Permit IN CITY OF TIGARD MECHANICAL PERMIT
s COMMUNITY DEVELOPMENT MECHANICAL
MEC2020-00594
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2020
Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 215
Project: Edward Jones Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Relocate(1)existing supply diffuser,(2)existing thermostats and add(2)new return air grilles.
Contractor: Owner: LINCOLN CENTER LLC
BY SHORENSTEIN PROPERTIES LLC
555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/15/2020 $145.81
Class of Work: ALT Type of Const: Plan Review 10/15/2020 $36.45
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/15/2020 $17.50
Stories: Info Process/Archiving-Lg$2.00(over 10/15/2020 $4.00
11x17)
Project Valuation: $2,910.00
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 $203.76
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 questionsN\,_,___
to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Cei Permittee Signature: S e_c_ arpn1 t G Q-k-N v t'"i\
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 Applicationr� _ f_ FOR OFFICE USE ONLY
City of Tigard RECEIVE Received q d 7� �.
III - DateBy: Q/-Q�2 LC1 Pemtit No.:� � - 9�
• 13125 SW Hall Blvd.,Tigard,OR 97223 (� Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 SEP V $ 2020 Date/By. Other Permit
Inspection Line: 503.639.4175 9 a`I'
TIGARD Date Ready/By. / j1 0 rocs: ® See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: )(i()S,1' .) -n� Supplemental Information
. . , . r-yvl 6I-r l -.1.M1n'I. T/
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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:$$2,910.00
CATEGORY OF CONS'I7itIC 17ON 1_
. . •.. RE 'I E QUi`P,MENT/SYSTEMS EEESiiii. 4,
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist
0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND I.00ATLON Heating/cooling:
Air conditioning 46.75
Job site address:to L56.W Greenburg Rd. Furnace 100,000 BTU(ducts/vents) 4675
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:215 Project name:Edward Jones 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Relocate(1)existing supply diffuser,(2)existing thermostats and add(2)new fireplace 23.32
return air grilles.
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER ❑ TENANT ! 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:( ) Attie/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON 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 heat pump
WalUsuspended/unit heater
City/State/ZIP:Portland,OR.,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
Range
E-mail:a.bostic a1 mericanheating.net
Barbecue
'CONTRACTOR Clothes dryer(gas)
Business name:American Heating Inc. Other.
i CHANICALPW=FEES•
Address:5035 SE 24th Ave Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
I Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
p �- days after it has been accepted as complete.
Authorized signature: /` ' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Bostic Date:9/8/20
I:\BuildiogTennits\MEC PermitApp_040113.doc 440-4617T(I i/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.
I:1Building\Permits\MEC_PennitApp_040113.doc 2