Permit CITY TIGARD MECHANICAL PERMIT
, DEVELOPMENT SERVICES PERMIT #: MEC2005 -00249
� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/17/2005
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 300 ZONING: C -P
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT: 014 JURISDICTION: TIG
Project Description: HVAC Valuation: $4500.
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 [TAX] 8% State Surchaq 5/17/200E $10.40
PORTLAND, OR 97258 [MECH] Permit Fee 5/17/200E $130.00
Phone: 503 4U - 4800 Total $140.40
Contractor:
PORTLAND MECHANICAL CONTRACTOR
2000 SE HANNA HARVESTER DR REQUIRED ITEMS AND REPORTS
MILWAUKIE, OR 97222
Phone: 503- 656 -7400
503- 656 -6374
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
or 1- 800 - 332 -2344. L/92e,--0--ce -
Issued By: % � � Permittee Signature: ClV1
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.
Mechanical Permit e .rN ED
Clt FOR OFFICE USE ONLY
4 � Re c e ived -64,42.,/,9
of Ti and )- /7"-- Permit No.. 'G
City g Date/By:.) l � ®� ���/ `J
13125 SW Hall Blvd., Tigard, OR 97223 �y Plan Review
Phone: 503.639.4171 Fax: 503.598.19600W n A I _ / uDo r I Date /By: Other Permit: '---
Inspection Line: 503.639.4175 l� AR 5 ∎∎• Da Read /B ® See Pa e 2 for
www.ci.tigard.or.us met: www.ci.ti zA ■ • Y o g
b' GO � F wlst. V, Notified /Method: Supplemental Information
5ths 0114G V
_ TI,PE;-;OFeaWORK' ,� <; �t4:,, r;; °°" k MMERCIAlirvFEE *°.SCHEDULE's=..USE CHECKL 1ST
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❑ 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.
m :.., <
.:.,,< , , ,' : Value: 0 a'
�° . `' € €.>= ,C•ANT =OF° CONSTRUCTON'..;
;;:. ,,,,,,,,,; $ .., �i .
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>:"s' :14 '.._:'..e" •5':� %d•. y�.:. ";..� ,� �_ /;'. < :S'.$.' `:�Y.G:'
ft
RESIDENTIAL <'EQU[PMENT4 /.;SVSTEbMS;FEES*
❑ I- and 2- family dwelling Commercial /industrial [II Accessory building ' "$ "'
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description Qty. Ea. Total
g <' ',,nom L ^� �^ '
`: "NOV *. JOB " • Iy °iNFORMAT(ON =;AND ; = y` '';%`�'
•
�.. 5TE
..,.... LO = --, .`,� e • Q /cool
s;
Job site address: / " 6 ,s 13 Green 6 L.[r- r I GC Aiq conditioning hn pump
(requires site plan shoo wing g placement) 14.00
p
City/State /ZIP: 1 . vcI � 6 2 ci l aa3 Furnace 100,000 BTU (ducts /vents) 14.00
J �` Furnace 100,000+ BTU (ducts /vents) 17.90
`
Suite/bldg. /apt. no.: Project name: 110904 : 7 L
�( ®� !Gi n ic Y 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
a ' , '' .:.. - ,_, �, Water heater 10.00
.:. D1 SCRIP is ; -rv, ., >= a; - '.
Gas fireplace 10.00
�� (�� �Cim�r� Flue vent for water heater or gas
fireplace 10.00
' Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
,';, ii,' ir. f ,, mt Chimney /liner /flue /vent 10.00
>. " 'PR ERTY= W ,,, , , :: :i e , ; :.T .,:S:6, <. :: , i ;:.
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: :.. O .. E ..: EN AN
�� � Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
'o _ A $ Attic /crawls
f,• ":APPLICANT. c�: GONTACT�EERSON'ii`,` "..>;::�, ace fans 10.00
p
' 1 a I Other: 10.00
Business name: PO y' �M�C.I. n c(f\/i V1 k•CC., �� a/1`f'V [�7 S Fu piping
Contact name: t Q .1 , � 1 \ e � C� /. $5.40 for first four; $1.00 for each additional
• Furnace, etc.
Address: t9 o f.? o ccg 7q6 nrik 7 a ` ' V es kte Dr,''ci ed Gas heat pump
City /State /ZIP: �) ' / (art tAji i 612 q 7 .2 s Wall /suspended/unit heater
Phone: '&) 1S -? r i L� O 0 Fax: : (563) 66-6 — (03 / v Water heater ifft �+� p Fireplace
p
E -mail: u !he) p, G net 0 `C 09. g
., Range
%` ." °::�.` CONTI�GTORy' _t';;.�,,;, %;r; °s ><,,:, >>..,�: �� %s::::� � � Barbecue
,tea. >�� '.. ., �.>�. `.:� $ � f
-;tom � �.•' :;. �: v's�� tea:.. s, a� :••.:�� ........ , e... R . , , . 4 �', ....,,.,d, <,. ..'.`. ., . .. ..... ... . ...., '�;:,.� ",.. 'i�..�:;�.
Business name: S CAS 4 6 d Clothes dryer (gas)
Other:
Address: ', ... e FEE
. ;MECHANICAL §1,24: :` 1":::
City/State /ZIP: Subtotal
e: ( ) Fax: ( ) Minimum permit fee ($72.50) /3 e_ v1)
Plan review (25% of permit fee)
x.57 '7 ` e
CCB lic.: St ate su rcharge (8% of permit fee) j 4, '
TOTAL PERMIT FEE ,' '/', S /0
Authorized sl n atU This permit application expires if a permit is not obtained within 180
g ° A days after it has been accepted as complete.
Print name: cA\u„... " `.... • i i, Date: �- X 1 A _- * Fee methodology set by Tn- County Building Industry Service Board
1 CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: MEC200& -00249
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: W17/2006
Phone: (503) 639 -4171 114 ii Il�� iI
Inspection Requests (24 Hrs.): (503) 639 -4175 � •i 1. •
INSPECTION WORKSHEET FOR DATE: 8/22/2005 TIME: 7 :10AM PAGE: 3
SITE ADDRESS: 10260 SW GREENBURG RD 300 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: MORGAN STANLEY
DESCRIPTION: HVAC Valuation: $4500.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503 -412 -4800
CONTRACTOR: PORTLAND MECHANICAL CONTRACTOR PHONE #: 503 - 656.6374
Inspection Request Scheduled For: Date: 8/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 014030-01 503-780-3222 Y
A-I2Nt`L'
Corrections /Comments /Instructions: i 6 MlN ,3e / ,c ( Ft vac d(X
e
•
W
JSS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
''\,N. n FAIL I CALL FO" INSPECTION n ADDITIONAL FEES ASSESSED
► fi r,
Inspector: 111. Date: x.2-62 S Phone #: (503) 718 -
INV