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Permit . , , �. { i� CITY ®�D MECHANICAL PERMIT • COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00406 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/8/2008 PARCEL: 1 S135AB -01002 SITE ADDRESS: 10220 SW GREENBURG RD 601 ZONING: R -12 SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG PROJECT: MATRIX , Project Description: Mechanical for tenant improvement. $Valuation: 5,466.00 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: 6 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: 1 > 10000 cfm: GAS OUTLETS: Owner: FEES SHORENSTEIN REALTY SERVICES Description Date Amount ONE SW COLUMBIA ST #300 PORTLAND, OR 97258 [MECH] Permit Fee 8/8/2008 $150.50 [MECPLN] Plan Rev 8/8/2008 $37.63 [TAX] 12% State Surch 8/8/2008 $18.06 Phone: 503- 412 -4800 Total $206.19 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. • c l �,l C 40- / .- " Issued B ,/ ,•` � _ �� --- Permittee Signature: /� Call A . • 9.4175 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. /f 1A f ► y s ®��' FOR OFFICE USE ONLY . Mechanical Permit A o r2, !;' on �' •�. .. City of Tigard ��� �� }•• ��� Rec vi L��� ,.: 4 _ 1 13125 SW Hall Blvd., Tigard, OR 97223 �� Plan Revie' �' Other Pernut:, 4 or ��_ �9I Phone: 503.639.41 Fax: 503.598.1960 0 %,rUdlg t;{ c� DateBy: a ► 1 .(� 1 kit Juris: See Page 2 for Inspection Line: 503.639.4175 ` ■ Date Ready/By: ri : Iemental Information Internet: www.ci.tigard.or.us �`� `--� _.. NotiSed/Method:� �� supp YY�� // I A �� V-'.'. 'ira- qrt.. " o i ;'. i' #i - "HE'Dt- LE"'= ::USE r. r��� arrw;:u ,,, ", 'O �n4- -6�• or ir" .'> ::`�: •�": , r value .rr,.:r;id!j� � .. - j +='� .,. ..'- �� +r +rs•: ° n, ased on the �''' �� '`�" ' '" , �••':�� "�• �� - " Mechanical permit fees are b ew construction 1Addition /alteration/replacement performed• Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, o ead,and profit. ..;,,,,.,� „� - ,,..: � ?.v i "Vniii;.;' ��i`4�:,.1 ^s�i:,�.: »�.,;ti „F•, - l0 :..,,..y,a "�.•:r� • :,:. 'y.: s�rr ?'i6Tr.1, `;:�'n7s...., ywASUr „a i%k, • „r „evzC:TakF�•`� ' A-• in,,., :..., ,;(.�.;it p , %!:,:;;'., ,$ .,, - Value• n c .l` y.rlj :t. i. L•E .- ,.L r .;51"� 'x i i : , . ! ! - `'-!:, a; :i - •'4.9�d, =1i r „te 1 f d FEES k cr,s °a, -, .. 1 ,a8.,...,3 .,.x :s: i G i .Ei.Gr N' R , tt 'f T” /SYSTEMS S "tr[�,sli i' „IFu ;lc 111; �;, �:'^ r ;” t�:;;e'�'`.:"�.�i:.�G.k.;+cs5n: <+r�,,�t�Fa�.:N.r�: 6r1`,.. wr. ..err. I,A:.7,- ::a.::.r �. ixl;...�.,�• �,�,..: ..�. r,. ».i ".4 :'ItES_IpENiI'I�A,.FsQ:LiIEMEN ❑ 1- and 2- family dwelling N.ommercial /industrial ❑ Accessory building For special inforntation use check /isl, ❑ Multi - family ❑ Master builder ❑ Other: Description Qty Total _ - . f ,. ..4.1 :F „ °no :a;;,- , , " =::P;ntt.�;.,,. ttx„`r d'Sd -�. :r.�rft rt!ra?, ,5'�=gi-.''t•' ?` ? °•.i, ;:,i': %Set,- tli7:. atin coolin 'f, .Mal , i! a�J. r �r 1, ll 'i ": t•. SH a ,+ d y , l" x .. v C �kl�u "r.;u i - ; ,:. C �,/ F, tt:���st�?;,�; I u,; ��{ ��'; it :la:(��.�y,,.r9��akS�.�,; !:,: %���- p� o:>✓,,,• ,.,:,, .�.m+.