Permit a --- . A
C ITY OF TIGARD MECHANICAL PERMIT
I° DEVELOPMENT SERVICES PERMIT #: MEC2005 -00706
- '` �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/21/2005
PARCEL: 1 S135AB -00900
SITE ADDRESS: 10200 SW GREENBURG RD 600 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: TI - relocate ducts and grilles. Project Value: $13,874
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: 0 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
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 [MECH] Permit Fee 10/21/200 $284.15
PORTLAND, OR 97258 [MECPLN] Plan Rev 10/21/20( $71.04
[TAX] 8% State Surchaq 10/21/20C $22.73
Phone: 503 293 - 2745 Total $377.92
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
Phone: 503 239 - 4600
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 0 A 911-0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1-80e 32 -2344. , ,,CC W
Issue. By: e �I`/ % �/ Permittee Signature: gn&I '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.
Mechanical Permit Application FOR O FFICE USE ON - -
City of Tigard Da (0 / ' CC ,�,,Li,/. ,,Li,/. -0070
Permit No.::,
13125 SW Hall Blvd., Tigard, OR 97223 Plan n Rev Review Other Permit:
503.639.4171 Fax: 503.598.1960 // trdy� (r\ DateBy:
Inspection Line: 503.639.4175 .. � nu I ' Date Ready/By: Iffli E l See Page 2 for
Internet: www.Ci.tigard.or.us Notified/Method; Supplemental Information
- :a!LL� r..,{c:.�. -'fi?rsa - - ..Ig. (�h.` *LI,.. .iaXS',. -+f 'J >t- . � =' ;kh t.;4g-
- �'.. :aa : -;��,. < =M•' ';'t '- , }:i;� , 3 �d
Rh_, ",; s.:s.i?+� r :�: ;.g .'C,' ..1ST
�'F -v a.i, = -4. �` >: „- ,,ern °t ,��3., SEE.: SCFIEDULEr '�USE E KL
�: =:v r >: � � °� : ��� �. �T� _E'.FOE' :ORK , :_,�,; �t u ^ ` 3 "��< �,.,.. �.ti <,; *` ^.�.:., .. 1C011�1�RCIAL• � , .
&'�i,,:�a�a �a�, ���, 4:. ti c. StE. � „I���i,s`�ase)s;�:�,nb- v.. -;t; ?r, 1 w ti . ba:. r+: a. r: r:- rn_. asc�. m .�. :��.n:.;...�,c- '`:,�a�u:'1v. .. rr�f �', -.�.µ ^_ ..._,�,,.. ,,.�.,x ., -< ,.. ..:._ �.. �__,. .s -
❑ New construction Qg - Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
te
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: • mechanical materials, equipment, labor, ,, ooverhead, a d profit.
'"„'r";:4r >-1m. . ; ;:; , .,r,'�: "a. ° �,;�iipt'i: °<> :5iti,3.'.�ft��ee:,,�i.::;�ri*: .rt::.tia.;:*;rN:.w #,1 -41 : a.:1 ry / .r V1W1;, sroF,'., s ;141 Value: $ : 1• .,
! rt � � 4 � c �'- hi s,' �CATEGaOR =Y u, � � `' ! � /
7c . _ . ,.. •_ ,:e,xz :.,., RESIDENTI.ALBEQUIPMENT/ SY STEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: • Description Qty. Ea. Total
y i ;? "" :'t •� - S ' 3 r. '�ui "?=- ra'^ r,c::. a. >x•,a .�;n ua,, <- w: az§; s¢ az: c. r;,.,.',.`' es' e.;, dr,,: s? ::.= :.-"r'�+:z, *i;;.,.z�.4 ^ ^' ::
'' i": a_ 1 `°,s. 's , = :a ° T >i: " T11E =` R :. TIONn•.AND= EOCATIQN 's.<:� ., ex _ ';- "'... , Heatin coolin
: x.1tE �.r, :za � &t -... �.:�;f.�,2 .�,.•,w;�;,�,.�- *;�ssr,:�. r,.Rr,� -s x,,;. �. i,�:srz arr�, --'- ,,,%, k-, - �'. �, •. ; _ � . . � �+
Job site address: f 0 0. Q 0 S co C -r�o , / Air conditioning
Tres o heat i pump �� �� G 1 \ (requires site plan showing placement) 14.00
City/State /ZIP: �� �. .)' 0 � _ J Furnace 100,000 BTU (ducts /vents) 14.00
/� s, �� Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: l9 � Project name: (\(�( 6 C 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
;kn.f,=.; ..:., r a, ; , ..- +r re. -r.; ';.T . * .:' ^;' v. ,. ?a Water heater
« 10.00
4r .;,. 1. r1,, ,:. ; �?` , M;= I :�: , ' D RIP TQNs OO Fa ARK'�,;�=: r� ; :': ' K • « t ;; 4 1s ,, t '.
