Permit CITY TIGARD MECHANICAL PERMIT
''''I DEVELOPMENT SERVICES PERMIT #: MEC2006 -00208
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/17/2006
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD * ** ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: 2nd floor mezzanine, (1) VAV, duct work relocate & grills. Valuation: $3400.
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
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA -ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 5/17/200€ $104.70
[TAX] 8% State Surcha 5/17/200€ $8.38
Total $113.08
Phone:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PM 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 By: 22 A..t' .LhJ�.t Permittee Signature:
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.
- FOR OFFICE USE ONLY
•
''Mechanical Permit Applic_atin � � •
k - l Received �r
City of Tigard 1 Date ` 0 4 ' •A ... ., o
13125 SW Hall Blvd,, Tigard, OR 97223 Plan Review OtlterPem t:
Phone: 503.639.4171 Fax: 503.598.1960 A 7 G�' /G� o J� ' e� Date/By:
Inspection Line: 503.639.4175 f t A., (I OA Date Ready /By: Juris 0 See Page 2 for
Internet: www.ci.tigard,or.us Notified/Method: I" ) • Supplemental Information
CITY OF TIGARD
Y` 'm TYP ErO 1': 'r I M COMMERCIAL FEE * 'SCHED.UL`Er— °USE'CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, lhor, overhead, and profit.
.1 r',.. .,. -�: P.: rr ..- ;•t:n:-- tbttn.:R= z ^c *:'., :.F l,, :�s'.• ::..'�..:�:.; �.:��:
` �° _ " •' " � `� -;.: . ' = =RESIDENTIAL?EQUIPMENT / SYSTEMS
*
❑ 1 - and 2- family dwelling r2 Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
-
ht`
Heatin
. �� <i. °. , S !FO R11'I`A TION ," A )1' , 'f> J O;C I �. �r, g/
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`, >is'' �;.ir.. �:.;,w.,:,. �� ".'.c t7:::. .�.v„ z, ..,., e`:fA. ^. _� ,.. ..v.. .,� , -,. ..:.., ..,
" Air conditioning or heat pump
Job site address: >0260 gre Ca , i wen led (requires site plan showing placement) 14.00
City/State /ZIP: ;;„1 ,, o,
-� Furnace 100,000 BTU (ducts/vents) 14.00
J Furnace 100,000+ BTU (ducts /vents) 17,90 ,
Suite/bldg. /apt. no.: 2,d 'irx- Project name: L i r, Coi r, 76 , tA 'e - Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Enc. f f�fex.r C 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.: 10.00
Other:
Tax map /parcel no.: Other fuel appliances
' .., . • :., , y ; ,,.,, ,., ,,,, 1 •�:� ° P ' : _;!tz ✓�,. :a,t5•..rti. I ;, h ey , : , , ;::.rim :vsk::z ty & "us,,ifit r; ��` l ; lK `.. :`;s%ai:x:r;.w 3ir c t;s¢ t:fKx .,3.
i) �-: rfk�NT,, i!','. br "� " „I :'i ,, ��Q�(��•t "��� c O rd J�t�w'R%.�;.s�t5;:t �;,' ;�4.'R�..� "•G;7t..t,: k r:r�. ; fr F, .};.; Water .heater 10,00
it t, ,., il!leiii ;i' , P3 . iVi tNbl.µ`r,i,x D G s3t' vr r;\ ;1 , i �, jfi ,.,„,,�: «�a.,i_._ix4 „_,":'�., °• *5,, tai�:nl ;xrtl
Gas fireplace 10.00
. Flue vent for water heater or gas
i' fireplace 10.00
1 Ut� /, ,'ca '''t Loglighter(gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
::• s;aa•> rt ;s <. <:,.x:r ":r G , ; r :s., ; y r ; ; >;r =: ;-F . Chimney /liner /flue /vent 10.00
�iTpli;;.;1r:;�7t(;. ,; �k.,ryAa,'yP +.;'a:4��tAy,�,r e,i: •a�,;ii •= ui:`�:.'.I,:rs; !' s, :,ea
,r.u �° F , Z; `',,OE R ; ;it •. ,M! .:t:: Gu ..p_ ❑,t` 3rt#1 ,` ,.T !y; :,,:,;;, y h `,:;' ; .;, : r.
