Permit 1 14 RI
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00155
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 3/23/2007
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 250 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: JOHN L SCOTT
Project Description: HVAC modifications: ductwork and add (2) VAV boxes.
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
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 3/23/200 $234.20
[TAX] 8% State Surcha 3/23/20W $18.74
Total $252.94
Phone:
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.
Issued By: i j 4c4 Lt Permittee Signature: \ c / ,�irs h P C�--
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.
5 0 6 6
Mechanical Permit App ��°U F OROFFICE:USEONLY
City of Tigard v Date/By: 3 p Permit No.• 0 ., DO/ 55
13125 SW Hall Blvd„ Tigard, OR 97223 MAR 3 2007 Plan Review Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 _ / /hen ptll • t(�' eta DateBy:
Inspection Line: 503.639.4175 MY OF 1 iG�1 �� •' Date Ready/By: luris: 0 See Page 2 for
Internet: www.ci.tigard.or.us
BUILDING D VIG` � . �'' ''W Notified/Method: Supplemental Information
i • "' *:; s:USE�CIiE.CKLIST
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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, labor, overhead, and profit.
,« , -',�� :, - -., ,:, r: _ n,,' ::, n.,,;. ;s;. Value: $ l d
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.7 *'� ,.�.._ '.t ' °'_REBID Q
❑ 1 and 2 dwelling Commercial /industrial ❑Accessory building For special information use checklist.
❑ Multi - family CI Master ❑ Other: Description I Qty. I Ea. I Total'
�g:r ;.{':141,`r- ,'.ss.:,,,:.1r.; .�.A:,e. .. :3 °fVS:'firl,xpr :,� s:',rg- ,+F,r " ±:t:: >.: w{ raC- r ;'F.i`I�,' . } r.y:�:;
sra: , c;fi.rrntiic n(3' 1 { ` I A.a, ,, ":; ii`,<; . : < ec;= n:: Heating/cooling
�{, `° ri:�,:,1: •4 1 ` "l 7. .: TE?:(. ;..,,, ' ^TIQ : 'A ', '0 2r It�J,.I$.,:,K pl
YpiZr'. 31'; F ;�k. ".'1'- `,'.1,.1a:, °l'3'�`+t: ( Lx:,. 1: i4! Y,:'; kr. �i'' r;t;+. ya..^,; .x::.;�c.ns"„'4::;�r,_x.,:�,.+A a.:,, ,, +.<. nFS " #•,;.:,.�: ::•;:.:, r' ,�
-= • ' ° Air conditioning or heat pump 14.00
Job site address: , \ 6 ( , ( 0 , ( A. � eel (requires site plan showing placement)
l 17 City/State /ZIP: J Furnace 100,000 BTU (ducts /vents) 14,00
/ r�'� l 11.90
vt_ Furnace 100,000+ BTU (ducts /vents)
Suite/bldg. /apt. no.: a.56 Project name: L,,,cS co � G as heat pump 14.00
Cross street/directions to job site: (��I ' \ ,/I l , -( �, �� J Duct. work 1400 t� 7 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 .
nu' �G'rr u't t, r'ai, ° °' r„*aT- $'''b ',, '.;.;« Water heater 1000
.s .: P,rrx ' ^ �E A f '.,. �1'a6`h"i" o k �, a . , lx,,j+,�'. ;S 1�i.5 i �,i�, a G,W"' :t .;� {<l � �t
;r » t $kS? ^: ri f f .Itif'I Fn4' p L,'p M ,! ,cb a . o' Q ) ": 1• t: c�kf;'k r, u v tf 9 €.'
I :. ,is aV,'3 r} ti a 0 v ` 4',iv't.H' # - r „ e,h ,Ak,4,0' '. 044,,6,:4. , .$1,ii', . , l.re;, l'f =" �- 10.00
Ys(„ twfiiiais '. r :. •,.: �u41.: 4 :f. u, • G «, r,'' �'.. Gas fireplace
eV r� /011/' ,I t , � ��� r �] � � Flue vent for water heater or gas
1 I ; V ,� / r"^ { fireplace _ 10.00
( /���,( 7u y V �� f ) Log lighter (gas) 10.00
• Wood /pellet stove 10.00
• Wood fireplace /insert 10.00
>-.iu r'4dTk�.y ,... .;,k 1 ', 'r'f� . 1,•n�) 4'yrcur %ASCl,;;F -,t n! 'i > ��1�3s� };Y�t,! >;,��' �i�
Chimne /liner /flue /vent _10.00
u " . " ' + I, cr ,.' ' ",i„_�: di;'a "c';rka:;,r %sit ;'a �w' .w `. wt ! '$1'f�k ':�{; ,.,,i x'rak�l; ; B r It � p,,,..Yj:s �- „ ^� '
; 10,00
d ��,.G , f a m> �, , a'Sb; :R.r:�,,, �, t t• i,; ,a)'.fi,.. s,�. ;l ,4i,E' r l'Ifx ';� r : r Other:
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Name: Environmental exhaust and ventilation
• Range hood /other kitchen
Address: equipment 10.00
Clothes dryer exhaust 10.00
City/ State/ZIP: • Single -duct exhaust (bathrooms,
( ) Phone: ( ) ' toilet compartments, utility rooms) 6.80 •
Phone: '
n pp� �,� c ra,, 4- ' a r; M- �anr;s ^ ;;r ` ;` 1"a Attic/crawlspace fans 10.00
z A 4 v' , ' w.'°I:S E,. ., �I hJ1t.,`` , # 'M ' .f rp 1 '% I` 'I':,, .fiPj• P
�u a • + t< ' S u:} � fi ? ;t i; r.. 5.� u ,� RSp.: as.s: i
,..14. :'si s '!'k'= ( � ' 1 g t4'4g4 , f- >i; " Y f` „,, : G 'ACtf1 " ,r; D3! ,: 4 44 . 6 4 .: :',,
i n?,: 'lltiif +.,t i 114..%104 2 i f x, # %t;? v: =. s +'.:,,,...,M a I,.re.,. :,<,n:,;r Other: 10.00
Business name: OM 06111 F�1 act 'air, , Fuel piping
Contact name: )ale
tai l $5.40 for first four; $1.00 for each additional .
