Permit CITY TIGARD MECHANICAL PERMIT
i, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00221
�� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/9/2005
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 415 ZONING: R -12
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT: 009 JURISDICTION: TIG
Project Description: Ductwork inodifications.Valuation $7768.
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 ST #300 [MECH] Permit Fee 5/9/2005 $250.25
PORTLAND, OR 97258 [TAX] 8% State Surcharr 5/9/2005 $20.02
Phone: Total $270.27
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Phone: 503- 239 -4600
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
or 1- 800 - 332 -2344.
Issued By: �, � Permittee Signature: c 116Aciqe.5 14(
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.
'1
. " Mechanical Permit Appli� > e 0 � � >FOROFF>ICEUSE ONLY
City of Tigard Rb i t DateBy: e By:: _ _ ---y5 Permit _ Peut No.. i J `
Dat
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960
1\41\ fl 9 200 //9pt Date/By: Other Permit: ut.
Inspection Line: 503.639.4175 11,- prNl I 1 I l
- Date Ready/By: Eni ®See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGP . - y. Notified/Method: Supplemental Information
t. ,.:. .., e:,....r,: - ..,.. �.....'iS"a .< $._.. x }., - :d -. ^. r . :* y� r : ��x. - ,:i��� vr`.�?$'s ?'t �,i' ". ia.th'31 ^A'" -
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❑ 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.
' ::�°,t` =s�:.� :,;.��'' � ,., �.�, ;, Value: $ , (7 . co
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RESIDENTIAL EQUIPMENT' /'SYSTE FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building .
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
:;.;3w : x� ; �,- -er "x tl 4; == �.!�;.« rrzaa:- , =ccim�`c - aary ^.: :sx + v;t;€s'� == -• ���•,- a;�.x; - .,a =:� . a,.?•ra�� -
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:. r:: < v_„ "-t:, - rieN I`DE. FOR1�fATIONfi>AN ' gg„ »' t Hean coolin
h .' ?ors ;a','- �i�i°•.3: & »- °- . -- . � r�.�:, ,.::�:n;.+:- �%m�x= ^ =s:�.rr.,w: wu��r;�'a-...,.r�4r.,.. -�.. �.��.�.,,;.�.'t;��i�,.. ,..,.._._� �C�'� +� ... � g,
Job site address: Air conditioning or heat pump
.2Q � C , , , , f �, j t - (requires site plan showing placement) 14.00
City/State /ZIP: - 2 p ' -. t2 ' Furnace 100,000 BTU (ducts /vents) 14.00
✓ -' Fumace 100,000+ BTU (ducts (vents) 17.90
ui /61dg. /apt. no.: 4 Project name: r M® P C ' O 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
%`3 °',.''.`� E°i',"r'R ;,;_,. r't -pct sz� -- .:sssn, s�a;�a. - =rtz<;� `.�:, gNefis ,. x �a=,: :+i"€?2
r'; 'asp ,< N 214, ,NS , a = r TWOri ga ' § :,::° `.:,�;;Y 3.,: ; .„ *`._j ,sVr .ry Water heater 10.00
a ?=,. e :. `'ru. = >.. D ..,,RTSQI�I,O ,,'�JRK ;- , n. ,,,r,.
�,i:�- rYd.2iz'3`u`�Ks''.��.-• �ru.� a�i:a..ra.�`,'i .asee .. _� aa:: ..,� �.�'��. � st.> �' •� .. „ s x' .
Gas f i rep lace 10.00
779 a' :*!' ia) i'k' ? / -• ' ' - . , , Flue vent for water heater or gas
s L
e1 v6 ✓' 1< ,/�� I cC L l igh 10.00
`. / � odic-1 {."� y
�i'+ Log lighter (gas) 10.00
' Wood /pellet stove 10.00
. Wood fireplace /insert 10.00
worn 1 ,1, ; :a�r,,kt: :�p„us s t-.w .%,,, _. ;ci g r ' v -r- .,r. ski -,-grq : �.<� �, Chimney/liner/flue/vent 10.00
, l OP , R a 60 R4- Alfq ? a` '` ,n ad.s (, rl ? l
r t a iklf: ". ti 10.00
y
..-�- Other:
Name: (A y ' v _ Environmental exhaust and ventilation .
