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Permit A, CITY OF TIGARD MECHANICAL PERMIT A w I tie DEVELOPMENT SERVICES PERMIT #: MEC2005 -00617 • ' II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/30/2005 PARCEL: 1S135AB-01002 SITE ADDRESS: 10220 SW GREENBURG RD 551 ZONING: R -12 SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT: 009 JURISDICTION: TIG Project Description: TI, relocate ducts and grilles. Project Value: $10,003 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: CLO DRYERS: • FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: > 10000 cfm: Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount ONE SW COLUMBIA ST #300 [MECH] Permit Fee 9/30/200; $232.85 PORTLAND, OR 97258 [TAX] 8% State Surchaq 9/30/2001 $18.63 • Phone: 503 293 - 2745 Total $251.48 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 - - 44. Issued : • i � Permittee Signature: (GC( Mai/Cb eS t e Call 503 - 639 -4175 by 7:00 a.m. for inspections t at 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. Mechanical- Permit `i'tl to j • ' +; � �l 0 j� FOR OOFFICE'USE ONLY City Of 'Tlgai d Date/13y: 30 Q I f.1/ Permit No.: Cq , -' 13125 SW Hall Blvd., Tigard, OR 97223 0 200 Plan Review Other Permit: `6 � Phone: 503.639.4171 Fax: 503.59&1960 SEp /Ngyollt t + c hi DateB Inspection Line: 503.639.4175 J !_j H Date Ready /By: ® See Page 2 for Internet: www.ci.tigard.or.us �� OF TIG Tc ' Notified/Method: Supplemental Information j`� s5r, :1 " � , , �,p r a l �f ' E. Jl :4,& � ,i J , i.,}, J r * C E • - ED • ; 'r'rr p ;∎i 9 a i :;; z� , 4 ,, CO4, K,F1 i C I AL F ° S HU L E . "= 1 4TS ECFIEC K LIS T ' . ' New construction SI Addition/alteration/re lacement 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. - a „ -..x Value: $ ; u..t h . P« s - <- •_��' „; L..p`�:.,,,.��;,v: = <� > ,: © 0 zCONSTItUCTION` u. - ,•ate; �..�,_,.- .,.,.. ,a,• g „..,� T �. _ .� _ -. : _ r- _...., ., < - "`� :• %; ;:�.,,:: �: " ' `':„ , ` �.RESLDENTIAT.; / SYS FEES* ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For specinl information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total :s §st "t'+ %�::ak4''' 'ii`l ?G4?i,rY "•,'h?�.r' § , ,'S a srK ) 3; �, ���: � -,,,., .��;'< =�T.OB °= ITEI:�y����TRO TrIO . �•2cNA? LQCA'TI�O1V =s�: �.� -,_;, ::6•; -„ Heatin Y: i (�.,;ihSt,�z�'.'.�Yk:i�.,x.rc,.i f. &•�-- F....Y §:_.: i1- ?.�SSx .✓.', �+':, IAS! sJ �n'. !I:....�«�:;,.e.,�;: - _.rv_ -�..<. :eU..,x• «,..- _., fcu.,�„ . < . t, .:ff i. �,.� �� n' �� Air conditioning or heat pump Job site address: /D� 0 je .� ed,.•1 ua (requires site plan showing placement) 14.00 City/State /ZIP: 7 q' GL 04. Furnace 100,000 BTU (ducts /vents) . 14.00 �{ ✓ J Furnace 100,000+ BTU (ducts/vents) 17.90 Suit Idg. /apt. no.:� / Project name: ,giocx 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 2 ? t II - ' gfi I" % '..;.,,i'= t ,.:. O ='r "e #b':: Y�nP7tSx;;'' t. 4 ' , . i';:Wvi;:it'i {a�^4r; -,s - •(.� > ! i !'; t"T.- ter 10.00 ;;,;,� 0t °ti, ^'::, ° „� ='. :c:`;�' .a�.: .Q ���.N.tt,a�,� �F a . , v�'c „•safe. ;(r;�,, /�,Ex•: ;x, ,;�'k; >' ,�:, - s -, Water.hea _ ; • Ar:,I" „16 �;., .: • aq M11 rdr.- u 1 7. ,,, J? i O . t :iii 1A D :BeiV .M,,. , ., :> $ .. ; 3.:$' r�, a..- iV' i.,>= r:' ih> t::^. Y ,kr.r�: %;it;'fztYY:+x- ��C.,.'«' air.:,s. k 's:•�_.:r- ' .caxaeux „ _ „ u , ��eur.S,n,.;,4t.�..x,. ^�i".t; +yd;<ii .�';.r'(:. =.r.` e,?ar.,. Gas fireplace 10.00 Flue vent for water heater or gas • 1-PV. J 4a...-74/ dre fireplace 10.00 • ® Or1 Log lighter (gas) 10.00 eV/4A ;, 4 44""1 1. °-., .CC Wood /pellet stove 10.00 1 Wood fireplace/insert 10.00 :ar<v sr. , otogwa. „' ^ ,,,,r. „' 14.. , � „ v:;rr;:' 't.*t # "e i ' % zwes a-x,+ia.�l.,,,, ;f, 1 -::a ,,;1. ^> Chimney /liner /flue /vent 10.00 3, a �f�r't'{'r�tr,. '>�^k7iJ:lti;i[f:�:• '� "}r'�.� k ^�� f ,�.,, ..,r,..'n',y; -4 air' . u �' i ®1, , R .,,.. t g x t s„., 'iu``t':r:�t ^,,r,_ t ,I,. •- i'` ;; ° �(::i�; ,a,�" ,PROPER; ;5 WN,•E' ,�.�;. ��;' =�r. ".t,, .t. ,,;�..." ; r��- ,w:� >' ^ "c::4,., . -., �'�'.w 10.00 : �itzN���t�.n... ��n�_. yi. �. N,..,"< �:, fi z_ �.. �YF_.. Y.° �t._. a�._,,• ���, �_�fir , .. , Other: 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 • r."s : :.� _ ,, ::•.K •: Y'�,a:: 11 1 1 ,x;1 .�. x . 4i. 1, --P , -, :;.; 1' . { : awls ace fans 10.00 1 , c r °r�:crii�.Z = "' "z�;� �q:s., ",k ":%x,' .�v.,. . "�k ^`'it'." ..a _ E "'� , "'"�- ;�� Attic /cr p 0.1. i; , 0 ::� ;(, `,',:, APPLICANT : °,� , ,,3V a,, v , 3 , ,,z 1 � 4I,` CONcTACT.PER O 0:..0,3, . "` , i': v:. ar.' p.:.' s, 2 :. � nr :z,!�s::w±a,,:a_�1�a,JN:�c::.:�a '>3 $°�n 4•,,, i.•M.:r..„ _ .,.:a•,- ._h,.,..: v. ,z a,• a .. �§ Other: 10.00 Business name: #9�� Fuel piping Contact name: ` ° , ,,, ,,� $5.40 for first four; $1.00 for each additional Address: �y (� Fumace, etc. � - 7 � , , c , Ie � °� Gas heat pump City/State /ZIP: e ..,. , d o / Wall /suspended /unit heater Phone: (6703) 231 oo Fax: : (37/3 ) 23S-70.3 a; Q 1 Water heater Fireplace • E - mail: Range ".; :.tp Jt'r,'_ .l °.,v as=' � ,, s e: w i -r„ t,; F , „�;.00 „t.,, i s:i;� i .,rr" r . ; i' $ '�' ii t '�r� C G 4 ' �`� � r ` t ". t ,r , Barbecue „c (x 9_�t�.x, . vF;��« d..ka�3$k;.� .A 9s�@,in7,"�e7. e ,im <,. FL, Jn �: . �� ,. �.�4Nr.v. �, „44, err., � r l.i �$�Nr7;��j'2' Business name: e . / c Clothes dryer (gas) i3r»P/`�C�tn +�' Other: '.s Address: / p + ,�°, � ®, r �'''l'z) Y ". i,MEC: I N C F PERRMIT . FEE *' � � br 6,20 ,evil K .c t 1g61 B-'.- sv,....,...,,�s,,o,•. n, :: „a_ . "; .,, „ City /State/ZIP: . �` � ),,) O iL- Subtotal � a) 229 -e/6®� Fax: ( ) x Minimum permit fee ($72.50) a , g� Phone: Plan review (25% of permit fee) CCB lie.: 2' /,. State surcharge (8% of permit fee) TOTAL PERMIT FEE ' l Authorized gn ature �1"� i> "� This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name et /e Q{9 ?/:29 Date: * Fee methodology set by Tri- County Building Industry Service Board 1:\Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2005 -00617 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/30/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 _ INSPECTION WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: 8 SITE ADDRESS: 10220 SW GREENBURG RD 551 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: APEX SYSTEMS DESCRIPTION: TI, relocate ducts and grilles. Project Value: $10,003 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 -293 -2745 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600 Inspection Request Scheduled For: Date: 10/13/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 615 Mecnanical rough -in 018275.01 503 - 793 -2260, N Corrections /Comments /Instructions: r WASIG ASS ❑ PARTIAL APPROVAL f l CANCEL ❑ NO ACCESS n FAIL ❑ CALL FO` INSP: k TION U ADDITIO , AL FE ASSESSED j Inspector: Date: (0 ( ) - ?hone #: (503) 718 - CITY OF TIGARD • DATE ISSUED: 9/30/2005 BUILDING DIVISION PERMIT #: MEC2005-00617 i 13125 SW Hall Blvd., Tigard, OR 97223 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 434' IL INSPECTION WORKSHEET FOR DATE: 11/4/2 TIME: 7:08AM PAGE: 35 SITE ADDRESS: 10220 SW GREENBURG RD 651 CLASS OF WORK: SUBDIVISION: LINCOLN CENTER/THREE LINCOLN LOT #: 009 TYPE OF USE: PROJECT NAME: APEX SYSTEMS DESCRIPTION: TI, relocate ducts and grilles. Project Value: $10,003 OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503-293-2745 CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 020384-02 503-572-9557 N Corrections/Comments/Instructions: r , .,_.,..._ ,„,...........,..._7_._, (., ... PASS 0 PARTIAL APPROVAL 0 CANCEL 1 NO ACCESS fl FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED <-, Date: 111 Inspector: Phone #: (503) 718-