Permit „ CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00099
TIGARD: 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/26/2008
PARCEL: 1S135AB-01003
SITE ADDRESS: 10300 SW GREENBURG RD 530 ZONING: C - P
SUBDIVISION: LINCOLN CENTER /ONE LINCOLN LOT: JURISDICTION: TIG
PROJECT: HARRIS & BOWKER
Project Description: Relocating grilles and diffusers and adding (2) new return grilles. Valuation: $1,963
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 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: 0
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SHORENSTEIN REALTY SERVICES Description Date Amount
ONE SW COLUMBIA ST #300
PORTLAND, OR 97258 [MECH] Permit Fee 2/26/200E $72.50
[TAX] 12% State Surch 2/26/200E $8.70
Phone: Total $81.20
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
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.
Issued By: Permittee Signature: gr4 6/ M�► / h C � P�
Call 503.639.4175 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.
Mechanical Permit Appl enito(n�..1 yje •• FOR OFFICE USE ONLY
i u ` r O Recei la g 1 ,._
City of Tigard r � 6p r 6 Date/13y: : �4
13125 SW Hall Blvd., Tigard, OR 97223 G ba i ! Plan Review Other Permit: =k
Phone: 503.639.4171 Fax: 503.598.1960 � � O - <u ,i i l( 1 :�) `+� t w Al D ateBy: '
Inspection Line: 503.639.4175 ,• :�� Date Ready Ready/By: Julie: See Page 2 for 0
Internet: www.ci,tigard.or.us J' ® t Notified/Method: Supplemental Information
t` 1 "" +• ;• • :, „ U_SECIi_ •• - ,,- IST
- E. S.CHED [I1;;
,„ spa:,' (' RCIAL FE
[ New '' i p , } e `1`� _a. Mechanical Performed. Ip Indicate hs are based on
the
od to value of the work
• ,.. �::_ �,;,.; :.. - . :,., rr. »..•
New construction ►�'?:ddition/alteratlon/re lacem nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
vw;:. a 1ss-;M�f,,,� ,:, u w. :,, a �•; ; FZ: Value: $ l �D�
It itir : =.a'' r a ' €t"l
1<� :,. „s.. a ' .,r,,.,..,.; ,; - ,' . s ,, N, *
BGpR
{ 3i' S: isr:;, ?�a ;'ali,K:�: „ a �. r .; . et4s.,:ar,,.- �t *.`�? Sit!:,,, et'.•.,. :�:,,c,t: =,,,.,. .•��,.. ..l k, ,r. .IP - 1VIE1`IT(S�ST'F'IYISFD'�'
RE SIpEN:I' `��
❑ 1- and 2- family dwelling 3g Commercial /industrial ❑ Accessory building For special information use checklist, p _
[D Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
:F: ti:n :efs;MMi,"r•S:1',:,,w'!t.' :: "t 1::u'A:S. ".a:: v.,�, x,t,�l:.� >� :MS;:. ii - ::,1 C %�:i ��•:7. _
:N IVAl,^:rr.tpl ;Pall,.., �; ," :i f�° s , : „�, ,.! ° r , ru,, l,•"•% :', Heating/cooling • T-71 r:. ' 1 ri: f t,.. t :,>,:. J . :8.� '. rF0 '„,,,`,, •A D •'rs'O. 1Ti .. ,,
"�fa 5:ri ', : 4,.- :ii.r;i' ": „ r , Qtis� •G , : u ,,�.,:, : ': r, :, r:. ,�r1 , ,. !. , , „!..
,�, amp„ s.' �1.,,, a „a.;.:��.�1,�r.;.r.<<,�': .. , ;r -�'r' Air conditioning or heat pump
Job site address: 1 0300 a.) a cetyl,(Q cc (requires site plan showing placement) 14.00
Furnace 100,000 BTU (ducts /vents) 14.00
City/State /ZIP: - 1 --- , (p 0(� 0
t a t ` Furnace 100,000+ BTU (ducts /vents) , 17.90
Suite/bldg. /apt. no.: 530 Project name: I i A 1 L s vow F oC�iI Gas heat pump 14.00
,1 n y � I , ` ,, Duct work 1400
Cross street/directions-to u directions to job site: 14.00
Hydronic hot water system _
• 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
el
^ ;, 7� °'1 " " Water heater 10.00
# �, %-'',,. t ,;,. '; y „ex.,stE�vz :4; ,w °.• rrtlx, . a •x 7 3aes � r� >r, " "' r�.�.'� °TkG�, F , .,i�f
;7,5 •'ri r, „ir';gsshfiZt�c...,r, jt - - . U , ,.4 a # � ,.j.� �j g`e tf if •a
yy,, ir�,•. lo.oa
n " E.brty , n,,,, , F. N ( ,3 B. � N•I " m,, h`q -.,:m A i'h.w.,,h''.1;4;,• {,>'.4:,.It.
