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Permit C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00742 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/12/2004 PARCEL: 1S135AB-03400 SITE ADDRESS: 10260 SW GREENBURG RD 960 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: > 10000 cfm: GAS OUTLETS: Remarks: Relocate diffusers and add fan. Value: $1700.00 Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 [MECH] Permit Fee 11/12/20( $72.50 PORTLAND, OR 97258 [TAX] 8% State Surcharl 11/12120( $5.80 Phone: Total $78.30 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone: 503 Mechanical Insp Duct Inspection Reg #: LIC 40981 Final Inspection 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 r - direct questions to OUNC • calling (503)246 -6699. Issued By: 1 � � , Permittee Signature: d k _-� Call (503) 639 -4175 by 7:00 P.M. for inspections neede� next business • a 116 1 -07 J. • Mechanical Permit Application__ ( 11 Pogo tSEOrn. CI.�;r Y)f' Iinard �CIl�� LD A Received /� / / 46. Permit No y ;j n,�nf / � 7 c/'�- j 13125 SW Hall Blvd., Tigard, OR 97? 3 Plan g 1 OWr I" Review Phone: 503.639.4171 Fax: 503.598.1960 Da te/B y : Other Permit: Hea AIM. ton Line: 503.639.4175 1 4 200 11 Date Ready/By: Ju El See Page 2 for :met: www.ci.tigard.or.us NOV U V Notified/Method: • r /CI Supplemental Information CITY OF TIGPBD BUiT:YS'NOF -woi ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work ❑ New construction 0 Addition/alteration / replacement performed. Indicate the value "(rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ I,7cZD RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total __ ___ _ JOB _SITE _INFORMATION AND LOCATION __ _ Heating/cooling " D Air:conditioning or heat pump Job site address: / 7 2 5L., � w�G 1� b. * (requires site plan showing placement) 14.00 City /State /ZIP: r p12:r , © Fumace 100,000 BTU.(ducts /vents) 14.00 / � ur Furnace 100,000+ BTU (ducts /vents) 17.90 '5 Suite/bldg. /apt. no..1�-� Q 1 6z) Project name: C i14 (40,..., P Gas heat pump 14.00 Cross street/directions to job site: Duct work 14.00 Hydro hot water system 14.00 -._ - - - - - ` `Residentiahboiler (radiator or hydtonic) 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 DESCRIPTION OF WORK Water heater 10.00 1 (�� /, Gas fireplace 10.00 IBC TC /ACA T . APP It( D . Pf V S6� S Flue vent for water heater or gas L XtaA�u 5T \ S a G2 n fireplace 10.00 IX Nl3W f /�N 1 K - GGr`A--- Log lighter (gas) 10.00 Wood/pellet stove 10.00 Wood fireplace /insert 10.00 .1g PROPERTY OWNER ❑ TENANT Chi Other: Other: 10.00 Name: FQ L CT si © FPS ("Qz cL',"n S Environmental exhaust and ventilation Range hood /other kitchen Address: b. ■ L..: C Olt, Mt. iN- i i 7.67 L j equipment 10.00 City/State /ZIP: p .1_ oe t Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT Z CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: , A N S - co r Fuel piping Contact name: p��- C2iaQQIeiv" $5.40 for first four; $1.00 for each additional Address: (� 1 Furnace, etc. G ! oo e- `V* 00, � - Gas heat pump City/State /ZIP: P cs _ 9-7v a Wall/suspended /unit heater Phone: (515 -L`31- ot3 Li Fax:: ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue - Business name: f' 4 4 JkIN35T Clothes dryer (gas) LL Other: - t Address: J Z4 (Y 1,1 6 Col LI . 15 a A- b 11 /A, MECHANICAL PERMIT FEES* 1 City /State /ZIP: Ppg_T - Lhl a� t ®e. , 5f 72. I $ Subtotal' -� Minimum permit fee ($72.50) r U '��• S Phone: (C��J33'1 - OZ. L k. F ( ) Plan review (25% of permit fee) CCB lic.: 7 C7 State surcharge (8% of permit fee) ,r /► TOTAL PERMIT FEE /g 30 This permit application expires if a permit is not obtained within 180 Authorized S : days after it has been accepted as complete. Print name: -�- 4 a T" - �� y * Fee methodology set by Tri -County Building Industry Service Board CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISJON " Business Line: (503) 639 -4171 MST / / BUP Received Date Requested •`( —1 rP AM PM BUP Location l b - 2-Co d i Jta Suite 760 MEC �� — DC� Contact Person / 2Lc 2 gh ( ) 3(-(8' d Cti -- PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner C Lin ELC Footing ELC Foundation Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall - Fire Sprinkler Agra Fire Alarm '„ m ' (� rat >' Roof Susp'd Ceiling k 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 ! ���11�11' _ r � Other: . — — Final - • SS PART MECHANICAL> Rough -In ■s •• - Dampers PART FAIL fillar ICAL, Service Rough -In UG /Slab Low Voltage Fire Alarm Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE • El Please cal or rein-section RE ; El Unable to inspect — no access Fire Supply Line ADA Date • 71/-) � Approach/Sidewalk ate _ Inspector Ext Other: Final DO NOT REMOVE this inspectio record from the job site. PASS PART FAIL