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Permit
CITY OF TIGARD MECHANICAL PERMIT 1111 It COMMUNITY DEVELOPMENT Permit#: MEC2020-00593 Date Issued: 10/15/2020 T(G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S 135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 900 Project: Guild Mortgage Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Relocate(4)existing supply ducts and difusers and (4)pneumatic thermostats Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC 5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC 97202-4765 MONTGOMERY ST, 16TH FLOOR PORTLAND, OR 235 SAN FRANCISCO, CA 94104 PHONE: 503-239-4600 PHONE: FAX: 503-239-7038 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 10/15/2020 S185.72 Class of Work: ALT Type of Const: VB Plan Review 10/15/2020 $46.43 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/15/2020 $22.29 Stories: Info Process/Archiving-Lg$2.00(over 10/15/2020 $4.00 11x17) Project Valuation: $4,225.00 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 $258.44 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 100 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 questionss tt�o OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: F—tT), L��— Permittee Signature: See a 1e1•t (GAM dvN ��, 111��� 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 FOR OFFICE ESE ONLY City of Tigard �GENES Received at a pl,--a, 0 PelmitNo(fzoz0-�p5`�3 - • 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.7182439 Fax: 503.598.1960 S E P Plan Revie $ CO20 Date/By: `^ -a3�,o Other Permit: T I G A R D Inspection Line. 503.639.4175 _ Date Ready/By- Sufis: ® See Page 2 for Internet www.tigard-or.gov CI f' O i CARD Notified/Method: tt/J 174 t'e TAG. Supplemental Information TYPE.OF WORK - COMMERCIAL FEE* SCHEDULE USE CHECKLIST. - — 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:$$4,225.00 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 JOB SITE INFORMATION AND LOCATION Heating/cooling: - - Air conditioning 46.75 lob site address:10260 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.:900 Project name:Guild Mortgage 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 UESC:RIP:IION OF WORK _ Gas fireplace/insert 33.39 -- Flue vent for water heater or gas Relocate(4)existing supply ducts and difusers and(4)pneumatic thermostats. fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 © ROPFI2I'Y OtKNE ` AI+i'T Other: 23.32 �-- - - � - _ - -- - - Environmental exhaust and venfilation: 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 ®-APPLICANT ® CONTACT PERSON Other: 23.32 Business name:American Heating Inc. Fuel piping: $14.15 for first four;$4.03 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 li-mail:a.hostionamericanheating.net Barbecue CONTRACTOR Clothes dryer(gas) Business name:American Heating Inc. Other MECHANICAL PERMIT FEES* Address:5035 SE 24th Ave Subtotal City/State/ZIP:Portland,OR,97202 Minimum permit fcc($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 signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Amanda Bostic ��//����t///111 Date:9/8/20 I�Buildi°g�PermitslMEC_PermitApp_040113.doc 4404617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $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. L•\Building\Permits\MEC_PermitApp_040113.doc 2