Permit .� . 1
`_ CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00452
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 7/8/2004
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 3%O
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER ZONING: C -P
BLOCK: LOT: 014 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: Add 5 return grilles with sound boots. Value: $650.00
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
10260 SW GREENBURG RD #100 [MECH] Permit Fee 7/8/2004 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 7/8/2004 $5.80
Phone: 892 - 2500 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 to • UNC b calling
(503)246 -6699.
Issued By: 4P r Permittee Signature:
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
C��0:1;4pP('I'Illlt ApphcatllJil 'FO OFFI US E'O \Ll'
Received ' . ,
, 'City of Tigard
Date/By: '� Permit No.: - , pt y
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 - Fax: 503.598.1960 :: a Date/B Other Perms:
Inspection Line: 503.639.4175 . =•L Date Ready/By: 0 See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: 1 I Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST,
❑ New construction ® Addition/alteration/replacement Mechanical permit teesr 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.
CATEGORY OF CONSTRUCTION Value: $ 650
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 - family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
• JOB 'SITE, INFORMATION AND LOCATION Heating /coolin8
Air conditioning or heat pump
Job sue address: 10260 Sw Greenberg Road
g (requires site plan showing placement) 14.00
City / State/ZIP: Portland OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Suite 390 Project name: Suite 390
-0- - Gas heat pump 14.00
Cross street/directions to job site: Lincoln Tower 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: Lincoln Flue /vent for any of above 10.00
ncoln Center Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
. ' , '_.s • : "`DESCRIPTION OF WORK ` ', ., -. Water heater 10.00
Gas fireplace 10.00
Furnish and install (5) return grilles with sound boots 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
Chimney /liner /flue /vent 10.00
:❑ ;PROPERTY . OWNER . _ _ "`', = " ' '
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
s,'= .®'
APPLICANT :; ` ,. i t It CONTACT PERSON s. ;,c, - Ariic f ans 10.00
Other: 10.00 -
Business name: Mckinstry Co.
Fuel piping
Contact name: Clif Hazen $5.40 for first four; $1.00 for each additional
Address: 5400 NE Columbia Blvd Furnace, etc.
Gas heat pump
. City /State/ZIP: Portland, OR 97218 Wall/suspended/unit heater
Phone: (503) 331.0234 Fax: : (503.) 331.6906 Water heater
Fireplace
E -mail: Range
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s? ^ -� ... a:�'= ;` �' � �,,. - �::r,:*,._.,._.`e= �TS�;.,��.� �,_,,: ;'d.a:$'"�k.:vts;� *'t.� ��Mr�_r..,._�
Business name: Mckinstry Co. Clothes dryer (gas)
Other:
Address: 5400 NE Columbia Blvd MECHANICAL; PERMTi':FEES *" ; '%k "WI '
City/State/ZIP: Portland, OR 97218 Subtotal
Phone: (503.331.0234) Fax: (503.) 331.6906 Minimum permit fee ($72.50) �, 7G/
Plan review (25% of permit fee)
CCB lic.: 40981 State surcharge (8% of permit fee) j
TOTAL PERMIT FEE 7 , 30
Authorized signature: w� 4 r. This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I Print name: Clif Hazen I I Date: 7 - - I * F ee methodology set by Tri- County Building Industry Service Board
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
Received Date Requested �, F AM PM BUP
Location /d 620 e es LOe 7? Suite 3 gO MEC. -cc 45
Contact Person Ph ) S'/ — PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation 17
Drywall Nailing
Firewall
Fire Sprinkler
-
Fire Alarm �V
Susp'd Ceiling -- tt
Roof
Other:
Final
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
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
4 .
PART FAIL
• RICAL 1
Service M. Rough-In 4a�► ( .1 _1.1111 ' ►
UG /Slab g r,1117., viw ' ry
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: 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