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
• Wood /pellet stove 10.00
. Wood fireplace /insert 10.00
gun r„ :, - :, ,:; u,.; a ,: :,,,;= . > „ $;,
11 . ti , .?3,:' 3 , , 5 ° ar ea "avr;!`. -c -i g'$'s ,.i`i, �, a.'x!+'+t;'a� '''.'? g g S ,r,?..'<`-,`1 .-:T :,w- - Chimney /liner /flue /vent 10.00
,
..," w >.l,E 'r>FROPERTY'OWN,.. . tv ... .;i.,r s . 5 i , t`,,,. , „.,; ® xtTENAN :T ? ,. - : ' :. _,
��'� �' x 10.00
�": �x�r�::. r; ,°?; yr.> �.., c-^ �. ,�, �a- �r��.e.ii`�m«;�^;.s th « �.,. z�yra,: �' ��:: y�,: .'M <�..^i:..,s,:...... :.,z -m,�. �:•.�,.,,�::.,.,�:: ,.: i��- :.<...,s;:`�.: Other:
Name: F(. u t p /J. Environmental exhaust and ventilation
Address: ` ` Range hood /other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
'R;',;.'?Y`;'F :�?t; ft ' °:';` q ° rH-;c a _., ; :.+x> `
�a 9 'x .cp; € „f, .,,,,.; � ,o,,,,t,,7:,,v,, r I,.,:^y," 10.00
,.,sls, Mi° ":.APE "'`:. mss• .,, � ;'t�' , ,. : Attic /crawls ace fans
s� �� r.�:.._..�: „ ,.��`� - . � �"` � ���' Lsl� vC® N :E
�.� =��3:s P
�, Other: 10.00
Business name: A- y r , 1 cal l �C Fuel piping
Contact name: 1 ( $5.40 for first four; $1.00 for each additional
a Address: 1 \ S 1a e _ ` - Furnace, etc. .
Gas heat pump
City/State/ZIP.: lI 'j ( \ O Y` ` l,2 0 a Wall /suspended /unit heater
Phone: )C 5 a- t -q' 60.0 Fax: : q 1 v Water heater
Fireplace
E - mail: Range
V = L «:�.i;�i,;;: ' °ai "`- �,uu,t,�:;� <�,ig« -��.. �^ �t; �� :.x.=:,�,r.:.:s:,vt,:�rc:�c:�s. ,. ���e,.k, "'� °" „y, "'* 4�s� `� 3�`:�1n ,,, � „ _; . _
't i r � #r a4 GONT.RJ T ®R 't r la 31 ;° 1 Barbecue
r+ pa '� Clothes dryer (gas)
Business name: r--1�(�1/I O V i C ' Cl j 'V 1 e
`�- �A/ 1 Other:
Address: ,r
1 ,?s�rr^a�' - =� fy�M�EC „HANICA`•PERIVIIT'F'EES *' ,
City/State /ZIP: Subtotal /�
0,---c.,1_4,6, O O ( ) Minimum permit fee ($72.5) Q 71 . /5
'Phone:' • Fax:
Plan review (25% of permit fee) 7 � p
CCB lic.: s 5 \ 3s State surcharge (8% of permit fee) m. 7
TOTAL PERMIT FEE 317, 9,l
Thi permit application Authorized signature: appcation expires if a permit is not obtained.wtthin 180
(��� days after it has been accepted as complete.
Print name: L MA._ `') . C)\((1 o t Date: -t ci.-'Q s * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (1 I /02 /COM/WEB)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200S- 00706
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/21/2006
Phone: (503) 639 -4171 "44
Inspection Requests (24 Hrs.): (503) 639 -4175 — I I
1
INSPECTION WORKSHEET FOR DATE: 10/27/2005 TIME: 4:11PM PAGE: 51
SITE ADDRESS: 10200 SW GREENIURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: TI - relocate ducts and grilles. Project Value: $13,874
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503- 293 -2745
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 10/28/2005 Pour Time:
iAA
Code # Inspection Description Confirm # Contact # Mess- se P
699 Mechanical final 019622 -01 603-209-1103 410
orrections /Comments /I
f Co-; C
dr,
/(Ti I lay;
•
SS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: OA ( A/ . / V > Phone #: (503) 718-