Permit " '` CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00706
,TIGARD; 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/4/2007
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 571 ZONING: R -12
SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG
PROJECT: TRELLEBORG
Project Description: Add and relocate grilles and ductwork. $5,869
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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS
CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
SHORENSTEIN REALTY SERVIVES Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 12/4/2007 $157.70
[TAX] 8% State Surcha 12/4/2007 $12.62
Total $170.32
Phone: 503 -412 -4800
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
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: Permittee Signature: (f g'Gr Gi /l/A/ 45 716C.
7. Z . I l itet 2SeA --
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 A I ti;y laiii,,:
• '
1VE F • 69 . • FOR OFFICE USE ONLY . . .
City of Tigard .: ‘.... II :-- Received Permit No.: LA • 9...., -
Dateg3y: i
i . ■ 1 I. _..............--42" - sr
13125 SW Hall Blvd., Tigard, OR 97223
.
- 's0 / If
,, Plan Revew
/ 1 I
Phone: 503.639.4171 Fax: 503.598.1960 DEC u z• t..,', is,. A 1 ii■ Date/By: Other Permit:
Inspection • Line: 503. i ..
639.4175 Juri El See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TI t -- AL Date Ready/By:
Notified/Method: j Supplemental Information
BUILDING DIVISiON
i ::, , ,;;,,, -- ,:: , ,,:: . :, ,, :,•:-,];; , 5i,:ils , .',,fiiitiii:,:W.'15*:420•i;'!'„1,.4::"::,.. , :' : 1 : , ..i: . 6T.,:';'..:; . '':.:; . :;.::.; ::;:!torWgFtsewi;TE .:..sc.pql.,E.,- :U SECFrECKLIST
Mechanical perrnit fees* are based on the value of the work
0 New construction Addition/alteration/replacement performed. Indicate the value (rounded to the neatest dollar) of all
0 Demolition Other: mechanical materials, e.uipment, labor, overhead, and profit.
: re ,-,
r.gpvii501mmiwoottavinitootititiota m .,:,,,,Im,%V Value $ 5 (
:.3:';'r . , ; , , . .. . , ..: „ ;.,9,
..,rova ,:t1i4;,:.A,.alkilki,INit!Wff'..,;11. ,„ „71,0 n
1. ,.,,,,,grie,.:4„, , 71 , , t ,.1 ,:, a. , i.i,,,i .................... '1:,,L1:::::.. ' , ?•1 v' ,,, 2 :i` 1 ": ',.;.L', iiiDEP ,, olAi,, .,. ...,, g 1 s vs FEEs*
. bt2u
0 1- and 2-family dwelling 'Commercial/industrial 0 Accessory building
For special information use checklist,
0 Multi 0 Master builder 0 Other: ... Description Qty. Ea. Total
ipirly,isgrgripnilOp00 Heating/cooling
Air conditioning or heat pump
Job site address: 1 0 a, ) 6 refLni (A,( V-----C (requires site plan showing placement) 14.00
City/State/ZIP: ---- , oLici „ 3L. Fumace 100,000 BTU (ducts/vents) 14,00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldg./apt. no.: Cyl 1 Project name: -r- 6.), Gas heat pump , 14.00
Cross street/directions to job site: Ur‘0,4i,n 2_) 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: 1 Lot no.:
Other: 10.00
Tax map/parcel no Other fuel appliances
VorgramaptorpotipopiggeMoiR ,, m, "1-RitioRaifet,40-4, 1 1 0 ii . R, Water. heater
0* _ 10 1_
.00
tufsf...•,,,,,a)5, .z.. .44-730:).y.:15.4 ..:31.019..$ 4w, 2., ic.... ..:6, IA.:. N..u , -. ■., v? , , I:C.V , . 14.e.e,14 i „.,.., . , .
I , Gas fireplace 10.00
V - A • 1AV c i '‘ I ''),/,''' 7,; ( ()-- , i,N%-,4 r., (,),',-.,--',,;(3)1 , Flue vent for water heater or gas
9piti,Qt_daLgti.d.rxti,- fireplace
Log lighter (gas) . 10.00
10.00
--4-:__________1:a:1:5•---C.., Wood/pellet stove 10.00
Wood fireplace/insert 10.00
10.00
...',Le.k . .7% . if,;•got lfak' qigyek'';:,:fte.11,30(E.,ny'';',,teta,..Vit,,,!..!.,,,:,,,,,,,,,:k$,,,,,,,iv0;WI {:: imney/liner/flue/vent
iftra.."=;'ihigi00,4rflur.,' ■ - IQ MAI:prNi:, e..,!i,f- i,i5; iogNAnIt ,,,,,,:, other:
1
Environmental exhaust and ventilation
Range hood/other kitc1-.en 1 -1 . -- 1 .
Address: 10.00
equipment
City/State/ZIP: Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) z Fax: ( ) toilet compartments, utility rooms) 6.80 _
1 Attic/crawlspace fans
OglirriVel 0
lgirigrONSOMKPA400 rogifja.,40.1M4?, 1,1.p.4,q,..„ v.,..4,,Av.,!;„,,, 10.00
■ Other: 10.00
Business name: A mar c ,,_ r n T 1 r , Fuel piping
I. "
Contact name: f --Clial/rvtstrl $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: SE 6 «1 h1 9 ' Gas heat pump
City/State/ZIP: "R0 ,..{..( and (2 I) - Wall/suspended/unit heater
1
Phone: 6)--5) I 4600 Fax: : ( 6c) 2q....-70--)1(8, Water ace
heater
Firepl
E-mail: . Range
.. ,... . .,. ...., ....„, . .-,
Vinflpigiet.WW-441,100'4(111t.07..M41414411:VertgAlp..,rAttl.06,6161 Barbecue
Clothes dryer (gas)
Business name: Arno \ au a4. c . 9 4 _ r _ cic (
Other:
Address: 1 5 S ( SC 1 oilm,3,.!.,94,04goii,AN16:iabli*Wat0",
City/State/ZT: yo-,0*--ail dt p _ onDoa Subtotal j 10
( Minimum permit fee ($72.50)
Phone: (f 3Ci LtA, 6 (..) Fax: (2)) a--).A...-inc- Plan review (25% of permit fee)
CCB lic.: -S3 \ .--1,s- State surcharge (B% of permit fee) ij' (49-
,
Authorized signature: ainfitk- II 4\ t r dtraY7
TOTAL PERMIT FEE/ 7t'. 3 ..---
This permit application expires If a permit is not obta ned within 180
days after It has been accepted as complete.
1 Print name: tyl (Y. --1 , Cl/ 0 x -- 4 cyyt Date: 1 * Fee methodology set by Tri-County Building Industry Service Board
CITY ����� ����^�N���Q�N�
OF m m����om�� ��
| BUILDING DIVISION PERMIT #: MEC20000708
| 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/4/2007
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 630'4175 ,4
INSPECTION WORKSHEET FOR DATE: 12127/2' 7 TIME: 7:O0AN\ PAGE: 41
SITE ADDRESS: 1022 SW GREENBURG RD f71 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TFIREE LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: TREL_
DESCRIPTION: Add and relocate grilles and ductwork. $5.869
OWNER: GH0R2NRTBN REALTY �ERV|VES. PHONE #: 503412.480O
CONTRACTOR: AMERJCAN HEATING INC PHONE #: GO3 ,
Inspection Request Scheduled For: Date: 12/27y2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
659 Mechanical final 062181'01 503-239-4800 N 1
I
Corrections/Comments/Instructions:
|
.
' ���~ �� PARTIAL APPROVAL [-1 �
/��� � �� �� CANCEL NO ACCESS
FAIL a CALL FOR INSPECTION ADDITIONAL FE S ASSESSED
__
Or `^. � /� Inspector: Da�e' / / �� / Phone #: (503) 718- �7
� ` '
lib ���m�' �U
CITY OF TIGARD .
...L
BUILDING DIVISION PERMIT #: MFC7007 -0O706
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: l2 /4 /2(jQ7
Phone: (503) 639 -4171 rilt,_
Inspection Requests (24 Hrs.): (503) 639 -4175 :.'
INSPECTION WORKSHEET FOR DATE: 12/13/2007 TIME: 7 :00Am PAGE: 43
SITE ADDRESS: 102 211 SW GE EENSURG RD 571 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTERITHRE..E LINCOLN LOT #: 009 TYPE OF USE:
PROJECT NAME: TRELLESORG
DESCRIPTION: Add and relocate grilles and ductwork. $5,869
OWNER: SHORENSTEIN REALTY SERVIVES, PHONE #: F' :0$- 412 -4300
CONTRACTOR: AMERICAN HEATING INC PHONE #: 603 - 239-4600
Inspection Request Scheduled For: Date: 12/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough-in 061401 -01 - 503-672-1630 Y
Correction /Comments /Instructions:
u �
D
PAS PARTIAL APPROVAL fl CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: L/ . Date: 1 IP 3 / ( ° Phone #: (503) 718- 4- 1---71