���;• ",'..r.,,.., -�. -, .t . Air conditioning or heat pump Job site address: dt V su) � '.eQ l b UL `"c\ (requires site plan showing placement) 14.00 �� � 14.00 s U Fumace 100,000 BTU (ducts /vents) City /State /ZIP: �� \ Q �. Fumace 100,000+ BTU (ducts /vents) 17,90 Suite/bldg. /apt. no.: ( k I Project name: a''( i Q Gas heat pump 14.00 Cross streeddirections_to ob site: X46 `� 3 Ductwork 14.00 I � Hydronic hot water system 14,00 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 . Other fuel appliances Tax map /parcel no.: 10,00 `w,: ea.u: . v - ee. gan-.z1' s�•Krr 8 1 �f Water.heater f r�v nirItdV Ei °�k4 st�k ear r u v O '� t �;` ry t '�k ' t IX 10,00 i Miligy!-;. >•zr ;�in "rrelit1iV��: Cs i s u �wm ",,n, iii ! r, a;i ° ru : •..t, ,. ir1 a,,;s , Gas fireplace a; 0 " /)„ ,� is n �� r` `t c �� ifs `4— . Flue vent for water heater or gas 10.00 �Q m �1Lx u -'& +e fireplace 1 T (nQ J�� Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 1000 ,,:.. �„ k ., - r'1 •.�- ,� :'�� io,. ,,.;��t at�r't•�.'��, lo.00 -'a ��� 9,fn S,.°5 ��y� 1,,% •, ' - tip,' c, d, I • r• .re.�r0 ,k F,`,, . . 4i u',,,i., ;110R'c'. } ; ©, 1 �`p. .r`,fr�': .,- �.(.fi� :, 41 }•'i'•:',1 {;..,': Other: '.6t ,. n n •sae � ? / rrdh'I :r,�G y;�,:�$ N -nr• __ Environmental exhaust and ventilation 1 — Range hoed /other kitchen - ' • 1090 Address: e• ui.ment Clothes dryer exhaust 10.00 City /State /ZIP: - Single -duct exhaust (bathrooms, Fax. ( ) toilet com.artments, utili rooms 6.80 Phone: *�r 'Ins �;'t+ Attic /crawlspace fans 10.00 g� :. ;e; q d '+�t£;� is : 'w: rg e ,' Ny,g s :'., ., , P- g ; 5,..:: •,.> f Q, i;rSi;4 " Y: F 1 l..i. t YH lam. ,:, i d iu ©� A as „) , �.. 4 10.00 , d ,,n v.x. ' 'A2?ll°.�- } ,m ,ua Fi l ,; qi - S t -a 9 e,W Ma. ! ir4 Other: Business name: i'rQ(t Call - ci_4 -- ! Fuel piping Contact name: '"Da.1,e 'LL. ,1 i l_Qjf • $5.40 for first four; $1.00 for each additional 111 ��` Furnace, etc. Address: J'I (�� ��� Gas heat pump City /State /ZIP.: "R() (� and . ( Q q1 �U2- Wall/suspended /unit heater 1 ( �� Water heater - Phone: r ) a _ b Fax:: I 11 Fireplace - E -mail Range t�s .l `lift 6 9 .t 0 . � �'x 0mo 4 �a `e`'� t "fi, Barbecue �- Clothes dryer (gas) Business name: k �(� a 1-►` l J "v f Other: A Y t J � Address: e �l / � ` � %��+!u"IGfr�e +•6 t w �v!w;� 4a�t ,xo.,,4i�k,.sx,., '.t�. lS.l,y' //�� /� Subtotal City /State/ZIP: (sc`E { Ct�1 �(l IL "1 1 C Q Minimum permit fee ($72.50) Phone: (�((�y,,�� `'t o 6 U Fax: ( ) -.),. �`�o�J D Plan review (25% of permit fee) v y ��� r State surcharge (8% of permit fee) CCB lie.: TOTAL PERNIIT FEE ��YLIA -k 1 a 66 / This permit application expires If a permit Is not obtained within 180 Authorized signature: days after It has been accepted as complete. ���/// ��(� * Pee methodology set by Tn- County Building Industry Service Board I n,a„t name: � {'Yt rn is 'T � b `( %� dY1 Date: CITY OF TIGARD .. 7 BUILDING DIVISION PERMIT #: MEC100B -0040 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 802008 Phone: (503) 639 -4171 Mp Inspection Requests (24 Hrs.): (503) 639 -4175 s INSPECTION WORKSHEET FOR DATE: 10/21/2008 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 10220 SW GREENI3URG RD 601 CLASS OF WORK: SUBDIVISION LINCOLN CENTER/THREE LINCOLN LOT # 009 TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: Mech anical for tenant improvement. Valuation: 5,466,00 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412 -4600 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503. 