Permit CITY TIGARD MECHANICAL PERMIT
Mt DEVELOPMENT SERVICES
PERMIT #: MEC2006-00028
- �� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 1/17/2006
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PARCEL: 1 S135AB - 01003
SITE ADDRESS: 10300 SW GREENBURG RD 390 ZONING: C -P
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT: JURISDICTION: TIG
Project Description: New exhaust fan, relocate 4 diffusers. Relocate pneumatic stat. Value: $3677
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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 1/12/200€ $111.60
PORTLAND, OR 97258 [TAX] 8% State Surchar€ 1/12/200€ $8.93
Phone: 503 293 - 2745 Total $120.53
Contractor:
MCKINSTRY CO
12021 NE AIRPORT WAY REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97220
Contact #: PRI 503- 331 -0234
FAX 503- 331 -6906
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.
Permittee Signature:
Issued By: �� —! �i_ / 1
Call 503- 639 -4175 by 7:00 a.m. for inspections that bu ' K. s day.
This permit card shall be kept in a conspicuous place on the job site u it completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Applicatin / . FOR OFFICE USE ONLY Received City of Tigard • pgrktitli Date /By: / — I 7 t2k PermitNo.:1 4_,......... 19 #
13125 SW Hall Blvd., Tig. d,,4a'• Plan
Phone: 503.639.4171 Fax: 503.598.1969. 1 , . el Date/By: eview
I Other Permit:
Inspection Line: 503.639.4175 J f� N 1 2006 - /6a .2 :cT� Date Ready /By: El See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
GITYO
TIGARD
CI�bRK :::; . E.. ::.::',: =81011 E#0 F EE* S CHEDULE = ,:USE:CH0,,,< T
❑ New construction ® Addition /alteration /replacement 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, overhead, and profit.
.,. ,. „ - :,*,*** ; , °m : 1;.;i Value: $ 3,677
A ;E.:. SN T <.:tE >>�,- -_.:.
e'� ",', =' e� ;�C T, GORrY:: O O
F C S. .� .
y ..
1 -an 2-family dwelling , R ESIDEN 'TIADEQUIPMENvs)i,sTEMS:FEES r
❑ y g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
. >4 `.;JOi SITE° INFORMATION AND:: °;I • m k',;;.1
= � " = =�� -� � HeatinWcooling
Job site address:..L 111 Greenburg Rd. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State /ZIP: Portland, Oregon 97008 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 390 / Lincoln One Project name: World Savings 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
Flue /vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
E N �OF
Water heater
0
t;,�':<� .; :;. .., �:'. > I = N ° ORK: ..,?:3- $"�si;�i��' .;E�<F�,:-� ..,;,.
Gas fireplace 10.00
Add 1 new Exhaust fan; Relocate 4 supply diffusers Flue vent for water heater or gas
Relocate 1 pneumatic thermostat fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
,;, .•,�3 *' ;3,,, . -�:. •,,,:,..,:... Chimney/liner/flue/vent
`.r�= „' ;' � > -. TEN r��; "�?_� :'< � `��`r Q Chimney
'a� „' ;'4'.: 0 PROPERti: : ::OWNER >; :•- . ,. ® �,: MT,
.. _. . .. .�. . e • ; .,.. �:. °- �:>:_���= .�'_,.,:
Other: 10.00
Name: World Savings Environmental exhaust and ventilation
Address: 10330 SW Greenburg Rd. Range hood/other kitchen
equipment 10.00
City /State /ZIP: Portland, Oregon Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
F l . ti _4 : '° P tI i / Attic /crawlspace fans 10.00
®��-�APPLICANTE� r�, " ® �PERSON.;�
Other: 10.00
Business name: McKinstry Co.
Fuel piping
Contact name: Earl Salsbury $5.40 for first four; $1.00 for each additional
Address: 12021 NE Airport Way Furnace, etc.
Gas heat pump
City/State /ZIP: Portland, Oregon 97220 Wall /suspended/unit heater
Phone: (503) 331 - 0234 Fax: : (503) 331 - 6906 Water heater
. Fireplace M
E - mail: earls @mckinstry.com Range /
.,_ e .,,,.. ., � _ t om•.
CO
Barbecue
Business name: McKinstry Co. Clothes dryer (gas)
Other: / •
Address: 12021 NE Airport Way 3= = ..-s-t:. , 1 :. . _.._. ES .._.�._ ..,,-.,,:.>>. .
v ; GIECHANICAL PERNI�'I '.'FEES *'
City/State /ZIP: Portland, Oregon 97220 Subtotal
Phone: (503) 331 - 0234 Fax: (503) 331 - 6906 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 40981 State surcharge (8% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
6 days after it has been accepted as complete.
Print name: Earl Salsbury Date: 01/16/06 * Fee methodology set by Tel -County Building Industry Service Board
is \ Building \Permits \MEC- PermitApp.doc 12/03 440 -4617T (11 /02 /COM /WEB)
CITY,OF TIGARD
, BUILDING DIVISION PERMIT #: MFC2006-000213 1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2006
Phone: (503) 639-4171 ha
0011101
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: . 1120/2006 TIME: 7 PAGE:
•
SITE ADDRESS: 10300 SW GREENBURG RD 390 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: WORLD SAVINGS
DESCRIPTION: New exhaust fan, relocate 4 diffusers. Relocate pneumatic stat. Value: $3677
OWNER: EQUITY OFFICE PROPERTIES TRUST, PHONE #: 503_293.27,16"
CONTRACTOR: MCKINSTRY CO PHONE #: 503•331-0234
Inspection Request Scheduled For: Date: 1/20/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 025304-01 . 503-205767
Corrections/Comments/Instructions:
• 11
i t rapal•P'.-- ; IP IMF •
ASS I I PARTIAL APPROVAL CANCEL I I NO ACCESS
n FAIL fl CALL FOR INSPECTION El ADDITIONA FEES ASSESSED
1 P1' 111 A
Inspector: Date: 41, AD Phone #: (503) 718-