Permit CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2006 -10011
I DATE ISSUED: 4/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 400 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Relocate (1) supply diffuser. Value: $934.00
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:
WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300 •
PORTLAND, OR 97258 [MECH] Permit Fee 4/1/2006 $72.50
[TAX] 8% State Surcha 4/1/2006 $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:
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 ECE . FOR OFFICE USE ONLY -
City Tigard ���® DE PennitNo. - 0011 SW W Hall Blvd, Tigard, OR 97 -2
Phone: 503.639.4171 cax: 503.598.19 Other Permit:
b ) p ate /By:
Inspection Line: 503.639.4175 MAR 6 2006 ■' t° D eh ! Date Ready /By: INA El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
t 14 3 , z• :, CONIME_RCIAI. ='FEE SCHEDULE :.-1U KLIS
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition/alteration /replacement
performed. Indicate the value (round-d to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, e. '.ment, labor, ov. head, and profit.
.: ::x V,,3 na>u.tt. :.Ii; "1' •(t': $ 934
`:• =GATEGO Y..OF :CONSTRUCTION -:�
❑ 1 -and 2- family dwelling ®Commercial /industrial 0 Accessory building , �'ii:: ,RESIDE Value: �' ,EQ ;1 ;1 _ 1�5 2__ - 0 S *, l
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
,
t . �" J,OB SITE ° `INFORMATION ;;ANHTEOCA_ T1ON, x. 4i`- '` -'; `;i" -": ,° H
.°..:: �= ? =. >:x: k� � .,,.. 3,,_ ; �� eating/cooling
Job site address: 10300 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.: 400 Project name: Server Logic 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
° �c a.i,.. K�• -x�, w ,.<,3:v��a€,r :Y:�,:.:: ?'v:'- " -?ty i,e.,., 3' ' �.e` Water heater 10.00
tom'' ', _` ` 'ss .�• �)s / ;,,;.
1 , '3S
�>1�>,� `�., �:DESCR[PTLON`tOF;;:WO.RK �, >- ° *`a�i':,I •;,'fi: "�;�•3
Relocate l Supply Diffuser Gas fireplace 10.00
pp y 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
�
« ` >
is '.' ,: ,n P_ ,, E Er i ' r ' ;' . 3 » , ;i': ? .R :T' ,. t, ,I _ a = Chimney /liner /flue /vent 10.00
` ::', ,'PR,tiTW OWNER 1 ': ®"`Z � �. T . ) :i
,. _,".�., ��:. . ..__ .. °.,. ? .�.,, M "w,,.. ,. ,.�_ �:� �t•:�. �>... . . __°.._,. �- �• �° . _�•. ���� ha �� Other: 10.00
Name: Server Logic Environmental exhaust and ventilation
Address: 10300 SW Greenburg Rd. 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
,", '= Attic/crawlspace fans 10.00
i , °APP �ICANT, ° °� �� ®�iCf1NT .ACT °�PERSON. -�;- P
nt . ,,t--f;„: �, — e- _.. - �n �.� �._ <- ,. ter_. _,a
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 -0234 Fax: : (503) 331 -6906 Water heater .
Fireplace
E -mail: earls @mckinstry.com Range
>�.:, ...... ..:. . - . °: ;u?
nx . __ ,,...�,��.._,,....�:��. CONTRACTOR _% y _ . - ._ ys_ �.Rm 35 Barbecue .
Business name: McKinstry Co. Clothes dryer (gas)
Other:
Address: 12021 NE Airport Way,. Suite - "G" " „
>- ",, ._,.._.. 1 .. _.. *`, ;
=� >, ,,.::',...._, , =1VIEGHAiV1GALxPER1VIIT xFEES,.z =;° : eFC.1 ;;;
City/State /ZIP: Portland, Oregon 97220 Subtotal
Minimum permit fee ($72.50) 7A. b v
Phone: (503) 331 -0234 Fax: (503) 331 -6906 Plan review (25% of permit fee)
CCB lie.: 40981 State surcharge (8% of pennit fee) 5.5/0
TOTAL PERM FEE 7g . 3 v
Authorized signature This permit application expires if a permi is not obtained wi thin 180
` ���/// "`JJJ��� days after it has been accepted as complete.
Print name: Earl Salsbury Date: 03/06/06 * Fee methodology set by Tri- County Building Industry Service Board
c \Building \ Permits \MEC- PermitApp.doc 12/03 440 -4617T (1 l /02 /COM/WEB)
CITY OF TIGARD rn
BUILDING DIVISION PERMIT #: �1Oc) / 06 (1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 k �,�
Inspection Requests (24 Hrs.): (503) 639 -4175 �' _I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: ' 0 3 Q 0 _ / / , * 4zOO CLASS OF WORK:
SUBDIVISION: / LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3 - E-- Pour Time:
Code # Inspection Descri tion Confirm # Contact # Message
b7ci 3 3/- ( (OS -
Corrections /Comments /Instructions:
- - i: /— 1 1
_ ■__, /
( / .,,.
, , i gnaw
/ .
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I FAIL CALL FORD SPECTION ❑ ADDITIoN',L FEES ASSESSED
Inspector: 40 \ Date: _ Phone #: (503) 718