Permit CITY TIGARD MECHANICAL PERMIT
,:4111.11 COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00405
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/8/2008
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PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 305 ZONING: C -P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: REACH LOCAL
Project Description: TI. Valuation: $7,796.00.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: 5 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: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
SHORENSTEIN REALTY SERVICES Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 8/8/2008 $191.90
[MECPLN] Plan Rev 8/8/2008 $47.98
[TAX] 12% State Surch 8/8/2008 $23.03
Phone: 503- 412 -4800 Total $262.91
Contractor:
AMERICAN HEATING INC
, OR 97722 02
PORTLAND, OR REQUIRED ITEMS AND REPORTS
POR
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
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.
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Issued By: .� � ` Permittee Signature: (Ao / //4 "C 4 c,
Call .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.
(o3cx.), a.A.) 6rrrA/51 i1.
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Mech Permit App • ,-; *ai , OFFICE USE ONLY ' : - —. - -; .
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City Of Tigard
c\ 4,, Received
0 % *Pi Date/By:
1 3125 SW Hall Blvd., Tigard, OR 972 ". % • , Affirlir?-111 Permit No.: erec
Phone: 503.639. Fax: 503.598.19 0 V,\ Plan Revi a I IIM Other Pennit:
e See Page 2 tor
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Inspection Line: 503.639.4175 . i\ tteil.;q, Ilit
C5 ..* AL• ' ' I Date/By: _AD ,..._
Date ReadY7Byt Juric 0
Internet: www.citigard.or.us 4,. ..k• cl. 4 ,......... ....
Notified/Method:3yr u r ery rm.: Supplementai information
C> # p 1974rtt
li'laif.." 4,101,`,.,'''::;-?.aiikit'llf.S-41'.,'''',6,1Z,1.;MMIOVIATIO:004 ik0:100*-,i':".4gC§00:146E.44.001:qql*
0 New construction dition/alterati on/replacement Mechanical permit fees* are based on the value of work
performed. Indicate the value (rounded to the nearest dollar) of a ll
0 Demolition Other: mechanical materials, e ui ment, labor, overhead, and profit,
1,4#140.-. -erropLIRP.gRovameittmwt_xay..wpfa*91,-.Az,4-,z, . . w:13 vo owm.; vaqftw.lipirawarpef 7 Value: S *7 7 6, ,
11 ..4I r,%. „ ' . ' YAK. " 1-1 e:' 0 ,g4 410 i ,4 a ,.: '-a4 • t 14. . ■.! tat Utelf1117.;dt,) 14eKtitj:',1. , , , 7:04 . :
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C. 0.1;"-:: ..:i , Y ..,.:..a ,
0 1- and 2-family dwelling j ommercial/indus ? trial 1:1 Accessory building ,., '
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For special information use checklist
0 Multi-family 0 Master builder 1] Other: Qty. EalliFT .
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Description
killinalagratan11: V 0 ( OI L i °, ,ZhnientarAgenim, El e a tl n p)co o I 1 n g
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' A.ir conditioning or heat pump
Job site address: ‘ 0500 5 u._.) (; tvai-Lbut V- d (requires site plan showing lacemenl) 14.00
City/State/ZIP: ._-----t.
( k aCCr & ( 0 g•-• Furnace 100,000 BTU (ducts/vents) 14,00
Furnace 100,000+ BTU (ducts/vents) 17,90 .
• Suite/bldg./apt. no.: 6 e 1 Project name: * Qt2(1_ Cc, c_4 ( 6)., . 14,00
Gas heat pump
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Cross street/directions to job site: i..s.(\664\ T" 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: V i Lot no.:
Other: V 10,00
Tax map/parcel no.: Other fuel appliances
17K001107041''' pirgtWii7nra'WAFSWIW-WWW-MIX4 WA•Vg3WWW1 Water heater 10.00
thIli 4152 ' I°P i 4..46 11 ' t ' %i&';'1 ..Mitglak,brig#A,4,MagMitradaWYAMalattgariblette A ,_ .
