Permit CITY TIGARD MECHANICAL PERMIT
4 DEVELOPMENT SERVICES PERMIT #: MEC2004 -00590
)" -IL 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 9/1/2004
PARCEL: 1 S 135BC -00201
SITE ADDRESS: 10763 SW GREENBURG RD 110
SUBDIVISION: ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: 0 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:
Remarks: T.I. (5) ducts, (1) cold air return.
Owner: FEES
BUSINESS PROPERTY DEVELOPMENT Description Date Amount
22020 - 17TH AVE SE SUITE 200 [MECH] Permit Fee 9/1/2004 $72.50
BOTHELL, WA 98021 [TAX] 8% State Surchar€ 9/1/2004 $5.80
Phone: 425 483 - 3442 Total $78.30
Contractor:
HOWARD BINGHAM CONSTRUCTION LLC
4160 SW 109TH AVE
BEAVERTON, OR 97005 REQUIRED INSPECTIONS
Phone: 503 Duct Inspection
Final Inspection
Reg #: LIC 40448
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.
Issued By: Permittee Signature: . p p C3 s e
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
SP::91 12 : 2 7f .....,---... -., P . 0 2
./...- ..! -0
Mgdalgialit A licatiog . . FOR ()1•11( 1 'SF: ONLY
City of Tigard ZZ'BY: =UM rs "'''''''‘r. ' . ay - 00i 6
13125 SW Hail Blvd„ Tigard. OR 97223 q
Iteview
Phone: S01639.4171 Pax: $03.598.1960 .A. Dattillp Other Permit:
inspection Line; 501619,411S . , -....
pg. iteadyMy: ' See Page 2 for
Internet: www.M.tigedsiat.tta Noliftod/hdrthecl: BINII Supplementel telerntadee
: .
! :. ' ..:1: ' i . : . 'q ' ;,',.:. .. ......' i:•1 V [:' • • • . ...1' ! 5 t4 4 0.U 1 A1* - :..0.E ' cliECia , IST •
Mechanical pemnt tees* are hued on die value of the work
D New construction 141
pe Indicate the value (rounded to thc nearest dollar) of all
CI Demolition 0 Other; mechanical tnatenalr, equtpment tabor, overhead, and profit
Value: $
' . ... 1 .10,47. 1 744. 1 4X Or." :: :: ' ..::'' ,.' ; ,,., ,, ,„ ....... ,... .....,.: . . .. . .:.,,.... .. ... . . .. . . ..
- :: :I.: i::•::$0; 00.T. 1. § , T.P 1 .V*E 1 .-S'
0 1- and 2-family dwelling /5447ommenci a 1/in dusbi al 0 Accessory building
For special informarion IAN ChCaliSr.
El MUlti 0 Master builder D Other, Oeseeip nen t Qty. Ea. 1 Total
':••••(...::: ':. : • . ;: .1. • . ....::' 0 *Th:i.**..INFO4MA'nEiti ANb 1-0c4t9N.;::':!: . : i.:: ... ::„ ii.fin ...H.,
-
Air conditioning or heat pump
Job site address: ‘S) - 1 ' 1,N 6 c ii prl . .w. \\ 0
re, uirt$ site . latt Showin. • • - men En i d• 00
City/State/ZIP: (:)% - 1 s. Furnace 100 000 STU 4.cisivents • k 14.00
Furnace 100.000+ BTU duco/verna ran 17.90
Suite/bldg./apt_ no.: \ \szt _ Project mune
• tat,S \r) ar Ec:, 9 hFat ETC 'NM, 14.00 Mill
Cross sueettdirectioas to job site; Duct wolf( • .4 c • t LkY,A, 1 1. 14.00
-- Hydronic 4ot water SySinn Mill 14
..\ ReSidenlial boiler (radiator or
hydronic) 14.00
- Unit healers (fuel-type, not eteenle), •
in in-duct, auspendcd, bt,e. 10.00
' Fitte./Yerit rOf any of above 10.00
SubdiViSi011: 1 Lot no.;
Other. 10.00
1 asap/parcel ittL: Other fuel appliances
: ,.:. : i; ..: ,•,■,:.;;• ; ..! :',, -.! ' :,!.• I . , ., ', 'OF: to•opk: 1.. ..:. I:. rj .■!•....- • :... • :-::: i li• I iv1:1:,:. warm- heater 10.00
.1 i:111.141 ... !. i • I ..!:.: ..•;,..! ; ..,•.J.I:; .. • ... __...... . . . ,i....... ,:. ..:,h;.....
