Permit /
r 'I OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00700
e 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 10/19/2005
PARCEL: 1S135AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 500 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: Add & relocate ducts & grilles. Valuation: $13,682.
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: WOODSTOVES:
GAS PRESSURE: 50 + HP:
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 [MECH] Permit Fee 10/19/20( $281.45
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 10/19/20C $22.52
Phone: 503 293 - 2745 Total $303.97
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 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: .V��� Permittee Signature: (!C ( I (�/ 4,,c l 1I Q54er
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 Pen -pit A • plication FOR OFFICE USE ONLY
CI of Ti arC - [{ro�Fry*� pU0(p�� Re 7(
`J g 6 `4a EI `P@' It D Received Re eBy: , _ , 'emit No. r'i �� IG
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.19601 aaln'. t ,d , Date/By: Other Permit:
Inspection Line: 503.639.4175 OCT r 1 9 200; ■ / lli Date Ready /By: MI I0 See Page 2 for
Internet: www.ci.tigard.or.us '" Notified/Method: Supplemental Information
CITY OF TIGARD'
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New constructio Addition/alteration/re lacement " ; . _:
p Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
, ,::5:po , •a;;M 4' 'i,.,,- . '' ,;- ';'''''�..' ,: :< ,_; ;; ,t;'. - value: $ 1 I-Ra
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: s.. •..,.: �s.> i.- ,..1. *f:r.^.,:t:.F ••,�.�.� >..Rt f.ar.. w ... r:' 9:36:':. 2FV3 :C;= :a,.A.lix,<r,r3,v>..:.i L;. >`>ti-. ,.:I.:...�..t'fi., _::. ], "F.. :.
. � ;, : < ' ":_ ,!.G;i_; ' `•, RESIDENTIALEQUI']'1 / SYS T E M S FEE
❑ 1- and 2-family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
:!t y,,t ^' n6 P.'; d + � lf ji' .i�t.: i;t tts;•:Sp,y +':r %P" `. ^ ' ` .
i �fi >` ;ri;', "'. iR`t'.ea'r °`•+`.�;'. is:#,. c1,` `: r{ .�a ..v .`i
`ti,viit , ; ,:v eti F. D , `` =t :AT I ON is. •:rx, s:. Heatin coolin
> ��� i., .r. 't :w. „•. °'�- ,O y .L. G �,. �. ,.. ' _ - • ... K/ g
v.,ats'_ae'�:r_�`�. "arh.,.a,�,r ;'c•:<a:�- ,•�. >,L�ra,a� -,_<,. y x •. ., °r .r�- �•�t�,.,,.,:F..v�' _._'rr �, n ., . ��... .,µ,"
+ ,` Air conditioning or heat pump
Job site address: 1 6® S W �v�e _ti JO �r1 kel (requires site plan showing placement) 14.00
City/State /ZIP:. '1 cue-c(, C ? J Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: ( , 0 Project name: Y1, 'd'ir e (IA...., Gas heat pump 14.00
Cross street/directions to job site: Duct work . 14.00
-( > //�� � Hydronic hot water system 14.00
- Uri 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.: 10.00
Other:
Tax map /parcel no.: Other fuel appliances
.,:r• ,...s^w ;.r at'iz „<� : .e, as :., ; : f a: = ae =,.'czr ° :ra:.,•.4. ^, g ,r. t � ;s '•. :t r' it rs' t r <i r 10.00
jr `xry�, „.,,: �afn��:,� „• ? `�;ll'��st x : , �( O >�,:1 �.• :�,� .t�?t',. ,,.� �.,�s *.� .c,r�.r•�,;I Water .heater fi t. mi ARr: , '_ ,, ; r � UDES,G•' RIPTI, ; 4. manot?,F; ' sots ;t .
