Permit 0
A: CITY OF T I GA R D MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00658
All 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 10/1/2004
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 190
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P
BLOCK: LOT: 014 JURISDICTION: TIG
CLASS OF WORK: OTR 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:
Remarks: Move (2) grilles.
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300 [MECH] Permit Fee 10/1/200 $72.50
PORTLAND, OR 97258 [TAX] 8% State Surchart 10/1/2002 $5.80
Phone: Total $78.30
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR
MILWAUKIE, OR 97222 REQUIRED INSPECTIONS
Phone: 503 Misc. Inspection
Final Inspection
Reg #: LIC 151807
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.
Issued By: ��� Permittee Signature: c)l ,
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next�uiness day
10/01/2004 14:14 5036566374 PORTLANDMECHANICAL PAGE 02/02
. ..
..
Mechanical Permit Application OFFR7E USE ONLY
i.
Received
City of ll Nt0 , 13y ,/d- _ z o-, 4111 Permit No.:)
1,123 SW Hall 81vd.. Tigard. O11 -7 -, EIVEI Plati Review
r
Phone: 503.639.4171 Fax: 50 . ifiAi•I; _, A ntittpiaill i t' Datc/i3y;
Othe Permit
' Line; 503,639.4175
R 0,14,.. ,/ il Mac Ready/Byt turir: aff See Page 2 for
Internet: www.ci.tignid.or.us
OCT 2004 Notified/method: J6__ Supplemental htformettan
:::‘:,: . '.:
Mechanical permit fees* arc based on the value of the work
0 New construction BegaiNGAINEM6laccment
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other:
mechanical materials, equipment, labor, overhead, ■111.!ta fit
:: ::.: ' . '.;:':'.::: .: ;!*':,',': ;.;:: :;;;.:,: .;': '.:.;::;. ■i . V " 1111e: $
,..,..,'.,•:,. ..:.,:.':.,..,, ,, . ..., .... • .., , • ... . ,; ,., .. k .1 '. • • L;;LL2LLLL.,..,1,,,....LLL...,..,...._...,...,L .. t§ijl:itktktt(**k,k,i■tO:SVS':rEtQIOEE'5*4'
EJ 1-and 2-family dwelling IRr 0 Accessory building
For .special information use checkliv.
0 Multi-family 0 Master builder 0 Other;
Description I Qty. Ea, 1 Total
.' %•,:.' ' ;.;:.•: .' . '.: ,1 ; .:;. : • . ■; . : , : : .:, ltilit'Or.t ... i*F i lj.101XtioSli.!,8li i . 1:kilt)N• : ,: ,!.;:;:.;...,.: ::.,' Hentin
Air conditioning, or heat pump
Job site addres $ , o p her; ?
14.00
City/State/ZIP;
• •
(requires site plan placement)
Furnace 100,000 BTU (docta/vonts) 14,00
r t• 1
Su 1W/bldg./apt. no.: /go Project name; • , f . , ,
Furnace 00,000-1
A 1 ..,
.. .. Cm heat pump 14.00
Cross street/directions to job site; , ... j . 17 _ . . Duct work 01 14.00 ,.., • : • 1:
---------- tdronte hot tc rs.tcm 14.00
1 . 1 ..
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; rii,c n;.;
Other: 10,00
Tax map/parcel no,:
Other fuel appliances 1
..:.‘..:;'..'1.,.:::;".:.::.•;:::::■1$::K:!:.::;:il!Ji)Oeli,jili'iti*k■ii..:il..,1;;:..'.:.i.::::.' 1 : : :' ; !' ‘ ''' ! '; Water heater 10.00
Ga fireplace 10,00
1 / ec Flue vent for water heater or gas
it •
fireplace 10.00
-
1 22-21-K - E9____________ 10.00 ._
- Wood/pellet stove 10.00
Wood fireplace/insert 10.00
:;: .
, . .. , ., Chimney/liner/flue/vent 10.00
,:•. ,.;. :ligfii#0,tiitir.l'OW'Ot47.,77: '...,1‘.:.',.; !1.::•....Utiillt.N.A0A 'X 00.„..,..
__ .—........4.,...,,,,,,,_...,_,......,
Name; 4244,,, _ ofFi 91.2 pe .
Envimnmental exhaust and ventilation
Address:
' Range hood/other kitchen
•e, e. 10.00
City/State/ZIP: 1,) e9742.4s Clothes dryer exhaust 10.00
Singlc-duct exhaust (bathrooms,
Phone: ( ) Fax: ( )
toilet compartments, ittiliV rooms) 6.80
.,;.,:.:•,',.... :..:"R ,..pKtlaSitl:.:;. .,... ,1:..,.:!,;:::,i,!::,;.,1 0j*k4 Anickrawlspace fans 10,00
10.00
' ----
.., _ Fuel piping
- .
,r-
Contact narr e,C---le C---Ife--i $5.40 for first four; $ 1.00 for each additional
, Furnace, etc.
Address: ••• Air , Am- 4 .. , .,„ 1E62 ,a,f• .
GEM heat pump
City/State/Zip! i /
ite • . • J/ _27; d9 wall/suspcnded/unit licpter
Phone: s i,5 & , ......7i.,,z, Fax: : (Sp5.) " Wmerhcaler
—__--
Fireplace
E-mai 1 r ridefnPOrtild/V14/ OanieaL - de Range
:•:':•':':.•:•c.1. ;'*:::.;.,:..•:•:''..:;.:..• ..:•:i•:',1','..::'2:'::;•;;,•••;.::•:.! COSOA;Oitii(...' :..:' „,;;.,::'.'■;: Barbceue
Business name: c 4-1 i 6, Clothes dryer (gas)
Other.
Address:
'''•(:•:;.::::'':::;.'l ; : ; : i;' • . :.. ..! :.: ..i;';•
City/State/Zip: ___ •`..,•••• '.‘ ' ' • ''' ;•' " ' • '• . '• - "'"'" . • Snl 1 ' ''..-400 6re)
Minimum permit fee (S72.50) 7 ,
Plan review (25% of permit fee) ---
CCB lie.: /5/e0 -
State surcharge (8% of permit fee) 5". 96
• , TOTAL PERMIT FEE 745% 0
Authorized signature: / ..‘,,,,, A ,,,a04,1Z CL41-64-----" This permit application expires If a permit Is not obtained within len
days after It has been neeepted es cotripkte.
Print name: glird 4e, Date: /Ara , • Fee methodology set hy Tri-County Building faduatry Service Board
Ailf. •,.,-r II 4, ....,,,,11. , .:71,
•
CITY OF TIGARD 24 -Hour
BUILDING Inspection Li 39 75
MST
INSPECTION DIVISION Business Line: (5 6 .`` 1 BUP
Received ' Date Requested 16 ! AM PM BUP
Location / 0 � � Suite u " 00 6re
Contact Person Ph ) PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: ` kt ("-) ! £ SIT
Post & Beam '
Shear Anchors -
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -
Fire Alarm
Susp'd Ceiling
Roof
Other: •
Final / •
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Water S
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PAS FAIL
CHANIC
Post & Beam
Rough -In
Gas Line
Smoke Dampers
a go
PART FAIL
TRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA
Approach/Sidewalk Date \..40 / "/6 ' Inspector Ext
Other:
Final • DO NOT REMOVE this inspection record from the Job site.
PASS PART FAIL