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Permit
CI TY OF TIGARD MECHANICAL PERMIT 4 DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00068 ,I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/22/2005 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD*** SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P BLOCK: LOT: 014 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: 12 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 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: Relocate diffuser. Value: $1000.00 Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 [MECH] Permit Fee 2/22/200E $72.50 PORTLAND, OR 97258 [MECPLN] Plan Rev 2/22/200E $18.12 [TAX] 8% State Surchaq 2/22/200E $5.80 Phone: Total $96.42 Contractor: C SCHIEWE CONST. 6615 SW 111ST. ST. REQUIRED ITEMS AND REPORTS BEAVERTON, OR 97008 Phone: 503 646 - 6617 Reg #: LIC 54105 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. 4wY Issued By: ter ri* .. Permittee Signature: / �- Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day Mechanical Permit Applica t • r FOR- OFFICE- USE -ON �- City of Tigar f ? - $ eiBY. i 6,C tG --o0 Permit No. 13125 I25 SW Hall Blvd., Tigard, OR 9722 Plan Revie Other Permit: I Inspection Line: 5031 : 503.598.1960 639.4175 / /',. - d� . � ; f � -, Dat .. - .i Ready/By: riM El See Page 2 for Internet: www.ci- tigard.or.us FEB Date Ready/By: Supplemental Information CITY OF T1G A TYPE Q _ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST � a s NV DIV 5 ' i'J1N Mechanical permit fees* are based on the value of the work El New construction r=1 Addition/alteratio replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition N Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ / 000 -- RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling v] Commercial /industrial ❑ Accessory building El Multi For special information use checklist. y ❑ Master builder El Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: / 0210 `S: 6 Y•LC.14 b U r 5 /2 / Air conditioning or heat pump cJ (requires site plan showing placement) 14.00 City /State /ZIP: �q'al-• al e j 9 7 2 33 Furnace 100,000 BTU (ducts/vents) 14.00 u Furnace 100,000+ BTU (ducts/vents) 17.90 Suite/bldg. /apt. no.: Project name: L1 n (c ,1,,, 76,w e+" Gas heat pump 14.00 Cross street /directions to job site: 63 r'? ^'td N 4 k - e - ..a 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 / - i1 h /WI1 v ^4-en."7 Flue vent for water heater or gas fireplace 10.00 ' Log lighter / g (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY OWNER ❑ TENANT Chimney /liner /flue/vent 10.00 Other: 10.00 Name: V\% v - , 'Ca Environmental exhaust and ventilation ' ( -� 3 Range hood/other kitchen Address: © h e _ S to C pkt71s 1� 1 al `Sl i �a.- J e Q equipment 10.00 City /State/ZIP: Pr \A ci R 9 1 a_ Q 2 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( t p 3) 41 2 - 4.gQ O Fax: (5o 3) 1p-/ 2 - It 8 4 c3 'g toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 /' Other: 10.00 Business name: al'a v /"1O ke4 'e r �/ Fuel piping Contact name: "S Y ?., 1-! o w1 Q V( obi S $5.40 for first four; $1.00 for each additional Address: P O n ,t4 d C9. B 3 9 Furnace, etc. 1 / Gas heat pump City /State /ZIP: 1 fiig( / a IR Wall /suspended/unit heater Phone: ( 503) 2 Z 4-- 9' 549 Fax: : ( 3) 2 2 g - 2 f 5- Water heater Fireplace E -mail: Range CONTRACTOR Barbecue ,�; _ l Business name: �� = 3C (4•]L6 . a 1 e ;.� , ••c Clothes dryer (gas) - -• . / j , Other: Address: ';'` � ; .., . _ - I 2 . / • L" MECHANICAL PERMIT FEES* City /State /ZIP 1' � 1 . ' ' r Subtotal v - Minimum permit fee ($72.50) ---°9_ S"7j Phone - 6 Ip'Y i t Fax: (': - _ -- Plan review (25% of permit fee) /X, .2-- / � CCB lic.: l i)-(i 0'5 State surcharge (8% of permit fee) - TOTAL PERMIT FEE L% 6 . Authorized signatu e: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. ' i s y ty g try F ee methodolo set b Tri -Coup Building Indus Service Board Print name: - ��i T i:\ Building\ Permits \MEC- PerrniiAppp.d 12/03 440-4617T(11/02/COM/WEB) • • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial Fee Schedule: Total.Valuation: Permit Fee:. $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including • $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. • i:\Building\Permits\MEC- PermitApp.doc 12/03 2 CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005.00068 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22.12005 Phone: (503) 639 -4171 Aki Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/11/2005 TIME: 7:08AM PAGE: 72 SITE ADDRESS: 10260 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE: PROJECT NAME: COMMON AREA DESCRIPTION: Relocate diffuser. Value: $1000.00 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: C SCHIEWE CONST. PHONE #: 503 - 646-6617 Inspection Request Scheduled For: Date: 10/11/2005 Pour Time: Code # Inspection Description Confirm # act #'— Message 699 Mechanical final 017948 -01 503- 780.3222 Y kR (M(E. Corrections /Comments/ Instructions: • Er fp ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIAL FEES ASSESSED Inspector: Date: (( #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005-0006t3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/22/2005 / / Phone: (503) 639 -4171 ii l' li' C/ Inspection Requests (24 Hrs.): (503) 639 -4175 -_ INSPECTION WORKSHEET FOR DATE: 5/23/2005 TIME: 7 :08AM PAGE: 94 SITE ADDRESS: 10260 SW GREENBURG RD'"* CLASS OF WORK: SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT #: 014 TYPE OF USE: PROJECT NAME: COMMON AREA DESCRIPTION: Relocate diffuser. Value: $1000.00 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: C SCHIEWE CONST. PHONE #: 503 -646 -6617 Inspection Request Scheduled For: Date: 6/23/2005 Pour Time 4 . :/ v . „- t , o , Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 007476 -01 503 - 463 -5676 Y I Corrections/Comments/Instructions: -- Difiv\-■.Zil-- - - "V\f1.--(-1 ( S -- "\ -- 1 6_ ,._e S Qa_____ 6,) 6)--kiz, ej-) 1 'vi-L., ILA— _ 4--- \, c- . 0 _ _ { Wk— v 0.J s s ■ 7 ( l y ________ILe-41__ P.-e. . ( • 9 P- 'Th,, .i M c 4 .\ ` /--Q 12,4---5 _e ke-S---( c--6--Q, o.‹ 2.__r7 (C ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS -FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED k i' 3 / o Inspector: i1 Date: Phone #: (503) 718