Gas fireplace 10,00 _
t c e w \ liLt (?Ve (ZC 4 ci- Sck-Ld . Flue vent for water heater or gas
), Ai 1 V k,L c* (kIVQC-Il.e&-tc" C) fireplace
Log lighter (gas) 10.00
10.00
Wood/pellet stove , 10.00
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. V Wood fireplace/insert 10,00 Chimne /liner/flue/vent 10.00
Iwo 0 dti 1 ratlau.,-iw.vuir2lwassvomiparsompr 7 an! 1 exiiiv 4 , a . ,, ,, . i sm ., t , ,
4.0.;, -, ,!..7,64 • ,, takViakabilgillairEgianddlagMligillM; . , ,J.5164ML .10 q1W1V N ' V" %, Other: 10,00
. . W-net - Environmental exhaust and ventilation
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Range hood/other kitchen
Address: e.ui.ment 10.00
City/State/ZIP: • Clothes d er exhaust 10.00
Single-duct exhaust (bathroorns;
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
-1470711,* i il 812" rfeingErVt ilipreVAIRM Plett * s - i . - .r '7 q/r5 . ." 6,'" r : t • k ' rt Attic/crawls .ace fans 10.00
'v ' ... ati,,,-..; !' ,i.,(,,,,Ait,,,,!' ,vev' 1, ': oY,; ilt " v .. '."6,,J ;:rk :',, , :.1.■ '..:% ! 0 . then - 10.00
Business name: 6 MQ,(( Call 'd-7 'LI( , Fuel .1 in:
3 l
Contact name: DOS_Q tka)k ru • 55.40 for first four; $1.00 for each additional
Address: 1 C I S- 6l A P-bn S' Furnace, etc.
1211ErrM■ .
City/State/ZIP: Ti) (N4.-( an a O. ci---)'?-0-).- Wall/sus . ended/unit heater
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Phone: (5))) - ,
'd•rN Lo() Fax: : ( p) ....---RaS, Water ace heater
Fire.l
E-mail: Ran:e
Pr 4:01, 44,:frogolymt,aircrog,04 r „qh.,:lAuvr.-?ri ,,Y::*, Barbecue
, I.ILA'... , lAittilffiti I Aj. ti:111P i'L:'.:il. w •Ipit. .. ■!idg.af ,. "' ' . Pd ..,' '' agt4i
Clothes d er as
Business name: A coat --a -)g , la( e Other:
6 Address: I •3c1 S CIJ byt. 9-1 F,,!, Tit , ..,, , s4., , ".., Xf.hs'' An lt .,!•;' ^ . '. : I:
City/State/ZIP: \ tj4 F__ on 0D- Subtotal
Mmum permit fee ($72.50)
Phone: ((f))) ").3Ci (4,C, 6 0 Fax: (Sp)) 2,?...p...72,- .
Plan review (25% of permit fee)
CCB lie.: - \ ."k.c • State surcharge (8% of permit fee)
TOTAL PERMIT FEE
This permit application expires If a peernit Is not obtained within ISO
Authorized signature: bYLAYLA_ 4 ,,1 ,...., 1 days after It has been accepted as complete. ,
( — - 1 -- — I r-,,,.... 94 . _A i) 1-S s - , ;( I . Per methodology set by Tri-County Building Industry Service Board
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CITY OF ' -
��mm o n�`o TIGARD ` .''
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BUILDING DIVISION - PERMIT #: ME{2OU���05
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| 13125 SW Hall 8|vd,Tigard, OR 97223 ,'� DATE ISSUED: 8Y8y2008
Phone: (503) 639~4171
~ Inspection Requa� � e4Hmj:(503)G3Q4�175 �� i '
INSPECTION WORKSHEET FOR DATE: 8/28/20 8 TIME: 7:00AM PAGE: 47
I SITE ADDRESS: 10300 SW GREENBURG RD 305 CLASS OF WORK:
1
1 SUBDIVISION: LINCOLN LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: 11. Valuation: $7.79$.00.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 5I3-412-4800
CONTRACTOR: AMERICAN HEATING INC PHONE #: 603-239~4600'
Inspection Request Scheduled For: Date: 8/28/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
899 Mechanical final 074760-01 503-780-3222 N
Corrections/Comments/Instructions:
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� PA—''d � PARTIAL � CA�CEL � NO ACCESS
���� �� / . ��
0 FAIL ' CALL FOR INSPECTION E ADDITIONAL FEES ASSESSED
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Inspector: Oate� �� ' 0/. ; Phone #: (503) 718' 7,6 ci
`, ` 14%,,
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CITY OF TIGARD • .r
BUILDING DIVISION PERMIT #: MEC2000 -00405
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 01t 200 3
Phone: (503) 639 -4171 �0�"i"'YIi��iI
Inspection Requests (24 Hrs.): (503) 639 -4175 _.„..,34-.
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INSPECTION WORKSHEET FOR DATE: 8/7112008 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 10300 SW CREENI3URG RD 305 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: REACH LOCAL
DESCRIPTION: 7°I Valuation: $7,796.00.
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #: 603- 412 -41300
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503. 239 -4600
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Inspection Request Scheduled For: Date: 8121/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 074466-01 503 -209 -1389 N
Corrections /Comments /Instructions:
/ de/ -k - Q (O v ., 3 .e__ - `u co - P d +- cD tR Vk
Jo r F 1
Sec L All 0 -Of vSe,- (-4-0 T y r ■ c) . .
"P - ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: p S Date: a2/i/u) p£S Phone #: (503) 718- 2 `/Z3