Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00475
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/24/2008
PARCEL: 1 S135AB -04500
SITE ADDRESS: 10250 SW GREENBURG RD 111 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN BLDG LOT: 001 JURISDICTION: TIG
PROJECT: CORNFORTH CONSULTANTS
Project Description: HVAC TI - no plan review required. Project Value: $3,200
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:
Owner: FEES
SHORENSTEIN REALTY SERVICES Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [TAX] 12% State Surch 9/24/200E $12.01
[MECH] Permit Fee 9/24/200E $100.00
Total $112.01
Phone: 503- 412 -4800
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.
Issuedd B I Permittee Si nature �G, G /
y g
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.
k\NV •
• Mechanical Permit Application <,...v.i , , FOR OFFICE USE ONLY
, ea
,' OM Permit No.: r i
- City of Tigard
''' .'• 13125 SW Hall Blvd., Tigard, OR 9722, II cl cl IN.3 1,.. f.1. .4 _. rita c ntve e ip iv se e yvi d : ew 7 1172
•0 8 , ....64q 7
I • Phone: 503.639.4171 Fax: 503.598.1 960 c:,':c. aW ::;Dat4e/By: Other Permit:
Inspection Line: 503.639.4175 c 3' <, \ :•> .
TIGARD 0., (4,1\ Date Ready/By. ifl See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
1 1. A *C•I'V 1311
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Mechanical permit fees* are based on the value of the work
El New construction EKAddition/alteration/repla
performed. Indicate the value (rounded to the nearest dollar) of all
ID Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ 3 200
-,- --.
CATEGORY kPfi.„C911sTRucTioNAy;26:.-,,z5.kot..44,0„101,,,,z. _ ,. ,, , _, „_ .„„ „,,, ,,„ „L„,„
- RE'sipti■iTiAttiiiiiektisiTIA FEEs•wz
0 1- and 2-family dwelling Ere 0 Accessory building
For special information use checklist.
10 Multi-family P Master builder 0 Other: Description P Qty. Ea. I Total
iiira - , 43 ,.„ 11: a. .... , .. .1 ...._. ,: :4#,O.3.Milar Alli Heating/cooling
Job site address: /02 50 StAl 6ree bury Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP; /
0 (1/ OR 970 (02' Fumace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt, no.: / / Project name: ( rii forf /7 con5„H.,15- Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
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. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
- • , . •4. ;•:'..k....;,4,...'•'. v..4.:.w - - - -- --'-'-'-' r'"" ''"'',A•tisc-el"'.•=' - ,'• ' x - ' - ' ,1 46;q4' Water heater 10.00
t- 4'.' 'L..' , ,, '-';:i : DESCRIPTION:OW WORKtw ;•: ,"*--,',:*- '''A.,4+ ,,, tV41 , *
Gas fireplace 10.00
eq it" Ch_5"7"/ 67L/0 A-7 C ' e- e -5 Flue vent for water heater or gas
- fireplace . 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00.
- - ' iiiifliik , '"..,'4,:- OV.U.i,, - 4,w, er,,.,,,,i6,,,,,,,,,,.;,,,,,,,,0 Chimney/liner/flue/vent 10.00
A 5 1ifITT.,-.4.,h - 'N ,, no' ,,- - -- 7 -,, ; - %....-„,v,,A Oth 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: ( ) I Fax: ( ) toilet compartments, utility rooms) 6.80
Attic/crawls P ace fans 1000
Other: 10.00
Business name: A mery cat? H e '? - 1 - / i 1 j Fuel piping
Contact name: 7 d Nompie 7 1- 71- $5.40 for first four; $1.00 for each additional
Address: / SE / Jcoi 5-I- Fumace, etc.
. • Gas heat pump
City/State/ZIP: 0, OR 97202 Wall/suspended/unit heater
Phone: (503) 23,- Y&00 Fax: : (503 ) 231-703g Water ace heater
Firepl
E-mail: . Range
ti --,:;:, , , -,-, - .-:-.z ,: -,- ..1..;* ,-- -;`.t. ,-- V.:. - : ','&,,:'"'":'''''''''',".'• .'-'''' - .. ' 7 ...-• .....flwi.: : . , .5 -:` .t , - , .^,,,
c0714g - ',. -- Or.,ii: , -4 ,. rt - : .- ft.: Barbecue
Business name: A mer / 6 4, 1 Il T c . Clothes dryer (gas)
Other:
Address: 133.1 i sE 6 si-- mittig*: 41,::::* .:RA7Frog.itiz,Nsti
City/State/ZIP: p an d 10 X .37 20 2_ . Subtotal -
Phone: (503 ) 239-1160o Fax: (503) 23 Plan 1- 7035 Minimum permit fee ($72.50)
an review (25% of permit fee) fe,' .__
_
___
CCB lic.: 33/35 • State surcharge (12% of permit fee) - 7 - j..ot _
TOTAL PERMIT FEE 71A•o I
Authorized signature: 17/ /
,fr.-/7 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: (a A nc ., e5 e r Date: 92 i3 * Fee methodology set by Tri-County Building Industry Service Board
I: \Building \Permits \MEC-PermitApp.doc 01/19/07 440-4617T (11/02/COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
MEC2008-00475
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
I trn
Inspection Requests (24 Hrs.): (503) 639-4175 9/24/2008
„Jai- 1J1.
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/1712008 7:02AM 20
SITE ADDRESS: CLASS OF WORK:
10250 SW GREENBURG RD 111
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN BLDG 001
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: HVAC TI - no plan review required. Project Value: $3,200
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-417-4800
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503:739-4600
Inspection Request Scheduled For: . Pour Time:
Date 10/17/2008
Code # Inspection Description Confirm # Contact # Message
699 Mechanic-al final 076854-02 503-780-3222 N
Corrections/Comments/Instructions:
SRe- ea t- c )c).:ve a) /6-6-08
Cif- 260 e - cr5 .5 -3 - P v,,,,k 2 , 46 ,.,„ 47 ) / P4_55ec) 10.-16-e8 (
A 4 .. Cil aver Q\Ctriel
C a_ se_ - - 5: , , i,,o, \
,4-PASS 0 PARTIAL APPROVAL El CANCEL NO ACCESS
7 FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: aS Date: / 7 c 8 Phone #: (503) 718-
. . •
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #:
MEC2008-00476
* -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9124/2008
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
10/6/2008 7:00AM 20
CLASS OF WORK:
SITE ADDRESS: 10260 SW GREENBURG RD 111
SUBDIVISION: LOT #: TYPE OF USE:
LINCOLN CENTER/LINCOLN BLDG 001
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION:
HVAC TI - no plan review required. Project Value: $3,200
OWNER:
PHONE #. SHORENSTEIN REALTY SERVICES, • 603-412
CONTRACTOR: PHONE #:
AMERICAN HEATING INC 503-239-4600
Inspection Request Scheduled For: Date: Pour Time:
10/6/2008
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 076326-02 603-672-1638 N
Corrections/Comments/Instructions:
24) C) k• 00
\r
N D 6 41,t•Li nA-4J2 IX 1 S S
- -
•
I I PASS I I PARTIAL APPROVAL 0 CANCEL El NO ACCESS
FAIL fl CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: q.; cm.- Date: Phone #: (503) 718-74"________
. ,
..._, .•
CITY OF TIGARD
BUILDING DIVISION A r • ,
13125 SW Hall Blvd., Tigard, OR 97223 n PERMIT #: ISSUED: MEC200&.004Th
A , .
9/2412008
Phone: (503) 639-4171 :aliiil`
Inspection Requests (24 Hrs.): (503) 639-4175
4/
INSPECTION WORKSHEET FOR DATE: 10J6/2008 TIME: A
70 . PAGE: 21
SITE ADDRESS: 10250 SW GREENBURG RD 111 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN BLDG LOT #: 00i TYPE OF USE:
PROJECT NAME: CORNFORTH CONSULTANTS
DESCRIPTION: HVAC TI - no plan review required. Project Value: $3,200
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 503-412-4800
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239.4600
Inspection Request Scheduled For: Date: 10/6/2008 Pour Time:
Code # . Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 076326-01 503-572-1638 N
Corrections /Comments/ Instructions:
Cea—f Cje,4, l-- r 6(fv-ezc
PASS [ I PARTIAL APPROVAL 0 CANCEL fl NO ACCESS
fl FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: k 4; ('I Date: of /OK Phone #: (503) 718- 2-Si 21