Permit CITY OF TIGARD MECHANICAL PERMIT
•
44 Ii DEVELOPMENT SERVICES PERMIT #: MEC2006 -00253
^- �--� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 6/1/2006
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 540 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Relocate supply diffusers, add (3). Relocate pheumatic stats. $6425.00
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
KNICKERBOCKER PROP, INC XXIV Description Date Amount
BY NORRIS, BEGGS + SIMPSON
10300 SW GREENBURG RD STE 200 [MECH] Permit Fee 6/1/2006 $168.50
PORTLAND, OR 97223 [TAX] 8% State Surcha 6/1/2006 $13.48
Total $181.98
Phone:
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY
PORTLAND, OR 97220 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 331 -0234
FAX 503- 331 -6906
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 OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
Issued By: / . ( 4;' ,00". Permittee Signature: o _ % _
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day. i
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.
Mii:,anical Peril} , ;i : t 1 ill ID FOR OFFICE USE ONLY
City of Tigard t''� Date /B3 i /
D / � A Permit No • C - ., _00.4 iii, 13125 SW Hall Blvd., Tigard, OR .433 1 2006 Plan Revi- Y G
Phone: 503.639.4171 Fax: 503. 60 4 t Date /By: Other Permit:
Inspection Line: 503.639.4175 CITY OF TIGARD _l,j. i LI Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us BUILDING DIVISION Notified /Method: Supplemental Information
....,,_„,. ,. ,_ iii 3,",31 ., ..,, ,3.;3 ... n3 u, ,;z ='";,> .'.eF.a yi
��• =�:,n �T- ,P,E ,OF.. WORK. �;,�: �,, � ".;- COMMERCIAL FEE„ SCHEDULE = % - :,:[USE - CHECKLIST „a,
['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.
iw tt H_ e
i; CATEGORY:''OF >"WCONSTRUCTON' ,. 1, �.,
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a u
EIVTIAL E ° IPM /`SYSTEMS =!FEES *;'
El 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building ° ' "" Q" ,,,,, a s,.: . . e. y« a
For special information use checklist.
❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total
°1 :TOB SITEs'1NRORMA-:'09, AN ]) 'IOC10.; ;.tt: HeatinWcooling
Air conditioning or heat pump
Job site address: 10260 SW Greenburg Rd. (requires site plan showing placement) 14.00
City/State /ZIP: Portland, Oregon 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 540 Project name: Security Title 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
1': o a; , i,: a "u
`, *: z, . W : _. • °� f, M -,; (>.,3 -, PT70N OF.:" >W
- ..ioa�� •...,,;:. . r, .,,, i�DESCRIa� .�, ORK „v3`A6 - 0....._..,,.. -,> Water heater 10.00
Gas fireplace 10.00
Relocate seven Supply diffusers Flue vent for water heater or gas
Add three new supply diffusers fireplace 10.00
Log lighter (gas) 10.00
Relocate five pneumatic thermostats Wood /pellet stove 10.00
Wood fireplace/insert 10.00
r -•: ':,,,.,.,,,:<,::v:r "- ,.,.::.:" y iner /flue /vent
3 �
® PROPERT•;Y• OWNER: '° 0; TENANT l
.. ..._ : l�k._,,, -,_ . �..,,.- .•:��,<•,:,��....., ,, �__. _ m _.. 3, • ,.,,,,.�. �. _ � ,.._ � Other: 10.00
Name: Security Title Environmental exhaust and ventilation
Address: Portland, Oregon 97223 Range hood /other kitchen
equipment 10.00
City/State /ZIP: Portland, Oregon 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
„r _•. ., '' 3 ' _ ,. T. 3:; :. craw ce fans
_._, ' ®" ICAI!TT ', s CONTACT - EE : RS4N
;,yam_-- ,.,,,
,1 .
_
3. .
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Earl Salsbury $5.40 for first four; $1.00 for each additional
Address: 12021 NE Airportway Suite "G„ Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, Oregon 97201 Wall /suspended/unit heater
Phone: (503) 331 -2465 Fax: : (503) 331 -6906 Water heater
Fireplace
E - mail: earls@mckinstry.com mckinstry.com
Vii, :ar,- c,l -: .: 4. ,r;<-`_I q. 0
-� ; 'CUNTRACTOR., RAIL Barbecue � I � �
Clothes dryer (gas) 13 'IV
Business name: McKinstry Co
Other:
Address: 12021 NE Airportway Suite "G" F;;'" `'; u3a-.".,,; iGIECHANICAOERMITFEES",-:- -' . „ i, :.71
City /State /ZIP: Portland, Oregon 97201 Subtotal
Minimum permit fee ($72.50)
Phone: (503) 331 - 2465 Fax: (503)331 - 6906
Plan review (25% of permit fee)
CCB lic.: .4 U ot 8 I State surcharge (8% of permit fee)
TOTAL PERMIT FEE erd
/7/
Authorized signature: This permit application expires if a permit is not obtain wi in 180
( 1 0 days after it has been accepted as complete.
Print name: Earl Salsbury Date: 06/02/06 * Fee methodology set by Tri -County Building Industry Service Board
is \ Building \ Permits \MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM/WEB)
CITY OF
BUILDING DIVISION
A PERMIT #: MEC200G-00253
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 E ISSUED: 6 / 1 /2006
Phone: (503) 639-4171 ittio,::,111'\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/21/2006 TIME: 7:07AM PAGE: 50
SITE ADDRESS: 10260 SW GREENBURG RD 5411 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCO .. TOWER LOT #: 014 TYPE'OF USE:
PROJECT NAME: MUTUAL OF OMAHA
DESCRIPTION: Relocate supply diffus ...:, add (3). Relocate pheurn, *c stats. $642 .00
OWNER: KNICKERBOCK - PROP, INC XXIV, PHONE #:
CONTRACTOR: MCKINSTRY ' r."
PHONE #: 503-331-0234
Inspection Request Scheduled Fa r: Date: 6/21/2005 Pour Time:
Code # Inspection Descripti 1/4 n Confirm # . tact # Message
699 Mechanical final 032038-01 503-572-7976 Y
Tab-
Corrections/Comments/Instructions:
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fl PARTIAL APPROVAL E CANCEL 0 NO ACCESS
I FAIL I J CALL FOR INSPECTION El ADDITI AL FEE ASSESSED
Inspector:
7.61/kij Date: 6 2-6 i
bone #: (503) 718-