Permit A: CITY OF TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00804
`' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12/8/2004
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 530
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: 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:
Remarks: Move supply ORD's, add inline fan to IT room, add (3) vav boxes cooling only, T stats.
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300 [MECH] Permit Fee 12/8/200 $186.50
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 12/8/200 $14.92
Phone: Total $201.42
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Final Inspection
Reg #: LIC 151807
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.
Issued By: Permittee Signatu�re; ✓ t timmob_
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busines day
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Mechanical Permit Application . .' . . .
.FOR OFFICE SE ONLY '
Cit y b of Turd E j Permit No 13125 SW Hall BlvdTigard, OR 97223
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
,r-i�r ti `tl DateBy:
Inspection Line: 503.639.4175 0 ,_,s ei I Date Ready/By: la See Page 2 for
`'met: www.ci.tigard.or.us' DEC y 8 10G Notified/Method: Supplemental Information
?m_- 1 ' ='a�• �'_�• . ,N "6 - F'- . . .',� . aE9NV...:G'.'Y.
�;��. - °s. � .. _.: ,.. _.,� �,�„� �'CO, -DZMER L�FEE�SCIEUULUSECHECKi,•�`IST
) Mechanical permit fees* are based on the value of the work
❑ New construction ❑ Addition/alteratio re tement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
,.' _.z.� ° x _,.. , :..:::. Value: $ 15&
,-.; S ° � ° � z CA CEGOI fr*: CONSTRL CC[OI , •... ,F , =x =a °° ,. ati .
❑ I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
- ALD-O� T(AL EQ [PMEI T SYSTEMS ES : v
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
�.�:��.'�"-; .��'.��i..��°;�w:m - �ra�;. :�s:�.:. .y�<�.�,,;.:M ^,.a�,r�. ._:z` `4...':-�.:r: -`;-�:, -..�, ._
x J,OBu�IN1 ,ORMA7 � ° `AND .LOCA"CION = �' a r Heating/cooling
.s >�,�r�� °x'm r. ;�.�: .�. -.�..+ .:��� �.�.�.., -..,, ;� .,� - -.�. �.,� = "�� �,. Heating K
Job site address: ; I T) a (U () S k / 6 r.p ell)) i. r t � ( �. Air conditioning
fires s to plan ng o heat i p pump placement) (requires site l showing lacement 14.00
City/State /ZIP: r [ ' LJ 9 7;.)_ 3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: `{ ` () Project name: sia rbi, c KS 1 l 00,6 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
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
Water heater 10.00
°�. � „���, � WO � �,. �,,� �=�r
nDESCRIPTIUN;QF RI{� '� `a :
/� Gas fireplace 10.00
i� p cfc f l_r/ (,� R�k. 6 400 2G /L ), !, /.. Flue vent for water heater or gas
l � y— /� fireplace 10.00
42 / OM , 2D'�^ T �-- mi_.�� Log lighter (gas) 10.00
0,-)/�y 1 .f� ,4-q-jt ,-1.77-9-- Wood/pellet stove 10.00
Wood fireplace /insert 10.00
°. ° o - :,, . Chimney /liner /flue/vent 10.00
.u�
_ ,. -. - r..�aY R >� ::. � ' Other:
Name: zt, i' ,)3 J Environmental exhaust and ventilation
` ' '� }} 77 ...,9/ � �'� Range hood/other kitchen
Address:
�.) / ?li1 /4_
equipment _ 10.00
City/State /ZIP: W � f Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) °"*".- Fax: ( ) toilet compartments, utility rooms) 6.80
F, €5 ._...° f , : _::.-....,; .... - •,._ r ,. .: ;. '+ Attic/crawlspace ., �"A•PP iorrz =� ,�, ;g�°r ',F; x �COI_�ITA- Cl'�.PERSON;-� 6,, s. ace fans 10.00 P
Business name: h-f - -� i C
� 1 \ ( WV /^� � ea C rk. fee() �S
Other: 10.00
. Piping
Contact name: , I 1 /\ a_c $5.40 for first four; $1.00 for each additional
�- ' Furnace, etc.
Address:
�� d() C- '��� ►1 {1Q �.l,i�L�P 5 ..1._- e - �k Gas heat pump
City/State /ZIP: L 11 I Lk vt�') I 1 !i f , t 9 7,) Wall /suspended/unit heater
Phone: �a '�S1 _ I o Fax: : ( 5 - b i t (� 6 /� U Water heater
Fireplace
E -mail: Range
gt w �f�� <
A ,: -� � = °.� CONPRA`CTOR ,�`..:<'- :.:�.; � � °;�,,. Barbecue
-. . F, §., . 'N. �^:,. =r. ,. T' "� �� '=%:S . - ',.� �R': ..�'4an n'F,pa`i'-:�. " ^'.'s��,uk�=1, .. , dcaS : ..;;;4�il« �. , �A'.sr`�;�..
Business name: /y� %'Z.A-.J27 //! j / % - / °�-C.� Clothes dryer (gas) -
— Other:
Address : /� _ P . ° �,��._ ;.ter- .... . .. ,'� �a.�.> *;:;_,f _;:�;__
��� "1/41.4404. �V4r -. DIEC - fai. P RMIT FEES -ice " . ;°,
City /State /ZIP: , a. G��Ciit <(:_ r)zc 9 27 Z Subtotal / y . = :.
,:ie: (' ) 46z,7/ Fax: ( 66-6. Minimum permit fee ($72.5 fee)
1�j 5 Plan review (25% of permit fee)
CCB lie.: /5 State surcharge (8% of permit fee) / 6-1 4'2_,
TOTAL PERMIT FEE , f. y�---
Authorized sign. - This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: / n a- t�3 � P7 Date: // ` Fee methodology set by Tri- County Building Industry Service Board
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 - 4171 MST
BUP
Received Date Requested /"-- °Z 6 AM PM BUP /
Location ( � d _ J� E/1,� Suite S MEC 20 0 1 , J D C g T
Contact Person A 'A ,) " Ph ( ) g — iq PLM
Contractor Ph ( ) .SWR
BUILDING Tenant/Owner o ELC
Footing
Foundation ELC
Ftg Drain Access: ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
0.1 Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab �✓
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
PART FAIL
ICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ requi - • •efor: - next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please all for rein- • ection RE: t 111 Unable to inspect — no access
Fire Supply Line
ADA k �
Approach /Sidewalk Dat -
Al Inspector , Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site
PASS PART FAIL
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