Permit •
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CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00142
.41111, II`'11l DATE ISSUED: 4/11/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1020 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Relocate (1) supply diffuser, add (1) supply diffuser. Valuation: $867.
CLASS OF WORK: OTR 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 4/11/200E $72.50
[TAX] 8% State Surcha 4/11/200E $5.80
Total $78.30
Phone: 503- 412 -4800
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: _ 1 _ I �
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 • •jest.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit App �� . FOR OFFICE USE ONLY
City of Tigard (` Dam Received / G� Permit No.:'� " % 0 y
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ,
Phone: 503.639.4171 Fax: 503.598.1960 APR 2 1 A:e I fi\ Date /B Other Permit:
Inspection Line: 503.639.4175 ; y � � l Date Ready /By: El See Page 2 for
Internet: www.ct.tigard.or.us CITY Of Y i { " �;- Notified /Method: Supplemental Information
TN :. CITY T �1 p n/ 1eA
11 1 � r �u , • Y'.Y>E
-- `: •.` e =tax .3 .-„ ..
_,:. ,., -. �. > >„ •',E''E�,3� =� ':- ERCIAL REDUCE ». ;:USEGHECKLIS
El ®Ad N ew construction Mechanical pennit fees* are based on the value of the work
dition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
1,6' Value: 5 867
RESIDENTIAL ,E QUIPMENT` /=SYSTEMS: ES * FE ' )/ k
❑ 1- and 2- family dwelling ❑ Commercial /industrial El Accessory building
"'' ` °' .
❑ ❑ For special information use checklist.
Multi- family Master builder
❑ Other: Description Qty. Ea. Total
n j ° ":'JOB.SITE'INF, LQCATION== Heating/cooling
w >
��.��;':� .,: _:� .. .. ... . . ORMAT10Ns; AND,, ., ... � .� . , P,/ g
Job site address: 10260 SW Greenburg Rd. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: Portland, Oregon 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 20f j4 /1 Project name: AFMS
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
i• ',�� .� (��l> '�'_ Water heater 10.00
i:DES',GRIPTION O .WORK�-'° -
�.,.- . x... : .:W �.R >. ; -�:• >. ,,.,.E �>�,,;E,,,��,9.� � - x�: >-:
Gas fireplace 10.00
Relocate (1) supply y dif fuser, Add (1) new Supply difffuser
O su
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
_... ,, »_ ...:,. . , ",,. ..-�. Chimney/liner/flue/vent
E . :PROPER &TY'OWNER : ''d' „ r ®;- :TENANT'
F =E ,..., ,., -_ .: Other: 10.00
Name: AFMS Environmental exhaust and ventilation
Address: 10260 SW Greenburg Rd Suite 200 Range hood/other kitchen
equipment 10.00
City /State /ZIP: Portland, Oregon 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
:iM:» -'• : i'(:,cEu�;aEw�gi>J';':a?>;a;i ? v A is /c wl fans 1
<��r .� s,: � =iAP'PbICANT�� 'rrE =• °� � �'CONTAC`i'; °PERSON= ��::..::� ; , =, tt ra space a s 0.00
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Earl Salsbury $5.40 for first four; $1.00 for each additional
Address: 12021 NE Airport Way Suite G Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, Oregon 97220 Wall/suspended/unit heater
Phone: (503) 331 -2465 Fax: : (503) 331 -6906 Water heater
Fireplace
E -mail: earls @mcikinstry.com
Range
z:,.�,�:.,;� ° ' y = €• �>:' CONTRACT,OR, Barbecue
Business name: McKinstry Co.
Clothes dryer (gas)
Other:
Address: 12021 NE Airport Way Suite G `i ^�)` E;,;i; �& ' "-”' *'
„,% ('..t -', � j' '; NIECHAIVIGAI :E- PERMLT °FEES „?3i'''•,''
City /State /ZIP: Portland, Oregon 97220 Suytota1
Minimum permit fee 72.5
Phone: (503) 331 -6906 Fax: (503) 331 -6906
Plan review (25% of permit fee)
CCB lic.: 40981 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Earl Salsbury Date: 04/10/2006 * Fee methodology set by Tri -County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I l /02 /COM/WEB)
' �—_ /
CITY OF ��QA����G�����
��w u« n.��� TIGARD
BUILDING DIVISION. -
~�~,"~~~~."~~° ~°"°"~°"~~"~ PERMIT #: N1��I]��OO1dI |
� 1312GSVV Hall Bhd, Tigard, OR07223 D AJE|SSUED: 4/1112006 �
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ~�L��*��
/
v INSPECTION WORKSHEET FOR DATE: 4y12/2006 TIME: 7: U4AM PAGE: 2
SITE ADDRESS: 10260 SW13REENBURC3RD 1020 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: AFMS
DESCRIPTION: Relocate (1) supply diffVser, od d(1) supply diffuser. Vm|ua*ion: $867.
OWNER: EQUITY OFFICE PROPERTIES TRIJST, PHONE #: 50�412'4800
CONTRACTOR: NICK, NGTRYC0 PHONE #: 503-331-0234
Inspection Request Scheduled For: Date: 4/1712006 Pour Time:
1
Code # Inspection Description Confirm # Contact # Message 1
899 Mechanical final 027808-01 603-209'6767 N
Corrections/Comments/Instructions:
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| I I PARTIAL APPROVAL ri CANCEL NO ACCESS
I I FAIL El CALL FOR INSPECTION El ADDITIONAL,FEES ASSESSED
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