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Permit ,..._,„ . , . CITY F TI GARD MECHANICAL PERMIT 1 DEVELOPMENT SERVICES PERMIT #: MEC2006-00416 �'I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/22/2006 PARCEL: 1 S135AB -00900 SITE ADDRESS: 10200 SW GREENBURG RD 340 ZONING: C -P SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG Project Description: Mechanical TI, relocate and add new duct work and new VAV. Project Value: $8,150 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: Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 PORTLAND, OR 97258 [TAX] 8% State Surcha 8/22/200E $15.93 [MECH] Permit Fee 8/22/200E $193.10 Total $209.03 Phone: 503- 412 -4800 Contractor: AMERICAN HEATING INC 1339 SE GIDEON ST, STE. 1 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 it 0 Permittee Signature: /G/C //�����/o eS e� 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. 1 • ._-•.x- . Mechanical Permit Application - FOR OFFICE USE ONLY ' ' ; • City of Tigard Received «�,, p!„ 5� Permit No. /A Date/By: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Other Permit: Phone: 503.639.4171 Fax: 503.598.1960 Dwmd, • • lr� � it Date/Sy: +' Inspection Line: 503.639.4175 -u-14. i • •I Ii Date Ready/By: li3 See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information �:,:::':' ErcliE.cicL 4- IAPJ ° FEE :+.'S:GSE!D IlLE '' ;US IST ,� '..n. .E::O�'. L0 n.,,. , s, ::COlY1NIERC ` ' -�` "-' ' ,; §:a� �� ��- � "�- � ' � - � ' 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. _ :A +t; +•va �;J..y. , E'.. 'P r :'• t.;Ni +:m 4 ' F fA '.tC !.:a vjae;i3�� {'i;: {^ „r eM .. , .ouw,u e "':JN' . Value $ ! ) I ✓ `-' l'tb; ma it'4; :+� S At' ; °Ft: I�- . Y�'•,ld�i ht r, >� a • r ya ' - �� • s 1st �{ ' ' ' r -If 4., J r .S .F`dlr.,. �u�aP � as ��'' . Q. � {. a? 5�:. r: ..:•n. +F. �. t 'I'� /� S I "STETrfS FEES* iieliPliN3tt�r�n:'.' t. �i, ��., t, x,., l�iP�.r fa.,..._:; f!..., f.; i. 1, v�t .i.,��«rcc,°:r:�:r..:,r.+.r.3�. { � ' ' ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist, ❑ Multi- family Master builder ❑ Other: Description Qty. Ea. Total :aya:�:ib: u,r: in • 'ii . Y¢t! plc .�,. m:,.40.664.m ,,; u[el r,utr��%, s .�;gr4rf�;5,{ :: �; t:�„r, n� kct et�te.,�,;dn:�::�{^,�-',�"�,Eu "; ;' `i'::� i" : ;',M' I ;e ::i tt lma llR l ; 'i7.Y'1;£f (�T ' F .` `ru't's liM-Vr IUO ,. l at , r f, , ..,. >.. ^ Heating/cooling { A e rrti;'4Fi, .,:.'+P k �tx >st71'.:, l,,s•- aLF�,xv.t,,;.x..•.d •w " s ✓.. 7 i dv.. e a.,K �.. , • . rr .. r , pp (� Air conditioning or heat pump Job site address: `0 ,00 3'w 6 o2�R t ctic, ecl ! 0 (requires site plan showing placement) 14.00 City/State /ZIP: J Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Project name: - pow -T l 10 T 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 pp� v 1000 - i r ' 1 V>�p'i .� . ,r T+%k 'ci; m Niv ^"L '♦IF Y ?X:.6; i`tr'S' �' k: 'ti .fp iY- I.;'.f }# 'i'F� 6)` ii�tli Water. heater - f l„,k s .;) .6 9i ~t ",a', y , ° , ' ∎ty � ` Art . -0„A �w lo.00 n ° ^'!' " - "' Gas fireplace Lt / R- C m t - CO ho n S Flue vent for water heater or gas �1 V fireplace 10.00 Log lighter (gas) 10.00 • Wood /pellet stove 10.00 • Wood fireplace /insert 10.00 Chimney/liner/flue/vent /liner /flue /vent 10.00 . 't §;a nt:ntia,'Ud i A, i i t� 1tri ]; r•'F r , >jf...:;t r, # "d.• v r 04. a � 1 r ,.p . ; t "r y:4 �� y ng st�,ig: l ., �Hf "t ' a k- 'n � .p d �r�'(t � ':. � 61� ' w d a�p 1Y,'r � � �' 10.00 ?.'l4t k it ku6 «..t., ' )m�`oi:r� ., ml,,4704 4-th f s !