Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 - 10026
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/13/2006
PARCEL: 1 S135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 310 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Relocate diffuser into breakroom. Project Value: $671
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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
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 [MECH] Permit Fee 4/3/2006 $72.50
PORTLAND, OR 97258 [TAX] 8% State Surcharf 4/3/2006 $5.80
Phone: 503- 293 -2745 Total $78.30
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97220
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 O : ' - - 0 01 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1 -80e 32 -2344.
Issue• By: L• 4 Permittee Signature t (c) �
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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 Application ( �I FOR OFFICE USE ONLY
•
City of Tigard 6" Date /By: 3 b /� j. Permit No. /l �l'j
13125 SW Hall Blvd., Tigard, OR 97223 • CXU ��� `
Plan Review Other Permit:
,_<JI
Phone: 503.639.4171 Fax: 503.598.1960 ^ 4 ) 4 1, I• Date /By:
Inspection Line: 503.639.4175 1 J- I J Date Ready /By: to El See Page 2 for
`
,
Internet: www.ci.tigard.or.us /60. Notified /Method: / Supplemental Information
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�,M CONIMERG EE.. SE,C KLIST
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Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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f,q ;: % i;_ =m:, s ' -v .; . EG :.. ORX OF CONSTRUCTION ° -- _;�r, "-
:.::::? Value: $ 671
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* RESIDENTIAL EQUIPMENT./ °SYSTEMS FEES * =t ;: -.'
❑ 1 - and 2 family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
Multi -famil
❑ Multi-family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
ir .`,"'3 3, ', i JOB::`SITE IIVFORM)TION; AND LOCATION')i`;,,',;;`'_:`:: `> x Heatin li
coon g
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Job site address: 1$330 SW Greenburg Rd. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: Portland, Oregon 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 310 Project name: Suite 310 Vacancy Prep 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
is •;,t i rt > A 6 »< - TI > N F_ W :::. ;'� ; ,,;,j3 `',, Water heater » ESC O .� �. f,�RIC h,;,,,,•,a,; c �...::- :• : , . : r.
Gas fireplace 10.00
Relocate one 24 "x24" - 6 "rd. T -bar style supply diffuser from open area into break rm. 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
rte - „•,• -, ,i ... 1- =,,- Chimney /liner /flue /vent 10.00
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' ' PROPERTaY,;;OWNER'°'
.,� .:.:. : ..: : ::::. . . .. ter
- R Other: 10.00
Name: Equity Office Properties Environmental exhaust and ventilation
Address: One SW Columbia St. Range hood/other kitchen
equipment 10.00
City/State /ZIP: Portland, Oregon Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)412 -4800 Fax: ( ) toilet compartments, utility rooms) 6.80
` f
Attic/crawlspace fans 10.00
::APPLICANT . = inid 46 PERSUN. P
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Earl Salsbury $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, Oregon 97220 Wall/suspended/unit heater
Phone: (503) 331 -0234 Fax: : (503) 331 -6906 Water heater
Fireplace
E -mail: earls @mckinstry.com Range
°r �.... -,3 ,,.. �, 3- ; $ .rat;
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� .1 :�= �CO �'>''i,,��.: -f�� �`; �i�� �, ,� Barbecue
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Business name: McKinstry Co
Clothes dryer (gas)
Other:
Address: 12021 NE Airport Way., Suite "G " - ;`• C'''``" F° -- * "" y.
': iVIECAANICAL ERIIT,'REES.:. � '�" =: -:• am
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City/State /ZIP: Portland, Oregon 9722 Subtotal 7A.51)
Phone: (503) 331 -0234 Fax: (503) 331 -6906 Minimum permit fee ($72.50)
Plan review (25% of permit fee) 5 . S0
CCB lic.: 40981 State surcharge (8% of permit fee) �'l
c . TOTAL PERMIT FEE 1 . Jv
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Authorized signature: This permit application expires if a permit is not obtained ithin 180
days after it has been accepted as complete.
Print name: Earl Salsbury Date: 03/08/06 * Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I1 /02 /COM/WEB)
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CITY OP'TIGARD . /
BUILDING DIVISION PERMIT #: 2ao_" Z"(°
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 � :Vitt
��l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: - PAGE:
SITE ADDRESS: G D 7iZU ~1- 3/6" SS OF WORK:
SUBDIVISION: L #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 Pour Time:
Code # Inspection Description Confirm # Contact # Message
6 /.s &, q q 4 A-17(- -, -D.o ci- 5 6
Corrections C omments /Instructions:
4114.1i .
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PASS , n PARTIAL APPROVAL n CANCEL Ill NO ACCESS
FAIL l CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
i
Inspector: . , Date: 3 ((v_/ 1Phone #: (503) 718- 2-4