Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 00459
414
� I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/27/2006
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Relocate ducts, grills, & vays. Valuation $9581.
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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 91271200€ $224.30
[TAX] 8% State Surcha 9/27/200€ $17.94
Total $242.24
Phone:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
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.
Issued By: ,z g„,x,../ Permittee Signature:
6";
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.
C • 4 '
• Mechanical Permit Application F'' FOR OFFICE USE ONLY
�� l 1
R ece i ved Permit N. L --,e)(/ n
City of Tigard ��� Date/By: � 7 ► ���� �_ ■ c ` 7
13125 SW Hall Blvd., Tigard, OR 97223 F n Plan Review
7 ( Other Pemut:
Phone: 503.639.4171 Fax: 503.598.1960 SE? / /�ip'J,' • ' tr� 1 ti DatelBy:
Inspection Line: 503.639.4175 r ■ � d. l! Date Ready/By: Juris: 0 See Page 2 far
Internet: www.ci.tigard.or.us OIr OF TIG -=^7 -••11 -Notified/Method: ' Supplemental Information
�UILDI�G DIVIS
., m :AX ., .., ,{ ,.... , .,....,.. ka�.,..•...,. ..e .., .....,_.. V- E " 'IST
{ -,,, . . > �:. , ..::,t.:.l-.� .,: ,r..., ,,... ..w. ,tr. w ...,4.
., - . .. . . .. ... ... .. .. :. . ,, � .,r;: : , �, , ,� .1•: .,�,.,.r,....t�.,4ra:•: � ��,��- ,.{tR'CIAGFEE •
. ..: �{..,;. e , k ,. t.;?, � : °>n.... �.Fa:O�;•.� ,.� � „�.:,t -.,•, ;;fi +,.
., W:.rY: ; S y pY.'. r:, .{�:.A�:'f :'•'3;:ri -t. : 1':• {4:.kr Lr1Fh":;�i Ni' ".. I;nryl Y {� {.i .S,' +_
` � permit fees* are based on the value of the work
❑ New construction C Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. _
u.r s r�R h r W k1a,'c+; %;t;,t . f.:,r Value: $
�'Yl;F�k�M' -ii d,.: "15 935 i �'�PV,iv��-Ti,i� U {e:.i' �i W,d9 -, E, •
1 ,74, .,4, 1 6 n dl ^ 'yt>TO �J"iT ?.XFYd>;.:'X x
{.� zi ivk'a >:k � E .k,{y�f ,-?� . r ` 1N 1 P. " r b . 6sU ,s;.�,.!�:. i ,, ti :�, ,. ' 4 1}.1,4 #! �;; n.,.: ;c.1; .- �.
4r' l 'Gr r y . '.. w,,,. u, '., F°rP;'7.4w.:.t�:,�.. :,r SFEES
s 4e °�1,a �l y 1cb: f ::;a , , :,r , y� Q�c ,r .. } `1 9 9.. °9. a. n,.,», ,... I. iui . „ ?. gz . MEN I `/ SYS I E •
❑ 1- and 2-family dwelling Commercial /industrial Ell Accessory building For special information use checklist
❑ Multi- family Master builder ❑ Other: D escr i ption Qty �' Tota
rcfl ' `y;; ag • ;w gt d . }; , :a. ir,L�',:• d sWtlud trtff. '1"i trd sf"o §:izftt �vk aL- .e'sc, �7�"i. ,�S;.Iv.aiRYu ?'�14`!. {,: `' Heating/cooling t ,7 . t • �: i , ,:� } , ( t" ° 1;.,k. l ; X ,i'1:••J �t ( °� I� �`d.{ 0",.�'?t A.k1•i�; ,, x.:. E,,P. �,� - "r:.'
!(•'+ R} r�tn�9lct' X, '1FaS,1`3i.c:tii4,»•+SS6v.��i �, 6a3w7T"xo tit:�%kr:.ir{4J.- . f.. c �-,. u.,,.. r, t:.; l.. ;>;:;':vi,,x;'- ..::G;' „ rziir� 3 1
Air conditioning or heat pump
Job site address: 1 0 a Co 0 S. CO C, (" 2. n C 0._GI (requires site plan showing placement) 1400
F urnace 100,000 BTU (ducts /vents) 14.00
City/State /Z1P: �, � �,r-r9,. C.)' 17,90
t Furnace 10 BTU.(ducts /vents)
• Suite/bldg. /apt. no.: a00 I Project name: A ScQr1-" tA.jy1 Gas heat pump 14d0
Cross street/directions to job site: Q Lui 0.61n TO t • 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: I Lot no.: Other: 10.00
Tax map /parcel no.: Other fuel appliances .
