Permit CITY T I GAR D MECHANICAL PERMIT
A DEVELOPMENT SERVICES PERMIT #: MEC2005 -00742
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 11/8/2005
PARCEL: 1 S135AB -03400
SITE ADDRESS: 10260 SW GREENBURG RD 1150 ZONING: C -
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT: 014 JURISDICTION: TIG
Project Description: Relocate: diffusers, pneumatic sensors. Install: (20) grilles. Valuation: $3840.
CLASS OF WORK: OTR 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
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 Fce 11/8/200` $116.20
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 11/8/200E $9.30
Total $125.50
Phone:
Contractor:
ALLIANT SYSTEMS LLC
1600 NW 167TH PL, STE 330 REQUIRED ITEMS AND REPORTS
BEAVERTON, OR 97006
Phone: 503 230 - 8991
Reg #: LIC 153420
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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 folio A dopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
throu: OAR 952 -001 -6 H , may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or - 800 - 332 -2344.
I . sued By: L`�1L� :„' Permittee Signature: ‘ j ■
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business day.
is 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.
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Meetlaniial Permit Application - FOR . OFFICE USE ONLY, - _
City of Tigard Received a
e ,, 7 Permit Noone( /JQjI<
13125 SW Hall Blvd., Tigard, OR 97223 " t! ) Plan Review \ CMG W �
Phone: 503.639.4171 Fax: 503.598.1960 u // ii f t\ Date/By: k CI Other Permit:
Inspection Line: 503.639.4175 p ,'! j Jun : ® S ee Page 2 for
p / g
W Date Ready /By:
Internet: www.ci.tigard.or.us NOV `7 1 5 " / Notified/Method: fl g e. & Supplemental Information
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c `r: I t .a -� .. a' ;: €Tl'R EI O 1 r 1 4: ; . c l ,, S 1,C b E R IA v F,EE *, , ' SC�HEDU gsi USE;CHECKLIST
�' >:��S )'a�.�4 ' ,�.,,� .. 2s,3?�„���'aw �.�ati -,� ,f°t� f�� Aa'�s.� �r�. �,.._w� -,a ri -k',.. ,.,�tiF,, � �. .,� ,,•�. ,_•...�,.. rr�x., ,�. �.> ,- -
❑ New construction 1dgi ationfthplacc�inen / 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, Z, overheead, and d, profit.
:fA•, "c•,wia ;+, =.x. txk' ,�,rs w�r.�a. �s�aa± rz-^ T- ra ;u^ Value: $ -✓ " l �s' . C�
Crs014 '' *Var< ,' "" "S AktiG l OF: GON TRi7GT10N �'1 a
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` ,eft+ ¢ , a vs .�.., ^. , , ,x'; �a . , a. «aa r+^ ° ms's, + . a �r s, `r 't L.. -ana� ..'s c i . UI
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RESIDENTIAI:�EQPMEN /'SYSTEMS
El I- and 2- family dwelling ommercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
:. :.sir �'.;p.:a ^'a l • rsza ,ss•:..^;:_:�^..; cr:;w ^: €;:rqJ r r » ;'i ...
r , ;4�,',, , 3 p+ 1k_JOBt("SITE INFORl 1ATION�AD .If A ; ! , , 9 ' Heatin
�` � �� Air conditioning or heat pump
Job site address - O2(, o �j� J 'r—r (requires site plan showing placement) 14.00
City/State /ZIP: /� L,q�� 2 9'�'�Z j . Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
'Suite/bldg. /apt. no.: � /T _ ;/%1.50 Project name: )QJq1\-) F/A1 Gas heat pump 14.00
Ai
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: 1 Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
. -.`.r �. �§ g t o r "< r.. gy m. s , 4 c tl "R r " a . Water heater 10.00
A� t (. ,. . _� '," :. DESCRBT ^, 4 O E WORK ,. .€ ° 9 ,, : i V i e,'3'1O :1
Gas fireplace 10.00
- r= - . i //� /Pr_s Flue vent for water heater or gas
��- ��I/��c SENSE - fireplace 10.00
— �� t� / Log lighter (gas) 10.00
-- f4S7 C227) r J / / /►2 ii■1U- Wood /pellet stove 10.00
n 12 0141-4- QC= fireplace/insert Wood place /insert
r
Chimney/liner/flue/vent 10 00
}r , �i RTY D ., O WN ER: , 11 , ® s T ENANT . Other: 10.00
a _ . ., �.< - F,> �. � vs PROPE xs e�'!:r . ..a.,._.K -... ra?rr,a, m& , �,ti �P.r.. .o , s_ - .. , -..e.+ : .s.. �. - � ,.:. _, .
Name: J - Tr. - 1 t9i -G ((Loo 7 ^ � , _Environmental exhaust and ventilation
t 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 •
`' { ,an.,,;=,ae, ,ak i 'rO4 ;:�, C1 10.00
�-k,ri,�.; =;,,:;.:.,'�„e,. ,;. ��,:, . :�„.,:�. "a ;,�:: - .. .... `'a., ., �`�� >, Attic/crawlspace
€ k= w Ts li . .s. APPLI�ANT ICIE ; , `* � , ®, CO N TAC T PERSON �,,,
Other: 10.00
Business name: A,_,_,,,,_,-„--__1_,_,./......, Fuel piping
Contact name: 1" (6..1 jG(571---- $5.40 for first four; $1.00 for each additional
1 A-t O
Furnace, etc.
Address: I L (,'� , Gas heat pump
City/State /ZIP: - (f , e2yZ___. 1 Wall /suspended /unit heater
(6-0) 1i .0° el qi 6((r6)2 p Water heater
Phone: Fax: : � O^ � ZJ
Fireplace
E -mail: - Range
�., . € °...�a,. _ :z.;:,-;a �::*,; `;?? r5`q;7t. ';g's .
� "';? ;;� �;! ;'( '. >,. ' ;" atr "- . . . Li , mss. ; . .f.:,�a -, , Barbecue
���..�,.r�, . �... �..,?., �1��'' �. g: �4CONTR :,�, ^��,�����.a.s��s�tie�� �t�:�1r3�1!� ._� t. , .4: >i.
Clothes dryer (gas)
Business name:
Lv1 AN...) \ — Other:
Address: ; 4 ',0:, ''is 4aM CHANICAL`rPERMIT °FE'ES *: )` : ' i :'
City/State /ZIP: Subtotal n
Minimum permit fee ($72.50) //O. AO
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) .19"
CCB lic.: /" f 2_0 State surcharge (8% of permit fee) Tv
4 TOTAL PERMIT FEE 40
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Authorized signature This permit application expires if a permit is not obtaiwithin 180
� � 1 ' \ days after it has been accepted as complete.
Print name:
'1 GAL ��,( Date: I t - 1 I 111 flS * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM /WEB)
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Mechanical P rmit Application - City of Tigard
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Page 2 - Supple ental Information
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Commercial Fee chedule: . .
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;:ir .. , .,-1..Amp,,.t.i_,:-.; , 6 , 7 ,, ..4 , ,;.,.0ww,:x. , K,.„
iati4..741natton:L:., y
$1.00 to $2,000.00 Minimuni fee $72.50 . .
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2 .0
for each additional $100.00 or frac on
thereof, to and including $5,000 10.
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$5,001.00 to $10,000.00 $141.50 for the first $5,000.01 and
$1.80 for each additional $ 10.00 or
action thereof, to and - ,, luding
', 0,000.00.
$10,001.00 to $50,000.00 $ 11.50 for the firs ',10,000.00 and
$1. for each ad' tional $100.00 or „ ..
fractim thereo to and including _ „.. __, , • ..- -;.. , - . ' =.' - : .. 't..5,:"' - ■'12 - sT4',,::,1 _
$50,001.00.
$50,001.00 to $100,000.00 $771.50 .11 the first $50,000.00 and
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$1.25 fo -1 ch additional $100.00 or
fractio 5 the c of, to and including
$101,000.00.
$100,000.01 and up $ , 96.50 for thz first $100,000.00 and
:.1.10 for each ad: 'tional $100.00 or
fraction thereof. '
Note: All new co s mercial buildings require 2 ets of plans.
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i:\Building\PermitsWIEC-PermitAPp.doc 12/03 , 2
CITY.OFTIGARD
BUILDING DIVISION
A64 PERMIT #: MEC2005-00742
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2005
Phone: (503) 639-4171 "tiiii
Inspection Requests (24 Hrs.): (503) 639-4175 ,_.. ..„.14r _J—
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 134
SITE ADDRESS: 10260 SW GREENBURG RD 1150 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: OBSIDIAN
DESCRIPTION: Relocate: diffusers, pneumatic sensors. Install: (20) grilles. Valuation: $3840.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: ALLI ANT SYSTEMS LLC PHONE #: 503-230-8991
Inspection Request Scheduled For: Date: 11/14/2006 Pour Time:
Code # Inspection Description . Confirm # Contact # Message
615 Mechanical rough-in 021073-01 503-780-3222 Y
ikliZi l E.—
Corrections/Comments/Instructions:
,..----
Ar - 014
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I 2 PASS ri PARTIAL APPROVAL 0 CANCEL n NO ACCESS
I FAIL pi CALL Fe ' INSPECTION 0 ADDITIO AL F S ASSESSED
- ivl
Inspector: Asti_ ' .____
Date: , • If ILI Phone #: (503) 718 •
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2005-00742
D ATE 13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 11/8/2005
Phone: (503) 639-4171 "oplit Id-
Inspection Requests (24 Hrs.): (503) 639-4175 ,._,J11- -n-
INSPECTION WORKSHEET FOR DATE: 11/23/2005 TIME: 7:00AM PAGE: 62
SITE ADDRESS: 10260 SW GREENBURG RD(:1150_2; • • CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/LINCOLN TOWER LOT #: 014 TYPE OF USE:
PROJECT NAME: c0I3SIDIAN 3
DESCRIPTION: Relocate: diffusers, pneumatic sensors. Install: (20) gtilles. Valuation: $3840.
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: ALLIANT SYSTEMS LLC PHONE #: 503-230-8991
Inspection Request Scheduled For: Date: 11/23/2005 Pour Time:
Code # Inspection Description Confirm # - # Message
699 Mechanical final 022311-01 \‘ 503-760-3222
Corrections/Comments/Instructions:
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' c,, 6.1-- r (60.4, ..4 >
I I PARTIAL APPROVAL n CANCEL 0 NO ACCESS
FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
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Inspector: Date: ( ' mr Phone #: (503) 718-
11111111/