Permit C ITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00626
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/8/2006
PARCEL: 1 S135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 200 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: HVAC TI - Project Value: $41,749
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
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 12/8/200E $660.80
[TAX] 8% State Surcha 12181200E $52.86
Total $713.66
Phone:
Contractor:
AMERICAN HEATING INC •
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Iss ed By: ) / �� , Permittee Si ature: -y ‘ A si a
Call 503.639.4175 by 7:00 a.m. for inspections at busines
pat y.
is permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application . - FOR OFFICE USE ONLY -- / • ,
CIty of f Tigard Rec ve a �� d M Permit No.: /fLI ' v �� " -
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Pemt t:
Phone: 50 Line: 503 .639.4175 Fax: 503.598.1960 / / •ns � '�h ' \ Date Plan
TA See Page 2 far
Line: 503 • Date ReadyBy: Supplemental Information
Internet: www.ci.tigard.or.us • - • Notified/Method:
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- • �.�,/ permit fees* are b ase d on the value of t
❑ New construction I� Addition/alteration/re lacement p Indicate the value (rounded to the nearest dollar) of all
❑ Demolition T ❑`Other: • mechanical materials, equipment, labor, overhead, and profit.
., m, •;l:ki£•,' ^rv saw. •. y:m h,cJ.,;± ., ctt�. �.:�cnl nu�� "vrrti;; 'T•.- r: -,�: �.`:,!f�;'s;::;`_wl'� ;.:,;y'; Value:$ � 1 / '
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„'i �,07 ;i'i�. ,.; �f::: llll��fS�i��� „''ir.rrr�7E�w�nzna�4,4�� a_ k�, �i�. �r.. n. �' !Z':,�, #it��;..,s.•,t;��•:• ..,lr:,i i - • <EI: �UPPI4IENT /SYSTEII'fS FEES*
1:�,�.n,t..�l • . „i.�' .d. +.e.'#.t? � .. ; ,. ;'':'.RESI1)ENfI'IAZ (� ..
❑ 1- and 2- family dwelling XCommercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
,:cra, SS :� t�iMt+f : :.rr,: ::c.et,.c'G%a.>SSedu'Na6,fr,/f, �tursr'Faur 4r''rf ” k( r�' t:, �KxrcYC sr�+*': ti;: �� %�u;E�':;:,1's!.1' + °;b K':j:i�:,'. cool(n - -
i �t�''ti • ; :'�)';.i : ![s ..`} ',� , ,d"Y.l; 1,4 ! ,T uAE` Ili. t, . 1Q �i'''t%n ,, H, }M 'Js.p,,..s,..a.itr=( , ; , �..: '•� Heating/ g -
j��' �w�r. �, �i+ lsf „41�:��.:;:l�ti�jix:.�::,�: �C s��a, :n- 'C •�a .�,:•.,..�;�.; . ^;�<s: rnxn.r r+ �u�,,. �; s' r�` �” ,.�,,.tz���,��+F,:- , :. , .....<<. �, �.:,.. ":;n.;,,:a, x'.':;
Air conditi on ing or heat pump 1 4,00
Job site address: /0 2 o c 6Ore e >7 bV rj / 'C! (requires site plan showing placement) _
City/State /ZIP: /
Furnace 100,000 BTU (ducts /vents) 14.00
� Glre� Furnace 100,000+ BTU (ducts /vents) 11.90
Suite/bldg. /apt. no.: 26 O Project name: F ry-1e r t5 1;15 Gas heat pump 14.00
Cross street/directions to job site: L. t,'1C o i 4 C +,-- Du ct work 14.00 14.00
Hydronic hot water system
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
, c.t r • a
,2k ,...�a . , ,tit) 'S . ,) • I 10 .,w, 1 ' 'A # Water. heater 1000
Ct'� i e f ( Amy t t.UU , !'1 ^' 4I ` ' '� *.,, d � t � ' = ra 3 'r � '744 0 1 i .,91,x
r, h(.;.id}r�k�ns t :l aura" 1,�F C''r,P p '.. Gas fireplace 10.00
/ O t1 / /C k 'bon s of I f V A C S /5± vii . Flue vent for water heater or gas
fireplace 10.00
for nevi e ri il ± Log lighter (gas) 10.00
Wood /pellet stove 10.00.
. Wood fireplace/insert 10.00
T Chimney /liner /flue /vent
10.00
r , . l ' t , 4 ,:, rti ,' -4 •t� ` e. e' ; 5 ' ? . a` ,;l a . ,� e 1t F : t ! t - , ;' 1000 •
,`� ( � % l ,e N R � ", 6 ∎ I t ) ' Il. � , s? • �l , ' ;',' 1 $' a3 ' ' . ' tug,,. ., : ' . n, , .. ! .. i V :'7 .A 5 '; '. Other: • •
Name: - _ Environmental exhaust and ventilation
_- ` '- - ` - Range hood /other kitchen - . .
Address: equipment 10.00
Clothes dryer exhaust 10.00
City /State /ZIP:
Single- duct (bathrooms,
Phone: ( ) Fax: ( ) • toilet compartments, utility rooms) 6.80
•y
A m�,) " �r Ran rci r ' e" ' ' ' x— ) {a ^ Attic /crawlspace fans 10.00
„I 1931;r' 4 ...' , ' .. 4, V ` . , a la i., ' r, b,N ° 4 � 4 , 5 �`�A'.u • d• r f
,. 1;! t t .� t :, ,ef ,
1 �{ m; /' a �c <e� fi4 `• d Ats aY c .a,y„•;fgzda,u ,4& . I. � crr:.n , '� 10.00 ,
r. � Other: •
Business name: . 'Mk (( can ' `(- t :Mr, Fuel piping
Contact name: . JVy) / v) � arcl0+1 $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 1 J -I s _E i ( S e_b n 9 Gas heat pump
City/State /ZIP.: V (.4_( d ( r Q - ') „a'O) Wall /suspended /unit heater
��((;; rr II r_ �' 2q:70-3S'
I 0� b Water heater
Phone:) �J'I_`i tvd� Fax: ( .) ''I
Fireplace
E- mail: Range •
MI ai{ 1 ∎. . ' %.tin'' s : to , � i t i � ` rr'Jlf3:1C� � er arb .heate
(gas)
iii* it , a ., a� X� "2 „, t:.
�-.
Clothes d er
Business name: A�Y\ Call a i �9 . one O t her:
�' L� >? b� 9
t t ea t sue , , , .
3c1 l) - 1 t t t �G' �' t p
Address: J
t �6i, ����' �s��r ".rir;F�f��v�I-v.�`:,D,,'t,'.�h n.�.:t�:,,.CS
/�-� -`�
City/State /ZIP: �(`� ( ( ( "1 "I (J Minimum permit fee ($72.50)
Phone: O(�),1 `'C.to 6 0 F Fax: ) a . - 73 Plan review (25% of permit fee)
CCB lie.: '- ` - h State surcharge (8% of permit fee)
TOTAL PERMIT FEE
� � ' J`�I This permit application t has expires If a c p la act obtained within 180
days after tt has
Authorized signature: JJJ�JddJXXXJJJ CCC been acceepte ted as complete.
• Fee methodology set by Tri- County Building Industry Service Board
I Print name: `., (ell NI_ /,l --7-1- � 0 r /� cry‘ D ate: � 2. I � 0 (0
CITY OF TIGARD
BUILDING DIVISION
/A PERMIT #: MEC2006-00626
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/8/2006
Phone: (503) 639-4171 .04,
Inspection Requests (24 Hrs.): (503) 639-4175 J' 41.
INSPECTION WORKSHEET FOR DATE: 12121/2006 TIME: 7:00AM PAGE: 71
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: - TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: HVAC TI - Project Value: $41,749
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 1212112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 041364-02 503-209-1103 N
Corrections/Comments/Instructions:
III i
1 j ,
ivirm, a irMil
A.
li sum II1F I-17—
, _. - .
I T ler •
....-
I PASS PARTIAL APPROVAL fl CANCEL I i NO ACCESS
I FAIL • CALL FOR INSPECTION pi ADDITIINAL ' EES ASSESSED
elf i
Inspector: NAT Date: V to Phone #: (503) 718-A
1110F
CITY OF TIGARD
BUILDIN6 DIVISION
% b xi
#: MEC2006-00626
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 1218/2006
Phone: (503) 639-4171 ttilid f' it
Inspection Requests (24 Hrs.): (503) 639-4175 ..- --
, --...
INSPECTION WORKSHEET FOR DATE: 12/21/2006 TIME: 7:00AM PAGE: 72
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: HVAC Ti - Project Value: $41,749
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
• Inspection Request Scheduled For: Date: 12121/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
620 Hydronic piping ' 041364-01 503.209-1103 N
Corrections/Comments/Instructions:
. p • „,
•
I 4rokSS El PARTIAL APPROVAL l I CANCEL I I NO ACCESS
I l FAIL [ CALL FOR INSPECTION I I ADDITI•NAL EES ASSESSED
Inspector: 4111Milkri Date: — -0 Phone #: (503)
mpg 7 low
CITY OF TIGARD
BUILDING DIVISION PERMIT #: {2006- ; 26
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 126 /2006
Phone: (503) 639 -4171
A li
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7:00AM PAGE: 43
SITE ADDRESS: 10200 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: FARMERS INSURANCE
DESCRIPTION: HVAC TI - Project Value: $41,749
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 12/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
61 5 Mechanical rough -in 041293 -01 503- 790.3322 N
Corrections/Comments/Instructions:
I r �I 1/ .
I
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL n CALL FOR INSPECTION n ADDITIONAL F, ES ASSESSED
Inspector: Fq Date: , on 40 Phone #: (503) 718- 24:7*