Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 - 00529
f I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/29/2005
PARCEL: 1S1 35AB-00900
SITE ADDRESS: 10200 SW GREENBURG RD 400 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/FIVE LINCOLN LOT: JURISDICTION: TIG
Project Description: HVAC. Valuation: $16,540.
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CLASS OF WORK: OTR 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 [MECH] Permit Fee 8/29/200E $230.60
PORTLAND, OR 97258 [TAX] 8% State Surchaq 8/29/200E $25.65
[MECPLN] Plan Rev 8/29/200E $80.15
Phone: 503- 412 -4800
Total $336.40
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: , Permittee Signature: IGd (VGiticifies {i
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.
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` Mechanical Permit Application 6 "FOR OFFICE USE ONLY
City of Tigard ut� ,�y! Received _....-__. No. G � 4 /
13125 SW Hall Blvd., Tigard, OR 97223 PlateBy:� 9 U� Z / �I
ewe
Phone: 503.639.4171 Fax: 503.598.1960 / /y (t +' Dat • - ' --(j5 j 51 Other Pemut:507Z " 0036 7"
AUG s}
Inspection Line: 503.639.4175 V 2005 _ � I Date Ready/By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
. CITY OF TIGARD
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❑ New construction Addition /alteration/replacement 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.
r <: _ �:' .•,: , :,:; -;� , x ,,,: 4., _',:,,s Value: u/
. �' r�:'> :g:-, 9:.t,st6'vd::, :v: „ �, yvJ.• . T.<�• • ,?'7•s''t -'` $ �7
fi k N; k . ' `.:C ATEGO RY: rg Q E,, COhISTRUC'I'IOl� t -
aa,... ,., sa..�� ..�:.. ,sx�:� .::�;,, =.tv�.�.�ay�.yM�- F�:..il� a <.... ; n,,. ��.�,v:., _ �_ ., " ,. � � � -
"` �^ RE S I DENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
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`,: = ':did• a " *i" a .1;�,,..ix,: ;.,+ s:ar,:;xrS';.�xa.' ^s';kirJ;fy;' �raC., rss=; ;;.r vu�1i. "..�.:, - .."
t ai,.,., .�.,;. -r,.• J' B 31TE O TIO .?�'1)w''Z OCATION '` Hean coon g
; , �`� s';r2} �� «:a @15r- ��� // � a� �;.�. 5�: .,k,:,.;... < .. � '•;7r , - .x. , . 7`i' ti � li
Job site address: JD 240 �'W C GCr., ed e c,r /e G ✓ Air conditioning
fires s to plan ng or showing p pump
r � (requires site lan showin placement) 14.00
City/ State/ZIP: T Qr ./ 6-12, Furnace 100,000 BTU (ducts /vents) 14.00
S ul t e dg. /apt. no.: P name: Nor_ Fumace 100,000+ BTU (ducts /vents) 17.90
�Q� /YOB" Gc G 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
Subdivision: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
641 ,vf„� �� �. si �,:" :n {tif ...' iS�!', e;2` ute "'i'i'a+- .�1'z'6��`+G 7 .,. -3� 3 Wi7i:l : F. Y."$i�",; :1 tY ".
'is �'4; .�%`:ti : 1 x ? Ja .., .s ' h _. ' '' «C� eTOla Rvzd�,. ig,•ryn Water heater 10.00
.,� ' ,,.:-4 :V ;T : x ;:: , �A:ES ;GRip?TT O a : „: e .: w , r;f, ,:
' ,r sir"' i'•. tfmx': y'' s;::k�n$." d�+&'I v7 i.. ' §.ti'��5'r'= t"t ".k.:2.: r�:1
Gas fireplace 10.00
_ Flue vent for water heater or gas
> 7/ fireplace 10.00
"
t✓ e. i77 0C ? r / % JCL: tel Ol 't4ei 1X7 >':t
Log lighter (gas) 10.00
• e .41%7 J""'1 p.' 4 f.,L/ J'CIII. q Wood /pellet stove 10.00
,! Wood fireplace /insert 10.00
:: e m ^'s >, ;r' �__. , >r :Y� llr ;p ,t'it.:,';:: , :Rka, e M's:'µ^ i ce t,.::: ;:4,µ . ,* :01 Chimney /liner /flue /vent 10.00
',4 * �F4;�g .`f ,, �!q §wb „Y� >; k, : „'.' r .pGL'"FF eAEy' �i�gli '"•.'����'r`,,,':��'?4��8bk ,.�i�::,,,n.. -; �.��zS -���
