Permit I
CITY OF TIGAR®
MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2005 -00284
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/27/2005
PARCEL: 1S135AB-03400
SITE ADDRESS: 10260 SW GREENBURG RD 1200 ZONING: C -P
SUBDIVISION: LINCOLN TOWER -TOWN OF METZGER LOT: 014 JURISDICTION: TIG
Project Description: Relocate 6 supply cliff., relocate 3 and add 1 Pneumatic Tstats, relocate 1 heat pump. Value: $5759.00
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 [MECH] Permit Fee 5/27/200E $155.90
PORTLAND, OR 97258 [TAX] 8% State Surchaq 5/27/200E $12.47
Phone: Total $168.37
Contractor:
MCKINSTRY CO
5400 NE COLUMBIA BLVD REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97218
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 t 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.
C
Mechanical Permit Applicatio y }£, ,i ra � �R s t .'� rF W .�s f ;
i Received �,���! (E
l 0. of Tigard p r 2 ry IOC [.� 7 / v �Q6 Perrin! No.:� n a �ytYt,-TJ "" ,2-P
t 'l A 6 DateB)': (J CN
13125 S1 `Hail Blvd., Ticard. OP. 97213 Plan Review
Phone: 503.639.4171 Fax: 503 .59E.1960 ^'>o3, . H I Date /By. finer Permit:
section Line. 503.639.4175 {I�. Date Ready /Br: lc 0 See Page 2 for
:met: www.ci.tieard.or.us v i ``"t� Notified/D-lethod• Supplemental information
1 i i _.:0 I• V� b y .t. u
TYPE OF WORK COMMERCIAL FEE' SCHEDULE - USE CHEChLIST 1
Mechanical permit fees' are based on the value of the work
❑ New construction Xi 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: S 7 5
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2 family dwelling g Commercial /industrial ❑ Accessory building
For special Information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Air conditioning or heat pump
Job site address: /02,62c„ S e. C - i 1 i U '.G P (requires site plan showing placement) 14.00
City /State /ZIP: ' q �� L. 9 7Z2.3 Furnace 100,000 BTU (ducts/vends) 14.00
!l t Furnace 100,000 BTU (ducts/vents) 17.90
Suite 1dg. /apt. no.: I Z Project name: e,, i ' ,,, Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hvdronic hot water system 14.00
Residential boiler (radiator or
hvdronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Flue /vent for any of above I 10.00
Subdivision: Lot no.:
Other: I 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Weter heater I 10.00
Gas fireplace I 10.00
S UC Ci t la m p L JpQx_ Q,..., pi_1" +- Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove I 10.00
Wood fireplaceiinsen 10.00
Chimney /liner /flue /vent 19.00
XPROPERTY OWNER I ❑ TENANT
Other: I 10.00
Name: L � 0 1. 4 Pz p j -� n C zoo Environmental exhaust and ventilation
J r Range hood /other kitchen
Address: equipment 10.00
City/State /ZIP: Clothes dryer exhaust I 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT CONTACT PERSON Attic /crawlspace fans 10.00
� Other: 10.00
Business name: \ ✓1 t G k , ..ey cf.„ Fuel piping
Contact name: .J ET 85.40 for first four; $1.00 for each additional
Furnace, etc.
Address: -Z/cJ N (s I c y ,,A.L f g I V b G as heat Bump
City/State /ZIP: pv ...„, �/._ 9 7 Z,' g Wall /suspended /unit heater
Phone: (563) j _ Zt{g0 Fax:: ( ) I Water heater
Fireplace I
E -mail: Range
CONTRACTOR Barbecue
Business name: �/�/� �/ Clothes dryer (gas)
" tC�`^i N���� Other:
Address: G /y c c ,..„(u. ,,>b,,4. glirc>t MECHANICAL PERMIT FEES*
. City /State /ZIP: P � - d 0 '' 7 Z � 8 Subtotal t� y ��%
r Minimum permit fee (872.50)
Phone: (�lO) - 5( , tj 2'-c L/ Fax: ( ) Plan review (25% of permit fee)
CCB lie.: _609 e, / State surcharge (8% of permit fee) _/ 1.9
/ TOTAL PERMIT FEE /6,5? _ 3
Authorized signature:
This permit application expires if a perm is not obtained within 12 / D - days after it has been accept as complete.
Pant name: PA ( � K- � {' , - Date: a7- Fee methodology set by Tri- County Building Indus ry Service Board
CITY OF TIGARD
BUILDING DIVISION . PERMIT #: MEC200 -00284
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/27/2005
Phone: (503) 639 -4171 :milt
Inspection Requests (24 Hrs.): (503) 639 -4175 ... J'
INSPECTION WORKSHEET FOR DATE: 6/13/2005 TIME: 7:08AM PAGE: 68
SITE ADDRESS: 10260 SW GREENBURG RD 200 CLASS OF WORK:
SUBDIVISION: LINCOLN TOWER -TOWN OF ZGER L OT # : 014 TYPE OF USE:
PROJECT NAME: REAL NET
DESCRIPTION: Relocate 6 supply diff., relocate 3 and add 1 Pneumatic Tstats, relocate 1 heat pump. Value:
$5759.00
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #:
CONTRACTOR: MCKINSTRY CO PHONE #: 503 -331 -0234
Inspection Request Scheduled For: Date: 6/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0090601 503 - 572 -7975 Y
Corrections /Comments / Instructions:
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• . •
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h PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAILf CALL OR IN • ECTION ❑ ADDITI AL F ES ASSESSED
■ Inspector: w -twit DDate � `'' Phone #: (503) 718 -