ,a•.ti ,.a -"� -, } # . = C Rt (;' =1'O-. f ' . y a' ; s `. Barbecue .? �aYS: �' �.git'��- v,�?' �'��'�. `�'�.'; +::.srm:- . -:'`: � "'�,:.?�`_ ° a�� "A ... �.r. . ' : �iS, �#rt �',ts; sy � •.^a�cxsk °-:;; �ASZ: `�a §' • ?�. = � ?y. &s- _. ^.:'_.. z'°�.»'::C =, Business name: m ec ea, Al j / � G Clothes dryer (gas) Other: Addre ��sa� re'lEt P ._,.. _ _ - _ .. „ -;..: , , Address: / 3 3 . 'l J On J� MEC$A1ViCA7 ,PERMIT' FEES F City/State/ZIP: 71 / end ,fie Subtotal Phone: ) 9 5/600 Fax: ( U,.) 4,3? Minimum permit fee ($72.50) 7,A � �� Plan review (25% of permit fee) CCB lic.: 3313 3 State surcharge (8% of permit fee) � %) tea}j TOTAL PERMIT FEE %80 30 Authorized signaturB. a'' "y 't�J -„,e, This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete - Print name: / �pp ' . / c / * Fee methodology set by Tri- County Building Industry Service Board ,t� , e / Date: / , ; , i \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB) CITY OF TIGARD 24 -Hour i Q�ING Inspection Line: (503) 639 -4175 INSPECTIM DIVISION Business Line: (503) 639 -4171 MST r) aim BUP Received - Date Requested 1 AM l PM BUP Location / �-- s jZ �'l 9 Suite ` as MEC c4 ` Contact Person 94A1/1 Ph ( 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 Other: 4 Final •', 'AIIL, PASS PLUMBING FAIL Stfreardn, Post & Beam v 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 AS PART FAIL ELEC ICAL ervice Rough -In UG /Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required befo - next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please .111 for reins. ection RE: r; ❑ Unable to inspect — no access Fire Supply Line ADA MAW Approach/Sidewalk Date I nspecto Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL