Permit Fr CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00610
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/19/2007
PARCEL: 1 S135AB -01002
SITE ADDRESS: 10220 SW GREENBURG RD 501 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: WELLS FARGO HOME MTG.
Project Description: Add and relocate ducts and grilles for TI. Project Value: $1,486
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
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 10/19/200 $72.50
[TAX] 8% State Surcha 10/19/20C $5.80
Phone: Total $78.30
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.
Issued / � / Permittee Signature: L g (4 (S
A
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 OFFICE USE ONLY .. ' •
City of Tigard Date/By: Received /) Pemtit No.: /' , >07 .9 ,/
Dat � D D
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Pemtit:
Phone: 503.639.4 Fax: 503.598.1960 La, 04 V & Date/By:
Inspection Line: 503.639.4175 Jur • (a See Page 2 for
I Date Ready/By: ��
-sry� "��I Rd Supplemental Information
Internet: v,.�vw.ci.tigard.or.tis Notified/Method:
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Mechanical permit fees* are based on the value of t work New construction Addition/alteration/replacement performed, Indicate the value (rounded to the neared dollar) of all
❑ ❑ , and profit.
Demolition Other: mechanical materials, equipment, labor, over end
Value: $
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❑ 1- and 2- family dwelling X0 Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Fa' Total
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Job site address: t() , (O Cc(1Qp fabLA l 14.00
(/ (requires site plan showing placement)
//�� Furnace 100,000 BTU (ducts /vents) 14,00
City/State /ZIP: ��( 1 V Furnace 100,000 +BTU.(ducts /vents) 17,90
Suite/bldg. /apt. no.: 60 ( Project name: IRS i k `F.x Gas heat pump 14.00 uo,a,,,,,,, Cross street/directions to job site: �}
3 Duct work 14.00
"" Hydronic hot water system 1400
Residential boiler (radiator or 14.00
hydronic)
Unit heaters (fuel -type, not electric), 10.00
in -wall, in -duct, suspended, etc.
Flue/vent for any of above 10.00 •
Subdivision: 1 Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances
k s^ ,wx,:a ra aw', h ' u. 1` ° U r 10.00
{'gGa " �t u' ;,, { ;� ; i >ro r •, Y a t ..d a k� tj � ,3 �Sw x 414 1 lR .v. Water.heate
4 " :AAA V. 4 [1 ;.a , . .1 ,, . m.4 : r):./<as, . .a3 ,a1 ,` 1, t�.u. Gas fireplace 10 ,
�1 AO ' 0(\ 0 6 , r ` X 1 Gwo Flue vent for water heater or gas 10.00
1 t l c fireplace
Log lighter (gas) 10.00
• Wood /pellet stove 10.00
Wood fireplace/insert 10.00
Chimney/liner/flue/vent
v 'r ,<. , ,,t & -dti.0 ,,•,,,, - rs.,_, J �� q , 0 ,,, ,r .r,... -� ''I , 4 : ° Jli a 10.00
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: y�,` 4tF'', c. t�vi�r ®. , l. { 3' �� v s� iJd;�'�o *:' h�lr�t'u,� , � ',tiu,•a' ,:',air, a "• Other:
Name' Environmental exhaust and ventilation ,
- Range hood /ot',.x';itche :. 10.00
Address: equipment
Clothes dryer exhaust • 10,00
City /State /ZIP: Single -duct exhaust (bathrooms,
Phone: ( ) Fax:
( ) toilet compartments, utility rooms) 6.80
9 NNW ,. rnr e e ra wan r a. ry l " '� • / Attic /crawispace fans 10.00
It 4'k. ! ? P1 , ' it '} ' � i Fi, p � [' N R N lit �t�' 1 1 Q 00
v me,Y� 1 a:t y • a 'x u.. p {2„ s+ s`r¢a Other:
Business name: tYlQ.(( ( H &'t (1 x.1'1(, Fuel piping
" T � 1 $5.40 for first four; $1,00 for each additional
•
Contact name: 4 l �l
/ Furnace, etc.
Address: 1'nct SE- (2 ((1 p_bn 9 ' Gas heat .um.
City/State /ZIP.: RV ((<3J1 a r)K - l 7 �U2 Wall /suspended /unit heater
j, ( / , � /`��y Water heater
Phone: ) J'I- �l7Qb Fax: : ( - 7O 1 I�
Fin lace
he
E -mail: -
[ 6 , {'',, f i ; A'J1� ly y�tY
�, �s� '�� an
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Cloth r (:as
Business name: P\- ai Q4-■ i �t 4c t` Other: , -e . -
1 1 J c .11� i � :4 i+ " fi . , I r �d ' 4 .1 :, ' :
Address: � 3 1 SC--1 'i ' ra�i����i;>.a,''��i -�' t i '�¢,,:
o1 1 "D U Subtotal
City/State/ZIP:
�(`�{ Ctrl i Mi permit fee ($72,50)
Phone: b U Fax: (.)-.5) D „ :70 "C Plan review (25a/o of permit fee)
CCB tic.:
'''S' \' c State surcharge (8% of permit fee) � / TOTAL PERMIT FEE ■
v i l � Thi permit d a y s a fter It application ezplres It' a permit Is not obtained wlthln 18 Authorized signature: 0 has been accepted as complete.
, �.•5h /� " Fee methodology set by Tri- County Building Industry Service Board
I 1.4....t 1.4....t n�mP: L� � M /7 �' GI I U r � � � -, 1 I Date: { C) -I� .4-1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: M G2f}0'l 00$10
li, 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 10/1N; 007
Phone: (503) 639 -4171 *NOV +
Inspection Requests (24 Hrs.): (503) 639 -4175 1 L..
INSPECTION WORKSHEET FOR DATE: 10/23/2007 TIME: 7 :00AM PAGE: 54
SITE ADDRESS: 10220 SW GRE:NBU y II (i01 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER i E COLN LOT #: 008 TYPE OF USE:
PROJECT NAME: WELLS FARGO HOME MTG.
DESCRIPTION: Add and relocate ducts and grilles for TI . Project Value: $1,486
No plan review required.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503. 2394600
Inspection Request Scheduled For: Date: 10/23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 058113 -02 503 - 180.3222 N
Corrections/Comments/Instructions:
414 PASS VA PARTIAL APPROVAL E CANCEL n NO ACCESS
FAIL a ALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: _� Date: /� �'"`� �7Phone #: (503) 718 -
CITY OF ��mm m ��n mm��o=muo��
BUILDING DIVISION PERMIT #: mEc2 07.DO61O
| 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 10y19V2007
Phone: (503) 639-4171 A lk
Inspection Requests (24 Hrs.): (503) 639-4175 _� « �1-
INSPECTION WORKSHEET FOR DATE: 10U23/2007 TIME: 7 PAGE: 55
SITE ADDRESS 10220 SW GREENBURG RD 501 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERTFI-IREE: LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: MILS FARG()HOME MTG.
DESCRIPTION: Add and relocate ducts and grilles grilles For TI. Project Value: $1.406
No plan review required.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503„I39.4600
Inspection Request Scheduled For: Date: 10K23/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
016 Mechanical rough-in 058113-01 503-780-3222 N
Corrections/Comments/Instructions:
.
=
ri P ^ RT|ALAPPROVAL CANCEL I I NO ACCESS
FAIL || CA r FOR INSPECTION n ADDITIONAL FEES ASSESSED
�
° �� / r
Inspector: ' Date: ]} ' �� Phone #: (503) 718- / ���
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