Permit I . CITY OF TIGARD MECHANICAL PERMIT
" � ° COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00662
TIGARD DATE ISSUED: 11/9/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135A6 01004
SITE ADDRESS: 10220 SW GREENBURG RD 470 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: 7- ELEVEN INC
Project Description: Relocating and adding ducts and grilles, adding (2) exhaust fans. No plan review required. Project Va
$10,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
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
LINCOLN CENTER LLC Description Date Amount
555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104 [MECH] Permit Fee 11/9/2007 $231.50
[TAX] 8% State Surchar€ 11/9/2007 $18.52
Phone: Total $250.02
Contractor:
MCKINSTRY COMPANYLLC - CCB 172811
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503 - 331 - 2465
FAX 503 -331 -6906
Reg #: LIC 172811
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 OU NC by
calling 503.246.6••• • 1.800.332.2344.
Issu =d B / f _I Permittee Siy '���/ s
Call 503.639.4175 by 7:00 a.m. for inspections at busi -ss day.
• This permit card shall be kept in a conspicuous place on th - ob site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
(.....
• NOV-08-2007 1:1O MCK I NSTRY CS 503 331 6906 P . 02
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- City of Tigard 0, , Ski I" r 014/ -- It e he Pcrwit N° H
oh ..-- - ' m 13125 SW Hall Blvd., Tigard, ',.. -
111 Phone: 503.639.4171 Fax: 563.598.1960 a 20 07
Plan Review
Date/By: Other Permit:
Inspection Line: 503.639,4175 N 0 V - 0
, I (...ARD Li 5036394175 Dote licady/ey; Avis, IA See Page 2 for
' . . Internet www.tigard Gri yot- riekkgpi Noti.ficd/Method: i a Supplemental Informadon
.,.:, a . mtleIVISIOra -
j511, 0%!'` :rf Crii ■"Ig'%,';‘ !, .4730i.reitfi*W. ':,0", '... , ,‘.i :!:';:.',': . ,'H :^, '' ' ;.' , ' , „",‘,':; , H : ,ii.':'',: 1 1 ` ''': '';' 'COIVIriind ' ,:,/JG'
• Mechanical permit fees* are based on the value of the work
D New construction ,KAddition/alteration/replacemerit
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials. equipment, labor, overhead, . and profit.
'''(10;•A'l;!‘(„Ii!M:l:$:':.: : '‘'i,:•;,",; ::;‘';•;',:::. :. . . , OO , ,,,, Na11 tU
' ,, 1 ' REENtEa.*OUVTKET41:1&)iS;r6ISIEgV,
0 1-and 2-family dwelling X 0 Accessory building
For special information use checklist.
Ei Multi-family III Master builder 0 Other: Description Qty, e,a, Total
61:r SITE'1140i :' ': L: H '''':: ' ' ,; '' '... licating/cooling
Air conditioning or heat pump
Job site address: iCr2 S 64 G-.-(4.6 kt5 12a. (reouiteN siie plan sliowino piacement) 14,00
-
aty/State/ZIP: 9-7-2.2.-S Furnace 100,000 BTU (ductdvents) 14.00
4 . Furnace 100,000-t BTU (ducts/vents) 17.90
Suite/bldg/apt. no.: ifjohiVe Project name: - 34 I -
Gas heat pump _ 14.00
Cross street/directions to job site: Duct work 14.00
±y1 dronic hot water system 14.00
-
Residential boiler (radiator or
1_ ydronie) _ 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: 1 Lot no.:
_ . Other: 10.00
Tax map/parcel no.: Other fuel appliances
r Mi W':''■'''''•:ill''■ ''DACARiir*i14 '• i ' ''':.9T '' ,'": :!:':' ''''':
4:::A;;, ':„ti;;,0 A 1%ti•O . P .,,, ■ 1 , , ,,, „ , . •„,/, , , „'„ , , . '')■,V ..' ),. d /...t...,r ,, I 11'; ::'.'''' l'' '' ' ' ' ''' ' 4 Water heater 10.00
Gas fireplace 10.00
R -C , ‘ Sep t C,>( /-'/ / It S - klel Flue vent for water heater or gas
fireplace 10.00
'1()L5/A-t-4- ,- Jarktp Log lighter (gas) .,
10.00
E IlkarkS- Wood/pellet stove
10.00
Wood fireplace/insert 10.00
Clim_r7_1 /line_r/fliteivent
10.00
_ 10.00
N8rne: k.i 0 do c... 1,3 C &Urfa, I-1-4-- i Range hood/other kitchen Environmental exhaust and ventilation
Address: .*(- 0/9 t4-A )04- 57.'"" f9 e.ui.ment 10.00
City/St 04- 79/6i Clothes dryer exhaust 10.00
- Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utili rooms) 6,80
; '.,ifloty t iY i '0 , :ggi**100,i7lp!,,‘i,;;;,,;4, i,;ii '.., ; , 0:40y ,,, Attic/crawlspace fans 10.00
Other: 10.00
Business name: thc k C .,
Fuel .i 'in,
Contact name: 4 ,r‘ , . . $5.40 for first four; $1.00 for each additional
urnace. etc.