239 -4600 Inspection Request Scheduled For: Date 10/21/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 076954 -01 503.780.3222 N Corrections /Comments/ Instructions: 4_ )/ 5/ )r I`/ SS H PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Ins ec tor: p Date. Pho #: (503) 7 18- ' CITY OF TIGARD , BUILDING DIVISION PERMIT #: iVIEC2000-00406 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/8/2008 Phone: (503) 639-4171 ,N1Piliit Inspection Requests (24 Hrs.): (503) 639-4175 „._,141■ _rn. INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 42 SITE ADDRESS: 10220 SW GREENBURG RD 601 CLASS OF WORK: SUBDIVISION: LINCOLN CENTERTIIHREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: Mechanical for tenant improvement. Valuation: 5,46600 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-4114800 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 07476403 503,781)-3222 Y Corrections/Comments/Instructions: ,... e476.--te( --- --,, 0 PAS El PARTIAL APPROVAL El CANCEL n NO ACCESS I FA U CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED I.... , . Inspector: ■■■■. Date: g-46 Phone #: (503) 718- 1 11 ____ CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008-00406 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/812008 Phone: (503) 639-4171 &essio Inspection Requests (24 Hrs.): (503) 639-4175 A- 'IL INSPECTION WORKSHEET FOR DATE: 8122/2008 TIME: 7:01AM PAGE: 34 SITE ADDRESS: 10220 SW GREENBURG RD 601 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: Mechanical for tenant improvement. Valuation: 5,466.00 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600 Inspection Request Scheduled For: Date: 8/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough-in 074495-01 603-209-0290 Corrections/Comments/Instructions: • "f t c v r e. ,4// I I PARTIAL APPROVAL CANCEL I I NO ACCESS n FAIL n CALL FOR INSPECTION LII ADDITIONAL FEES ASSESSED Inspector: Z...S Date: A 9,2 4,,61.5 Phone #: (503) 718- „. . CITY OF TIGARD BUILDING DIVISION PERMIT #: MFC200B-00406 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: wano08 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 Ari■ INSPECTION WORKSHEET FOR DATE: 8/20/2008 TIME: 7:02AM PAGE: 21 SITE ADDRESS: 10220 SW GREEI4BURG RD 601 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: oo TYPE OF USE: PROJECT NAME: MATRIX DESCRIPTION: Mechanical for tenant improvement. Valuation: 5,466.00 OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800 CONTRACTOR: AMERICAN HEATING INC PHONE #: fiO3-239-4600 Inspection Request Scheduled For: Date: af2an00e Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 074383-01 503-209-0290 Corrections /Comments/ Instructions: T C_Ltlle tic) A. c k (4 O(4 -J ("4s d a IA f) (14.v- d WOrk- 5 6c. 4.6i 5 .tr S r 7 PASS PARTIAL APPROVAL LII CANCEL n NO ACCESS 4 INSPECTION n ADDITIONAL FEES ASSESSED Inspector:'- 5 Date: ,a). 0./d8 Phone #: (503) 718- ,2 _ _ _