Permit 14: CITY OF TIGARD MECHANICAL PERMIT
I� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00252
�' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/1/2006
PARCEL: 1S135AB -01004
SITE ADDRESS: 10220 SW GREENBURG RD 390 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
Project Description: Relocate diffusers, pneum. thermostats and return grilles. $5010.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M 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:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA #300
PORTLAND, OR 97258 [MECH] Permit Fee 6/1/2006 $143.30
[TAX] 8% State Surcha 6/1/2006 $11.46
Total $154.76
Phone: 503- 293 -2745
Contractor: •
MCKINSTRY CO
12021 NE AIRPORT WAY
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
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 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 Si nature: i / /
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.
x
a'
W.. i cal Permit Application FOR OFFICE USE ONLY
R Eiew ived
gard D / e' �� Permit No 13W Hall BlvdTigard, OR 97223
Phone: 503.639.4171 Fax: 503.598. 0 v : D /B Other Permit:
Inspection Line: 503.639.4175 , ' fir .� I Date Ready /By: 0 See Page 2 for
Internet: www.ci.tigard.or.us ' ` Notified/Method: Supplemental Information
JUN 12006
',- = , a "'. '; :..,.at3 >{•,..:, a aV-:-„ -, yam, ,.. � ".� > .. .. ,.... ... •� =- n's,.': ;, : ".; ., .r� "'t, r. F ,, yp.
�.:.` 1'E OF.. W , v
. _,, l t • COMMERC F.EE,, =U
mmm
=:. -.: - SE CHECKLIST
❑ New construction ® • m ent
�1�30b\1Eb 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.
3
r.
r" . - " c "• � :�"� CATEGUR rOCON
F� TION.'
:;; °",I Value: 501
Ii RESIDEN Q U , IPMENT /%�SYSTEMStFEES * , >`' .. ,
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building `� �" "� "'`'�" " ' ` " '�'�'
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
"iii -•E t',. :
E:z =:JQB ITE "3I1VF'ORM "AND ZUCATIOIV; Heating/cooling
Air conditioning or heat pump
Job site address: 1-0-2.-10 -SW Greenburg Rd.
(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.: 390 Project name: Rand 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
":• :, ' , ,., -i. Water �,. � �_,.� .�i�� E� =y, t -�: .,�vE;E, �_:, ,,,�c" ,,,;,�,;;" W t heater �DESGRIPTaIONOF ;,1 j�" "'
Gas fireplace 10.00
Relocate four Supply diffusers Flue vent for water heater or gas
Relocate two pneumatic thermostats fireplace 10.00
Log lighter (gas) 10.00
Relocate two return grilles Wood/pellet stove 10.00
Wood fireplace /insert 10.00
,.; " : : "' ,,; ; m v , : , s ' . w € . ; Chimney /liner /flue /vent 10.00
❑' € OWNER:",' Wit'E ;�►1;:TENANT ";�;a_
�= - �- ,x, _ . : : �� _� e� _ -�. -._ . �..... , „�. , 3 � ._ „,,..�, >. __ , � •_..,., w \� ”' �. Other: 10.00
Name: Rand Environmental exhaust and ventilation
Address: 10230 SW Greenburg Rd., STE 390 Range hood/other kitchen
equipment 10.00
City/State /ZIP: Portland, Oregon 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
il;:`. ;; °` >> -: Att /crawls fans 10.00
F
,a " " li ;.AP CONTACT: PEB56N'.,:
„ �nE� . ," �,_. a .PtiI � ._. � _. __. " " " ° 1, .E,,,,. � _ �
-
�= r
: .'.:, ,- 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 Airportway Suite "G„ Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, Oregon 97201 Wall /suspended/unit heater
Phone: (503) 331 - 2465 Fax: : (503) 331 - 6906 Water heater
Fireplace
E - mail: earls@mckinstry.com mckinstry.com Range
1 .. :. =a; x . �- is �' : , , w,,�, } ... .�;. "; � •:' - ,�r.... ^ .; 3 ., =,'1?3:a,.., _ "ryY, s •. �::
E � ,��.� "� Barbecue
,CONTRACTOR _'.�., :
a�. >�l- ,a,.
Business name: McKinstry Co Clothes dryer (gas)
Other: (gas) ft / , 3
Address: 12021 NE Airportway Suite "G" I ' EE "MECHANICAI P.ERMIT:;FEES *P :.::',4i40
City/State /ZIP: Portland, Oregon 97201 Subtotal
Phone: (503) 331 - 2465 Fax: (503) 331 - 6906 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: .4 0 g, State surcharge (8% of permit fee) It, d./6
TOTAL PERMIT FEE / Sy 7kj
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Earl Salsbury Date: 06/02/06 * Fee methodology set by Tri -County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440-4617T (I 1 /02 /COM /WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006-00252
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1/2006
Phone: (503) 639-4171 A i
Inspection Requests (24 Hrs.): (503) 639-4175 w I L.
INSPECTION WORKSHEET FOR DATE: 6/1312006 TIME: 7:22AM PAGE: 70
SITE ADDRESS: 10220 SW GREENBURG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: RAND
DESCRIPTION: Relocate diffusers, pneum. thermostats and return grilles. $5010.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745
CONTRACTOR: MCKINSTRY CO PHONE #: 503-331-0234
Inspection Request Scheduled For: Date: 6/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 031625-01 206-510-3052 N
Corrections/Comments/Instructions:
i AorA
lifiWatatilnritrrjA
v , ...... 7 •
PARTIAL APPROVAL 0 CANCEL 7 NO ACCESS
El FAIL 7 CALL FOR NSPECTION 0 ADDITION L FEES , SESSED
m o d ,
Inspector: 451111, Date: ( 1 , e #: (503) 718-
MEV