Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT
P
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 2/5/2021
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 275
Project: Spec Space Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocating(10)return air grilles and(4)thermostats.
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 02/04/2021 $139.67
Class of Work: ALT Type of Const: Plan Review 02/04/2021 $34.92
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/04/2021 $16.76
Stories: Info Process/Archiving-Lg$2.00(over 02/04/2021 $4.00
11x17)
Project Valuation: $2,787.00
Fuel Alr Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers 8 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 $195.35
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OU_NC by c ling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: c'/. V rT7 "d L-f 7-7 C rv,,%
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
- City of Tigard Date/By: �- / �I t' Permit No.: ,.y,,;s,72 y/_Oval..
71
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Z Ate`=�/{ Y
Phone: 503.718.2439 Fax: 503.SpS�I CC I\/E® r1//� x.
Other Permit.® 0 aL
11..[l 1� vv Date By r k/
T I G A R D Inspection Line: 503.639.4175 Date ReadyBy: ,,,,,, /// .Pod ® See Page 2 for
Internet: www.tigard-or.gov �Ata �� Notified/Method. /y I) /1Tr- 1IG. Supplemental Information
�' I it W as °' N tN 1 OM'.t RCA Al FF.E`.:SC1EDL11 6 . E. ', 4 +t.
�w - '* -- "'" Mechanical permit fees*are based on the value of the work
El New construction LEAddition/alteratl0 IQ�l ,r f performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑ Other:
mechanical materials,equipment,labor,overhead,and profit.
„ Value:$S2,787.00
CATEGOR�F CONSTREJCTION —,` "- , L , e ':* m
ce _ , l RESIDENTIA, ieobi° "sB7h_❑ 1-and 2-family dwelling ® Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
f t '`FORMATION AND LOCATIO w' Heating/cooling:
Air conditioning 46.75
Job site address:10300 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.:275 Project name:VSP Suite 275 1L 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 {h€f� Gas fireplace/insert 33.39
T - Flue vent for water heater or gas
I Relocate(10)existing return air grilles and(4)existing 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 ,
0 PROPERI'% OWNER Other: 23.32
❑ '1EN:1N'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:( ) I ax: ( ) Attic/crawlspace fans 23.32
_ FY1 C i*3 f El c I , f Other: 23.32
Business name:American Heating Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Melina Vaca 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
F-mail: m.vaca a americanheating.net Barbecue
i'i ;�ll�"i. Ei( k s,'�
i Iii�! ,)� k,p ff:,ri41,i 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 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 signature: Mdts„,„...\ASX_______,
a Fee methodology set by Tri-County Building Industry Service Board
Print name:Melina Vaca Date:01/22/2021
I:1Building\Permits\MEC_PennitApp_040113.doe 440-4617T(11/02/COM/WEB)