Loading...
Permit C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00681 . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/18/2004 PARCEL: 1 S135AB -03400 SITE ADDRESS: 10260 SW GREENBURG RD 1060 SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P BLOCK: LOT: 014 JURISDICTION: TIG 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: CLO DRYERS: FURN < 100K BTU: AIR HANDLING UNITS FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: (1) new vav box, duct modifications, relocate grills, & relocate (2) pneumatic t stats. Project Value: $8,000 Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 [MECH] Permit Fee 10/18/20( $195.50 PORTLAND, OR 97258 [TAX] 8% State Surcharl 10/18/20( $15.64 Phone: Total $211.14 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone: 503 Mechanical Insp Misc. 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 952-001-4C' i thro gh OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling (503). 46-6699. Issu_ d By: , , .i : ) l Permittee SignatureAl Call (503) • 9 -4175 by 7:00 P.M. for inspections needed the next busing . ay 14260 .sw cottau atht& t _ `',„ _ L F OR OFFICE USE ONLY_ 1: �_„ lie ,hani j Permit Application 1 r (+ J ,/ p / Mechanical / 4j e •' Date /By Received : /�- f3 Permit No....., e y'�o 6 ' City Of Tigard Planning Approval Date /By: Building u � , Permit No.: 13125 SW, Hall Blvd. ��� Plan Review Other lard, Oregon 97223 Date /By: Permit No.: Phone: 503- 639 -4171 Fax: Uf 5 � i9821it�11 Post - Review Ind Use 40 4�' �� Internet: www.ci.tigard.or ( lis) Y r _` �e tom ; ' I ii Date /By: Case No.: ® Contact Juris.: See Page 2 for 24 -hour Inspection Requg tYfU 9 4 Y'/S }�6 "'� ° . Name /Method. f Supplemental Information. 141 DIVISON :TYPE OF WORK . COMMERCIALFEE * °SCHEDULE = .U SE.CHECKLIST_' -: r: •' ❑ New construction U Demolition Mechanical permit fees* are based on the total value of the work Nj Addition/alteration/replacement ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all 'CATEGORY CONSTRUCTION • . mechanical materials, equipment, labor, overhead and profit. ❑ 1 & 2- Family dwelling ,Commercial/Industrial Value: S_ ©6O See Page 2 for Fee Schedule ❑ Accessory Building ❑ Multi- Family RESIDENTIALIEQUIPMENT /SYSTEMS:FEE *.SCHEDULE • . ❑ Master Builder El Other: Description Qty Fee(ea.) Total HeatinglCoolinK JOB'SIT.EINFORMATION.and LOCATION°, Furnace - add -on air conditioning ** 14.00 Job site address: i UZ4,O C.c.) C--► e.Frr L .t ' i,, Gas heat pump 14:00 Suite #: IO (,,,C) Bldg. /Apt. #: Duct work 14.00 Project Name: A4 SG -`r/V) AlvA1 l Hydronic hot water system 14.00 Residential boiler Cross street/Directions to job site: (for radiator or hydronic system) 14.00 Unit heaters (fuel, not electric) . (in wall, in -duct, suspended, etc.) 14.00 Flue /vent (for arty of above) 10.00 Subdivision: Lot #: Repair units 12.15 Other Fuel Appliances Tax map /parcel #: Water heater 10.00 DESCRIPTION OF.WORK Gas fireplace 10.00 I � 1JAt) gx t 4 bvc 1 tfI.ekt.'1t Flue vent (water heater /gas fireplace) 10.00 ae /oc.ta _ t".(. at LLS A Qt�L0e - Log lighter (gas) 10.00 / Wood/Pellet stove 10.00 P t:-70PlA Si r4 k Wood fireplace /insert 10.00 Chimney/liner /flue /vent 10.00 ._1.PROPERTY:OWNER'a :2'.' ❑'TENANT, {'i '...�; . s:': ;- r f ,: Other: 10.00 Name: 6- y + 8 V %4 -1 ,q-,( s I7e-c)P 1-16 , Environmental Exhaust & Ventilation Range hood/other kitchen equipment 10.00 Address:6 - GO,u^..tt.b# 'u . d Clothes dryer exhaust 10.00 • City /State /Zip: P,,,2i4,,, 1c_ 01 el7zsp . Single duct exhaust Phone: Fax: (bathrooms, toilet compatttuents, ❑-APPLICANT ..` :'' '!t " :''' : : :J;' : GON:TACPPERSON A': (e'. utility rooms) 6.80 Name: , 1 C QPA Attic /crawl space fans 10.00 Other: 10.00 Address: Fuel Piping City /State /Zip: * *($5.40 for first 4, $1.00 each additional) Phone: 1 -ea3'4 Fax: Furnace, etc. ** � Gas heat pump ** E-mail: • Wall /suspended/unit heater ** :,:, _ , .. -. CONTRACTOR. .. _ ._ ; Water heater ** • Business Name: atl4 Jt, r fl (473e / Fireplace ** Address: , �f06 Me , - k.ki —t. p /t'b Range ** BBQ ** City /State /Zip: c - 7_,t; . - 7 0 r2 CrLz 1 . Clothes dryer (gas) ** Phone: S3 .31 -t:2. . Fax: other: ** CCB Lic. #: O9 I . Total: Mechanical Permit Fees* Authorized # f� / „ � / ' Subtotal: $ Signature:/ Date: " Minimum Permit Fee $72.50 $ /73 .Sd Pte, c"'° -,b , - . Plan Review Fee (25% of Permit Fee) $ (Please print name) State Surcharge (8% of Permit Fee) $ /5 TOTAL PERMIT FEE $ `dl I. /1 Notice: This permit application expires if a permit is not obtained within *Fee methodology set by Tri- County Building Industry Service Board. 180 days after it has been accepted as complete. * *Site plan required for exterior A/C units. is \Dsts \Permit. Fomis\MecPerrnitApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 MST INSPECTIbN DIVISION Business Line: (503) 639 -4171 BUP Received Date Requested / (' 2 -?) AM J PM BUP ,! o Location / b a U ���1 -�o/yl ,C2�:c4r Suite ! :6' MEC AeX4 6o Contact Person �, Ph ( ) 5 7)- - 7 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC 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 Fire Alarm r ,� I Susp'd Ceiling tt p VIEW, Roof Other: ` d, 1,,,91. 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 a• - ; - mpers PASS PART FAIL - RIC AL 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 Please call f• reinsp tion RE: , , Unable to inspect — no access Fire Supply Line ' Insect Approach/Sidewalk Date ® � Inspector ` ADA l, ' Ext Other: Final DO NOT REMOVE this inspect on record from the Job site. PASS PART FAIL