Permit . A CITY OF TIGARD MECHANICAL PERMIT
If DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00615
a:f I� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/28/2005
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 560 ZONING: C - P
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: Add: (3) grills, Demo: (3) grills, duct work. Relocate: (4) grills, (1) pneumatic t -stat. Valuation: $3239.
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:
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 [MECH] Permit Fee 9/28/200: $102.40
PORTLAND, OR 97258 [MECPLN] Plan Rev 9/28/200E $25.60
[TAX] 8% State Surchaq 9/28/200E $8.19
Phone: 503- 293 -2745
Total $136.19
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97220
Phone: 503 331 - 0234
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: - -YrZ Permittee Signature:
• Call 503 - 639 -4175 by 7:00 a.m. for inspections th usiness day.
This permit card shall be kept in a conspicuous place on the job si a until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Perm'. .' n'•PID FOR OFFICE USE ONLY
h !,__. k.... C
eit of Tigard .i A Received A ...„. N 3 , 6 .1 . ,
Date/By: Permit No.: e-
13 125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.59,6EFO 2 8 2005 4.00vio'lli?\ Date/By: Other Permit:
Inspection Line: 503.639.4175 l,... *1 , Date Ready/By: El See Page 2 for
Internet: www.ci.tigard.or.us " GA Notified/Method: '
ri V Supplemental Information
CITY OF TIRD
.„ ,,, ,Cin-DINC-,011;7,40Z,;:w,,,,, „- monv;;;,m1,, i m d,,,,, 7 n „ x „..., , - , A i r e §eiiiiijtia:' ,: t a ki
kti:;:.!,:i . .m.,9F wow ; 'i : kg::;'= Ff:' ',,, :'::atvIrtvw :21 , -.--2,C9iy„mi-pgn-.. - o-:,L, A: -- , ... ..?7 .,.., ,.,„,...
Mechanical permit fees* are based on the value of the work
0 New construction Addition/alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
'
Value: $
i06 .......9
411U allfit:Tlya:::2I 6 e
,: ?itii■I fitijeltiftii.i: !: ' 1'S4'1 --';i,':L:: ;.;;;.: _ ,, ._...
o 1- and 2-family dwelling R 0 Accessory building
:For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
46B**g jNFOrtidN'XI*001:TIONEIVIgt c;11 Heating/cooling
Air conditioning or heat pump
Job site address: I 0 3 00 g Green f..vD Rzt (requires site plan showing placement) 14.00
City/State/ZIP: 1- 13 q. , 7 1 0 • 9'922-3 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Project name: I n ad, ....17,-1-efivilt0A .1
Stc no.: 5 G 0
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
tiTt -:;•:'--4-*S6*4ii*''',6Fr*Oli,:S5:g2;''!:::43111041::Ala Water heater 10.00
Gas fireplace 10.00
/0 rc-I-urn qr, If s i ne„,. r
.2 5 ,/ f 9pl j J' ils, Flue vent for water heater or gas
4 fireplace 10.00
rl 4L.;
relocA-k- q ,L, j e In (15 e
L2 r , . DC4 i Pr<Ailin 016 Log lighter (gas) 10.00
4- hasp //L. 7 (4,f9r-k t p-, 11- Wood/pellet stove 10.00
Wood fireplace/insert 10.00
'.- , , , ,,,- ,
.:,,,,„, - -. ,-,,,:,,,,,, ,,,,,,, , ;, , m ,, Chimney/liner/flue/vent 10.00
Pi, :, IgriONOTWOi 7 E1 '''',' 'PAiNATIMP.,*LimE:46,:c4”, Other:
10.00
Name: Equity Office Properties Environmental exhaust and ventilation
Range hood/other kitchen
Address: One SW Columbia St. SA-c. 300
equipment 10.00
City/State/ZIP: Portland, OR 97258 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
.APPEICANiagi ,: 'i'.': .:''.t':::,' ' BPS0•1 :'=> Attic/crawlspace fans 10.00
O ther: 10.00
Business name: McKinstry Co. •
Fuel piping
Contact name: Jason Carver $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 12021 NE Airport Way, Suite 'G'
Gas heat pump
City/State/ZIP: Portland, OR 97220 Wall/suspended/unit heater
Phone: (503) 331-2461 Fax: : (503) 331-6906 Water heater
• Fireplace
E-mail: jasonc@mckinstry.com Range
Wq00*•.#404 Barbecue
Clothes dryer (gas)
Business name: McKinstry Co.
Other:
Address: 12021 NE Airport Way, Suite 'G' flit, ,tlr,*Bdf*I(4ik:Rgit41Yjtkaail:Ri
City/State/ZIP: Portland, OR 97220 Subtotal /7/7,
Minimum permit fee ($72.50)
Phone: (503) 331-2461 Fax: (503) 331-6906
Plan review (25% of permit fee) 25: tO
CCB lie.: 40891 State surcharge (8% of permit fee) . j 9
----7..
yle, TOTAL PERMIT FEE /31( /9
,
This permit application expires if a permit is not obtained within 180
Authorized signature:
days after it has been accepted as complete.
Print name: Jason C e
* Fee methodology set by Tri-County Building Industry Service Board
ci r Date:
i: \ Building \Permits \ MEC-Permit App.doc 12/03 440-4617T (11/02/COM/WEB)
CITY OF TIGARD _ Ar
BUILDING DIVISION ( PERMIT #: MEC2006-00615
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2E3/2006
Phone: (503) 639 -4171 ° l� "�,
1 Inspection Requests (24 Hrs.): (503) 639 -4175 _ � �
INSPECTION WORKSHEET FOR DATE: 10/10/2005 TIME: 7:04AM PAGE: 113
SITE ADDRESS: 10300 SW GREENBURG RD 560 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: TRIAD INTERNATIONAL
DESCRIPTION: Add: (3) grills, Demo: (3) grills, duct work. Relocate: (4) grills, (1) pneumatic t -stat. Valuation: $3239.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 603 -293 -2746
CONTRACTOR: MCKINSTRY CO PHONE #: 503- 331 -0234
Inspection Request Scheduled For: Date: 10/10/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 017824-01 206.510.3052 N
Corrections /Comments /Instructions:
\ 1 -- .
/ ,
/f ❑ PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector:
VZ/N - Dat e: !" I Phone #: (503) 718 -