Permit ra An CITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00614
n DATE ISSUED: 9/28/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1000 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Add: (6) supply grills, (1) vav box, (1) T -stat. Demo: (3) grills. Relocate: (1) grill, (1) pneumatic stat.
Valuation: $3877.
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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: • FEES
EQUITY OFFICE PROPERTIES TRUST Description Date Amount
ONE SW COLUMBIA ST #300 [MECH] Permit Fee 9/28/200E $116.20
PORTLAND, OR 97258 [MECPLN] Plan Rev 9/28/200F. $29.05
[TAX] 8% State Surchaq 9/28/200: $9.30
Phone: Total $154.55
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97220
•
Phone: 503- 331 -0234
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: Permittee Signature:
Call 503 - 639 -4175 by 7:00 a.m. for inspections that b ness 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 Applicatil, e s) FOR OFFICE USE ONLY
City of Tigard Received - ' /
"0- l A Date/By: i
41 SW Hall Blvd., Tigard, OR 97 - - -
Phone: 503.639.4171 Fax: 503.598. 960 ok 10 ligs/4141# Plan Review , ,,,, g m=
, ‘,,
Date/By: VAN 1 a O e t P 4 4 . ---- '41(1'
Inspection Line: 503.639.4175 **? 24 `-' La. A ll Date Ready/By: IEM 0 See Page 2 for
Internet: www.ci.tigard.or.uS ° Notified/Method: Supplemental Information
GN?
O 101
';.*ilittA„alni:WW1 AM: .t.'''A:;' .' .,, :'71 f. 4f.Q14,W.K iWMrKIJEFf,QPKra
0 New construction Addon/alteration/replacement
Mechanical permit fees* are based on the value of the work
IZI
performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ 3 877
114.1•1111.ViltreAtia*Y*7480!"0.0716. i'44:1*-:: *:: :''• - . 4,„.,---,,,..„
4
,,i,
El 1- and 2-family dwelling Et Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other:
Description Qty. Ea. Total
IPIPIVen4 INFORMATION iir■tictbeliti5MW:::golaf' OR Heating/cooli
Air conditioning or heat pump
Job site address: 10 5 v 1 Greenbn RA (requires site plan showing placement) 14.00
City/State/ZIP: 1 yk 0 f< 9223 Furnace 100,000 BTU (ducts/vents) 14.00
.
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 54 , 1 000 Project name: C0 e r - inelliClal -
Gas heat pump 14.00
1 I
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
. - - - - - - .S. •
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
i)E861(114161ISF4ORK ----- ZFF: ‘::;,,A-,: Water heater 10.00
Gas fireplace 10.00
All C pew s 1th s../ fireplace , A4-j 01 I Aft. vAv &)c, 414 Flue vent for water heater or gas
./ fireplace 10.00
et
I n,/ 1 - 5 f / aet- 'I p
s pi 5r 11 s Re 0 i
,-, 3 ■ / Log lighter (gas) 10.00
Ss-p 5 is li
t , pc/. ( onevAwric s-i,k4 add( Wood/pellet stove 10.00
aUCAlOotk - f - 4 if Ati,,/ s'--.6,11es Wood fireplace/insert 10.00
Chimney/liner/flue/vent 10.00
'"-'""'' ' ':€8 ;;;' '44' ,i '
4talitliPOTMF:TY.19.1z0101 N
0*,:; galitiviz,mo.m.!.„.,- Other: 10.00
Name: Equity Office Properties Environmental exhaust and ventilation
Range hood/other kitchen
Address: One SW Columbia St. V Soo
equipment 10.00
City/State/ZIP: Portland, OR 97258 Clothes dryer exhaust 10.00
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
AiiitiasDite* w Attic/crawlspace fans 10.00
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Jason Carver $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 12021 NE Airport Way, Suite 'G'
Gas heat pump
City/State/ZIP: Portland, OR 97220 Wall/suspended/unit heater
Phone: (503) 331-2461 Fax: : (503) 331-6906 Water heater
Fireplace
E-mail: jasone@mckinstry.com Range
'&''5,45
la;:; : "' A451*git,441 Barbecue
Business name: McKinstry Co. Clothes dryer (gas)
Other:
Address: 12021 NE Airport Way, Suite 'G' * 4EEW
City/State/ZIP: Portland, OR 97220 Subtotal I/ tc LO
Minimum permit fee ($72.50)
Phone: (503) 331 Fax: (503) 331-6906
Plan review (25% of permit fee) LI. 0,1
CCB lic.: 40891 State surcharge (8% of permit fee) 9,10
6. TOTAL PERMIT FEE
Authorized signature: /71 crr
This permit application expires if a permit is not obtained within 180
.4 " I ''''' -------- -
/ days after it has been accepted as complete.
Print name: Jason Cidver Date: * Fee methodology set by Tri-County Building Industry Service Board
i: \Building Termits\MEC-PermitApp.cloc 12/03 440-4617T (11/02/COM/WEB)
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: /1 Z- Z-4 3r — c'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1--/ Phone: (503) 639 -4171 I 1 / i ll ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /0 Z 60 SCI A o' acE 6 A SJ tr - C - food CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CQO QTY erP.0 PR-ort PCS 'PnIST
DESCRIPTION: 1 JcX c.to IL Fu /A-C.
11Cr'Z- ^1 t cia= L_ i% /M 4
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
(.)`?? eftFWL recS 2 ®G y
S7o 305 e- A
Corrections /Comments /Instructions: ,A.tK6-
i I * -I-f s * A /
V '/ , \. \.,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FE ASSESSED
( 0 4 •
Inspector: / Date: � Phone #: (503) 718 -