Permit .' ri i ` ' MECHANICAL PERMIT
q CITY OF TIGARD
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00337
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Date Issued: 07/15/2010
Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 120
Subdivision: LINCOLN ONE Lot: 0
Project: Genex
Project Description: Relocate ducts & grilles for TI.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee 07/15/2010 $121.25
CALIFORNIA ST 49TH FL 12% State Surcharge - Mechanical 07/15/2010 $14.55
PHONE:
Contractor:
STREIMER SHEET METAL WORKS INC
740 N KNOTT STREET
PORTLAND, OR 97227
PHONE: 503 - 288 -9393
FAX:
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $135.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: . / ' Permittee Signature: 1 1
CaII 503.639.4175 by 7:00 a.m. for an inspection that business ( . '
This permit card shall be kept in a conspicuous place on the job site until comp etion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application. .. • • : FOR OFFICE USE ONLY
11 v n0/
City Of Tigard Received Date /By: 7 / t'd 111. 1 Permit No.: ( of O 40 5 J 7
° 13125 SW Hall Blvd., Tigard, OR 97223
>a Plan Review Other Pit • Ph one: 5 03.639.4171 Fax: 503.598.1969 U L 1 5 2010 Date /By: er erm
Avo _64246-6
T I G AR D Inspection Line: 503.639 Date Ready /By: iffil L71 See Page 2 for
Internet: www.tigard - or.gov Notified /Method: Supplemental Information
s„ . , DAMN D
TYPE OF ` , ����W l � C " u�v��r® COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
❑ New construction ® Addition /alteration /replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: $ $2,126.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
103oo JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 1&330•SW Greenburg Rd Air conditioning
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard, Or 97224 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 120 Project name: Genex Heat pump 61.06
Cross street/directions to job site: Bldg 1 Lincoln Center Duct work 23.32
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
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Relocate/ add supply and return air grilles for new wall construction. Flue vent for water heater or gas
Relocate pneumaitc thermostats are required for new wall construction. fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Shorenstein Realty Services Environmental exhaust and ventilation
Address: One SW Columbia, Suite 300 Range hood /other kitchen
equipment 33.39
City /State /ZIP: Portland, Or. Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)412 -4844 Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: Streimer Sheet Metal Works, Inc.
Fuel piping
Contact name: Paul Lukes $14.15 for first four; 54.03 for each additional
Address: 740 N. Knott St Furnace, etc.
Gas heat pump
City /State /ZIP: Portland, Or. 97227 Wall /suspended /unit heater
Phone: (503) 288 -9393 Fax: : (503 -) 288 -3327 Water heater
Fireplace
E -mail: pa_Iukes @streimer,com Range
CONTRACTOR Barbecue
Business name: Streimer Sheet Metal Works, Inc. Clothes dryer (gas)
Other:
Address: 740 N Knott St MECHANICAL PERMIT FEES* h
City /State /ZIP: Portland, Or. 97227 Subtotal X0.98" 2
M inimum permit fee ($90.00) lAje
Phone: (503) 288 -9393 Fax: (503 -) 288 -3327 Plan review (25% of permit fee) -29 -.75 44
CCB lic.: 2365 State surcharge (12% of permit fee) 1428 tk
TOTAL PERMIT FEE 1434W+ 0) � I This permit application expires if a permit is not obtained within 180 i '
Authorized signature:( F y t ` days after it has been accepted as complete.
Print name: Paul Lukes Date: 7 -14 -10 * Fee methodology set by Tri-County Building Industry Service Board X)
1:\Building \Permits \MEC- PermitApp.doc 10/01/09 440 - 4617T (11/02 /COM/WEB) (',,J'