Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00167
DATE ISSUED: 4/24/2006
Y -�-' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S 135AB -04500
SITE ADDRESS: 10250 SW GREENBURG RD 112 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT: 001 JURISDICTION: TIG
Project Description: Modify duct work, add (7) supply runs to existing duffuser, relocate (1) thermostat. Valuation: $ 4,896.
CLASS OF WORK: OTR 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:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 4/24/200€ $139.20
[TAX] 8% State Surcha 4/24/200€ $11.14
Total $150.34
Phone: 503- 412 -4800
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 331 -0234
FAX 503 -331 -6906
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 -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: (1
Call 503 - 639 -4175 by 7:00 a.m. for inspections at 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.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard P Received I 'ermit NoNik
13125 SW Hall Blvd., Tigard, OR 973 Other Permit:
M t Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 / �atardl r' Date /By:
Inspection Line: 503.639.4175 A; e
APR 2 4 2006 Date Ready/By: Supplemental See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Biri upplementallnformation
•,.,;,,u1 � COIVIIVIERCIAC;FEE SCHEDULE:= i`USE�CHECKtiIS
b it_UINU Ui\ bi0N Mechanical permit fees* are based on the value of the work
❑ New construction ® A V ddttton /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
:.} :;',3ai ': = ai . .a ,, ..,,,sr, ,•N- . :,,..:•... •>» :::'....
Value: 4 ,89
$
�. >,CATEGOR3Y.;OF:CONSTRUC�TIUN e. 4,896
RESIDENTIAL. E UIPMENTESYSTEMSFEES*
❑ 1- and 2- family dwelling Commercial /industrial Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
J.
ITEINI± ORNIATION <:AND,;,`LQCATION;;-:s_f::: Heating/cooling
Job site address: 10250 SW Greenburg Rd. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: Portland, Oregon 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 112 Project name: KK Financial 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
Water heater 10.00
ur.
Gas fireplace
HVAC Tenant Improvement Flue vent for water heater or gas
rytc,13 t= fireplace 10.00
Log lighter (gas) 10.00
A D 1 t.) e & - ;. - ,•4e pq F- r-LiSQI Wood/pellet stove 10.00
cA ( ) p N E tArr'sPTtC j {1Ev -YES i d Wood fireplace /insert 10.00
s -sH "_.,,.,,..- ., /liner /flue /vent 10.00 :_.. Chimney/liner/flue/vent x ® .R I'ERTY WNER ? - TENANT °',?` ' j I; ' Q Y
w zr
- - ° - �'' Other
10.00
Name: KK Financial Environmental exhaust and ventilation
Address: 10250 SW Greenburg Rd. Range hood /other kitchen
equipment 10.00
City/State /ZIP: Portland, Oregon 97223 Clothes dryer exhaust 10.00
Single - duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
.,, »„ ; ' = �.T..,��� :1,'•'t.TD( Attic/ wl ce fans 10.
:"�;; o <, a era
�]'`AP,PLICANT � ®� CONTACT;- PERSON,.?(, �. s a 00
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Earl Salsbury $5.40 for first four; $1.00 for each additional
Address: 12021 NE Airport Way Suite G Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, Oregon 97220 Wall /suspended/unit heater
Phone: (503) 331 -0234 Fax: : (503) 331 -6906 Water heater
Fireplace
E -mail: earls @mckinstry.com Range
x
m � �.� Barbecue
CONTR
�ayy
Business name: McKinstry Co.
Clothes dryer (gas)
Other:
Address: 12021 NE Airport Way Suite G ,.:. ;r» . :..,,, , - , :_:...
ECyFIANICAL 1°ERMI'I' FEES. �...,.._.
City/State /ZIP: Portland, Oregon 97220 Subtotal /39, LG
Phone: (503) 331 -0234 Fax: (503) 331 -6906 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 40981 State surcharge (8% of permit fee) //, /y
/ ' TOTAL PERMIT FEE f� 3
Authorized signature:
"1 ,� f This perm application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Earl Salsbury Date: 04/24/06 * Fee methodology set by Tri -County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -46I7T (11 /02/COM /WEB)
CITY-OF TIGARD �
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7-0:36:
Phone: (503) 639- 4171a�4p�11��eI��I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 470.0 (06 TIME: PAGE:
SITE ADDRESS: (0 ') O(R'. O9R� CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
oczrk- -6
Corrections /Comments/ Instructions:
111.4 / _
11FAV Fy aw y
•
/PASS ❑ PARTIAL APPROVAL n CANCEL ( F NO ACCESS
FAIL I CALL FCC INSPECTION ❑ ADDITIeNAL F ES ASSESSED
h Inspector: \ Date: lb' hone #: (503) 718 -�
CITY OF TIGARD ij
BUILDING DIVISION #: MI�C 00 001f.7
13125 SW Hall Blvd., Tigard, OR 97223 /, i DATE ISSUED: 4/24/200S
Phone: (503) 639 -4171 : n yp11 l
Inspection Requests (24 Hrs.): (503) 639 -4175 ���� :_.. Q(I-1-
INSPECTION WORKSHEET FOR DATE: 112512005 TIME: 7:00AM PAGE: 74
SITE ADDRESS: 102.50 SW CREENBURC RD 112 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT #: 001 TYPE OF USE:
PROJECT NAME: KK FINANCIAL
DESCRIPTION: Modify duct work, add (7) supply runs to existing duffuser, relocate (1) thermostat. Valuation: $
4,89E
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 - 412 -4800
CONTRACTOR: MCKINSTRY CO PHONE #: 603- 331-0234
Inspection Request Scheduled For: Date: 4/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 028619.01 503 - 209-5174 N
Corrections /Comments /Instructions:
NI p1e : a-I -ft1 0_1 P2ivyJ: E oo L - 60 Iii 6 ' /Zs�
ridtek..,q < - 0-F-C r2 t CI ' t' - v'ti,----- -.
Z (� L L \,1,\_ slst"k. g
„o
6 Ki 6 VZ,e- t--e,- 6- -C \ ( \ ( \ k c L-6J4- 0--eAs(L -,...-„.." .
c l -- -- : (S' 6 s .
/1,----o e---,C(2-1 4( 2--q _ ,
1 •LCD-- e"- -.a-1. rte. c--&--� \"...) cr_. %
C/■5A -&_1( T 'cr-
` , 4
cinr'' \A CA''' • \1 cOr\ \"./■ Q L-4/V
A s \) ) - S J■
• I
❑ PASS AA 'A IA APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: L Y 2 A / Phone #: (503) 718- 2 1 2.