/ 4 Furnace, etc.
Address: J� l (�( �3 (�� Gas heat pump
City/State/ZIP: �o c+( ck . 0. qi D-o- Wall /suspended /unit heater
dd�� ,}� Water heater
Phone: ) a Fax: : ( (!Vq ��/` 1 Fireplace
E -mail: Range
%;, ; "a '•3�•, "l: Or , ;: ° rJi a��r �. � nfiE ^. s Barbecue
�
y rt t p Ir• I i t +� N /��. d oy 0 e r ��, t`'s : Art ;:6`l `',iY r,.
1.14 � rr<, t k. mil; r",>¢ 4,:iiL"r.!p�5nIL ,.'. : C ck'v'4tllikr .: c,b,' ,. ama:� � . :l!2 +�3 #'a Arta. A,_kli . t•, t
Clothes dryer (gas)
Business name: Army ( Cl l l )q t _l-n( e Other:
_ +iStt�Y,e IC «ns,.t:ru:�.t,;a;:,,1 rP3� I.;I_,�.:,..- „s , �. =,:s .:,.;'t
a �7 a 5-#4 `; r, C;$ i,.CA , i,IEEE$�; :
Address: �J3� t) l D bb l @4 , �o ' fir,, „' .,,:•. i . �° . 0 . � /
(�� Subtotal �
City/State /ZIP: �(�-� j ( p.._ "1 1 Minimum permit fee ($72,50) •
Phone: V-0(1))) b 0 Fax: () ai --- 1(5 - p D Plan review (25% of permit fee)
CCB lie.: -5 \ s State surcharge (8% of permit fee) / 1 ,
Authorized signature: bYLP/Lk_ I J TOTAL PERMIT FEE a • e
/ f`�� \ /iJ� n � This rmit appl( cation expires If a permit is not ed within 180
days after it l! 0 ` ICJ I ( has been accepted as complete.
d Fee methodology set by Tri- County Building Industry Service Board
I Print name:. { Y1 M /� 6,11 6 `(/ a� I Date: 3 �
r -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 312312007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/612007 TIME: 7:04AM PAGE:
SITE ADDRESS: 10260 SW GREENBURG RD 250 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: JOHN L SCOTT
DESCRIPTION: HVAC modifications: ductwork and add (2) VAV boxes.
OWNEW'- EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 4/6/2007 Pour Time:
Code # Inspection bescription Confirm # Contact # Message
699 Mechanical final 046131-01 503-572-1638
Corrections/Comments/Instructions:
•
1111PC,
i K PASS - RTIAL APPROVAL El CANCEL NO ACCESS
FAIL • 4 FOR INSPECTION ADDITION,', FEE ASSESSED
10:
Inspector: Date: /u- Phone #: (503) 718-
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2007
Phone: (503) 639 -4171 d�ihu� i p�
Inspection Requests (24 Hrs.): (503) 639 -4175 ' �,,� 'f L1
INSPECTION WORKSHEET FOR DATE: 4/5/2007 TIME: 7:03AM PAGE: .1
SITE ADDRESS: 10260 SW GREENBURG RD 250 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: JOHN L SCOTT
DESCRIPTION: HVAC modifications: ductwork and add (2) VAV boxes.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239 - 4600
Inspection Request Scheduled For: Date: 4/5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 046056 -01 503. 572 -1638 N
Corrections /Comments/ Instructions:
`I/ PASS • 'A' IAL APPROVAL n CANCEL ❑ NO ACCESS
I I AIL " OR INSPECTION ❑ ADDITION .L FEES ASSESSED
Inspector: _ Date: Phone #: (503) 718-
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MEC2007-00155
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/23/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4/4/2007 TIME: 7:01AM \ PAGE: 50
SITE ADDRESS: 10260 SW GREENBURG RD 250 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: JOHN L SCOTT
DESCRIPTION: HVAC modifications: ductwork and add (2) VAV boxes.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 4/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 045957-01 503-572-1633
Corrections/Comments/Instructions:
WO7 le O
1Th j.,/e,
0,0 &PP Ro eA p L-47\1$
LII •
PASS W PARTIAL APPROVAL fl CANCEL 0 NO ACCESS
FAIL 101 C , LL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: --""•"■-• Date: 0 Phone #: (503) 718-
•