t�« � YROPI7RT k Q '.l,'N ,� , ° .1 a - (].t:}gr [C li Other: 10 "00
#'alr_ sir... e,.,.' �,3- :��`� sa•tdr , • : �. v! r1#,�.a _ '1 °! �s��, �+�f�3. ,dr.'r>'.,.,....° =z, .nc�r, «ars..�rc°zr. e! i S1, „_! „ sx5Y.�3�`m
Name: e906.4..,/ :79 ,.f. .� � e Environmental exhaust and ventilation ,
�1 e: , //
Range hood /other kitchen
Address:
z ✓! l t_r ,a., jo,_. rf TG 30 d equipment 10.00
City/State /ZIP: / Osr7 -n C 6 970-5-8 Clothes dryer exhaust 10.00
J Single -duct exhaust (bathrooms,
Phone: (5 j3) '1/2 . yj, Fax: ( ) toilet compartments, utility rooms) 6.80
66, r.t °� q p, . °.2»�;:*€ :`;:r,.`: w4^¢:'.'. 'ae ixr, :,,u3' "vr✓:' s?r'" • •y , g S:;:� , , �`arG: >c .�y e::: 's;ni �, �nsae 10.00
g3.1, ":it . ' "r • i , , c at` 4 Attic/crawlspace fans
* , E =IriIC ., s ;8 o,, r r't , s0. CQNTAC:I'°,PE ON,;
,r. -�'t. �l ,, � s � s, ,�i.. ; � a g >;� .< .,'.�.:��:�; 'ar .,k�'`��:u'' 10.00
Business name: ,/, Other:
�) / 9 ) ,...."„ e . ; , / ,. / ea ," c Fuel pi
Contact name: ,...2 ,, rra t r $5.40 for first four; $1.00 for each additional
Address: /�39 Se- 4v Sli" Furnace, etc.
Gas heat pump
City/State /ZIP: Jl 2d Wall /suspended /unit heater
Phone: 3) 2:24,--9 0 Fax::(. ) z39_,2 S Water heater
Fireplace
E -mail: Range
iN` ;b °:i7i ?` . = `s•:r" a "',a ' ; ::vaa - rxs.',: t • .•...�,r: ,., 4'�e` r: x x1a �`S' • 'Pu
,. ; >.., ... (1=, , ,g. ; u �i ` `t?£;' u', Barbecue
.. p::,,, p�1 ;y,::Ti% v; %ri`2 -I, ��� to �0,? "'.` ',� -�� - _ ,r,•'2,N,kitJx2.>.. :�;:s�s�.,. , ^g t..e�,,l r+ `�'
[:� 2��•s . . i?�e . -Rr. !.t�4;n �F %l .. �1!'.��. � i�S: k3�1 « t,.lir �Y:;° :::,a' ;�r't..::;:x. ,sYr':•:. . :ro.!.' �"iF" 't�. :'-%- J- ..+�ri?
Clothes dryer (gas)
Business name: ,}mup,.,, n ea..., jG, Other:
Address: ✓ � . ' ' '' ?fi' `;e +''? '; 3VIEC ;P,ERlVITTzFEES *
� 339 • � �" �,� �' � .��, +,�:��;.� M,..,.m.� �,.•...�.._;,.._n, ". -.�,
City/State/ZIP: s � ,� 1 . � og l- Subtotal
� Minimum permit fee ($72.50)
Phone: (�,' �,. `�' e$ �J 0 Fax: j 3) 9• ye2#�
Plan review (25% of permit fee)
CCB lic.: . 3 /3,s--- State surcharge (8% of permit fee)
/ TOTAL PERMIT FEE
/ (, : � This permit application expires if a permit is not obtained within 180
Authorized signature: /
days after it has been accepted as complete"
Print name: a e 1 � ' ' - Date: J . 42_1 * Fee methodology set by Tri- County Building Industry Service Board
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..sn.. :.:.,,ao....,;..∎xAc %P... -rrar A.,., a..,. I //nA 440- 4617T /II /02/COM/WEB1
CITY OF TIGARD •
BUILDING DIVISION PERMIT #: MEC2005 -00529
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W29/2005
Phone: (503) 639 -4171 u „bli lii
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 9/15/2005 TIME: 7 :03AM PAGE: 91
SITE ADDRESS: 10200 SVV GREENBURG RD 400 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /FIVE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: NORPAC
DESCRIPTION: HVAG Valuation: $16,540.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-412-4800
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 9/15/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 015719-01 503- 7847149 Y
F12_0
Corrections /Comments /Instructions: X 441 J
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I ASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL C I CALL FOR NSPECTION n ADDITI1 NAL - ES ASSESSED
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i. 65-
Inspector: Date: • Phone #: (503) 718-