Permit C ITY OF TIGARD MECHANICAL PERMIT
PERMIT #: MEC2007 -00192
COMMUNITY DEVELOPMENT DATE ISSUED: 4/9/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 720 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT: 014 JURISDICTION: TIG
PROJECT: EMC
Project Description: TI - modification of existing HVAC system. Project Value: $11,975
NO PLAN REVIEW REQUIRED.
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 4/9/2007 $258.50
[TAX] 8% State Surcha 4/9/2007 $20.68
Total $279.18
Phone:
Contractor:
REQUIRED ITEMS AND REPORTS
Contact #:
Reg #:
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 dir- • estions to OUNC by calling 503.246.6699 or 1.800.332.2344.
// /4„ /r l c 457 -'
Issued By: �/ / Permittee Signature:��
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.
r r
Mechanical Permit Application • - FOROFFICEUSEONLY • -
D e eiv Jr 1Gt P No.: 40 92
City of Tigard y: 1 ..,,94/0
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review OtherPemmr.
Phone: 503.639.4171 Fax: 503.598.1960 tr c./ Date/By:
Inspection Line: 503.639.4175 ' Date Ready/By: 0 See Page 2 for
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Internet: www.ci.tigard.or . us Notified/Method: , L � Supplemental Information
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Mechanical permit fees are b ased on the value o
ID New construction • Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: • mechanical materials, equipment, labor, overhead, and p
F ofit.
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❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total
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" ��) Air conditioning or heat pump
Job site address: /0 0? 0 SW G - ery / L{ ,/� ✓e(, (requires site plan showing placement) -
14.00
f Furnace 100,000 BTU (ducts/vents) 14.00
City /State/ZIP: -779 , Furnace 100,000+ BTU (ducts /vents) 17.90
gip , ldg. /apt. no.: 7 o). 1 Project name: J r) �j' Gas heat pump 14.00
Duct work 14.00
Cross street/directions to job site: 14.00
Hydronic hot water system
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: I 10.00
Tax map /parcel no.: Other fuel appliances
.'.'w ei Pi �r... l,5 - .v.� p <: ,ti,r,11 nr3Til, a, •ttr ''g; a., q 4;a Water.heater 1000
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i §4r ' !�; ,� a f ,.s�4.x. - ��„�7 ' 4(k <:.':��' ,vrvRk+.9fi4:ia.p'.t:•,,,.,, nr :�1 10.00
zha��:t�.l. �' _g ,;,u, s - >s ; a= ° s - ^ Gas fireplace
r o Gr 1 bX/S• 1.1 11/00 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
&-e;l *,s.' ,,,,, :h ' -1.: ki 1 +, ,..p +:i( • .' n;” • "' ' " i 1 u� .i'' : ' ' ,' , a j''i 6 ..2 i 7,'4 10.00
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Name: Environmental exhaust and ventilation
Range hood /other kitchen _
e • ui ment 10.00
Address: q P
Clothes dryer exhaust 10.00
City/State/ZIP: Single -duct exhaust (bathrooms, •
( ) Fax: ( ) toilet compartments, utility rooms) 6.80
Phone: 10.00
_x.. ',a ,.;� ,.:�,,:t��..::. ^. a ,.. ; , ,.,. #b � ,.. , , ., � b - �a�t. t�r�:;�;..�,.. ��a�lis ,:' :, " " r „ Attic /crawlspace fans
WO 'i6 , ' trt ”' ,fit s �; k t it r � " a" 1 li O 9 k'-tl r • ' q ^,
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irv.hU, ::, �, a(� a1;t,..,�•.a.. rJ_�rsnr�, �_,:;� -,«� ; Yrr +is'��. � $� .,-M lw Other: 10.00
Business name � � ,, r'A 's e r"4 -z - Fuel piping
Contact name: i '' $5.40 for first four; $1.00 for each additional
, � ` ° Furnace, etc.
Address: /33, II tT ir) ., . Gas heat pump
City /State/ZIP: r --,414,01 d,t„01 C r 972 Wall /suspended /unit heater
Water heater
Phone: ( .dam) "'0 I Fax: : (143)/3144/3 Fireplace
E-mail: Range
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�f 'fi g ;; Barbecue
4 �.ti .,:� .!, 5.:: �r r Clo d er as
Business name: it)," er ?tia i".� f ,,. - - ' ` e ' Other:
� � \ e} V ° � ,F ° "al,iltryrr i7 H`ua• i, , :.. ,. r.:fn.i
Address: >t"a�,�"� � j?�eta� - s !� .� �4'A� � ° �
ER 1�C'>•` i'� � ^ .,.:! j ,.
Subtotal <
City /State /ZIP: /' , ,/' Minimum permit fee ($72.50)
x
ax: ) .. d ` i (25% of er
Plan review p ermit fee) -
Phone: (4-43) ,?9` V F State surcharge (8% of permit -fee) /90 . (p g
CCB lie.: _ <r TOTAL PERMIT FEE (S� •
/ �
This permit applicat expires It' a permit is not obtained wi n 180
Authorize ignature: //
// / . Fee methodology set by TH Building Industry Service Board
I Print name:
QJG � �- Q 1y� /2-2 G �� Date: �✓ 6 �
1
CITY OF TIGARD
, 0
BUILDING DIVISION PERMIT #: MEC20g7 00192
1 13125 SW Hall Blvd., Tigard, OR 97223 ATE ISSUED: 4/9/2007
Phone: (503) 639 -4171 / emu
Inspection Requests (24 Hrs.): (503) 639 -4175 �. _ ' AI
INSPECTION WORKSHEET FOR DATE: 5/11/2007 TIME: 7 :01AM PAGE: 55
SITE ADDRESS: 10260 SW GREENBURG RD 720 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: EMC
DESCRIPTION: TI - modification of existiri VAC system. roject Value: $11,975
NO PLAN REVIEW REQ
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 5/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 048139 -01 503- 572 -1638 N
Corrections /Cqm -nt /Inst „ctions: (for . � R. � f IFAIAA AA i� r 1 t2AV Af 2 r .
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9,? ....„...,.........,.„,,...,... .--
, ( 1 /14
SS PARTIAL APPROVAL ❑ CANCEL 1 1 NO ACCESS
FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: V` A? Phone #: (503) 718- 2 Y
• .
CITY OF TIGARD •.
--_. BUILDING DIVISION PERMIT #: MEC2007 -00192
13125 SW Hall Blvd., Tigard, OR 97223 ; DATE ISSUED: 4/9/ 2007
Phone: (503) 639 -4171 141 blji l
Inspection Requests (24 Hrs.): (503) 639 - 4175_!..
INSPECTION WORKSHEET FOR DATE: 4/24/2007 TIME: 7:01AM PAGE:
SITE ADDRESS: 10260 SW GREENBURG RD 720 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER /LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: EMC
DESCRIPTION: TI - modification of existing NVAC system. Project Value: $11,975
NO PLAN REVIEW REQUIRED.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 4/24/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 047058 -01 503 -537 -9411 N
Corrections /Comments/ Instructions:
•
Q PASS - ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL L FOR INSPECTION ❑ ADDITION! L FEES , SSESSED
Inspector: Date: Phone #: (503) 718 - u►'