Permit f(. p .
CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00738
f il 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/7/2005
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 160 ZONING: C - P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: HVAC modifications. Value: $2527.00
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:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300 [MECH] Permit Fee 11/7/200€ $72.10
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 11/7/200€ $5.77
Phone: Total $77.87
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 - 332 -2344.
� ' r
Issued By: / _ �: r if Permittee Signature: 00 V GvIG es
/ 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.
{ Mee,hanical Permit A flp1ic.ati 1 . - - _ FOROFFICE USE"ONLV
City of Tigard � � u � Received
14 1 06 5. r PemutNo.:l Cj� ' , i ,�
. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
I•fl �`
Phone: 503.639.4171 Fax: 503,598.1i9 , 60V 7 2 005 %in>trlll� 1 JJ' ell Date/By: Other Permit:
Inspection Line: 503.639.4175 rlJ II _ Date Ready/By: J H See Page 2 for
� 7
Internet: www.ci.tigard.or.us Notified/Metltod: f `� Su PP lementalInformation
CITY OF TIGARD
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Mechanical
rfo Indicate e value (rounded the value of the work
hanical perm
performed. Indic ed to the nearest dollar) of all
❑ Demolition ❑ Other: • mechanical materials, equipment, labor, overhead, and profit.
, 111 z i; . R . '. 3r,n >•, , ts, .:a ' - - - ;sa: = a r3u •R •: , s�=?: +' - ..: ,,c - �.;;a• €:, „x- �. g p ;'zc }., : - . '. ; ' £ Value: $ a , 7 0 �
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`� `�' ` " ` . ` - } "� < �: � :. � '' `�:RESIDENTIAL',EQU SYSTEMS FEES
I=1 1- and 2- family dwelling' Commercial /industrial El Accessory building '
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. Ea. Total
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Job site address:/c6v Git
Air conditioning
(requires to plan g p '� (re tares site Ian sho win placement) 14.00
T J
City/State/ZIP: - A a j 6/a, d Furnace 100,000 BTU (ducts /vents) 14.00
Q Furnace 100,000+ BTU (ducts/vents) 17,90
S w utte ldg. /apt. no.: � (Project name: iC G� J�/" fJ ✓Ges Gas heat pump 14.00
Cross street/directions to job site: Duct wink 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: I Lot no.: 10.00
Other:
Tax map /parcel no.: Other fuel appliances
tip' = a r g H _ a. ;s aasr , � : �� ,U �, s:v ; ; w r ` � :WW..; g d' Water. heater 10.00
,: �{ , =' , '"' . -vlsg �t;"j Inn€ , OR f � ;' ',.. ,
s :r't .ro�>x^'-_ :V s •'''� x.,.aifa r.YA.;u- �3r {; w. b?.'< �s,.. ca a, :z.r"'x,"n� �;.x ;:;.A
Gas fireplace 10.00
Flue vent for water heater or gas
fireplace 10.00
--hal ' ,.rin 14. Log lighter (gas) 10.00
/ i' / / , g C , r.,0 tJ ca / o.S Wood /pellet stove 10.00
. Wood fireplace /insert 10.00
Ilk, "1, .110∎, 4.-A s3;.: ..,;-.�wm.vrr. av .f9 w.. suit ; , :ffex' a pt -,kk- i-,: - ap0 ; .r s,ss-x, Chimney /liner /flue/vent 10.00
x .'k im OPERTF W - tip,, N.. 1. z'.. ys,,
', �' r? �4? �? �.-: �..tcea-a�,3a,u.:��+rx ,�t�,,r�•. - .61 , +. tI�3T✓�4' " - 't* �rs'si� �t #te�,�:_:�,r .aa.; @ .�:°.2�' V,t" i.,:i7 oth 10.00
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 ( " „ry _st•�n,grs4:,� • y S»„ -,; -5 .6'3 , .a. r :.r , . , t : 10.00
fi ,• 1 _ tlyt At I'BJCANT�'` ' atiVat:gt ' .' a 'n GONftra `iERSO sAi' f)`.41 Attic /crawlspace fans
z a mss r h^ s 5 ss .:zc .kz.:.:< ^:.',,>� `
Other: 10.00
y/ �r /,
Business name: .4/�'= tPev / -ea 2C Fu piping
Contact name' E /77/77e $5.40 for first four; $1.00 for each additional
Address: /339 SE a"7C1e , Furnace, etc.
Gas heat pump
City/ State/ZIP: a C 9#7110Z Wall/suspended/unit heater
•
Phone: ( ) Fax:: )231_20343 Water heater
Fireplace
E -mail: Range
k h °1.-:Y, - nF.a': "3!, 4R ;✓. '.,'e„izd: er ,° �`8f" - ilk 'G '''?`5' �:.P.
'� � t � �' �'' = e � < <t � � u � , ,. Barbecue
Business name: � ,4 -
IPsi �h� Clothes dryer (gas)
I1'Y+ e t^ I`C � Y Other:
Address: 1 x ' s t�" = 7VIE(> ~. .: . , ..
/, 35 se �l An \ .;TCAT''PERIIIIT`F-EES*
- aW ��R'.'krta::«. �5,�"eR, �.••dx��as- ^'-t.. ,terry- ±'�s�.. w ...�'�ays�
City/State/ZIP: � r „, .)a.ps d t 0 t t 7222 Subtotal
Minimum permit fee ($72.50) . /0
Phone: (,5 2,31 - Lii;Ut? Fax: (5 j) _7DZ Plan review (25% of permit fee)
CCB lic.:
3 3 ) 3_5' State surcharge (8% of permit fee) . 4 . .. 71
- TOTAL PERMIT FEE - 77. .R 1
r` 11th; -
/ This permit application expires If a permit is not obtained within 180
Authorized signature: �i }� "� / days after it has been accepted as complete.
Print name e #. C Date: //,Z�4s * Fee methodology set by Tri- County Building Industry Service Board
i:\Building \Permits \MEC•PermitApp.doc 12/03 440 -4617T (I I /02 /COM/WEB)
CITY DF TIGARD .
BUILDING DIVISION PERMIT #: MEC2005 -00738
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2005
Phone: (503) 639 -4171 / m�d4puy�iiulill�i,
Inspection Requests (24 Hrs.): (503) 639 -4175 : ,,
INSPECTION WORKSHEET FOR DATE: 11/21/2005 TIME: 7:13AM PAGE: 96
SITE ADDRESS: 10260 SW GREENBURG RD 60 ` CLASS OF WORK:
SUBDIVISION: LINCOLN CENT�E�R TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: KELLY SERVICr�
DESCRIPTION: HVAC modifications. Value: $2527.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503 -239 -4600
Inspection Request Scheduled For: Date: 11'21/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 021931.01 503 -572 -1669 N
Corrections /Comments/ Instructions:
ill 1 li Elil I rirMillrfird=ffra t /
V MaillirffiraNO ILI 4 11EiMikiLVV
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION n ADDITI NAL FEES ASSESSED
Inspector: Al 11 Date: l'` i L-7- hone #: (503) 718-
CITLOF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 007313
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 11/7/2005
Phone: (503) 639-4171 i ° i���q lM ill`s
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7 :08AM PAGE: 56
SITE ADDRESS: 10260 SW GREENBURG RD 160 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: KELLY SERVICES
DESCRIPTION: HVAC modifications. Value: $2627.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503- 2394600
Inspection Request Scheduled For: Date: 12/1/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 022700.01 503.572 -9557 N
Corrections /Comments /Instructions:
I -0 AV '- . '_ , _,,,, l t
✓ A SS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 i
Inspector: l it Date: ( C1" Phone #: (503) 718 -