Permit CITY OF TIGARD MECHANICAL PERMIT
'Ill Permit#: MEC2020-00463
COMMUNITY DEVELOPMENT
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/16/2020
T E c"° R 9 Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 570
Project: Maxim Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Mechanical for TI: Relocating(7)supply diffusers,(5)thermostats, (5)new return air grilles,and(1)new exhaust
fan in server room.
Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC
5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202-4765 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/16/2020 $311.18
Class of Work: ALT Type of Const: Plan Review 07/16/2020 $77.80
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/16/2020 $37.34
Stories: Info Process/Archiving-Lg$2.00(over 07/16/2020 $2.00
11x17)
Project Valuation: $8,635.00 Info Process/Archiving-Sm$0.50(up to 07/16/2020 $0.50
11x17)
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 1 Vent Systems: Total $428.82
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: --��� �,e „ _ /: 1 Permittee Signature: O� �OG7 C a,49
"` Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received —7,,- j _,,�. ],' �}]%
City of Tigard R `/ Date Bc r�' / 4 Permit No. //rye" aio.ct "�/3
11111 13125 SW Hall Blvd.,Tigard,OR 97223 I I EC E I M Rev ew l { /�
• Phone: 503.718.2439 Fax: 503.598.1960 Date/By By Other Permit: t,,Q„_ Bill
T I G A R D Inspection Line: 503.639.4175 ' I (� Date Ready/By: Inds: U® See Page 2 for I
Internet: www.tigard-or.gov JUL 13 2021' Notified/Method: ?Teo. Supplemental Information
"(I �V 1 '`= l' Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value.$S8,635.00
:=i ' �" 2;i,•c;�' t -, =s^. 4 : & a is - k = RI,SII)f.N 1'IAL EERIPMENT'7 SYSTEMS- ,
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist
0 Multi-family El Master builder 0 Other: Description I Qty. I Ea. I Total
�� µ a .SITF INFORMATION -iV1) 1 OCATION . . Heating/cooling:
Air conditioning 46.75
Job site address:10220 SW Greenburg Rd. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:570 Project name:Maxim TI Duct work 23.32
Cross street/directions to job site: ��/µ�/ Hydronic hot water system 23.32
Residential boiler(radiator or
t C� .r�v r�n.na�s� Unithc) 23.32
Unit heaters(fuel-type,not electric),
/' 7.111-1 4J f, in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK- Gas fireplace/insert 33.39
" Flue vent for water heater or gas
Relocate(7)existing supply diffusers,(5)thermostats,add(5)new return air fireplace 23.32
grilles,(1)new exhaust fan in server room Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWTFI� 11 ❑ TEV YVT ,, ,, r Other: 23.32
'° =. i .1 `- Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
o® = at Ri tr t IVTk1CI'1',,'+ s Other: 23.32
Fuel piping:
Business name:American Heating Inc.
S14.15 for first four;54.03 for each additional
Contact name:Amanda Bostic Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:a.bostic@americanheating.net Barbecue
i 7, s 15TRACTOR 1 Clothes dryer(gas)
Other:
Business name:American Heating Inc.
Address:5035 SE 24th Ave Subtotal
City/State/ZIP:Portland,OR,97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038
State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
��` (j days after it has been accepted g as complete.
Authorized signature: /M`nC—r!/�v/1�AY "`/-/, * Fee methodology set by TdCounty Building Industry Service Board
Print name:Amanda Bostic Date:7/9/20
I:\Building\Permits1MEC_PermitApp 040113.doc 440-4617T(I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
er�if�:�4Ai
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:1Buildiug\Permits\MEC_PermitApp 040113.doc 2