Permit CITY TIGARID MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005
r DATE ISSUED: 3/23/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 250 ZONING: C -P
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT: JURISDICTION: TIG
Project Description: Relocate 3 zones and pheumatic t -stats Value: $600.00
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: 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 [TAX] 8% State Surchars 3/23/200; $5.80
PORTLAND, OR 97258 [MECH] Permit Fee 3/23/200: $72.50
Phone: 503- 293 -2745 Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97218
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 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.
k r 1 i - . -t'I1i 7.4rTt' � — nt• JiY• a r,:.a. t , ' -� , 0 •
mechanic r C 1 1 i r : r +l , 1 � "�E Y�I i 15 s, L xl ;
1 .. Receive _ �j /- � r Or/ '7 s w
CIt'' of Ti ar . DateB a, . F ��
Permit C r]p)9�?
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13125 SW Hall Blvd., Tigard, OR 9 10 23 2005 Plan Review ` 1
Phone: 503.639.4171 Fax 503.59r • el /;r�,;y f Date /By: I Other Permit.
oecnon Line: 503.639,4175 T' ga — ` Date Ready /By: leris El See Page 2 for
:met: www.criigard.or.us CITY OF T1cJA'' , Notified/Method: 7 /6 Supplemental lnlormatiou
BUILDING rtIV S!ON
TYPE OF WORK COMMERCL L FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees' are based on the value of the work
❑ New construction WAddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, 1 bor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value. $ ( 00
RESIDENTIAL EQUIPME 'T / SYSTEMS FEES*
❑ 1 and 2 family dwelling , Commercial /industrial ❑ Accessory building
For special iriformarion use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description 1 Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION heating /cooling
�� Air conditioning or heat pump
Job site address: I D 2 Z r� C C. -- --- (., L. (requires site plan showing placement) 14.00
City/State /ZIP:��� �1 p,Q_ Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000= BTU (ducts /vents) 17.90
/bldg. /apt no.: as 0 Project name: AC ,t y Gas heat pump I 14.00
Cross street/directions to job site: ill Der&A,G Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hvdronic) 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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
x X Z Flue vent for water heater or gas
fireplace 10.00
A.'"0 �K N&C.,3 TAT S Log lighter (gas) I 10.00
Q .--C= e I PNe�eq,t� r t t 1_ 7-04-7 Wood /pellet stove 10.00
� Wood fireplace /insert I 10.00
Chimney /liner /flueivent I 10.00
❑ PROPERTY OWNER ❑ TENANT Other: 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
❑ APPLICANT g CONTACT PERSON - Attic /crawlspace fans 10.00
Other: 10.00
Business name: to `C.ik T _V Co. Fuel piping
Contact name: PAT wt $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: L 00 Nems Co 1Qv,, lb. .0.-- le l OA
nn Gas heat pump
City/State /ZIP: PO 2i .�r, L Ot. 7 7 L, O Wall/suspended /unit heater
( 5) 3-5 l 2.4 i O Fax :: Water heater
Phone: ( )
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: it/l S'T,L� Clothes dryer (gas)
I N e Other:
Address: 5 N(9- ( jvylL., , //,D» MECHANICAL PERMIT FEES*
City/State /ZIP: tr'e4_7- ( 4 ^ ,A CZ_ Q7218 Subtotal 7,:a c5
Minimum permit fee ($72.50)
Phone: (5 ,'>) 3 _ oz25 C.( Fax: ( ) Plan review (25% of permit fee)
CCB lic.: /�
' 0i q State surcharge (8% of permit fee) .5 k(f
TOTAL PERMIT FEE 7 36
Authorized signatur This permit application expires if a permit is not obtained within 180
after it has been accepted as complete.
Print name: A_T- A . /1,Q -_. Date: 3 ^ZZ —Uc— Fee methodology set by Tri -County Building Industry Service Board
CITY OF TIGARD
1 BUILDING DIVISION PERMIT #: MEC2005-00129
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2005
Phone: (503) 639 -4171 u �aUp�ii�y�l �
Inspection Requests (24 Hrs.): (503) 639 -4175 'I I..
INSPECTION WORKSHEET FOR DATE: 5/2/2005 TIME: 7:10AM PAGE: 70
SITE ADDRESS: 10220 SW GREENBURG RD 250 CLASS OF WORK:
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER LOT #: TYPE OF USE:
PROJECT NAME: ACADEMY MORTGAGE
DESCRIPTION: Relocate 3 zones and pheumatic t -stats Value: $600.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503- 293 -2745
CONTRACTOR: MCKINSTRY CO PHONE #: 503-331-0234
Inspection Request Scheduled For: Date: 512/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 005767 -01 503 - 3.48 -0563 Y
Corrections /Comments /Instructions:
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MP i
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL fI NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITION L F ES ASSESSED
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Inspector: e'',• Date: 65 #: (503) 718 -