Permit CITY OF TIGARD MECHANICAL PERMIT
114
• COMMUNITY DEVELOPMENT Permit#: MEC2022-00369
Date Issued: 5/25/2022
T I G A R.D 13125 SW Hall Blvd_, Tigard OR 97223 503.718.2439 Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 200
•
Project: Bates Group Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Mechanical work to accommodate TI.
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 05/20/2022 $218.45
Class of Work: ALT Type of Const: VB Plan Review 05/20/2022 $54.61
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/20/2022 $26.21
Stories: Info Process/Archiving-Lg$2.00(over 05/20/2022 $2.00
11x17)
Project Valuation: $5,400.00 Info Process/Archiving-Sm$0.50(up to 05/20/2022 $3.00
11x17)
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: 1 Vent Systems: Total $304.27
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
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 rulesr are set forth in OAR 952-001-0010 through OAR 952-001-0090. Youu may ob i y of the rules
Issued By: �7 f., I'�j� 'Vv/ Permittee Signature:
;yc"vj ll J J (v�
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 LSE O\I.I'
City Received 1
„>25 of Tigard , i 1\if F Date,By: �// Lz �G2 2-G��365
�, a 13125 SW Hall Blvd.,Tigard,OR 97223 �,..A - Plan Review
t r'� Phone: 503.718.2439 Fax: 503.598.1960
Other?emit:
Date/By: '- i 6- z4,
TIGARD Inspection Line: 503.639.4175 Date Ready/By: lures: H See Page 2 for
Internet: www.tigard-or.gov Notif•..' ethos Supplemental Information
Alit Ur I ', ,Is1 Adje
"' "• Mechanical permit fees'are based on the value of the work I
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all j
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$5,400
❑ 1-and 2-family dwelling It Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total
t WE NFORMATION APtl1 i TIO - Heatink/eooling:
Air conditioning 46.75
Job site address: 10220 SW Greenburg Rd.,Ste#200 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR ' Furnace 100,000+BTU(ducts/vents) 54.91
(N - t` Heat pump 61.06
Suite/bldg./apt.no.: 200 I Project name: Bates Suitt 20. - 120) 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
, s 77 Gas fireplace/insert 33.39
' "" Flue vent for water heater or gas
Relocate(3)existing supply diffusers and ducts,(3)existing return air grilles,and(3)existing thermostats. fireplace 23.32
Add(2)new return air grilles w/acoustical plenums,(1)high limit exhaust fan at Server room(electrical by others) Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
f ' ) �� . Other: 23.32
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
;, i"P itai ,AitOther: 23.32
Business name: American Heating Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Melina Swalko 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 ext.258 Fax:: Fireplace
Range
E-mail: m.swalko@americanheating.net Barbecue
Business name: American Heating Other:
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: State surcharge(12%of permit fee)
CCB lic.: 33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Melina Swalko w u.iw days after it has been accepted as complete.
Authorized signature: i sa.,,6,su a oo °a"°°"eN'""'s""° +gnFee methodology set by Tri-County Building Industry Service Board
Print name: Melina Swalko Date: 05/11/22
r:\Building\Permits\MEC_PermitApp_0401 13 duc 440-4617T(I I/02/COMIWEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil 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.
L\Building\Permits\MEC_PemritApp_040113.doc 2