,r,� r sw a r �r1 r t ;,. - ff Water.heater 10.00
Wit' ; 1 : ;; . :Ape? ` � ,► o "o " i �b o tle7
fr. , r4 :.4.,',�G:,,r . .4rn : ' 'r.' . . ...'k. .f{ lr, • r us . Mil. • -, ! a .: Gas fireplace 10.00
1 L Q . i 4'�� 0 , v C ! 1 ( - � . ' Flue vent for water heater or gas
r, 1 1 fireplace 10.00
Log lighter (gas) 10.00 •
• Wood /pellet stove 10.00
Wood fireplace/insert 10.00
Chimney /liner /flue /vent 10.00
t', ; .Isl �r ®: _' �, ° � p ' ti p a li Icy n taiJ r �' Ek*'ia;;k�s 10.00
., Is ar . .e.:_ , Other:
Name: . , Environmental
ame: Environmental exhaust and ventilation
• Range hood /other kitchen
Address: , 10.00
City /State/ZIP: Clothes dryer exhaust 10.00
Single-ductexhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
,., .�,, , . n.tl +' }9 f Attic /crawls ace fans 10.00
., � yfir; �" �f� (:,• {,' P
; 11. 1r t �r � :; ' .' d ' ; Eft ° f k 1 . h • A , Cank%: n .r:§3KW , .; 4. .' 10.00
r�,�:lifm r •ry ,'r s� Other:
Business name: I M 6 Call T ' , , `1 --? ('L t L1(, Fuel piping '
Contact name: h { &(Y t � :i J $5.40 for first four; $1.00 for each additional .
•
a � w c Fumace, etc
Address: i 3 J - I c�E, i A e_b p 9 , Gas heat pump
City/State/ZIP.: RD (.4-(611(1 Q gla'Q'" Wall /suspended /unit heater •
�/; 4000 ( � (J � „ Water heater
Phone:) �J I_ Fax:: ( Zj
Fireplace
B -mail: Range
�'�,` P,r� ,, r; .. 4 r t , + t - • .:o t',•t &l i; ( �'si^�tl ° t' Barbecue
4 �e 1� :1.t7"n „a - roiu,. r op. ,. ? .o •, it . � ` k, r , ' '`_4, . s ill -
I Clothes dryer (gas)
Business name: A Y� �(l �l`1 1` f� �n( f Other:
G ��i s py � n ��II Yr:44 °s n '�.C�'..uXv. ,r.y- ��W�ipl� MP n..
Address: 1 1 111 I to D U 1 1 1 ,,,,.,3�iio'�r�, „,, . ,, , , .j ` .„��'n J., f{ yl f,' „i ,:-
City/State /ZIP: ..„..„,,..„.,:2,,„:., (
G1 1 ' D ,� Subtotal
�.(�� �� ( CJ .
Minimum permit fee ($72.50)
Phone: (> "X3c,„i- 4,6 6 U Fax: (5:3)) a :7o Plan review (25% of permit fee)
Cal lic.: 23 \ -L1 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
, ,• Ali )days z--71 This permit N a mit obtaed within 180
Authorized signature: /l , Y � d ����IXXJJ�DD ` dU 1 t days apptica after on tt expires has been It accepted per is as not complete
Print name: , GL b r j 0 Date: CI_ Dfo_. () (e ` Fee methodology set by Tri•County Building Industry Service Board
CITY OP TIGARD
MEC20064/0 . —
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/27/2006
Phone: (503) 639-4171 41,
Inspection Requests (24 Hrs.): (503) 639-4175 .
INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7:01AM PAGE:
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: - LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: Relocate ducts, grills, & vays. Valuation $9581.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 10/9/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 037863-02 503-736-3664
Corrections/Comments/Instructions:
•
fl PARTIAL APPROVAL 0 CANCEL pi NO ACCESS
FAIL CA L FOR II4PECTION ADDITIO L F ES ASSESSED
Inspector: Date: 16 li AA Phone #: (503) 718- ________
, .
,
• CITY OP TIGARD
1 BUILDING DIVISION
A PERMIT #: MEC2006-00459
D ATE t 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 9/27/2006
Phone: (503) 639-4171 —41811n I A '
1 Inspection Requests (24 Hrs.): (503) 639-4175 A. , ...L.
INSPECTION WORKSHEET FOR DATE: 10/9/2006 TIME: 7:01AM PAGE: 26
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: ASCENTIUM
DESCRIPTION: Relocate ducts, grills, & van. Valuation $9581.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Pour Time:
Date: 10/9/2006
Code # Inspection Description Confirm # Contact # Message
625 Duct work 037863-01 503-736-3664 N
Corrections/Comments/Instructions:
iii&
111
al I II I MI 0. f
j r IF, /16 MN wig F ,
•
I ASS ri PARTIAL APPROVAL I I CANCEL NO ACCESS
FAIL • CALL FOR INSPECTION I I ADDIT t o N L FEES ASSESSED
Nal i
Inspector: Ara ' Dat:: 0/ 6 ... Phone #: (503) 718- ( A _.'