Permit V
CITY TIGARD MECHANICAL PERMIT
Aossv DEVELOPMENT SERVICES PERMIT #: MEC2006 - 10012
'�" �� I ! 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 3/6/2006
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 600 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: HVAC TI Project Value: $6,048
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: 11 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 [MECH] Permit Fee 4/1/2006 $161.30
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 4/1/2006 $40.33
Phone: Total $201.63
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST, STE. 1 REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97202
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 -33 -
Issued B ' I Permittee Signat . . • j '!�� , �e
/ .
Call 503 - 639 -4175 by 7:00 a.m. for inspections that busin - s 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.
McOlal cal Permit Application ,. FOR OFFICE USE ONLY
EE iew Pernut No.: 13125 SW Hall Blvd, Tigard, OR 97223 P
Phone: 503.639.4171 Fax: 503.598.1960 Astrord>fr it \N Date/By: Other Permit
Inspection Line: 503.639.4175 4jI Date Ready /By: Jur El See Page 2 for
.nza, �..
Internet: www.ci.tigard.or.us Notified/Method: i,,,. Supplemental Information
•
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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. cab Li
.
$ •,, , ;.,y„ Din ,, ,,A.',, ,, ...,,,,,, .: ..u;>> ,.: i, .spa i* r ' Value: $
�. ,� �.�,,.��,a ,:�; ? 04 �;.. �" CATEGORY OFd�C®NSI�RU�C�T- ION- 4 ._ � � . a�� .. , �'. -�-� -, ,, � _ � - ._ ,
:RE EQUIPMENT " / SYST FEES*
❑ 1 - and 2-family dwelling Commercial /industrial ❑ Accessory building ' .
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
.�,��. }-'�- °.k3,,:Y'�b:;`atfl:cfu; i.ii•;`i =-Crs a. } u..� _.: :;;.... rzm:.a<<..��,,m rxrt* „,:. d T :x�•?r.��.,.. :;�a�°';�*f?t "s`. ��'r Sec•.,.1
,
T,� f` :�- a ;:^z' ;r"::; r,> >: I T`` ?�,' t D`W,CATIO1Vs...;�; ; 4 >,' 1,1:, Heatin coolin g
::T.O$ .SITE 7 �FQRMA ION AN ,- f . � #� ,,�:,, F.� .,;;'' - �
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Job site address: �...[� c Air conditioning or heat pump
0 O "0 0 S(,O I Vte Q 1. tout_ �. + n e_C (requires site plan showing placement) 14.00
City/State /ZIP: ( � -1 ^ ' Furnace 100,000 BTU (ducts /vents) 14.00
f/( lJ \ Furnace 100,000+ BTU (ducts /vents) 17.90
' Suite/bldg. /apt. ni �� 2 (` � Project name:li (OMB r S 0-01 - - TIE 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
e.,ry'2:�,*rpa _' xr fR li z.; '�':+s ::E•'*s _�•a_ m s:uaa;P'v',, F c.. -u, - l it: - 3i:` EG.a': 'c` > ": r:i" ., 'S ri : :,. ='s';):, ate 10.00
try,; ; t�, -:fi .1.:t4' �,� :,a, ,„ °;:•�;:'� 41�, � ,,, . : �:: � z - ,' °: W ater r
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Gas
�I o ct �' fireplace 10.00
�-4 � , I � -� (a &i( ,r - '5t k' 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
:; : ; ' ird , ,. i :: r a, a., �.:, :v �,:,r.,R . r- . °,z-t :<�; v. , ,. -,' Chimney /liner /flue /vent 10.00
g §i + ^ '.rs r:; ' � 11s , , lzs a ;r > � ` { " "4.':',' ., :y 'I''Fv' r.t.+� ^ i:,.;. • " ":; "''�
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�,���etz,.:�,:.,_�. >t r�.� >:��t:., <,a e:4::;. �, ,o.. Other: 0.00
Name: E n j 1 - r y ai l el_ Q�D/ 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 "
i3 , q n`, ` :' :us :rr•: ,a: e e ,:, r'"!8. �..qa. . y; � ,.,s3tP. m:i u u><er; p s -, 6 m .�,, x � . " 10.00
'a �.� ".,. �:k •(�� - • ,�;: ;fi _...,. � � ^ ' � z :,; " . . Attic/crawl ace fans
l : ,:, :i _e �, x t'. : ` . „,„, CON `: ^, ,
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c�i3� ='? a xiw�s sta .rte . ,a ,.., �d f 'ad`R31 ai .T 5 x.. : na ,z ... .....,
7 �� � Other: 1 0.00
Business name: f 3 ` �� C i C • Fue piping
Contact name: 'v 1 ail 5 $5.40 for first four; $1.00 for each additional
Address: 1(3-C
( 3 " � D Furnace, etc,
� ' p C`�( d ' - ' \ Gas heat pump
City/State /ZIP: /,/ t a �- Wall/suspended /unit heater
Phone: 6n 5v J T 3 ` q ( „0 0 Fax:: ( - 5 - n 77 (ag Water heater
` Fireplace
E -mail: Range _
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Barbecue
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rer'i;r "�.a��.. ° €i�� k -p:�^- I:., � Y, �p„ �n- ,.�.�ra.;: <:�u;,r..:�:,. : », � m�. �;:.. �� :.�����:"���r~;l;°:.�:sr�5
Business name: 4111-12,1A c all 1 A II- ` Clothes dryer (gas)
Y Other:
Address: li J l . ! G'∎ 1 i • - ` "I: QX11 ".; MEGHAN,ICA .Rfi.i IIT E -EES *,
City/State /ZIP: P ). --Q ( i 0\ 4 1, - 13 CO- Subtotal /(p f 1 .3:)
Phone:5(3 -3 t Fax: ( 3LR_ 153 Minimum permit fee ($72.50)
Plan review (25% of permit fee) 33
CCB lie.: ?)3 \"3 L / 16!c State surcharge (8% of permit fee) Q .
((( ll TOTAL PERMIT FEE i • 103
Authorized signature: a ,�( This permit application expires if a permit is not obtained within 180
bm
V days after it has been accepted as complete.
Print name: �� - GI 0 0.0x1 Date: 3 ..,(® * Fee methodology set by Tri- County Building Industry Service Board
i "Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (I 1 /02 /COM/WEB)
CITY OF TIGARD al--e__
BUILDING DIVISION PERMIT #: a -U
e5UsQ _/0 - ��
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 v uyp0 It
Inspection Requests (24 Hrs.): (503) 639 -4175 `'I �..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: / b 6 0 ,..4 i , � � CLASS OF WORK:
SUBDIVISION: tT-#: TYPE OF USE:
PROJECT NAME: To
DESCRIPTION:
4
OWNER: / PHONE #:
CONTRACTOR: • f PHONE #:
Inspection Request Scheduled For: Date: 3 -43 3 Jbk Pour Time:
Code # Inspection Description Confirm # Contact # Message
rkki Ai 1(,,, ao?- - it c)
Corrections /Comments /Instructions:
----- 4C-IA ntk,
_.„,„..,
PASS E PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL n CALL FOR INSPECTION n ADDITI NAL EES ASSESSED
Inspector:-. Date: 3 (v e 4. Phone #: (503) 718- 2 - 4 k - i 1i