Permit CITY TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2004 -00546
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 8/12/2004
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 810
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: Install (6) return air grilles w /sound boots and relocate (2) pneumatic thermostats.
Project Value: $1,992
Owner: FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
10260 SW GREENBURG RD #100 [MECH] Permit Fee 8/12/200 $72.50
TIGARD, OR 97223 [TAX] 8% State Surcharl 8/12/200 $5.80
Phone: 892 - 2500 Total $78.30
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD
PORTLAND, OR 97218 REQUIRED INSPECTIONS
Mechanical Insp
Phone: 331
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 rul- e • irect questions t. OUNC by calling
(503)246 -.2
1 4/4
Issued =y: , frm• / ail t . ' Permittee Signature: ,r
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next busin-
Mechanical Permit Application FOR OFFICE USE ONLY •
City r if Tigard Received permit No.: �/ �// '/
13125 SW Hall Blvd., Tigard, OR 97223 Date /By: / p,1 A Y7� �pY'OD ST
, �j ,
Phone: 503.639.4171 Fax: 503.598.1960 //r0M tl Plan Date /B : Reviewer IZ� / Other Permit:
Inspection Line: 503.639.4175 _,l Date Read /B M ® See Page 2 for
Internet: www.ci.tigard.or.us ���� Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ Mechanical permit fees* are based on the value of the work
New construction Z Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 1.992.00
El 1 -and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
y g ® Commercial /industrial ❑ Ac cessory building
❑ For special information use checklist.
Multi-family 1=1 Master builder 1=1 Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
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.: 810 Project name: Mortgage Express 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
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Install (6) Return Air Grilles with Sound Boots
Flue vent for water heater or gas
Relocate (2) Pnewmatic Thermostats fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER ® TENANT Chimney/liner /flue /vent 10.00
Other: 10.00
Name: Mortgage Express Environmental exhaust and ventilation
Address: 10260 SW Greenburg Rd. , Suite 810 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
El APPLICANT ® CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Earl Salsbury $5.40 for first four; $1.00 for each additional
Address: 5400 NE Columbia Blvd Furnace, etc.
Gas heat pump
City /State/ZIP: Portland, Oregon 972218 Wall /suspended/unit heater
Phone: (503) 331 -2465 Fax: : (503) 331.6906 Water heater
Fireplace
E -mail: earls @mckinstry.com Range
CONTRACTOR Barbecue
Business name: McKinstry Co. Clothes dryer (gas)
Other:
Address: 5400 NE Columbia Blvd MECHANICAL PERMIT FEES*
City/State /ZIP: Portland, Oregon 972218 Subtotal
Phone: (503) 331.0234 Fax: (503) 331.6906 Minimum permit fee ($72.50) / • 5 7..)
Plan review (25% of permit fee)
CCB lic.: 40981 State surcharge (8% of permit fee) 5, to
TOTAL PERMIT FEE ?g .30
Authorized signature This p ermit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Earl Salsbury Date: 08/10/04 * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440- 4617T(11 /02 /COM/WEB)
CITY OF TIGARD 24 -Hour
BUILDING - Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
�
BUP
b r
Received Date Re•uested /3 AM p PM BUP
Location /U a o 4 -� i Suite n MEC .20e -5a
Contact Person e Ph ( ) 57 7 9 7S PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ,)1 a \ q 2 A.,.-4 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
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
•
Roof
Other:
Final j • I
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
Smo a Dampers
na
ASS PART FAIL
ICAL
Service
Rough -In I MA Il
/ L w Vot ge ��`I 1' , WWI
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE 0 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