Permit r
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00548
`- c 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/12/2004
PARCEL: 1S135AB-01002
SITE ADDRESS: 10220 SW GREENBURG RD 201
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER ZONING: R -12
BLOCK: LOT: 009 JURISDICTION: TIG
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:
Remarks: Relocate grilles. Value: $3493.00
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE W COLUMBIA #300 [MECH] Permit Fee 8/12/200 $109.30
PORTLAND, OR 97202 [TAX] 8% State Surchar€ 8/12/200 $8.74
Phone: 503 412 - 4800 Total $118.04
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON
STE 1 REQUIRED INSPECTIONS
PORTLAND, OR 97202 Mechanical lnsp
Phone: 239 - 4600 Final Inspection
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.
Issued By: 4 /110-,, , .1i. � .! Permittee Signature e -' . - ' ,,
Call (503) 639 -4175 by 7:00 P.M. for inspections need -d the „`if business day
fi nical Permit o
}t : t j ® .
FOR OFFICE USE ONLY
f Ti and �!J Received
g DateBy :0 / 0 a Permit No.: in # 0v /- + /tg
13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie !/
Phone: 503.639.4171 Fax: 503.598.19�UG 2004 "t � l '�� �
Date/By: Other Permit:
Inspection Line: 503.639.4175
.11R ^A � ���{
Date Ready /By: On S See Page 2 for
Internet: www.ci.tigard.or.us
CITY OF TIGARD Notified/Method: Supplemental Information
.`S. - :` ^"' �,Y.. :. ,i�`nX r.,�!'s, �. � �,.-- '., : ,y'.� . � .'.4 u,ti: �:' :.3s.; _
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-. '� li;. �..:,., : -;._.� w.s „,° �,.,. , ,� _ ., .E,.p „WORK . �.� y'� ^c ? °su §, �::,, �'` <::r `COMMERCIAL)r -;F ; '` E _ :.
.._. ��:,; -:, _.s ��t..�.�.n ���.,_._., ��-, .��w.�_,����,z.��,� "_,�- �:��z= �s< .�.� -;.., �� , _ ,tea EE,"SCHED.UG U SEf- C HEC[Q;IST: : ,
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, ov head, and profit.
- .'x'ty Tn e- - i:t < _ � r�_ er- :a:.; ";, ;, ,- 6- ,. fi=_v w9-3a:`_ . `sit.12,4' .•. _ /
.�` rz__ :. + � , a ,: -„ CATEGORY;t CONS . :,, ;.t; Value: $ � 7 :3 , O
❑ 1- and 2-family dwelling Commercial /industrial at -EQUIPME / SYSTEMS FEE
y g ❑ Accessory building
El Multi ❑ Master builder ❑ For special inforniation use checklist.
Other:
si f .:; z � -: :k <,:: fr.. Description Qty. Ea. Total
itfi - ; : ti ..�tfr°- :lt . t VRI ITPt N f .
