Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00277
TIGARD - - 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/15/2007
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 310 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT: JURISDICTION: TIG
PROJECT: SHORENSTEIN
Project Description: TI - alteration to existing HVAC. Project Value: $2,949
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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA #300
PORTLAND, OR 97258 [MECH] Permit Fee 5/15/2007 $95.50
[TAX] 8% State Surcha 5/15/2007 $7.64
Total $103.14
Phone:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503 -239 -7038
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 B r4c /_'ti c. t STc�+
Permittee Signature: (/
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.
12-,
Mechanical Permit A •
.
pocatirD . . . , . .: .. •
. - FOR OFFICE USE ONLY _ 7 , .
. . .
Cit of Tigard
rt tl r3 .
Received ciff en gpm, Permit No.: tifeialav_...av7 or
Date/By: Air
1 3125 y SW Hall Blvd., Tigard, OR °7 ' - Plan Review
Phone: 50 3.63 9.417 1 Fax: 503.59 8.05M 1 5 2007 /,..0,1A. Date/By: Other Pemit:
Inspection _4 Aspection Line: 503.639.4175 ll . Date Ready/By: pall 0 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF Ti GARD ------ ---. -Notified/Method: Supplemental Information
131111100. DIVISION
.
0,'..",'aZ.::.;.41'1,,MilYP..;:',„*;§10140IMMIVg:.:,i3M,,13W-t,:;.,,; t-,0101=.00*.!',.siscM;PlffjE"';4T)PCEig'PKI-4ST.
Mechanical permit fees* are based on the value of the work
0 New construction 0 Addition/alteration/replacement perforrned. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: . mechanical materials, equipment, labor, overhead, !nd rofit.
Value: $
1,1,11611,6033" Ea
--- •,,-44.,-- - - • ' . A .;i ki., „
R..ipEl‘firle.,..4m1.1,, ,i M FEES*
E 1- and 2-family dwelling ' 0 Accessory building .
For special information use checklist.
0 Multi-family El 'Master builder 0 Other: Qty. 1 _E Total
Description
aggaMENIMIAMEMPWINNIMMIEM
Heating/cooling
Job site address: t ( 0 WA_S 6 Q._0_01 b tkv e 1 Air conditioning or heat pu
14.00
City/State/ZIP: 1 t tC,U 0 ,_ ( 0 6 (requires site plan showing placem
ent)
Furnace 100,000 BTU (ducts/vents) 14.00
l 17.90
Furnace 100,000+ BTU(ducts/vents)
Suite/bldg./apt. no.: 3 Project name: flteiiie kr\ 14.
- Gas heat pump .
Cross street/directions to job site: . 1, 0 Duct work 14.00
Hydronic hot water system 14.00
U t-A0.freAA- 1" Residential boiler (radiator or
hydronic) 14,00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 10.00
10.00
Other: 10.00
Subdivision: Lot no,:
Flue/vent for any of above
Tax map/parcel no.: Other fuel appliances
11,4001MISEng0851rgpardpngetiplieWriging$=‘,045r, Water. heater 10.00
, 4 . '.,K LA ri. T., • .., ;g ... QI:Ifok Z.4 ilmir4h vhci4.f.,4
I 1 athihtl S q- 'IR 00
, Gas fireplace
Flue vent for water heater or gas 10.00
. A) Art IIV fireplace
Log lighter (gas) 10.00
10.00
c-r -) hi 04, " rs 4- en. 5 Wood/pellet stove 10.00
Wood fireplace/insert 10.00
. .
10.00
,:f.09044%;).,t1(211116Vgaggra,Wia,laggigl,WIPP1010014,11ragUIVIMW4104.0.:IN,Valail Chimney/liner/flue/vent
Adatgaiittn,,„0, WIragtbnaUfg;liEfRAMINAMIRW*),,,:t other: 10.00 I
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
SMINSIOMPROTOMEre 15111.14010412470"00.4 Attic/crawl space fans 10.00
k Other: 10.00
Business name: omar 1 1 cc 4.4 A/7 --r- ,
' L-1 t - " lr. Fuel piping
Contact name: bal Q_ . kfirkfThrtt • 55.40 for first four; $1.00 for each additional
Address: - t " sE, ( e,611 9 , Furnace, etc.
Gas heat pump
City/State/ZIP.: RO c•-c--(andt (?- qi -D--(1)-- . - Wall/suspended/unit heater
(
Phone: t1S2)) 2(4Cocto Fax: : ( 'S6) 2q__ 0-3' - Water heater
Fireplace
E-mail: •
Range
ISTMEN111111.:-MSTRIVINSSIMMINV2211161,A Barb.ecue
Clothes dryer (gas)
Business name: A rnly \ ( can a 4k c . ) 6 i _i_ (
Other:
Address: 1 3 -.. i. 0 ili SC- S(/KLTKAWA**OttfOilk*'.;
City/State/ZIP: ' 0-(44ail a ( I) C r] - D 0 i
a Subtotal , Is
Phone: v - it 0 Fax: (C-57)) 2,--)-A„--763 Mnimum permit fee ($7 2,50) •
Plan review (2 5% of permit fee)
COB lie.: . -53 \s--- State surcharge (8% of permit fee) 7, (
• ?An:0 V This permit TOTAL PERMIT FEE ' io 5.
application expires If a pefmit is not ()Naiad
Authorized signature: A._ idaY71423 days after It has been accepted as complete. within IV
Print name: "P_ teyl 0 i 1, / 2 - 7\ -- , ci 1 :::yyl I Date: e ,......6-7 1 . Fee methodology set by Tn-County Building Industry Semen Board
CITY OF TIGARD _
BUILDING DIVISION PERMIT #: MEC2007 -00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5115/2007
Phone: (503) 639 -4171 ' X11 6���I il\
Inspection Requests (24 Hrs.): (503) 639 -4175 ��''__.
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7:01AM PAGE: 92
SITE ADDRESS: 10220 SW GREENBURG RD 310 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: SHORENSTEIN
DESCRIPTION: TI - alteration to existing HVAC. Project Value: $2,949 No plan review required.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 - 239.4600
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 049482 -02 503-760-3222 N
Corrections/Comments/Instructions:
• •
a PASS di 'ARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
I I FAIL % ' ALL FOR INSPECTION n ADDITIO ' L F. ES ASSESSED
Inspector: Date: ° Phone #: (503) 718 - _Z_-‘:.
CITY OF TIGARD L•,
`BUILDING DIVISION PERMIT #: MEG2007 -00277
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/15/2007
Phone: (503) 639- 4171��I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/4/2007 TIME: 7 :01AM PAGE: 93
SITE ADDRESS: 10220 SW GREENBURG RD 310 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/TWO LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: SHORENSTEIN
DESCRIPTION: TI - alteration to existing HVAC. Project Value: $2,949 No plan review required.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #:- 503239 -4600
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
616 Mechanical rough -in 049482 -01 503-7130-3222 N
Corrections/Comments/Instructions:
0: PASS V 7' ' AL APPROVAL ❑ CANCEL NO ACCESS
FAIL % L_ FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718- Z--‘7'