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Permit t F.. C ITY OF TIGARD MECHANICAL PERMIT DEVELOPMENT SERVICES PERMIT #: MEC2004 -00368 I -- I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 6/11/2004 PARCEL: 1S135AB-04500 SITE ADDRESS: 10250 SW GREENBURG RD 201 SUBDIVISION: LINCOLN BUILDING PP1991 -055 ZONING: C -P BLOCK: LOT: 001 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 pnuematic t stats, return grilles and diffusers. Owner: FEES EQUITY OFFICE PROPERTIES TRUST Description Date Amount 10260 SW GREENBURG RD #100 [MECH] Permit Fee 6/11/200z $72.50 TIGARD, OR 97223 [TAX] 8% State Surchart 6/11/200 $5.80 Phone: Total $78.30 Contractor: MCKINSTRY CO 5400 NE COLUMBIA BLVD PORTLAND, OR 97218 REQUIRED INSPECTIONS Phone: 331 Mechanical Insp 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 OUNC by :fling (503)246 -6699. I I Issued By: it .,t-, Zi Permittee Signature: ♦ h Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day ,Ivaechanical Permit Application FOR OFFICE USE ONLY City o Received Q f Tigard Date /By: / 1) / 'L Permit No.:y) , -, too iM 3 r;/ / 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 � `ta Date /By: Other Permit: Inspection Line: 503.639.4175 '' I + ( Date Ready /By: Juris: B See Page 2 for Internet: www.ci.tigard.or.us Notified /Method: Supplemental information ,. =i ; TYEE .OF WORK ;.", :i41 COMMERCIAL E.i SCHED,U *. USE 0,:k,0 LIST ='r ❑ New Construction Addition /alteration /replacement 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. 5;,�;, .... °' Value: $ 840.00 `. °CATEGORF':= =CONSTRUCTION ~ <�` _ �' ==?°y °�� °- r "{ .. -RESIDE,NTIAUE_QUIEMENTS / SYSTEMS *;ry ❑ 1 - and 2- family dwelling ,(S�,Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description p Qty. Ea. Total ,. o `JOBrSITE' INFORMATION><TAND: LOCATION.. '� +• `� HeatingJcoolin Job site address: 10250 SW Greenburg Rd. Air conditioning or heat pump (requires site plan showing placement) 14.00 City/State /ZIP: 97232 Furnace 100,000 BTU (ducts /vents) 14.00 Furnace 100,000+ BTU (ducts /vents) 17.90 Suite/bldg. /apt. no.: Suite 201 / Lincoln 4 Project name: Forest City 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 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances " * P ..w- ;���., '- ;V117_.. r "f ,-:,,, "; ,- Water heater 10.00 �, DESCR H';TION»O E ` W ORK : Gas fireplace 10.00 Relocate (1) Pnuematic Thermostat Flue vent for water heater or gas Relocate (2) Return Grilles fireplace 10.00 Log lighter (gas) 10.00 Relocate (2) Supply Diffusers Wood/pellet stove 10.00 Wood fireplace /insert 10.00 �, �•:.: ., ., w... Chimney /liner /flue /vent 10.00 °- '_ ®£RROPE11::*: WNER 701.1 T::;, i <`�:�=' ... , ,, ,,.<• •� ..... ....... ,." ®;.•,., , v . u.":.• Other: 10.00 Name: Forest City Environmental exhaust and ventilation Address: 10250 SW Greenburg Rd Suite -201 / Lincoln 4 Range hood/other kitchen equipment 10.00 City/State /ZIP: Portland, Oregon 97232 Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 is °• ` "$ " T a Attic/crawlspace fans 10.00 s -` t .: APPI:ICt1NT° CONTACT .PERSON : :: ; P Other: 10.00 Business name: McKinstry Co. Fuel piping Contact name: Earl Salsbury $5.40 for first four; $1.00 for each additional Address: 5400 NE Coulmbia Blvd. Furnace, etc. Gas heat pump City/State /ZIP: Portland, Oregon 97218 Wall/suspended/unit heater Phone: (503) 331 -2465 Fax: : (503) 331 -6906 Water heater Fireplace E -mail: earls @mckinstry.com Range :.' z,;:. +5�. ' :aP �"' % .gel" .�. ::Aar::: ��'� �. �, <�„ ,� CONTRACTORt.: � Barbecue Business name: McKinstry Co. Clothes dryer (gas) Other: Address: 5400 NE Columbia Blvd.. i -� ` "' F r:.::s�° .. , ,NIEGHANICAI:aPERMIT�'FEES,. `�'� City/State /ZIP: Portland, Oregon 97218 Subtotal Phone: (503) 331 -0234 Fax: (503) 331 -6906 Minimum permit fee ($72.50) 22. 0 Plan review (25% of permit fee) CCB lie.: 40981 State surcharge (8% of permit fee) 5 TOTAL PERMIT FEE --ii so Authorized signature: , , This permit application expires if a permit is not obtained within 180 A „ days after it has been accepted as complete. Print name: Earl Salsbury Date: 06/11/04 * Fee methodology set by Tri -County Building Industry Service Board i:\ Building \Pemiits\MEC- PermitApp.doc 12/03 440 -4617T (I1 /02 /COM/WEB) CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECtION DIVISION Business Line: (503) 639 -4171 MST BUP 7 A Received Date 'eq -sted AM PM BUP Location / c9 - 5 - 0 Ass _ 1L ' ' _ i. _ _! i Suite a" ©/ EC' 5 Contact Person h ( ) F PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam l U . Shear Anchors (/ Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Rooft/ Other: �— _ PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PA T FAIL CHANIC Post & eam Rough -In Gas Line Smoke Dampers t PART FAIL RICAL ervice 2(111111117_. � i �/ Rough -In l �t/1 ∎1, UG /Slab 11,11111WWIMMJE/w, / 1g 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