x: ' rna,:,xs:,,.� »� ��._ �,.. �:_ .,�„��1t�;,�:,_- � -. ,. .... N,AND _>OC �TION��� *�. >t: ',�; � .w. i /0220 f ���� ' T . Heating/cooling
Air conditioning or heat pump
Job site address: /0220
(requires site plan showing placement) 14.00
City/ State/ZIP: 270 , t x2
AQ�., 2- Furnace 100,000 BTU (ducts /vents) 14.00
.. Furnace 100,000+ BTU (ducts/vents) 17.90
/f ldg. /apt. no.: as / Project name tom/ 4 � ' 4
f7d .' .9 4th 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
• 1:Pi; -z? "g,,` "-a"- ".s=�„,,;e =.„: ..=:": 7s,`--- ':+®,+°sac�'rar-r.�w�.r..a: °•�. ;..w,,_w ax:x- `a °=7a
^y, '`,$'' -LL';, rye " ,- k ^;;a'r.. ;�-''+i'. §.r a".s.='a•R�
ta ` `' -: f : s : n,4, a ,„ "`:DESCRIP:T Ol�i: 0 ' wORI _ M - h : �: ;s - a,: �; Water.heater 10.00
....::;: s._._ �ash.m.....:,.,a >,._ztxun-..,:. a >e?°'- +� „,--k u., ” - -u s�::'...+�.,3,4.r:tu.*.:
j n' � � Gas f vent f
Flue 10.00
Q S vent for water heater or gas
7C-e7a/) Zert ' Pf 'eme.,7 ~ /A� fireplace 10
/J Log lighter (gas) 10.00
/12o a )Ci.- 7'141. '7 5 Wood /pellet stove 10.00
Wood fireplace/insert 10.00
l 'Q == a :, ,:: iW ; ,t e'er _ .; Fi 9r: Y ki ,...� . Chimney/liner/flue/vent 10.00
a � t., ° � i y�' „, .��� a��,,;• = +�::' fit :,' Y
try 7ROPERTX -U f Aim & ``a ®;TENA NT`.`:`s. = .
�s:=_:_ ° ��t .�,_:.�,L�� mot =�:_: ��«*�:`�:�,..,. ,.�.: ;F��:r:�r;1- �1,:;,M.vi Other: 10.00
Name: E9u/ y at; 4 c, dY, p y4 5 Environmental exhaust and ventilation
/ Range hood /other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80 •
rw I
P CAN- : a ace fans 10.00
Attic/crawlspace ,,.���,�;a��'. ..,... a , : ��, : � : .� P
J� L Other: 10.00
Business name:
�m erie2h / /Q.4 Fuel piping
Contact namee. A "V")` $5.40 for first four; $1.00 for each additional
Address: 13...E 9 s' - e , y Furnace, etc.
Gas heat pump
City / State/ZIP: j j 97249 Z Wall /suspended/unit heater
Phone: (33) 23 cl_ e a, co Fax: : (303) 239 -2x3' Water heater
E -mail: Fireplace
Range
V , iir 4 , t' wS= 5r's,e'— tifimi - s , w -d:FeYlWira° .:.2t'w4 '_ wi s : r r£” .'-�'a: -
:a =^'_ k§?"".�'7 >�.,c..3;:+a�.�;a,: Vii. �" '. -'..�, _ - 'z,"�`: `r.^::�l� " ?tr.,.�"n - "a. ; _ c,:�T:�S`x�jx
_ 4 : s _ .:-, - CQNTRt?iCIORT. t 'y -- -P- inl F " `' Barbecue
Business name: j J p.„ e j . ` r a ., y , ¢/ ' Clothes dryer (gas)
Other:
Address: /3 3 9 .St _ 6 / d ere", rME.0 :'B PERM FEE *_
City/ State/ZIP: 7144.-,CJ ,J eVoe 97 Subtotal
Phone: (5 4 2,39 _4/d O Fax: (3p3) 2.39 _ „O3 Mi permit fee ($ R Lam
Plan review (25% of permit feee )
CCB lie.: 30 i 3 5 State surcharge (8% of permit fee) y ]'/
TOTAL PERMIT FEE / / T. O
r le.:4. This permit application expires if a permit is not obtained within 18
Authorized signature: f / -- /Air
r r i days after it has been accepted as complete.
Print name .., ,' e 74 Date:, f j / * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BUI Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested AM PM BUP
Location /e Z 6 Suite o f MEC Od ��� ct
Contact Person P(ec--L Ph ( ) 3 W_ X 573 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner // ! ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: a e SIT
Post & Beam G { 1� ,
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm •
Susp'd Ceiling
Roof Ai&
B
Other:
Final
PASS PART FAIL ,
PLUMBING
•
•
Post & Beam
Under Slab
Rough-In `• o
Water Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole `
Storm Drain 1`
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Pos eam
oug
Gas Line
oke Dampers
P. S PART FAIL
LE • RICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: El Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL