Permit Viii
CITY OF TIGARD MECHANICAL PERMIT
i I COMMUNITY DEVELOPMENT Pe
CITY MEC2021-00856
Date Issued: 11/16/2021
T i G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S135CA00700
Jurisdiction: Tigard
Site address: 11244 SW TIEDEMAN AVE
Project: Greenburg Building B Subdivision: None Lot: None
Project Description: Install gas pipe&vent(1)Reznor heater. Heater hung and supplied by customer
Contractor: PROTEMP ASSOCIATES INC Owner: STERN PROPERTIES LLC
9788 SE 17TH AVE 6600 SW 105TH AVE, STE 175
PORTLAND,OR 97222 BEAVERTON, OR 97008
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/15/2021 $151.95
Class of Work: ALT Type of Const: VB Plan Review 11/15/2021 $37.99
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/15/2021 $18.23
Stories: Info Process/Archiving-Lg$2.00(over 11/15/2021 $4.00
11x17)
Project Valuation: $3,125.00 Info Process/Archiving-Sm$0.50(up to 11/15/2021 $6.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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: 1 30-50 HP:
Vents w/o Appliances: 50 or Greater HP
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $218.67
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
• Issued By: j {J Va,Pe,We ye- Permittee Signature: Qw A, 1, ��
• Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1
Mechanical Permit AppHeal:N.
FOR OFFICE USE ONLY
City of TigardCEIVED Received //
Date/By: `d t2(P(2,024 i, Permit No.:µC2_1. SSG
13125 SW Hall Blvd.,Tigard,OR 97223 OCT 21 2G21
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 11-9-D,.J Other Permit:
T I G A R I] Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: J Juris: ® See Page 2 for
Internet: www.tigard-or.gov i / t/Method. � Supplemental Information
'3UILDING DIVISION �7C
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ['Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor overhead,and profit.
Value:$ 1 A..i
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling 2 Commercial/industrial 0 Accessory building For special information use checklist
0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: i 1 l 4(� .Y ,.i thti , c,)- e96f , Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: //l 6,6,V j ,,/ A `j 7273 Furnace 100,000+BTU(ducts/vents) 54.91
/� i f/ / /� Heat pump 61.06
Suit ld ./apt.no.: J Project name: v .e h[K/YL' eL/ /..3 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
I g f`7t/J t#_5- ( t G/ .-/ /j fireplace 23.32
/,j 7 n v c A y 4 € fir a Yr /c. 9 ai1 J Log lighte (gas) 23.32
/1 j n Wood/pellet stove 33.39
.J d firm .r C i V i'c/S,4 D Y, Wood fireplace/insert 23.32
�F%% J Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER 21‘.TENANT
- Environmental exhaust and ventilation:
Name: Range hood/other kitchen
33.39
Address: il tit/ �W f���e ►1 ,4v.e. Clothes dryer exhaust 33.39
City/State/ZIP: 72.2j Single-duct exhaust(bathrooms,
'/ D� o o toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
.APPLICANT ❑ CONTACT PERSON Other: 23.32
47 T � Fuel piping:
Business name:
l �f jQ r, � -S v ffi(' $14.15 for first four;$4.03 for each additional
Contact name: i a ,,,,)_5 ,i_CO^N Furnace,etc.
Address: '2 Ap. 5-A-... 7 7 Z4 �,,,� Gas heat pump
f+ Wall/suspended/unit heater
City/State/ZIP: /O S f j f 0 , 92 22 Z Water heater
Phone:&"))S j 9', ,O p.3 Fax::, ;) 2 3/ _ 7C.- Fireplace
E-mail: ,� r,, / Range
f c:'c .?/, -�! y Barbecue
d CONTRACTOR Clothes dryer(gas)
Other:
Business name: 5✓ 07 t /;.s
At,/.0, C C.( 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 lic.: 3 P le.-6/ 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: _._9________---- * Fee methodology set by Tri-County Building Industry Service Board
Print name: L d ram s, -rpr-3 Date: raaaaaa666-4461�/,2//2 f' -
1:\Building\Permits\MEC PermitApp_040113.doc 7T(11/02/COM/WEB)