Permit i S
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00502
e�l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/18/2006
PARCEL: 1 S 135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 530 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: WORLD SAVINGS. Add (1) VAV box, (5) supply grilles, (8) returns. Relocate (3) grilles & (4)
thermostats. Valuation: $9,015.
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 10/18/20C $215.30
[TAX] 8% State Surcha 10/18/20( $17.22
Total $232.52
Phone:
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 331 -0234
FAX 503- 331 -6906
Reg #: LIC 40981
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: _ Permittee Signature: o`� 1' l�'` 4,} §�
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.
Mechanical Permit Application- ° u FOR OFFICE USE ONLY
e i
City of Tigard ECEIVE® R c
Date f� % ; Permit No. e pd 0 0.+
° 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 OCT Plan Review 2006 Date /By: Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: BM ® See Page 2 for
Internet: www.tigard or.gov CITY OF TIGARD Notified /Method: Supplemental Information
BUILDING DIVISION
COMMERCIAL:EFEEn. SCHEDULE USE CHECKLIST",E%.
Mechanical permit fees* are based on the value of the work
❑ New construction El Addition /alteration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
y,:.,.r -•. „ = 'r° Value: $ $9015.00
' QF,;C O NSTRUCTIO ' • � r
���� °EQUIPMENT�I'SYSTElVISFEES*'::
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description p Qty. Ea. Total
� : »�,: .,TOB:SITEIIVFORIVIAT10Ne =AND IOCATIOIV',,. 3 �.•, -
3 .� r�..•3�'`� . _. : ��3:�...... ...,_w .,�. ..... �. -.: , � - " Heating/cooling
Job site address: 10260 SW Greenburg Road Air conditioning or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite /bldg. /apt. no.;..5411 c".? A Project name: World Savings Gas heat pump 14.00
Cross street/directions to job site: 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
.,; - , : ,.3 < Water heater 10.00
.; 3»
4� »
;• ;��.,;.. -� � =AESCRIPTIOIV:OF "WURKe`.: �i`'
Gas fireplace 10.00
Add one VAV box. add 5 supply grilles, add 8 new return grilles, Flue vent for water heater or gas
relocate 3 supply grilles, relocate 4 thermostats
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
"..::..- •.�... _ _.:_..... - 3,.;,,�....- -;. . Chimney/liner/flue/vent
PROPERTY': OWNER ®;TENANT,;;
10.00
- Otter:
Name: Environmental exhaust and ventilation
Address: Range hood /other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00 -
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
Attic/crawlspace fans 10.00
Business name: McKinstry Co. Other: 10.00
Fuel piping
Contact name: Jason Carver $5.40 for first four; $1.00 for each additional
Address: 12021 NE Airport Way Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, OR 97220 Wall/suspended/unit heater
Phone: (503) 331 -2461 Fax: : (503) 331 -6906 Water heater
Fireplace
E -mail: jasonc@mckinstry.com Range
;E.:>; "EC:;E'.^ J',' •Ei� 3 .,: e3,aq, :I3;33
Barbecue
.,....:,k �. __'%`.i'� .. 3£.zb..d .: - n'�� .;..�:, �.. ., .uau..,»na, .i__P. "..,.... ._ >Y: Y`- 3E.E,. ,,. �,3 ,,. ..a .,S -k'. 'E'f.:. •. `:._�i';. . "','�.`�
Business name: McKinstry Co. Clothes dryer (gas)
Other:
Address: 12021 NE Airport Way
3` MECIIANICATPERNITt F- EES ` ` " )`
City/State /ZIP: Portland, OR 97220 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 331 -2461 Fax: (503) 331 -6906 Plan review (25% of permit fee)
CCB lie.: 40981 State surcharge (8% of permit fee)
Authorized signature: TOTAL PERMIT FEE
This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Jason arver Date: 10/17/06 * Fee methodology set by Tri- County Building industry Service Board
t: \Building \Permits \MEC- PermitApp.doc 04 /06/06 440 -4617T (i 1/02 /COM/WEB)
- _ - -- -
CITY,DF TIGARD
BUILDING DIVISION PERMIT #: MEC2006- 00502
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/16/2006
Phone: (503) 639-4171 A
,,, 00 l i i i1),
Inspection Requests (24 Hrs.): (503) 639-4175 ,z
INSPECTION WORKSHEET FOR DATE: 10/31/2006 TIME: 7:01AM PAGE: 50
SITE ADDRESS: 10260 SW GREENBURG RD 530 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: WORLD SAVINGS LOAN
DESCRIPTION: WORLD SAVINGS. Add (1) VAV box, (5) supply grilles, (8) returns. Relocate (3) grilles & (4)
thermostats. Valuation: $9,015.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY CO PHONE #: 503-331-0234
Inspection Request Scheduled For: Date: 10/31/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 039022-01 206-510-3052 N
Corrections/Comments/Instructions:
I
$41 '
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•-•"1 n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL I I CALL FOR INSPECTION I I ADDITI NAL EES ASSESSED
iirfk
Inspector: I Ara Date: tO 1 I Z Phone #: (503) 718
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