Permit CITY TIGARD MECHANICAL PERMIT
Az
1 DEVELOPMENT SERVICES PERMIT #: MEC2006-00149
I DATE ISSUED: 4/13/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 650 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: HVAC modifications. VAV boxes. Value: $8000.00
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
PORTLAND, OR 97258 [MECH] Permit Fee 41131200E $195.50
[TAX] 8% State Surcha 41131200E $15.64
Total $211.14
Phone:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
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.
Permittee i nature: j . 1,`5 vV Issued By: g vl
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 OW FOR OFFICE USE ONLY
City of Tigard Received . , /
Date/By: . 1 // 346 .315 Permit No. \\,/\..6e 6 , - 0 . 4 1 I
13125 SW Hall Blvd., Tigard, OR 9 7223 A
Phone: 503.639.4171 Fax: 503.598. J-
196 1 3 2006 A Plan Review' Other Permit:
iikatti4dItil A Date/By:
Inspection Line: 503.639.4175 _111 Date Ready/By: Ois - 0 See Page 2 for
Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method: l Supplemental Information
BUILDING DIVISION r-J
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F.,,L t'-ttt: , s-- , 1-:--- , ;%;': - Ata'-::'1r:.1:ei! - !7 , Vi'g ij', '.:j, 0 ITIP... '; . . ,-, .: .:,-.& .,, .-... . . :-..; SE
1=1 New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
fg)i
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
i'l.:4:;', '1' .,,,,,,1;;P:,:M, Value: $
4,1J11:1'S:T10.41i:WAgglIgiAMAW:',,c4-:77,9,04YA-9A-S-9ggil,.CX19Nlkb-:,g1 ..'':' :iii:.1'' -',' -T • ,. , ..,-.. - , - - -.. - - - -, , ,i - - . -- . • - RESIDENTIAL:EQUIPNT/SYSTEMS FEES*
0 1- and 2-family dwelling ,3.Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
'1 iirictifFAikirtliy&:fiWloqi9:
;11;Altiajl:01.SIM.1.14913g§1714:1119:1.1,..,.:9:,,.Wzdi ,i ' HeatinVico°
Air conditioning or heat pump
Job site address: ‘,0 ,-ak 0 sc o c qk p .sm ( rjufi\ p_A (requires site plan showing placement) 14.00
City/State/Z1P: -- 0....rek ( o -e_ (-73-a---) Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: -te„ .-76- Project name: Ge Yo-{e__,Uce___
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
, Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: ' 10.00
Tax map/parcel no.: Other fuel appliances .
lonvolarPNifOliii07101.414 Water heater 10.00
gatmZii.t2R?:!k:ttaEWi5',aM,IAAk:Fivaitg:A
Gas fireplace 10.00
tk Vi i tt Mtret■ cO (A1,,,6u1 Flue vent for water heater or gas
V fireplace 10.00
N 324A) VA- ,
Log lighter (gas)
10.00
Wood/pellet stove 10.00
. Wood fireplace/insert 10.00
'11:%,',:44.541.:wi-,";:q=,,,,,14,14,■ ):.^,,S0‹, ';:::!;TVI:,q . 5 tflIkril '.f,' Olaq ''. 'Y5 tn'....:i.f40%-f
Chimney/liner/flue/vent 10.00
4„1:11A ,' ,1,, 44FENANIPP 1 4 ,44- P , '" , 41 ,,, '-=. 11, '
,,,.a Other: 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
1100 0j10.„NOR feONTA Al:1,1:44 Attic/crawlspace fans 10.00
•,,,,104,,, , ,, . ,,:i...,, ,„ ,t , ,,:;,,,, , i11.... , ,r,
.
Other: 10.00
Business name: -trtfoi ‘-‘ rAio 1/41,_ -E
1 Fuel piping
Contact name: e- ?), kq ai l S AD.^ $5.40 for first four; $1.00 for each additional
Address: 1 39 s . (; *.- , Fumace, etc.
Gas heat pump
City/State/ZIP.: '-----? o 0 ,_ en a 6a . Wall/suspended/unit heater •
I. -
Phone: q(?) ) ?)611-4(06.0 Fax: : 65 - 0 -3 s Water ace
heater
Firepl
E-mail: Range
ArFlftriliMIN5V.M.41 Barbecue .
Business name: p Q (0 A U "- MC , Clothes dryer (gas)
\. Other:
Address: \ -- (S". 6:k. (i k-j 1z.4. ••$;_MIZCHANICAU-PER1VIElliFEES!'f,' • •• -:• •
City/State/ZIP: `--7("p-v•-KcAxt_ck. 0 Ct-- .-a. 6 pd, Subtotal
( M inimum permit fee ($72.50) '
Phone: 7(5)-j (. - /- ?jCi‘... (../ ab Fax: r),5 nOL Y Plan review (25% of permit fee) --
CCB lic.: ,2)---5\--), State surcharge (8% of permit fee) /5.
rtrikk
a/ 4\ C 6(4. TOTAL PERMIT FEE 21/. 1
I
This permit application expires If a permit is not obtained within I 0
Authorized signature:
days after it has been accepted as complete.
Print name: L.,- .6 a 4 61 6 C., Date: 4,..__i * Fee methodology set by Tri-County Building Industry Service Board
i: \Building \Permits \ NEEC-PermitAPP.doc 12/03 440-46I7T (11/02/COM/WEB)
- . -
CITY OF TIGARD .74
BUILDING DIVISION
MA 1 4, PERMIT #: MEC200e3-00149
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006
Phone: (503) 639-4171 Aspautnoil Ill"
Inspection Requests (24 Hrs.): (503) 639-4175 z.z.4-191 1.1...
INSPECTION WORKSHEET FOR DATE: 4/19/2006 TIME: 7:02AM PAGE: 60
7 Lio7 5
SITE ADDRESS: 10260 SW GREENBURG RD 650 / CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: NEW YORK LIFE
DESCRIPTION: HVAC modifications. VAV boxes. Value: $8000.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-239-4600
Inspection Request Scheduled For: Date: 4/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 028290-01 503-209-1103 Y
Corrections/Comments/Instructions:
____----
I II I IM FAI 11 1111M - WI
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I PASS
fl PARTIAL APPROVAL n CANCEL El NO ACCESS
I l FAIL I I CALL FOR INSPECTION 7 ADDITIONAL F -ES ASSESSED
Inspector: - VPV--- )
Date: - 11 ' `--l.A.11111i hone #: (503) 718 24-a3
._,