Permit IN CITY OF TIGARD MECHANICAL PERMIT
' '' COMMUNITY DEVELOPMENT Pe
COMMUNITY MEC2022-00397
Date Issued: 6/30/2022
TEGAARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135A601004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 400
Project: KPA Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Mechanical work for 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 06/28/2022 $601.71
Class of Work: ALT Type of Const: VB Plan Review 06/28/2022 $150.43
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/28/2022 $72.21
Stories: Info Process/Archiving-Lg$2.00(over 06/28/2022 $2.00
Project Valuation: $20,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 06/28/2022 $1 00
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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 $827.35
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: /l Permittee Signature: 4: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.
Mechanical Permit Application:--07.IN, I FOR OFFICE. USE ONLY
of Tigard �• , 191
� Received . t } /^� ) // �j
, MAY .l 8 202Z Date/By: ,/I22_ / �l2l/l�--(Z13 /
1 13125 SW Hall Blvd.,Tigard,OR 97223Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 .3 1♦2 Other Permit:
Inspection Line: 503.639.4175Date/By:
TIGARD p �i�OF TIGARD Date Ready/By: , Juris: fid See Page 2 for
Internet: www.tigard-or.gov Notified/Method: SupplementalInformation
°IL DING DIVISION //' -
TYPE. or biioRI( ' 1 cd RCIAL FEE* SCHEDULE -USE CHFCKI.1S1
- - '- Mechanical permit tees*are based on the value of the work
❑New construction Z 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 $20,000
f17 'rrliPl or roN- l`icrri'rtl,
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
�(1 Heating/cooling:
x'i .lOI3'SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address: 10220 Greenburg Road Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Portland,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 400 Project name: KPA Suite 400(122140) 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 IPTION OF WORK Gas fireplace/insert 33.39
- - Flue vent for water heater or gas
Relocate(8)existing supply diffusers and ducts,(2)existing return air grilles,(4)existing thermostats, fireplace 23.32
Add(2)fan powered VAV w/heat to serve conference rooms(electrical by others),(1)high limit exhaust Log lighter(gas) 23.32
Wood/pellet stove 33.39
fan at the Server room(requires electrical by others),Verify operation of existing VAV terminal units Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
,: . 1 .'' Other:
23.32
Z40,., �.:,3 , ^ IlN 3NT
..�._._._.._... _.._.____._._..._._-__ 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:( ) Attic/crawlspace fans 23.32
<l APPLICANT E C_UN M/I PERSON Other: 23.32
Fuel piping:
Business name: American Heating
$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
CONTRACTOR '' Clothes dryer(gas)
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 lie.: 33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Digitally signed by Melnaswalka days after it has been accepted as complete.
M e l i n a Swalko ®NtG.US,E-m swalko88amencanheo g net,GN-Melia Swalko
Authorized signature: pa61:2022.0518120{29-or00' * Fee methodology set by Tri-County Building Industry Service Board '
Print name: Melina Swalko Date: 05/18/22
I'Building Permits\MF.C_PermitApp_0401 13.doc 440-4617T(I 1/02/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