�, . Iiit� }�i ':rt i ���.s��:r*�,,:�.�;� , k� Ju;,a , �r„ r,;:,ra;K:. '��.'k;; � ,:.> Gas fireplace
�� j • 14 . i `J Flue vent for water heater or gas
/ \ �`�" ' t
f �+���� - fireplace 10.00
C ad AV 1 0 O-L { lam]' Y \. I OA - Log lighter (gas) 10.00
U Wood /pellet stove 10.00
- Wood fireplace /insert 10.00
C /liner /flue /vent 10,00
p,. � " }�� , .� "5•• ''. 7 + ck.Lly:ng +,k1'gi','.i,J I, n:," {.K: - . i, 1 • ,, jh ',
:,yy:y gi.t l t t` "� .... , k w ..yAi'• y k :;1'3 ; ii� },� js,• , o ,,.; ' " l , e
7 ,` 'N'':'}'L�f,l'�� r V! s.` ' t { p , , .It ! lk ,, - ,, .l,.1,, i, } n ik Y�r r F 1�.�0
�+��< ,,d: : O *. ?41, `sk?; :cai l 1nt ,.I AA4 rf O ;MA;',ik..,,,,., l,,,, ,, O >{t. Other
`?'�7�w � * ���i� ±tAlji„�:...to,Gf., -nw+n M n Nsx ,Ir rw t! '1U' d '
N•.r Environmental exhaust and ventilation I I 7- _ .- --- _ •- - . • • - • ^_,nge hood /other kitchen . -- - , •
Address: _ equipmen 10.00
• Clothes dryer exhaust 10.00
City/State /ZIP: - Single -duct. exhaust •
(bathrooms,
• Phone:
( ) • Fax: ( ) toilet compartments, utility rooms) 6.80
�.,. b > .
,.y :, •,.e , ;:. 'n i p3: r n:,TM; u' 'F.: ° r ,ztr,' <' n , ; , , x , a ,, r; Attic /crawispace fans 10.00
M 1 I,8 ,t3': ,4 -' r, t 1 G !Gn ,' a° a - RSQI :c �^': c
Scat s G;)i4c j'' •`t, 4 llF, ° ,, r :i iii., w,.,';,.,.., e4 .. .,;c: n , i' , V410 ' 10.00
i iii., t; m ,,,4x..,li.��,rat.a.s,'- ,,.,. h.,,,,,.t.� c sra ` . 1llVt�.. l „et6'.; �t r, l Other:
Business name: A (t aft 64! n ` - �(, Fuel piping
• Contact name: �� ��� _ $5.40 for first four; $1.00 for each additional
111 Furnace, etc.
Address: i ��� S� j �� p - _ Gas heat pump -
City /State /ZIP: 'v (4--( d, Q. ( Q 617 a'(�� Wall /suspended /unit heater
�jj,, dd�� /` � Water heater •
Phone:) �J'I- Fax: () // I �l/ ) l0 .
Fireplace
E -mail: Range
..- - ,t':r,,; ,.�° n. a 1,. " ,:i.•` «y �; a „,w'� .:% t : i ,„ :41) . „ 4, - -. .!'R>t.''hi „'i Nirl "F1g Barbecue
ref), "au'- h !�, '' '• i;„ � tl
a 3 ®, � � ' , � "8 u. M:. w�.j�"` -.�'• �': G�fq s5 "�w"
1: 06,-, 1 ' *. omoli'fe w n )ld r- t o t r W' ' . 'ttsu , ' 3 .; d.:41 - 1,. ,.q. a ..;,�.ss .;.'1'r t,::ix ii.v,.
. �' ll1ui.' , �{lS4 „: E , ,} na. � a � u� � c ,.+1 ..a: a. �a:, .:
Clothes dryer (gas)
Business name: (�t�1� Y ���� a1- � 9 t ��� l Other:
f 39 ∎ (q_ i A ail Ski u1M11F� ;01, :, ,.:;' ,01. I ., , ' .
it :3„1, ";x:�•� �r�} Y � fr• W . . a .
-
Address; � ,g:'�uCIemSSI: ,;,M;�li4nYF n - .: <,nn,
�r - 'l.�l ( of 0 a Subtotal
City/State /ZIP: t
Fax: )
+r , o b 0 �y Minimum p fee ($72,50) 7�,
Phone: (�(. �3� `'tx a �� D Plan review (25% of permit fee)
CCB lic.: '-33 1- l' to%k Y /O? State surcharge (8% of permit fee) .76
C � � TOTAL PERMIT FEE
Q�/�
This permit application expires If a permit is not 180
180
Authorized signature: bl , t/` days after It has been accepted as complete.
I v �n1 G Fee methodology set by Tri- County Building Industry Service Board
Print name: � . }� m - TV r / b Y1 Date �pt ; J �
. • •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2008-00099
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26/2008
Phone: (503) 639-4171 tifin
Inspection Requests (24 Hrs.): (503) 639-4175 -.4 • 1.1.
INSPECTION WORKSHEET FOR DATE: ar '2008 TIME: 7:00AM PAGE: 61
SITE ADDRESS: 10300 SW GREENBURG RD 530 CLASS OF WORK:
SUBDIVISION: LINCOLN CENTER/ONE LINCOLN LOT #: TYPE OF USE:
PROJECT NAME: HARRIS & BOWKER
DESCRIPTION: Relocating grilles and diffusers and adding (2) new return Ones. Valuation: $1,963
OWNER: SHORENSTEIN REALTY SERVICES, PHONE #:
CONTRACTOR: AMERICAN HEATING INC PHONE #: 503-39-4600
Inspection Request Scheduled For: Date: 3/7/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 066251-01 503-239.4600
Corrections/Comments/Instructions:
on PASS P• RTIAL APPROVAL CANCEL NO ACCESS
I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-