Gas 6T • lace 2 NMI
izia, t 1 rOV.e./VviZr‘tS Flue vent fir won heater or gas
fireplace 10.00
Lo. li • bier ... 10.00
WoodAJellex stove 10.00 ill
Wood ( • laee/inaert 10.00
ili
:•,. :,..• ; ,•::::, l i.174/,4 , ,kor vis .je j ir : ,...r: t .!1 :„. _Ju/fluVvent 10.00
!. ::‘.; :
.. : ,,. r Chitral. r
(Tier: _ 10.00
Name: aINfl -k rhcfNacb El. tf,Cct,Slel i („ t avIronmentat exhaust aad ventilation
Rznge hood/other kitchen
Address: \ Vai ( iv . A \ Pe, a ri-Aljath? i - ui. 1 14.0o
ory/srawziP: Gre§vQ11122D_ 00.0..,41 gXhiL51 10.00
SilleCORICI e4123.1St (bathrooms,
Phone: 613) - 1 s2 , 3 _ \C1‘c" Fax: ( ) toiler cc •artments, %Alit rearm*
.... 6.80
• .....: .:•:..., o iyi l iL i rr l : ''. .4kii.,-.t ***160::;.: Attic/crawls fans in 00 11111
Orher 10.00
Bpsinass none: ilk . . . Iii. L.. ...... -a& ad .1 • .. Fuel plping
COMIC! name; . It , * t S5-40 for era( Four; $1.00 for each additional
._ at . tit ,. a • ■ .
.
AddiC45: ' -'.-. la % . IECEELIPM11.1.111111111111
Furnace, etc.
' . • t
C..ity/State/ZIP: 4, , , . . - 1 a.. L - Wallistupended/unit heater
Water heater
Phone; ( *) - I I Far : ( - ■ .. -- ..
. ft l'''' INIE
E-mail: Rant&
I, ri : :0040e#1• 11 ;;; . ,t; ' '.4:1 ; .: :': :• . l'' i .Til . '.'•• : '
• • •:- • •• Barbecue MIN
Clothe .,
s d ... s
Business name: 1 31Mes2L=1114i1P1OPritsbn4-0Z--- Cr'e \Q. (XS • ther:
Address : 0 4>:=V Q. .. ' i!''.! krutEANIAL'PER141tftES°
- .........................
City/StatcaLF: Subtotal
Minimum . emit fee $72.10) -z,z, I a
Phone: ( ) Far ( )
Plan review (25% of permit foe)
CCB lie.: Vo y V F y) 9-2_5? -. surcharge (8% of permit fee) WOW
TOTAL PERMIT FEE witepr, "iej
Tttiv permit application expire'. $C pormik it ...0 oho irced within ISO
Authorized signaturc: day' hilwr ir hen beim sr reptpd 16 enreplese.
PrilA ItigIlir . - S - Date: • ..... . • - Pea methodology at by Tri•Courty nuitttiag Lutustry Savicc Board
BlittabliesVintitaeC-Peeekkpp•Obe 12 4434417T (i i1ove0s4rW0a)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location l �. i .: Suite 7/ MEC 200 6b.C76
Contact Person Ph ( ( ) ' S / PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation
F Access:
t Drain / ����
Ftg
Crawl Drain L 66x '-- � � ELR
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
NM
Fire Alarm
Susp'd Ceiling
Roof •
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab - �� ��
Rough-In t W
Water ��V \ ∎1 .��
Water Service .
Sanitary Sewer ii`�
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
�m
Rough -I
Gas Line
Smoke Dampers
PASS, PART FAIL
L - 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 Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL