Permit (i
CITY TI GARD MECHANICAL PERMIT
n� DEVELOPMENT SERVICES PERMIT #: MEC2005 -00040
r�I DATE ISSUED: 1/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135AB-01002
•
SITE ADDRESS: 10220 SW GREENBURG RD 615
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: 1 CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: HVAC like for like (2) VAV & A /C. Valuation: 17,500.00
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA #300 [MECH] Permit Fee 1/27/200: $332.75
PORTLAND, OR 97258 [MECPLN] Plan Rev 1/27/200; $80.94
[TAX] 8% State Surcharl 1/27/200: $25.90
Phone: Total $439.59
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222 REQUIRED INSPECTIONS
Phone: 503 Mechanical Insp
Duct Inspection
Reg #: LIC 151807 Final Inspection
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.
Permittee Signature: '"
Issued By: g , / v,/
Call (503) 639 -4175 by 7:00 P.M. for inspections nee. -d the next bus''''ss day
se ... .
Mechanical Permit A - i' . .8)) '. i E1V E - •- _ FOR-OFFICEUSE,-ONLY
Cityaof Tigard Received -- —'3Tel
— -_ Permit No. e (...„„ ziA oo
6
Date/By: / Uk
13125 SW Hall Blvd., Tigard, OR 97223 CI i Plan Review v I' '
es'
Phone: 503.639.4171 Fax: 503.598.1960 JAN 4, 7 2005 *or ,40. AK Date/By. ' Other Permits
_Ii 1 0
Inspection Line: 503.639.4175 • --Ilzl ,.1"' 14 ....... Date Ready/By: IN WI See Page 2 for
met: www.ci.tigard.or.0 CITY OF TIG - _
s Notified/Method: 0 Supplemental Information
...--' 1_1
UIL DIN c1 DIVISION
ol'erl':;Iiii`i;F,; ;;;;Y;i1:':!!;tiV:9 if.*W.61zi., !oN,INiip ,!;;yEk..4,v[§c-mppj,
Mechanical permit fees* are based on the value of the work
0 New construction El. ddition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
E Demolition • Other: mechanical materials, equipment, labor, overhead, and profit.
'C'AitoBi?bF',ONSfiiijekiOW'91ill':NI-wilqi:.);ih'S:P'',;:lh,:" Value: S
I :•
0 I_ and 2-family dwelling feommercial/industrial 0 Accessory building
For special information use checklist.
1:1 Multi-family 0 Master builder [i] Other: Description I Qty. Ea. Total
Will;lil;:04t1:":;;;,:.i:,:;9,0113liSTITI"11■TIE9,1,4MATIQNA.19=4:0.'cA1,10N.,i:ill:;„:,:;4,;-!,:qi;,:j.::: j; Heating/cooling
( - Air conditioning or heat pump
Job site address:/1„ II , . ..., (requires site plan showing placement) , 14.00
City/State/ZIP: _77
ace )_ k g c , a Furnace R 3 Fu
, ace 100,000 BTU (ducts/vents) 14.00
— Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: ( Project name: T "•,- A ei ,
Gas heat pump 14.00
Cross street/directions to job site: C 7,•7 ' s i e z 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
t!!'0:',li!:lVl:!10ir:7;',i 'lll';'!::;,iif!ll!!": ',:''`,: Water heater 10.00
i 4 z fl 1/Iltill"l!!!„...,,,„..,:".,.„.:i.i,,-„,—",,,,,,,,;::,,,,,,,,,..„./:" , ,iii ,, ;:0"!ll'rlh. , I=.!;":l !, " ,, ;` , '
- -.4.---e_fi-e__ Gas fireplace
Flue vent for water heater or gas 10.00
fireplace . 10.00
// 7 ',e- 49/%-/-,4 c7/ )
l ' Log lighter (gas) 10.00
/1 // il 2?!),G e90 0 4..)2_,r Wood/pellet stove 10.00
/ ( /I p9e1f3 0 7D A//i2-7 (.04s.,0 ,/e..- Wood fireplace/insert 10.00
4,400-tov1.60 r g -q:.-0,,T.,.0.-,i.i,,,,ii,:;.,,,.;;:::.;! Chimney/liner/flue/vent 10.00
.::,„:=:..:f . ,, • .' , ... ,.. ,,,,,- :. ,:... „',4 , , , . - { , i, .,, 4g ■i' .!,, - , I. '-,:';:,;., .E' '!" Ot 10.00
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes Myer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
l-.4")?r'ic!,i0 : " . 5 , 1"iy,i i ' ; '!Ai i !:' , Ii , ';:.ii i ,l, 1 „•;",i ,.;:ldf:iiiii;;!:::--;,.-.;,00*-8ir.v.:41:*:!:!:::;:,,4!.1,iii,„,,l,tli Attici_ fans 10.00
Other: 1 10.00
Business name: Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address:
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E-mail: Range
i :!;:!;l! Barbecue
.1
Business name: Clothes dryer (gas)
,---1 —
Address cz: Dz2 - :) - ..,.. & - - .Ai / _Ay _, Ai I Z •' -:.,:',. ,.., ...6i
... ,Vit / 5 ?„
City/State/ZIP: L.../2- 0 / 97 Subtotal .. 7.5
_, x
1 nimum permit fee
.le: 6 tos& f 7) Fax: ( /5 ..4/,,.
Plan review (25% of penult
CCB lie.: k s . . ______
State surcharge (8% of permit fee)
fil
TOTAL PERMIT FEE VI 9 „SI
Authorized signatut : .. ., This permit application expires if a permit is not obtained within MO
days after It has been accepted as complete.
—_ --"
Print nam / j (/), 73/PV e.t) 1 - ) Date: /p 05 * Fee methodology set by Tri-County Building Industry Service Board
■
: .-... 1.1......1.....4.1.141", 11..—, ■ -- J.- tnrr, „e, .[1 /I I ,,,n,,,,,Ini,1-71,
.
CITY OF TIGARD �_
BUILDING DIVISION PERMIT #: MEC2005- 00040
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/27/2005
Phone: (503) 639 -4171 � b 4T� �'�I I�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/20/2005 TIME: 7:11AM PAGE: 59
SITE ADDRESS: 10220 SW GREENBURG RD 615 CLASS OF WORK:
SUBDIVISION: THREE LINCOLN -TOWN OF METZGER LOT #: 009 TYPE OF USE:
PROJECT NAME: FIRST FRANKLIN
DESCRIPTION: HVAC like for like (2) VAV & NC. Valuation: 17,500.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 503.656-7400
Inspection Request Scheduled For: Date: 4/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 004926 -01 503.348 -0563
/ / _,
Corrections /Comments /Instructions: � t ( � . �
cA ) PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-