` I4 TOMA o .,{rr:aafh :WM: 0 t'1•�D. =,La6`f;, A.4 Y:v,3� Other: Name: Environmental exhaust and ventilation Range hood /other kitchen • Address: equipment 10.00 • Clothes dryer exhaust 10.00 City/ State/ZIP: Single- duct,exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ,�, , � ,} ax'ra�• �,,a' -'n_ .' k v fr;p r�' Attic/crawlspace fans 10.00 9 �' = R v,. t` �( (r .< y.. ' �,,., ';kw�l.� s'',�,. , {,:i 10,00 �; {Pk x y , a�d4.{.,..nr•�: r.��Ya r. pm. tt;; .... �.. flo °. u:»s �r � Other: Business name: `I I c( can } -' ` n L J Fuel piping Contact name: l j IAJ11 h� 111( �ah rL 1 fl c ,, n ni 1 $5.40 for first four; $1.00 for each additional . Furnace, etc. Address: V3-6C1 j ( � �� ebn 9 Gas heat pump - City/State/ZIP: `R0 �- d ` O Q qi U� Wall /suspended /unit heater • ( Fax: 0--:)a, Water heater Phone:) � ,j_l.��j�b ( Fireplace E -mail: Range J ;,..t'I , t ; 'a , ( > , ) a'r''; Barbecue Ali' .,fi,tt s ,.�- ts�i.� # 1?4 t Y+ r, �'- �'»' ©•' ° -t f 11 ti ,,, a ° t. „; y i k '% 1 �'�„�'',��t�.B: L2�irk ti r .,j;, '�l,4�. �/ fb4 Sd i- F a ' , � 9 Clothes dryer (gas) Business name: Am (�l f _Lit( r Other: • Address: 1 t) 61lap 'J 0 -.1 h E � ' 1C,7 ,i ''� t �r{ s�t.�xs,. r,nwro ,,u, Subtotal City/State /ZIP: � c 1 - ( t �( ) '99 /0 ( Mi nimum permit fee ($72,50 Phone: �3� b U Fax: () a(, plan review (25% of permit fee) CCB lie.: 3 \ ` � s- State surcharge (8% of permit fee) /s• 93 � C��, �/�y/ TOTAL PERMIT FEE e.AYLATt-lk_ d ' '� This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: m a , r rd - (,1 -y' Date: 0 a I -0 (,, ` Fee methodology set by Tri- County Building Industry Service Board CITY `OF TIGARD ,. BUILDING DIVISION PERMIT #: MEC200S -00416 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/22/2006 Phone: (503) 639- 4171 ImrI(�i1ll Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7:01AM PAGE: 64 SITE ADDRESS: 10200 SW GREENBURG RD 340 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: PROJECT NAME: PNWTELCO • DESCRIPTION: Mechanical T1, relocate and add new duct work and new VAV. Project. Value: $8,150 . , OWNER: EQUITY OFFICE. PROPERTIES TRUST, PHONE #: 503-412-4800 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239 -4600 Inspection Request Scheduled For: Date: 9/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 036628 -02 503- 572 -1638 N Corrections/Comments/Instructions: &MI i 0 - P i'elkl 1 1 _ PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITI NAL FEES ASSESSED a il, Inspector: � � I 1 1 Date: y a f�' 64 Phone #: (503) 718- ZEZ$ CITY OF TIGARD . , BUILDING DIVISION PERMIT #: MEC2006-00416 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/72/2006 Phone: (503) 639- 4171. �0Alif Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/18/2006 TIME: 7 :01AM PAGE: 65 SITE ADDRESS: 10200 SW GREENBURG RD 340 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE: . PROJECT NAME: PNW TELCO DESCRIPTION: Mechanical TI, relocate and add new duct work and new VAV. Project Value: $9,160 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503.412 -41300 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503239 - 4600 Inspection Request Scheduled For: Date: 9/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mechanical rough -in 036628 -01 503 -672 -1638 N Corrections/Comments/Instructions: 1 i 1 . Neal/ . k J ,, ,I , _, .. .._, PASS PARTIAL APPROVAL (l CANCEL n NO ACCESS n FAIL • CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Ivi Inspector: , grAY . Date: q l C Phone #: (503) 718 -742-