Permit (3) CITY OF TIGARD MECHANICAL PERMIT
oh .
1 . COMMUNITY DEVELOPMENT Permit#: MEC2022-00754
Date Issued: 9/15/2022
TIC;AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD
Project: Lincoln Tower 5 Subdivision: METZGER,TOWN OF Lot: 9
Project Description: install ductless unit for elevator mechanical room in penthouse
Contractor: OREGON AIRE INC Owner: LINCOLN CENTER LLC
7715 NE 33RD DR STE A BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97211 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-335-2222 PHONE:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/13/2022 $277.46
Class of Work: ALT Type of Const: VB 12%State Surcharge-Mechanical 09/13/2022 $33.30
Occupancy Grp: B Occupancy Load: Info Process/Archiving-Sm$0.50(up to 09/13/2022 $2.00
Stories: 11x17)
Plan Review 09/13/2022 $69.37
Project Valuation: $7,500.00
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: 1
Appliances
Vent Fans: Vent Systems: Total $382.13
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 a pted, 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 oft e rules
Issued By: 0 i J Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe ion ate.
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.
PP
Mechanical Permit ApplicatioltECEI V FOR OFFICE USE ONLY
IN . City of Tigard AVG 2 2 2022 Received 5i�+a. �/� PermitNo.: ,Mei'd,A`Yl,,,,,d s.
- Date Rev IIC'Ir , 1�-l.. Cal
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Q '
Phone: 503.718.2439 Fax: 503.598.19At6 DateBy: g-OZ I- Other Permit:
TIGARD Inspection Line: 503.639.4175 alNinM By: Juris: H See Page 2 for
Internet: www.tigard-or.gov �71 FAIN-N - ed/Method. ii Supplemental Information
TYPE OF WORK COMMERC L 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:$7,500.00
• CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ■❑Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:10200 SW Greenburg Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard/Oregon/97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Lincoln Tower 5 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: I Lot no.: 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
Install(1)2.5T Daikin ductless unit for elevator mechanical room in penthouse fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
EJ
Other: 23.32
PROPERTY OWNER I ❑ TENANT Environmental exhaust and ventilation:
Name:Shorenstein Range hood/other kitchen
equipment 33.39
Address:4380 S Macadam Ave I#230 Clothes dryer exhaust 33.39
City/State/ZIP:Portland/Oregon/97239 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)412-4859 Fax:( ) Attic/crawlspace fans 23.32
■❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Oregon-Alre Inc. $14.15 for first four;$4.03 for each additional
Contact name:Ian McDonald Furnace,etc.
Address:7715 NE 33rd Drive I Suite A Gas neat pump
—.-- Walllsuspended/unit heater
City/State/ZIP:Portland/Oregon/97211 Water heater
Phone:(503)335-2222 I Fax::( ) n/a Fireplace
Range
E-mail:permits@oregon-aire.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:Oregon-Aire Inc. MECHANICAL PERMIT FEES*
Address:7715 NE 33rd Drive I Suite A Subtotal
City/State/ZIP:Portland/Oregon/97211 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503 )335-2222 Fax:( ) n/a
State surcharge(12%of permit fee)
CCB lit.:64235 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: alt.„li-2,e, /6f� * Fee methodology set by Tri-County Building Industry Service Board
Print name:Ian McDonald Date:8/11/22
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617r(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard RECEIVED
Page 2 - Supplemental Information
AUG 2 2 ;
Commercial & Multi-Family Fee Schedule: CITY OF TIGARIJ
Total Valuation: Permit Fee: BUILDING DIVISION
$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
RECEIVE
City of Tigard AUG 1 8
CITY OF TIGAHL DEVELOPMENT DEPARTMENT
BUILDING DIVISIO
TlcA ;n Building Permit Review — Commercial - N o Land Use
Building Permit #: tA e t'EL-4) - °o1 S 1
Site Address: /02ob f� J'(/i3urZ�, Suite/Bldg#:
Project Name: (i/1 14V / 6 a�J ''
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: 1217/
Existing Business Activity: 1
Proposed Business Activity:
'rift'site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes
g:
Permitted Use: Yes ❑ No ❑ Spec Space
onfirm no land use required.
tBusiness
License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: Date: r /g 22
Revisions (after Building Submittal o y) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: vy(
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: ❑ Planning ❑ Permit Coordinator Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: RI Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ? Date:
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_111819.docx
Permit Cos • iiator Review
❑ Conditions "Met"p . o issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM NoLandUse_111819.docx