Permit CITY OF TIGARD MECHANICAL PERMIT
`' COMMUNITY DEVELOPMENT 111 Permit#: MEC2020 00387
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7/21l2020
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 410
Project: CR Mining Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Demo(13)and relocate(5)existing supply diffusers,relocate(9)thermostats,add(13)new supply diffusers and
(1)new return air grilles,install(2)VAV boxes and(1)server room exhaust fan.
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 07/18/2020 $563.61
Class of Work: ALT Type of Const: VB Plan Review 07/18/2020 $140.90
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/18/2020 $67.63
Stories: Info Process/Archiving-Lg$2.00(over 07/18/2020 $4.00
11x17)
Project Valuation: $18,500.00 Info Process/Archiving-Sm$0.50(up to 07/18/2020 $1.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units<10000 cfm: 2
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: 2 Vent Systems: Total $777.64
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: 4/e/ /09.77e7
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatio C ` , FOR OFFICE USE ONLY
City of Tigard E I V ,� Received J )1
- W/ /� / , Permit No.::II EA-'f n�l w 0032
1114 • 13125 SW Hall Blvd.,Tigard,OR 97223 J U N 16 2020 Plan Review, �Y Other permit r C LG• W
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: - ) 3a
T I G r1 R D Inspection Line: 503.639.4175 CITY OF TI GAR D Date Ready/By Juns: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method /1 / ' Supplemental Information
a pe, Alti t4-e6 l et 'f; 1- :::: t 4 .
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Dcmolilion ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$I.$ 6C1
CATORY OF CONSTRtiCT10N
" :, - I- �s�Y.I L` RfiSIDi+ `t s Ji"t y,.,u,.
❑ 1-and 2-family dwelling ®Couunercialiindustrial ❑ Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑ Other: Description Qty. Ea. Total
- Heating/cooling:
s : l ..i es ° 4T-I° ANI) LOCATION _ i._
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
i Heat pump 61.06
Suite/bldg./apt.no.:410 Project name:CR Mining TI - , Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
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
"IPMYIFF-' i �; dl t t - p„ , Gas fire•lace/insert 33.39
Flue vent for water heater or gas
Demo(13)and relocate(5)existing supply diffusers,relocate(9)thermostats, fireplace 23.32
add(13)new supply diffuers and(10)new return air grilles,pro ride and instal Log lighter(gas)
23.32
Wood/pellet stove 33.39
(2)new VAV boxes and(1)server room exhaust fan Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNS t
- -aiI 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
® CONTACT °2`, r Other: 23.32
Fuel piping:
Business name:American Heating Inc.
S14.15 for first four;S4.03 for each additional
Contact name:Amanda Bostic Furnace,etc.
Address:5035 SE 24th Ave Gas heatpump
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
Clothes d er _as
Business name:American Heating Inc. _-
Other:
nc.
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
days after it has been accepted as complete.
Authorized signatur : , G ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Bostic Date:6/1620
I1Building\PermitsUgC_PemtitApp_040113.doc 440-0617r(11/02ICOM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fes_
$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:1Building\Permits\MEC_PennitApp_0401 I3.doc 2