Permit CITY TIGARD MECHANICAL PERMIT
r I DEVELOPMENT SERVICES PERMIT #: MEC2004 -00247
' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 5/6/2004
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 525
SUBDIVISION: LINCOLN ONE /RED LOBSTER /CASA L ZONING: C -P
BLOCK: LOT: 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:
<= 10000 cfm: OTHER UNITS:
FURN > =100K BTU: GAS OUTLETS:
> 10000 cfm:
Remarks: Add /relocate supple /return grilles. Value: $900.00
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
10260 SW GREENBURG RD #100 [MECH] Permit Fee 5/6/2004 $72.50
TIGARD, OR 97223 [TAX] 8% State Surchart 5/6/2004 $5.80
Phone: Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 331
Final Inspection
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. &a-
Issued By: �� � Permittee Signature; - -
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
jranical Permit Application �O
FORFFICE.USE ONLY ' .
,,- Received /
C Tigard 6
Date/By / t/ PermitNo.: ` ' JI �/ ' ��63 7
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review `7
Phone: 503.639.4171 Fax: 503.598.1960 dar. - �; + t� . , Date /By: Other Permit:
Inspection Line: 503.639.4175 ■ �' I Date Ready/By: KM 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
TYPE OF WORK . COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees are based on the value of the work
❑ New construction Q Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value. $ 90Q
RESIDENTIAL•EQUIPMENT. /'SYSTEMS FEES*
❑ 1 and 2 family dwelling B'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
Air conditioning or heat pump
Job site address: 10 SOO S (.R.EE,\) g E 21,. 2b.
W (requires site plan showing placement) 14.00
City /State /ZIP: PO's - LPtk)b 0z. 9 7 2.2.-S Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: SUITE 6 Project name: Li ._ S 1:::,b Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
ONE LI hiC.OLN Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIP WORK:':.,:. "�.,`r •, a,. Water heater 10.00
Gas fireplace 10.00
i l v b b / 2ELOC ( L . 5U P P L Y / RETU2 ( LC.E S 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 y iner /flue /vent
❑ PROPERTY .OWNER ❑ ,TENANT,
.. Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
x: ,4, 1 -i r'rra' ".. A Attic/crawlspace fans 10.00
,,: - ®.:APPLICANT - ' CONT 1GI •, . l ?ERSON`i ; ,: P
er:
Other: 10.00 .
Business name: M L(L I N STIeN CO.
Fuel piping
Contact name: Li-I P ( +A � N) $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 5460 /Ue. COL-U kB(A■ gL\1D
Gas heat pump
City/State/ZIP: j �T - L. ANn 1 O 2 C e Wall /suspended/unit heater
Phone: ( ( 3 3i. c )C)f Water heater
�r3 ) , 0 �3c-( Fax: �3) l° Fireplace
E -mail: Range
. ':CONTRACTOR" , , 4Q Barbecue
Business name: MG I r\15 "ra, CO Clothes dryer (gas)
`�
Other
Address: 5 400 N 6 COL L7i'�B( $L (� MECHANICAL PERMIT FE : •.`' =:;;i;.:.
City/State /ZIP: (?rLI\NU/ orz. 9 -72.. Subtotal
Minimum permit fee ($72.50) 74 •
Phone: (SS) 3.(, d z jt Fax: (C �) I . 6 O Plan review (25% of permit fee)
CCB lie.: 1- V:: ( $ ( State surcharge (8% of permit fee) 5 et,
TOTAL PERMIT FEE -
Authorized Si nature: This permit application expires if a permit is not obtained within 1 0
g days after it has been accepted as complete.
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Print name: n 4 I Date: / - Is 1 * Fee methodology set by Tri- County Building Industry Service Board
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Tel: (503) 224.9856
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C> 0 .(R) RELOCATE
1 Lincoln
` 10300 SW Greenburg Rd
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49 .. Portland, OR 97223
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�I - REViSiCu�S
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■ March 24, 2064
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INV 4' O' i � PROJECT NUMBER
994153
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CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
A 5- 2/---6)
Received / 2 Date Requested AM PM BUP
Location 1 U 7 ) Suite 5 - Z � MEC i - / 7 (V)
Contact Person ) PLM � �2 - 7 7�
(
Contractor Ph ( ) O / SWR
BUILDING Tenant/Owner /-ems - ) � d o �f-�� 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
Fire Alarm
Susp'd Ceiling
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
P ampers
RT FAIL
R 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 call for rein pection RE: El Unab e : inspect — no access
Fire Supply Line
ADA
/AP Approach /Sidewalk Date � Inspector , . Ext
Other:
Final DO NOT REMOVE this inspection recor , ' rom the Job site.
PASS PART FAIL