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Permit IIIPep CITY OF TIGARD MECHANICAL PERMIT a COMMUNITY DEVELOPMENT rmit it: MEC2022-00653 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7l2112022 Parcel: 1 S 135AB01002 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 571 Project: Axian Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Ducts,grills,and thermostats for TI. Contractor: HUNTER DAVISSON INC Owner: LINCOLN CENTER LLC 1800 SE PERSHING ST BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97202 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-542-3628 PHONE: FAX: 503-542-3654 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 07/21/2022 $207.21 Class of Work: ALT Type of Const: Plan Review 07/21/2022 $51.80 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/21/2022 $24.87 Stories: Info Process/Archiving-Sm$0.50(up to 07/21/2022 $1.00 11x17) Project Valuation: $5,000.00 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 $284.88 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Ducts, grills, 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: =__.Permittee Signature: cr—r-- 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 /A / • 13125 SW Hall Blvd.,Tigard,OR 97223 F C E E F IR) 'v�1 �j /?�� �/ " ` �0� ��j�`� 3 "' Plan Revteaaawl ��, +++ ` / ether Permit: Pr Phone: 503.718.2439 Fax: 50_.598.1960 JUL 21 202Y Date/By: TIGARD Inspection Line: 503.639.4175 Date Ready/By: Juris: Ei See Page 2 for Internet: www.tigard-or.gov Noti fled/Method: Supplemental Information CITY OF T►GARU TYPE OF WOROUILDING DIVISION' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction gAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑ Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$5,cro CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES* ❑ 1-and 2-family dwelling gCommercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: '©. 2 ' SW G?een burg /Za/ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: T150 r�< OR ci 7223 Furnace 100,000+BTU(ducts/vents) 54.91 ✓✓ �/ �. Heat pump 61.06 Suite//bldg./apt.no.: 5 7 1 Project name: Ax qs Duct /�Ip 4Cat jar 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 ` 'n` �� ( ;^� 4 Flue vent for water heater or gas d+ rQV%S(01ff, G J Fire lace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 S Wood fireplace/insert 23.32 Q Chimney/liner/flue/vent 23.32 Other: 23.32 0 PROPERTY OWNER ❑ TENANT Q Environmental exhaust and ventilation: Name: _�. Range hood/other kitchen 6-arrrhe„ 6,Ni/ Wrrt/ , C0OfSA e i%#, Li.G equipment 33.39 ,,, Address: 20ctis Sw 195 tr# Are Clothes dryer exhaust 33.39 TNQ lit1n Single-duct exhaust(bathrooms, City/State/ZIP:CU toilet compartments,utility rooms) 23.32 Phone:( ' ) Fax:( ) Attic./crawlspace fans 23.32 S 0 APPLICANT 0 CONTACT PERSON Other: 23.32 r Fuel piping: Business name: u `{�ar� /� H h (✓Q�1SSOh $14.15 for first four;$4.03 for each additional -v Contact name: kairet Smiitl Furnace,etc. Address: r p *,�t Gas heat pump - 14 IWO �C rersnin, 5 Wall/suspended/unit heater City/State/ZIP: po�,t/pni' OR 17202 Water heater t Phone:(Ciy) ) 710 jobs Fax: :( ) Fireplace Range E-mail: r$iohehiHn1erdavi fen.CoinBarbecue n CONTRACTOR Clothes dryer(gas) Business name: IIIl nter - rlaYlcstsh I►1[ Other: MECHANICAL PERMIT FEES* Address: 'goo sE- PerSi►+x9 ft,e'C Subtotal City/State/ZIP: f aged l plol O t 720 Minimum permit fee($90.00) ✓ Plan review(25%of permit fee) Phone:(503) 73'1-OY 1 f Fax:( ) State surcharge(12%of permit fee) CCB lie.: 16 j 2 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: * Fee methodology set by Tri-County Building Industry Service Board Print name: RCpert Smclst, Date: 7/20022 I:'-.Building\Permits',MEC'._PermitApp_040I 13.doe 440-4617T(I1.02:COM WEB)