Permit CITY OF TIGARD MECHANICAL PERMIT
1111
E COMMUNITY DEVELOPMENT Permit#: MEC2021-00921
Date Issued: 11/22/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 200
Project: VSP Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Duct modifications to allow for new open ceiling concept.
Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC
5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202-4765 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/18/2021 $269.03
Class of Work: ALT Type of Const: Plan Review 11/18/2021 $67.26
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/18/2021 $32.28
Stories: Info Process/Archiving-Lg$2.00(over 11/18/2021 $4.00
11x17)
Project Valuation: $7,163.00
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 $372.57
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
•
Issued By: Wt/1--- Permittee Signature: (AkA), ( Pik,1- Q
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.
/ i
Mechanical Permit Application
City of Tigard Received
w�Date/By: / Permit No.: �'
1` i rnc, o,�f_ sr�j
'� 13125 SW Hall Blvd.,Tigard,OR 97223 ���,���, �� plan Review l/
m Phone: 503.718.2439 Fax: 503.598.1960 Ore, Other Permit:
Inspection Line: 503.639.4175 Date/By:
T IG AR D pNOVn n �� Date ReadyReady/By: // kris: &I See Page 2 for
Internet: www.tigard-or.gov 1 Notified/Method: /j/?hi /1,,,r 7
y+4 Supplemental Information
a1 l lx u#3 4'� ) t td s i -..a's3M16444 , . .,,,« h,:.:4
.. 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 $7163
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
: ,,,s�kg3 , Heating/cooling:
,; „ „ ,.,, '4, ,', , . ''' '''' „ Air conditioning 46.75
Job site address: 10250 SW Greenburg Road Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 200 l Project name: VSP Suite 200 4L Heat pump 61.06 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
Other: 23.32
Subdivision: 1 Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
, =%' " # Gas fireplace/insert 33.39
Flue vent for water heater or gas
Duct modifications to allow for new open ceiling concept fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
. , Other: 23.32In � '` I='r .,,:.. .. . 4:14* . ..< l
ventilation:
Environmental exhaust and
Name: Range hood/other kitchen
-
Address: equipment 33.39
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
.... 3r, n � " ce' t Other: 23.32 e i�gar to ,*� P , 1. i, ;
Fuel t m
PP g
Business name: American Heating $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: 503-519-1337 Fax:: Fireplace
Range
E-mail: m.vaca@americanheating.net Barbecue
,„At Clothes dryer(gas)
Other
Business name: American Heating
Address: 5035 SE 24th Ave a� l a `Subtotal
City/State/ZIP: Portland,OR 97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: 503 239 4600 Fax: State surcharge(12%of permit fee)
CCB lic.: 33135 TOTAL PERMIT FEE .3 7 57
This permit application expires if a permit is not obta((((ned within 180
Ily signed by Merin Vary days after it has been accepted as complete.
Melina Vaca N,3g,,E m.va,,547,,ieenheatlrp.nel,CN-Melina Vacs
Authorized signature: sos,.,,.,o usro�-0eao
gnFee methodology set by Tri-County Building Industry Service Board
Print name: Melina Vaca Date: 11/10/21
I:Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 I/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
_Commercial & Multi-Family Fee Schedule:
$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:\Building\Permits\MEC_PermitApp_040113.doc 2