Permit 71 CITY OF TIGARD MECHANICAL PERMIT
°� - COMMUNITY DEVELOPMENT Permit#: MEC2020-00142
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/12/2020
T i taAAZ+ Parcel: 1 S126DC03300
Jurisdiction: Tigard
Site address: 9900 SW GREENBURG RD 220
Project: Jewish Federation Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Mechanical for TI: Relocating(1)supply register.
Contractor: SUN GLOW INC Owner: MEADOWS 196 LLC
2428 SE 105TH 5665 MEADOWS RD STE 140
PORTLAND, OR 97216 LAKE OSWEGO, OR 97035
PHONE: 503-253-7789 PHONE:
FAX: 503-253-7693
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/12/2020 $121.25
Class of Work: ALT Type of Const: Plan Review 03/12/2020 $30.31
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/12/2020 $14.55
Stories: Info Process/Archiving-Sm$0.50(up to 03/12/2020 $1.00
11x17)
Project Valuation: $2,175.00
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: Vent Systems: Total $157.11
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: /---
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard Received
:11 • Phone:SW Hall Blvd.,Tigard,OR 972 EC EI VE D Plan Review
503.718.2439 Fax: 503.598.1 6 Date/By: MIZI �_• ` . I
I , I:l Inspection Line: 503.639.4175 MAR 12 2020 Date Ready/By: r.rr,s, See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF ,4ri ta.ujNG.11()tl .� COMMERCLAL FEE* SCHEDULE- USECHECELIST
Mechanical permit fees*are based on the value of the work
❑New construction \ddi lion,/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment, or,ove head,and profit.
Vain - 9 ./ a ,exr-
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling '$Commercial/industrial ❑Accessory building For special information use checklist..
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
a-
JOB SITE';NATION AND LOCATION
Heating/cooling:
`"" � Air conditioning 46.75
Job site address: 9 9 co s-W /(1 guQ Q� , _ ' Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 776,9e...0ole 97223 Furnace 100,000+BTU(ducts/vents) 54.91
�� ^ e �'Ydd Heat pump 61.32
Suitelbldg./apt.no.: Project name: Cr IV
Duct work i 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
' Gas fireplace/insert 33.39
DESCRIPTION OF WORKK P
_-------- Flue vent for water heater or gas
T-�RE OC / cgeBet Lf .'c'-6/j ? fireplace 23.32
w Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Y OWNER ', @l" E ., , Other: 23.32
^� ',r, ._s.� ���� Environmental exhaust and ventilation:
Name: (�� .F e �Cr,( 5. � toe a r_ P"•✓ Range hood/other kitchen
/ � equipment 33.39
Address: LP(,8 v -S(,L) epeP(TOL /'7' ,y Clothes dryer exhaust 33.39
City/State/ZIP: PCB—TL#�� o . 91219 Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
Phone: 9 - j.7 -I9 Fax:( ) Attic/erawlspace fans 23.32
'-.APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name.- .4.-/'6[-(jt.i �( . Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: J OS H S f rJ Ctr"-e_ Furnace,etc.
Address: 2(126 5-6- /C S &Vf' Gas heat pump
Q / � Wall/suspended/unit heater
p
City/State/ZIP: T ��yJD OIC_ 9 72/W Water heater
Phone:15Z 2S-3- 9 Fax::( ) Fireplace
, Range
E-mail: JOS OS S 6/... A0ALMIC - C' Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: �;;y t0 _ Other. _
MECHANICAL PERMIT FEES*.
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00),
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 48 /3/ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized sign * Fee methodology set by Tri-County Building Industry Service Board
Print name: e sa ceal/c Date: 3/h lzo'O
I:1Bnilding\Pe mfts\MEC PermitApp_040113.doc 440 6t7T/i/1/OVCOM/WEB)