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Permit C ITY OF T I GAR D MECHANICAL PERMIT ' 14 ,1 DEVELOPMENT SERVICES PERMIT #: MEC2006 -00141 c ---� � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 4/11/2006 PARCEL: 1 S135AB -01003 SITE ADDRESS: 10300 SW GREENBURG RD 550 ZONING: C -P SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT: JURISDICTION: TIG Project Description: Relocate supply diffuser, install exhaust fan. Valuation: $2,185. 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: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: GAS OUTLETS: > 10000 cfm: Owner: . FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 PORTLAND, OR 97258 [MECH] Permit Fee 4/111200€ $77.10 [TAX] 8% State Surcha 4/11/200€ $6.17 Total $83.27 Phone: 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. i / I Issued By: T , Permittee Signature: r. / - 4 ,.., 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 Ap lication FOR OFFICE USE ONLY • E iew — — Permit No.. �^� c V0 /Y 13125 SW Hall BlvdTigard, OR 0 22- Phone: 503.639.4171 Fax 503.598.1960 /G 1 ' n I 'A\ Date /By: Other Permit: ram Inspection Line: 503.639.4175 APR �oo � � tl Date Ready /By: p See Page 2 for Internet: www.ci.tigard.or.us f\ } Notified/Method: Supplemental Information : OMMERCIAL .,,EE� ❑ i _�,- .- _;- �.�.;_.. . . . ,�.:- .- _w.,��.... . . _ '�p��� .. _ _ . .. rte- ._- .� .; :. :: �� ,��- a- �,�:,,,�;- .,:.��._�<..�,. -_ _a_ ��ra�.� -�._� _ . ,t g � D IN I. ! 1 " " ti z ° °' ' Mechanical permit fees* are based on the value of the work New Construction�tlion /alteration /re l aCement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. 'ttt:, :, .x.�,:• �: v;:r fig, Value: $ 2,185 ATEGORY .OF= a TRU 'PI ' ;a : , 4 _ r ,: RESIDENT1r1I EQUH?MENT / SYSTEMS FEES'#'0 ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ^ ^ � For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total V , 1: z:JOB `: INFORMATION ANDgT U`.CATION - = , .: ' , . HeatinWcooling Job site address: ] 0300 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 Suite/bldg. /apt. no.: 550 Project name: NCCI Furnace 100,000+ BTU (ducts /vents) 17.90 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 € :- ,,; iii „3 ,,a�; ». ;:r:.:, :., i Water heater 10.00 ,'l>�, DESCRIP,T >ION OF'VYO �:.x.':F "� ` 's,3�, <, .. .. ;., .., , ,, l ad , a,an.,. 3.3 „„ »3am.•.• .,.. , .... .,..... ... Gas relocate supply diffuser, install new exhaust fan fireplace vent 10.00 Flue vent for for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace /insert 10.00 • „,:•.r.:.:; Chimney /liner / Fue/vent 10.00 ❑ : : P ROPERTY =,i q ER <' •: _.,, ,, "; _,-- ;` '' :' - : ® TENANT; , "'' .' _; ., _ _. - ter: Name: NCCI Environmental exhaust and ventilation Address: 10300 SW Greenburg Rd Suite 550 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 .;.:.:,,.: •, is craw ce fans ` . r 00-:;000'00-' <: -_ <. -- ( : i3PP,.1 IC`.0.0,: yl ! _„, CONTA, - .. , N.. ,, spa 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 -2465 Fax: : (503) 331 -6906 Water heater Fireplace E -mail: earls @mcikinstry.com Range ..M ...c_ 7 ! .. >, r; - -. _z- ._, 4 ,,, :,3.' 10 ,.wv�'r .< .... _..... ItlaA ,��.. a, .. _.,.... _, �,: Barbecue Business name: McKinstry Co. Clothes dryer (gas) Other: Address: 12021 NE Airport Way Suite G ,, M > �MECH'ANI,C,AL ` PERMIT FEES *i =;;''y < : ' :`` °° M't City/State /ZIP: Portland, Oregon 97220 Subtotal Phone: (503) 331 -6906 Fax: (503) 331 -6906 Minimum permit fee ($72.50) 77 / () Plan review (25% of permit fee) CCB lie.: 40981 State surcharge (8% of permit fee) 6 1 i TOTAL PERMIT FEE S •,z 7 Authorized signature This permit application expires if a permit is not obtained within 180 6 days after it has been accepted as complete. Print name: Earl Salsbury Date: 04/10/2006 * Fee methodology set by Tri -County Building Industry Service Board i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (11/02 /COM/WEB) / PL.L3413:7,C Jc . 'IROTF.UTIN • s s...S. S C 6 F tA_%1Q-k■ ID ' /11111111111011:0111 i AFE eNsTRY 1 1111111011111;al Y i o ti.E.La ca \ i liii LIECHANIC,F1_ EN. GHtz_-CI.: 1,... CID P k TI leu_rt AC- j -.No .2.0NTR. NJ , • , C*. t. 11111111111 l4lf-12131ASIINTS 1 5-4-00 'LE_ c—i .9L, .0 PORTL■NO. FtE.C. 1 \..) ;.S 131-02 \).. 0 At) D Cbti%1 (-1) Niaid F" (5C .3) a:51-69C+S •%..- ' - . . N. 1 I I. Ex 14AUS7 c-tit.t.1 ME1A 2S,C An Hi \\ E..• m41.19151 FA4 : ■ ... , \ &I J vn pa . A a6 I 0 Z 1 V A • .,, III N. WI .=D cc Th JIM Vil i % d 1 r .=.- .,.._.4 F. CD u- 0 , 1 o z 0 ce >- a illaill 1 1 1 43 5 uj 9L c: ,- ..)--.„1 . cc co N ., ........._ : Pr 61161111111111111 1 V — ■ i I •---:‘ - 1 .4 3 d 4 r 1 si .._ _ lig 1 1.1 MI MI I. al k C O O F M WORK _I _ I EN PATH PRI .icrc_ - A arok. c. K ,,,• wg Ni.c......1 RVA Mectt AnALAL PLANI 1 iwalm mlbrihrP_ ge II Illi '11 * 3 KEY PLAN © FIFTH FLOOR NTS M i N________". 1611 t\IC) • 1 (:3 .. ../) - - - _ . ,-. . CITY OE TIGARD BUILDING DIVISION PERMIT #: A MEC200600141 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/2006 Phone: (503) 639-4171 . Pa ma Inspection Requests (24 Hrs.): (503) 639-4175 l INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 70 SITE ADDRESS: 10300 SW GREENBURG RD 550 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: NCCI DESCRIPTION: Relocate supply diffuser, install exhaust fan. Valuation: $2,185. OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: CONTRACTOR: NICK, NSTRY CO PHONE #: 603-331-0234 - Inspection Request Scheduled For: Date: 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 027861-01 503-203.5767 N Corrections /Comments/ Instructions: ..._-.......- Ili _ .m, . . ....._ , 4 ,.- wima „„p• IMAIWr awm / I L -1st / ilEVIIff i , 1 ' w 7 PASS 0 PARTIAL APPROVAL 11 CANCEL 0 NO ACCESS fl FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED T 4ii I nspector: Date: illii' Phone #: (503) 718- 7-6c-72?-7