Address: / `` Range hood /other kitchen
( n ee. )1t,C 2,4/.71c,... �} ` equipment 10.00
City/State /ZIP: 6 d - 77 ,e> 0 b ae Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
"t.S" ir., srv; ;N;a;:>''il',r,s�:;.v,�.��., ;,� ,.,n ;gNill r . ,. ,'illi:? - ., Ilil
ty ,., - t,." igii :s�;: ; ,l, I %.; ; ,.,. ,,, l k .: t i Attic /crawls pace fans 10.00
� �,,; � iPI3ICANII; �- l:x��r�:� .� ,,, , <�-'�"� y1 GONTAC�T , �. � .RSONi;?'� t"�t i '' .
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Business name: � ,�/ v Other: 10.00
d`�/z�t'! ' j'h:a Fuel piping
Contact name: .,,,fie. r„ /J--'s,,eia e . . $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: /339 St" c� h,,..) ,F- Gas heat pump
--
City/State/ZIP: b ° , ' Wall/suspended/unit heater
Phone: ( e 3 ' - -1 ,042 Fax::(( ) c " , lj Water heater
Fireplace
E -mail: Range
'+.i41 "433a _!� ^2 :.h:""sk' .i*lY ;r.SF'y9,^k,: +l¢o-S b « i#S . �.�Y�r>ar4s.'}xsi-3:V. _ .i.� Gi ? st7 S n .. . ci:"sro?.i '.;,�s - l;:a:ai°' *[.?'al -Il °ti
,, '` 6,,,•, `* :srr.:-a;�1",.r d• - "ii' "vd€.. .i�? i . , r. ,. - _;; r A ' -: ;'': : ", t•fr� ;x '.Lt, :a
so :!,f x,.- ,..x:, i? ;,tk;:' - " : �?8: �{,.,, : ', 1,6 C�N- 'dr} 9�I., ;t ,., new , : e ..' - :,-s. . :$;.k; ,,,, t. , , , ` ,, ;, Barbecue
:! �( Y^' 3 is_ F: �a: L`: a..,_ si# s`:,.<;- e� '+.Y.s+t�t';.3:.-�°L°w•mz:v .� ...:�::.��v•�.w�, ,.�..=•s�:F:', :`:u'i �.,. ?.?.<. „ a .:; ���_
Business name: »L'rf h7 i�'ad) e � JG Clothe dryer (gas)
/? � heer: r: , .. _.
Address: /3 9 Se G. S CG2/7 .,S "' z x = vA]VIE, %PEIt11%IYT
- ;EEE*
City/State /ZIP: .- -) 1 Subtotal
.J 7 Minimum permit fee ($72.50)
Phone: �„.. S) ,i .� , / t . o Fax: (. J „ d 9
�..s . y ) Plan review (25% of permit fee)
CCB lic.: 313 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: 1 4d. ., .1" 1"7" This permit application expires if a permit is not obtained within 180
% days after it has been accepted as complete.
Print name: c, J /u'/7) 7 i" '. Date: • Fee methodology set by Tri- County Building Industry Service Board
i
i:\Building \Permits \MEC- PemutApp.doc 12/03 440 - 4617T (I1 /02 /COM/WEB)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00221
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/9/2006
Phone: (503) 639 -4171 :Atilt l\
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' `__..
INSPECTION WORKSHEET FOR DATE: 5/20/2005 TIME: 7 :11AM PAGE: 73
SITE ADDRESS: 10220 SW GREENI3URG RD 415 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FORD MOTOR CREDIT
DESCRIPTION: Ductwork modifications.Valuation $7768.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 --239 -4600
Inspection Request Scheduled For: Date: 5/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007382 -01 503 - 209 -1103 N
Corrections /Comments /Instructions:
,Afgr.
•
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N fa
VIII -
iniaril --- .....--.0
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
El FAIL CALL FOR IN' ' ECTION ❑ ADDITIO AL FEE ASSESSED
i i 1 1 .,,.------"'
Inspector: AM Date: Phone #: (503) 718 -