Address: 1 ( A/ 4 U(. 54 6- F Gas heat •um
City/State/ZW: PD 41„, j o& o -2 ...D V Wall/stn,yended/unit heater
1111
Phone: (J) 3'3 i 2. Li 4 I Fax: : (S 3-3 cq D4 Water heater
Fi - . lace
E-mail: Sa 50 a
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il 6.... :tr ,v, Ran e
',:', ' "' "n'., :' '' ::':'' ' '' ' . ''/' ir.14':':, L:).;' ' 'r ;; '''„ '';'..,',::','''',;"i';'',!'' ''';';'''' i' Barecue
b
',' ,' , 0 ''' ,,', '' , .. , , ' ,i, ,Ii ,
Business name: '." f Clothes d er .s
Other: MI
er
Address: :' '':i':::•":::1::■;',i440EiiiilidA4(ElitigE671;'';',1:;,1:i!::;
- :
City/State/ZIP: " .. Subtotal DI , -.0
Minimum permit fee ($72,50) 4C4.- -**
Phone: ( ) I Fax: ( )
Plan review (25% of permit fee) 16 _
'
CCB lie.: 1-7.2k:ZAE. ,,/, , b 4t State surcharge (8% of permit fee) n 1 : .
TOTAL PERMIT FEE
Authorized signature:
e--.4.-1-------- ,tiSC) • 69 '
rho permit application expires if a permit Is not obtained within ISO
days after it has been accepted as complete.
Print name: - . ,. e e :., _ .:,.. Date; g L7-4. • Fee methodology set by Tri-Courny Building lodusny Service Bo:,rd
IKBuilding1P6rmiLMINEC-PennitApp.doc 04/06106 440.46 17T ( I I/02/COM/WEB)
, NOV-08-2007 10:10 MCKINSTRY CO 503 331 6906 P.04
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CITY OF TIGARD • ' ,,
BUILDING DIVISION PERMIT #: MEC2007 -00562
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2007
Phone: (503) 639 -4171 - '�'✓Ii�HBi" )
Inspection Requests (24 Hrs.): (503) 639 -4175 �' �..
INSPECTION WORKSHEET FOR DATE: 11/29/2007 TIME: 7 :00AM PAGE: 't
SITE ADDRESS: 10220 SW GREENBURG RD 470 CLASS OF WORK :.
SUBDIVISION: LINCOLN CENTER /TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: 7 INC
DESCRIPTION: Relocating and adding ducts and grilles, adding (2) exhaust. fans. No plan review required. Project
Value: $10
OWNER: LINCOLN CENTER LLC, PHONE #:
CONTRACTOR: MCKINSTRY COMPANY - CCI3 172811 PHONE #: 503.331 -2465
Inspection Request Scheduled For: Date: 11/29/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 060502 -01 503- 572 -7975 N
Corrections /Comments /Ins uctions:
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I/ • ' S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 c % /o
Inspector: Date: Phone #: (503) 718- '''' ,__24-: ___•