Permit .,, CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00353
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/15/2007
PARCEL: 1 S135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 417 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: FUJITSU
Project Description: TI - add ducts and grilled to existing system. Project Value: $8,169
No plan review required.
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: C ODSTOV
FURN < 100K BTU: AIR HANDLING UNITS LO 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
PORTLAND, OR 97258 [MECH] Permit Fee 6/15/2007 $199.10
[TAX] 8% State Surcha 6/15/2007 $15.93
Total $215.03
Phone:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
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.
Issu d By: (�(� �/ Permittee Signature: rs
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.
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Mechanical Permit Application
-, - - - - FOR OF'FICEliS N0 .:
Da E0NLY ' ' '
OR 97223
City of Tigard Received j _ A ff ) 7 ......._
pe
Date/By: Le°
13125 SW Hall Blvd., Tigard,
Phone: 503.639.4171 Fax: 503.598.1960 ,, ,. .1, Plan Review Other Permit:
Inspection Line: 503.639,4175 .fivaa04,i,tx,
Date te/By:
Date Ready/By: 1 u ris: 0 See Page 2 for
Internet: www.ci.tigard.orus . -Notified/Method: t6,,.. Supplemental Information
:'1.*2:P'1":,'''471:4;2::,71'•.:Aqjf.:";:.V::,',:::.' .);;T',6;t;"4-4Vig.4,t,ilaki:::1130ar;010,1P;;O::,ig,-;`,,:;1::,*,.3,::::,..,,..';', •-•:;.65Vit6f6tA,,:;igv.§,diiiiiiki,c.,Jiiiiati,e4dil.,i7, .
Mechanical perrnit fees* are based on the value of the work-
0 New construction NRCAdditionialteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: ' mechanical materials, equipment, labor, overhead, and profit.
: 8 - g (09'
V '': Value I
, , . ..,....,,. , . . ... „ .,,,-,..... • - .,,....., • - ..,,,.- . . • - -
RESIDENoT1ALEU1PMENT/SYSTEMS FEES
0 1- and 2-family dwelling f r..Aacommercial/industrial 0 Accessory building For special information use cheeklischecklist. 0 Multi-family 0 Master builder 0 Other: Description I Qty. 1 Ea. I Total . -
;9
. AX FM
Ji' .:..i]n: ...1
kiai''';'/iciNtglIAIMINI,,13WMM.f.,13.',IMAIMMAIRV:af,,.i.,,V5.04$..4,; .M :1-- Heating/cooling
Air conditioning or heat pump
Job site address: ( 0 2,9,0 SW aefienlo “.A 6 t (requires site plan showing placement) 14.00
,.—) 14.00
City/State/ZIP: 1 6 ( 0 e..._ . Furnace 100,000 BTU (ducts/vents)
I, ' Furnace 100,000+ BTU.(ducts/vents) 17,90
• Suite/bldg./apt. no.: 1 Project name: ... ‘ ‘ t II (.)( Gas heat pump 14,00
Cross street/directions-to job site: U OA Duct work 14,00
Hydronic hot water system 14.00
Residential boiler (radiator or
' . hydronic) 14.00
Unit heaters (fuel-type, not electric),
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in-wall, in-duct, suspended, etc. 10.00
Flue/vent for any of above 10.00
Subdivision: 1 Lot no.:
Other: • 10.00
Tax map/parcel no.: Other fuel appliances
fifelyppgittlP,.Mir",,,VAITON6,45p1M/Stir„etrEgint Water heater 1000
ii:101,5' 'Ma*, 1)A, di , h. ,P4,0d Mo.; .' A:4 e wJ, . • . 41 ',.rfifmra i'14 ;1.,i1,
Gas fireplace 10.00
--Nr}r, rvii)(-, earl ioins q- aLsa)eiakd . Flue vent for water heater or gas
(he LOD 1 1 1- fireplace
Log lighter (gas) 10.00
10.00 -
Wood/pellet stove 10.00
• . Wood fireplace/insert 10.00
10.00
itiffitp.: i,i,; 4.1.604,10,caolompositosomprrApoozoR.4.144.1.4),,,,,14:1, 1 Chimney/liner/flue/vent
Aki. ,t. I2 ., , 54.4.,, ,, 4 ,-)44-m:aq J'imilkiXE'lorek5 4.0,104/Sea MiktAtkM4,044.,,,Na,t,,A,,,,,MM,W,ingt,46*,0;:f,,I . 0 t h er , 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: ( ) z Fax: ( ) * toilet compartments, utility rooms) 6.80
4,11iMin,p410fpgrpraMFASO pitatptrii■' , '65S16004041111.04 Attic/crawl space fans 10.00
id... a ,., • A4L.:a...,: fr,,,s1 ,, ,s,a,.J.', a 6 ' elf.1,,t, ', , J.,,:', s:.,. ntilid4 .3 1.. ..,;,,, ',, '':' , .