i� P,RUEER,,� W�!1E , :F:rs ":,�) ,.:; l�Ss. �`: ��1. 1« �- �-•:,"' a[ �, �,,, a'; r. ek.,: �. z�:,,,,�,,.b:;l:.; +,. Other: 10.00
'" 14',j;,F;���`k'ux::,,,ef,�'R'ie 4- Ct':;,' ,r1 A •,!'}7f 9 + , ( •11, C tta�Y'. .. ....• -:_ .,. .:br.5
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: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
. t ., r . _ 'x1 .,:. ='r Aing t .t ^" ; : ,,<, ,. ,.. w •".^,) r == ; „< rv:i ';n Attic/crawl ace fans 10.00
i e'd�ia „�';'l';�Jr. ii "1; ,+ ;:'�' .t,. .�a;;.. �, °' ,a k aY•Fi;��" , .p „�...:: ; ,`,:.•> p
.� KtiITI g ,u ” - e• L•TGAN I' 'llA . ” o : ,. ,.. r ,a• CON AC PN It.SON ; ; :,, ; 4 , .,,,, : :r
rrt! �i, 3 !•x.,�ul:�z.if.'= Fxi i�.':!': JF'•�•.,.n,pm..^!a:a.aa::.:iy: •.It ;,off!, e. =z2= ::�r� .ru �M. .•� ..,,,,�, 5;; ,. c..�„ . ».
" ' Other: 1 0.00
Business name: pi»e,Y a r e, Fuel piping
Contact name �e 'Vd e $5.40 for first four; $1.00 for each additional
• / Furnace, etc.
Address: J� s✓� ®O/Ct���
Gas heat pump
City/State/ZIP: y" >CL„ 7th O` i92690. Wall /suspended /unit heater
}
Phone: (f3)33... 4b Fax: : 3) 9_ /63 Water heater
Fireplace
E -mail: Range .
.x�,� „ leC xs • 3g c ri"x'; t, .:3tt'..�.�Ai- fi r'r.3;lctia i r?a,'t'c.:n.r !l,: , ;� R. ?;W: i`n'r�''':? •� i +tr OF�,ftntr: - y:t'r,!: ,:'f;}i .:
{F * 'F Jr^. ,,1:,t��5,�r•$�ass , • ,, �, r,`; t_: :t� »�- t�,::,,�„r, =,• , a 7 . (y�„ r n , ��: �t': k �''...,.. xlt,: �' ?pi i;,.�� -¢x,!: i�".n ,,�L:'y ?; Barbecue
1;04 61 i rd,nr?! 11•,7 f xd i`a . ., ri C ,.„N%.y .,r .CA t - OPEJA.4 s : i, 1. 1t,.. i i ;,' , M.1;0 r & iN
Clothes dryer (gas)
Business name: AYY1e,, CQ.N p ecc i ifr , 01 Ihc,
Other:
J „
Address: . (ii' "''c` ' 4 W h ` "MECHAN PERM FEES* .
City/ State/ZIP: Subtotal
f .1 Mi permit fee ($72.50)
Phone:( 3) _4600 Fax: 603) 2,39_2039 Plan review (25% of permit fee)
'\ CCB lie.: 33 /3 S
State surcharge (8% of permit fee)
TOTAL PERMIT FEE
_ This permit application expires If a permit is not obtained within 180
Authorized signature: �'= e+ 't - �'« " d' days after it has been accepted as complete.
Print name: Date ' Fee methodology set by Tri- County Building Industry Service Board
,., 13,,:, a4.tAPormirc,ivinr',PnrmitAnn.doc 12/03 440 - 4617T (t 1 /02/COM/WEB)
CITY �OF TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 0020133
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/17/2006
Phone: (503) 639 -4171 itopit
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: 6/12/2006 TIME: 7:03AM PAGE: 41
SITE ADDRESS: 10260 SW GREENBURG RD --- CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MEZZANINE
DESCRIPTION: 2nd floor mezzanine, (1) VAV, duct work relocate & grills. Valuation: $3400.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503- 239 -4600
Inspection Request Scheduled For: Date: 6/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 031547 -01 503-209-1103 N
Corrections /Comments /Instructions:
i
•
linalMENta
�F'ASS PARTIAL APPROVAL n CAN CEL n NO ACCESS
FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: `li Date: L (UZ( v k Phone #: (503) 718 -��
CITY. OF TIGARD
BUILDING DIVISION PERMIT #: M 0200 .00 08
r. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17 /2006
Phone: (503) 639- 4171av lh�ii
Inspection Requests (24 Hrs.): (503) 639 -4175 . � __..
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7:03AM PAGE: 16
SITE ADDRESS: 10260 SW GREENBURG RD' CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MEZZANINE
DESCRIPTION: 2nd floor mezzanine, (1) VAV, duct work relocate & grill:. Valuation: $3400.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-230-4600
Inspection Request Scheduled For: Date: 5/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Wiechanical rough -in 0306013 -01 503-209-1103 Y'
Corrections /Comments /Instructions: ia to t' e 503 -7 d ;.g.a o�
AdVi
to I liprer
/
PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
I I FAIL I I ALL Fo R INSPECTION n ADDIT ONAL ' EES ASSESSED
Inspector: 01, 4 14 Date: ;CC—Phone #: (503) 718 ` /?J'