fi €3F �.`zra.- ,fl;Ta: .[i.a:- .>.eu.: -, 7�, a...,x•n,xm= :xbx: s '�rcw',F'.'�r .�;.*"�y�. ,.L 1 0.00
Gas fireplace
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
r:x4.'.H', :a. =- fi:,:a >.:.., ; .�,. , . -:. ; . w .; .. :: ,:;:; ,.. > , rx; < .at;r,G ^: rz3' ; Chimney/liner/flue/vent 10.00
si.N.0 - 4 ; e:: , `;? •ti ` ;•, ', rz r ro }a >�: 2 u'�',. c ,:#..�;;-'F , $;u+xLr >.�.''>,••'..-, , :`u #t ,2,,E ,'
V ,,, i gt i : : . : ,'c ,' ' `YROP;ER ? :O;VS'N,ER ". k tn. ,, i • G , oti4 wt.. : + s�;T~EN <ANT�.,
• 'm„ : ,; ','.
'; 2;: 1#,' 1„ a°. 3•: l��t>° �a-: e` s: tir ma >* z, ��I,. nnu: �> �p,e±r „'pr4's4'seL9:�+!�riatua• f �� �z'. 8^ az, sa ,��.,• „LS .za �e- za-a.._�.,.ks^�`..�. _....�N'�f, Other: 10.00
Name: Environmental exhaust and ventilation
•
Range hood /other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments; utility rooms) 6.80
, :;. rI',� :F ,, ,. ,. ;.,.,;i,.- r ;.,s rr: Attic/crawlspace
r • t° , PUIC:4Nte `E' 014', "l" i ,� r irgi LONTACT " S w ace fans 10.00 P
< Other: 10.00
Business name: 03/4' (l _ t\ CI bI7 3 i Fuel piping
Contact name: -1 :)0L ` - b\ 'if +. $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: C"1� (�'l S Gas heat pump '
City/State /ZIP: ' 'o y r,l.uf d ()--e_ 9 Wall /suspended /unit heater
Phone: c5 GS) , - _ (4 GOO ( Fax: : ( 553) L, � Water heater
Fireplace —
E -mail: Range
r.»iiL�'a,nF :,v7: y"s1U+n +, "'�'ni.•'a'?" 5<`�Yar.:r> •: :-•;,. n . 2:2 ;i'Sx' a ;+pi. - z - .'`r:fl. °' " ?.°#..., = ri� n : ' Barbecue
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e
o. °�ICF.o-F 5��;.:��.�id�ir�4�'.k' �:' k:: xil.: at' S�:" ��'.'' �i` . a l sKtz. 3' r':::'� "7:S'5a,:ars�;:', lk*,e, n•,� %r� s•S>�i'�G.ia�..e:V u s:.. s?`:=i,
Business name: Ni'Ylfir i Ca (/1 at i.i.'� U� f Clothes dryer (gas)
1 Other:
Address: tftn ;,� = r' k'. s , F'P:ERMLT= *,
FE
6 �1 i LQ ' ` ,? fi ..2 'MEG H A i NIC > S '
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City/State /ZIP: Subtotal j, 4/)
Minimum permit fee ($72.50)
Phone: (� }� a.?� (�
_ C 0 Fax: ( ) Plan review (25% of permit fee)
CCB lie.: e 5" . 3 ( State surcharge (8% of ,permit fee) �,2,. ?f✓
Authorized signature:
TOTAL PERMIT FEE CJ,�, r'
�j This permit application expires It a permit is not obtained within 180
� i t T days after it has been accepted as complete.
Print name: �� ✓✓✓ � v V /, Date: \- t Lt �(� ` Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC - PermitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB)
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: I�/fE QQS 00700
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/19/2005
Phone: (503) 639 -4171 izo ? I nspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/21/2005 TIME: 7:08AM PAGE: 102
SITE ADDRESS: 10200 SW GREENBURG RD 600 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: Add & relocate ducts & grilles. Valuation: $13,682.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503- 293 -2745
CONTRACTOR:' AMERICAN HEATING INC PHONE #: 503 -239 -4600
Inspection Request Scheduled For: Date: 10/21/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 018941 -01 503-209-1103 N
Corrections /Comments /Instructions:
I t , J .
BRIM �' V
PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FIR INSPECTION ❑ ADDITI AL F, ES ASSESSED
Inspector: Date: C� (� �—� Phone #: 503
P ( ) 718 -