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Permit
tITY Ti CHARD MECHANICAL PERMIT .4 11' 41 DEVELOPMENT SERVICES PERMIT #: MEC2003 - 00626 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/30/03 PARCEL: 1 S 135AB -01004 SITE ADDRESS: 10220 SW GREENBURG RD 540 SUBDIVISION: TWO LINCOLN - TOWN OF METZGER • ZONING: C -P BLOCK: LOT: JURISDICTION: TIG 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: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Adding (3) new return grilles, relocate (4) supply grilles, adding (I) VAV box. Project Value: $4,000 Owner: FEES EOP LINCOLN, LLC Description Date Amount 10260 SW GREENBURG RD SUITE 100 [MECH] Permit Fee 10/30/03 $118.50 PORTLAND, OR 97223 [TAX] 8% State Surcharl 10/30/03 $9.48 Phone: Total $127.98 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone: 331 - 0234 Mechanical Insp Final Inspection 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 -00 Issued G� Permittee Signature: /_ A-LSS Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day __- Mechanical Permit Application _ _ :- OI LI zsF O -1 ti - - - = __ Date received: 60 a?7!/ Permit no.: r I ` ii ? . 44 City of Tigard ,,�, ='�1� = � = � � Ptojectlappl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Phone: (503) 639 -4171 Date issued: By: Receipt no.: Fax: (503) 598 - 1960 Case tile no.: •aay type: Land use approval: Building permit no.: • Li / 0T)05 ...60&90 ,`, _ � - „ _ - _ { ...- „_ , _ . ,. . NRE -OF,- PERRIUT _,-i . © 3 & 2 family dwelling or accessory >Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction ❑ Addition/alteration/replacement ❑ Other: 1 r -"` "1OB STTF 1NFORIIATIOV`>T - _ CObINIERCIA'I. l'ALUAT1Oti SGIIED.ULE -j ' Job address: /OZZC /j� ,/f3t l., /2__D Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: "Roc) t-I IUCOLI.) Suite no.: S 0 value of all mechanical ma equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ 4000 . Lot: Block: Subdivision: *See checklist for important application information and Project name: pJk- X to /v - M L( Z jurisdiction's fee schedule for residential permit fee. City /county: ' 1 GzTI 4vIJ ZIP: mi l' 7 ZZ3 1.-d 2FAiiI11 -1)WE11INr Pi Evil!1 II r S(A LL T)s Description and location of work on premises: A X) (3) l2ETU121'1) A [Qi 1I R1C iINDUS t RIAI - i Q IIPMh N l S(,f1 h lie 1 (P_1. aeEWC/V[E SOPPY 6,1Z!_ - S A-000 :O/ Fee(ea.) It Est. date of completion /inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: ■-- Air handling unit CFM Is existing space heated or conditioned? ❑Yes ❑ No Air conditioning (she plan required) MI Is existing space insulated? O Yes ❑ No A teration of existing I VAC system - _ y !1'IECIIa \'ICaL °-'CONTR:aCTOR •- - T Bute 's fee permit no.: HP Tons BTU/LI Address: t7 0. N E ip Mc & C Cil Fire /smoke dampers /duct smoke detectors - City: �� NO ZIP: � "7'ZIQj Heat pump (site plan : Phone: (L� == Phone: SD3,331,0Z3 Fax: 331,( E -mail: Instal rep ace ace .umer :TU Including ductwork/vent liner ❑ Yes ❑ No CCB no.: ri r s r ace re u eaters suspen e., # ■_- City /metro lie. no.: (1 w �' wall, o o floor floor mountente d Name (please print): CL(F 1-4/1 Vent for appliance other than furnace : == - _- CONTACT' PERSON = _ -- Refrigeration: =— — - Absorption touts BTU/H Name: CL. (- (4 /li Chillers HP - Address: S 0i NC Cr M' (A b'LUp Compressors HP - pl n exhaust and ventilation: ■-- City: pD Ti . AN State: Q1 6 /7z,14 ZIP: ° !li Appliance vent vent Phone:53,331.0234 Fax: 331.610,(, E -mail: Dryer exhaust — - Hoods, Type Lyres. kitchemm/Imazmat - OW1vER __ — r� __ - H U hood fire suppression system Name: Exhaust fan with single duct (bath fans) -__ Mailing address: Exhaust system apart from heating or AC - City: State: ZIP: Fuel piping and distribution (up to 4 outlets). - Type: LPG NG Oil Phone: Fax: E -mail: Fuel piping each additional over 4 outlets = _i = T =ENGINEER= -4 = =-'- -- '__;._ ''= Process piping (schematic required) E Name: Number of outlets IIII I t er 1st . app lance or equipment: ■ -- Address: Decorative fireplace City: State: ZIP: Insert - type - Phone: Fax: E -mail: Woodstove /pellet stove - Applicant's signature: Date: Other: IIIIII ri d� lO Ly"D� Other. - Name (print): CL/ F 4 _ S Permit fee $ _La' TO Not all jurisdictions accept credit cards. please call jurisdiction for more information. 0 Visa CI MasterCard Notice: This permit application Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at %) $ Expires within 180 days after it has been $ 9 (�O p State surcharge (8 %) .. n �y 8 Name of cardholder as shown on credit card accepted as complete. TOTAL. $ /Ot �� / p Cardholder signature A mount !; l 440 -4617 (6,t00/COM) 4 ,O /�-( ✓2evLp �� , J L-d--- CITY OF TIGARD • 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested AM PM BUP Location l D C Suite 'SW MEC o o6"�(=:' Contact Person isigo Ph ( _ ) S -7 ?7S PLM Contractor Ph ( ) SWR BUILDING . Tenant/Owner ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam • Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab . Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain • • Shower Pan Other: Final PASS PART FAIL MECHANICAL Post& Beam Rough -In - Gas Line Smoke Dampers PART FAIL TRICAL Service Rough.ln UG /Slab Low Voltage Fire Alarm Final Li Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: 0 Unable to inspect — no access _ Fire Supply Line ADA Date &// &// 2 Approach /Sidewalk D a / /Q 3 Inspect or Ext Other: Final DO NOT REMOVE this 'inspection record from the Job site. PASS PART FAIL