Permit �. CITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2004-00727
i���� DEVELOPMENT H PMENg Tigard, 503) 639 -4171 DATE ISSUED: 11/8/2004
PARCEL: 1S135AB-01004
SITE ADDRESS: 10220 SW GREENBURG RD 410
SUBDIVISION: TWO LINCOLN - TOWN OF METZGER ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: 1 new return air transfer boot, add/relocate 4 supply grills, relocate 3T - Stats (24V electric) $3,260 valuation
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA #300 [MECH] Permit Fee 11/8/200 $100.10
PORTLAND, OR 97258 [TAX] 8% State Surcharl 11/8/200 $8.00
Total $108.10
Phone: 503
Contractor: El/ 2,- L I M
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 503
Final Inspection
Reg #: LIC 40981
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 9,LIAJ calling
(503)246 -6699. / 7
Issued By: P ermittee Signature:( ( ,
/
Call (503) 639 4175 by 7:00 P.M. for inspections needed the next bu -s: •a
•
Mechanical Permit Application FOR'OFFICE USE ONLY l
City Of Tigard ■ Date/By: , Date: / g -0 Permit No. fl 4 QD7t�
13125 SW Hall Blvd., Tigard, OR 97223 y
Plan Review
Phone: 503.639.4171 Fax: 503.598.1960
' Date/By: Other Permit: , , PD
htspectitin line:`303.639.4175 { c! 1 Date Ready /By: Juris: ® Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
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_ -_. , �,,, RK' � "�::�� <� W =CUM�RCIAL� EE. �SCHEDt7LE , US�iCHEC
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, overhead, and profit.
4r, CATEGORY'UE; C(?NSIRI7CTI t "'``�`: a °<
Value
-.p,. _ , A;a fit: c:: x � ;:a, . ,, .,,,, f .., ,,,:rrr•:4 1 �. > 3 a ^ .s
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
e�., �.� - r•, .�a`e: ,- :: Q az Ui1T� 11 1F3 .....S - -
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
�; , .,a„� , -� � - � � :.:. rw „ , ..,«-r %r- •�a. »� . - = vim , - -. -
<"s, ;� °;,,i; ;;;, *;<<::_.., Heating/cooling
%�'OB: � '1fE, FOILMAT'IQN OCAT'ION = =.�; -�• � ;��� =,..
a. kg <aa, s�� �ae�, -�_� .., "',a�himr,,,,... , „rt t „E :"&t�%.�t' .
Job site address: 10220 SW GREENBURGE RD. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: PORTLAND, OR. Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: SUITE 410 Project name: BNC MORTGAGE 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
j `ESCRIPTIQN a er heater <:: �,,gs � < < =,..4. W t t 10.00
O WORK% Y; Y iN
Gas
1 NEW RETURN AIR TRANSFER BOOT fireplace 10.00
Flue vent vent for water heater or gas
ADD/RELOCATE 4 SUPPLY GRILLS fireplace 10.00
Log lighter (gas) 10.00
RELOCATE 3 T - STATS (24V ELECTRIC) Wood/pellet stove 10.00
Wood fireplace /insert 10.00
r .,. . Chimney/liner /flue /vent 10.00
�a�'1 ❑ T,,
`w` ®PRQPFRTY'f)k1'NER: - .
....�.,, ANT a�o,.��.�`�*= ^. ;cv Other: 10.00
Name: EQUITY OFFICE PROPERTIES Environmental exhaust and ventilation
Address: ONE SW COLUMBIA ST. SUITE 300 Range hood /other kitchen
equipment 10.00
City/State /ZIP: PORTLAND, OR. 97202 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
Attic /crawls ace fans 10.00
Apt' IGAN F .< l,1 ` CU 'tiERSl3N•; - ' .. P
Other: 10.00
Business name: MCKINSTRY CO
Fuel piping
Contact name: PAT CRAPPA $5.40 for first four; $1.00 for each additional
Address: 5400 NE COLUMBIA BLVD. Furnace, etc.
Gas heat pump
City/State /ZIP: PORTLAND, OR. 97218 Wall/suspended/unit heater
Phone: (503) 331 - 0234 Fax: : (503) 3316906 Water heater
Fireplace
E - mail: PATC @McKinstry Co. COM Range
�- - ;, Barbecue
Business name: McKinstry Co. Clothes dryer (gas)
Other:
Address: 5400 NE COLUMBIA BLVD. - `' - ' =`` %'`'''' `- "MECHAI!IICAI..PERA%II'� ESQ'
City/State /ZIP: PORTLAND, OR. 97218 Subtotal
Phone: (503) 331 - 0234 Fax: (503) 331 - 6906 Minimum permit fee ($72.50) /Q
Plan review (25% of permit fee)
CCB lic.: 40981 State surcharge (8% of permit fee) r if f , 00
U�, ��
Authorized signature:
TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: PAT CRAPPA Date: 11 -3 -04 * Fee methodology set by Tri -County Building Industry Service Board
is\ Building \Pennits'.MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM /WEB)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
( BUP
Received Date Requested AM PM BUP
Location l d Z 26) Ak 4 _ - � Suite 7 /2) MEC
Contact Person , _ Ph ( ) 3/ PLM
Contractor ) SWR
BUILDING Tenant/Owner IMP ELC
Footing
Foundation ELC
Access:.
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear .
Int Sheath/Shear
Framing •
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 411
Roof
Other:
Final ,r
PASS PART FAIL
PLUMBING A a C
Post & Beam V
Under Slab ` l
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
- AIL
Post • Beam
Rough -In
Gas Line
Smoke Dampers
Fin
ASS PART FAIL
n _
RICAL •
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd.
PASS PART FAIL
SITE. . Please c- I for reins. -ction RE: � ❑ Unable to inspect — no access
Fire Supply Line ��
ADA Approach /Sidewalk Date 6 y Inspector ,e / Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL