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Permit r: CIT OF TIGARD MECHANICAL PERMIT I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00086 u�'I 13125 S Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/3/2005 PARCEL: 1S135AB-01006 SITE ADDRESS: 10500 SW GREENBURG RD 100 SUBDIVISION: LINCOLN PLAZA ZONING: C -P BLOCK: LOT: 002 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: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Remarks: Mechanical TI, terminate existing 2.5 ton RTU and reroute to existing 5 ton RTU. Project Value: $1,700 Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 [MECH] Permit Fee 3/3/2005 $72.50 PORTLAND, OR 97258 [TAX] 8% State Surchar€ 3/3/2005 $5.80 Phone: Total $78.30 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD REQUIRED ITEMS AND REPORTS PORTLAND, OR 97218 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 thr. •h OAR 952 -001 -• • I You may obt - -s of these rules or direct questions to OUNC by c- ing (50:)246 -669• Issue. By: • / �/ ► Permittee Signature: !' Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business d• . is permit card shall be kept in a conspicuous place on the job site until completion of the p • ': Approved plans are required on the job site at the time of each inspection. vi-C-: t ,., p,. ' .L,_::‘., }.,- kr t ,. ; Me„h,arecal Permit Application ; .�� ;; , :f g `., .e; u s Ec lIN L Y ,��_,:� ,�; - ; - :1 City of Tigard DateBe �/, Permit No:' i J 1 #411 Plan Revte - 13125 SW Hall Blvd., Tigard, OR 97223 l/ Phone: 503.639.4171 Fax: 503.598.1960 A /B Datey: Other Permit: Inspection Line: 503.639.4175 r:!J Date Ready /By: ��t , ° 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 [ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ I 1C;CD RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 and 2 family dwelling ,ommercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating /cooling O Sao S � � n a � g . n ' Air ires ste p ing h r i heat pump ) Job site address: �./ tLC�T Ad re cores site plan shown ]acement 14.00 City/State /ZIP: P o a_TiLtk J (De— Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 alt ab dg. /apt. no.: (?® Project name: �v 'TiTLE--- 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 DESCRIPTION OF WORK Water heater 10.00 /� Gas fireplace 10.00 � � �- L 2—s 70,-- t2 i (..: Flue vent for water heater or gas • r �( -1--,.> fireplace 10.00 J!V"" (_.....,,_.d_ T� S ,2:-i-,_.) Log lighter (gas) 10.00 Ada- e T& � (�k� mod-- 2z~T"7 .1__A AC ��C CS Wood/pellet stove 10.00 �� Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 _ ❑ PROPERTY OWNER ❑ TENANT Other: 10.00 Name: FQky t Pac,-- QV f1 Environmental exhaust and ventilation Range hood /other kitchen Address: equipment 10.00 City/State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 El APPLICANT $ CONTACT PERSON Attic /crawlspace fans 10.00 Other: 10.00 Business name: r, / t „„ 0 „ Fuel tin ``� piping Contact name: A i Ce...+4 RA- $5.40 for first four; $1.00 for each additional Address: 7 N C� �--F� /1 _ 9 1 uv"� i'`� E 1� Pi Gas hea t Gas hea etc. 5� t pump City/State /ZIP: Pow; 1_,A, Dg_ l 7Z/8 Wall /suspended /unit heater Phone: (S )33 j _ Z (_j 17 0 Fax: : ( ) Water heater ` Fireplace E -mail: Range CONTRACTOR Barbecue Business name: 0 .4 c_ i Cc, Clothes dryer (gas) rN� Other: Address: 5 ©0 Nom- Gd /0,44 , g 1cJJ MECHANICAL PERMIT FEES* City/State /ZIP: P L cr,p___ q 7 2..! $ Subtotal Minimum permit fee ($72.50) -7 Phone: ( Co) 3•• ^ Fax: ( ) 0 i l Plan review (25% of permit fee) CCB lie.: Li q8 State surcharge (8% of permit fee) �i TOTAL PERMIT FEE 7', wi _i �� This permit application expires if a permit is not obtaine fI within 180 Authorized Signature: 411110‘ days days after it has been accepted as complete. Pik Print name: Date: 3 - -os ' Fee methodology set by Tri -County Building Industry Service Board P CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC.:24%6- 00O%, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 �'ury�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 3 -- 9 TIME: PAGE: SITE ADDRESS: / 05'00 (meet, ( t,,,,,. R 5. /° ® CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: �° OWNER: Pa+ PHONE #: 57c — 7�9c7 CONTRACTOR: L �i nco In P/613 c PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments /Instructions: Li : Adrl ' i 1 l - 1 " V WI • 0 r .i w , I T ■ V PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FE. ASSESSED • Inspector: Date: Phone #: (503) 718- \