I 1 Other: I 0.00
Business name: v
an(i cm i c n a -L r , Fuel piping
"3 l - '-'. '
Contact name: -- Dale_ 1:.:_filitAmeer • $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: t SE C2`1r, e 9 . Gas heat pump
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City/State/ZIP: `Ro c•-i--( and .
.f (?- c1) ?O'> Wall/suspended/unit heater
Phone: tD) 2 400 Fax: : ( ) 2g -- 0"))53 Water heater
Fireplace
E-mail: Range •
tleaSPRIPINIKWOMINTORINAPPIOMOVFION B arb ecu e
\ Clothes dryer (gas)
Business name: A ( a . a-1.- c _Lit( (
Address: f ''E Clkaoo Ski . .
g o tit ow::* b mfotioitiotolo ., .,-: ,, ,
City/State/ZIP: ej-Nt*-teuSi a ..__ on -D 0 -a Subtotal
tO
( Minimum permit fee ($72.50) i ( 1.
Phone: ( - ( b 0 Fax: (Se)) a?-c . Plan review (25% of permit fee)
CCB lie.: . -'" 5 \ -k.c State surcharge (8% of permit fee)
TOTA_L PERMIT FEE a , 6 -05
This permit application expires If a permit is not obtaitiet Matt% 180
Authorized signature: ein/tfitk 4 &C.d./2,1Y) days after It has been accepted as complete.
Print name: "P try r(v a TT , G 0 v 4 cy.yi Date: 6-1 _4 r- . Fee methodology set by Tti-County Building Industry Service Board
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007- 00363
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2007
Phone: (503) 639 -4171 /:z, N�1 i
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Inspection Requests (24 Hrs.): (503) 639 -4175. .„' ='� ..
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 66
SITE ADDRESS: 10220 SW GREENBURG RD 417 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: FUJITSU
DESCRIPTION: TI - add ducts and grilled to existing system. Project Value: $8,169
No plan review required.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503.239-4600
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 050497 -02 503 -572 -1638 N
Corrections /Comments /Instructions:
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PASS n ARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL C LL FOR INSPECTION ❑ ADDITIOr AL FEES ASSESSED
Inspector: Date: 6 ` 0 Phone #: (503) 718 -
p Date. — l ( )
CITY OF TIGARD 7
BUILDING DIVISION PERMIT #: MEC2007 -00353
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/2007
Phone: (503) 639 -4171 4p� �'
Inspection Requests (24 Hrs.): (503) 639 -4175 ' I ..
INSPECTION WORKSHEET FOR DATE: 6/20/2007 TIME: 7:04AM PAGE: 67
SITE ADDRESS: 10220 SW CREENRURC RD 417 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: FUJITSU
DESCRIPTION: TI - add ducts and grilled to existing system, Project Value: $8,169
No plan review required.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503.239 -4600
Inspection Request Scheduled For: Date: 6/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 050497 -01 503 - 572 -1638 N
Corrections /Comments/ Instructions:
C SS IN - ARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL • CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: Date: ‘ Z° 0 7 Phone #: (503) 718 - C--6
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