Permit CITY OF TIGARD MECHANICAL PERMIT
a
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00339
107/61:6 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/15/2010
Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 300
Subdivision: LINCOLN CENTER/FIVE LINCOLN Lot: 0
Project: LPL Financial
Project Description: Relocate ducts & grilles for TI.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee 07/15/2010 $158.09
12% State Surcharge - Mechanical 07/15/2010 $18.97
PHONE:
Contractor:
STREIMER SHEET METAL WORKS INC
740 N KNOTT STREET
PORTLAND, OR 97227
PHONE: 503 - 288 -9393
FAX: 503 - 288 -3327
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 $177.06
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 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 qu- . .ns o . C by calling 503.246.6699 or 1.800.332.2344.
1 1
Issued By: Permittee Signature: 1\
Call 503.639.4175 by 7:00 a.m. for an inspection that business d. 4
This permit card shall be kept in a conspicuous place on the job site until compl = .n of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City Of Tigard n - -, '',Recei g
- � - ` ( � ` y 1 +0 A, Permit No.: H 4� e , 0- c 3
n 13125 SW Hall Blvd., Tigard, OR 97223 „ :
f Date/By
�� " Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit , pA0/0 — 6d/
TIGARD Inspection Line: 503.639 'JUL 15 2010 Date Read /B Ju ris: Page www.ti and -or. ov Supplemental y y See Pa e 2 for
g g Notified/Method: S Information
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TYPE OF WORK, t � . -, - ,r+ ,- + COMMERCIAL 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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $3,373.00
dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1 - and 2-family g ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other:
Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 10200 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.: 300 Project name: LPL Financial
Heat pump 61.06
Cross street/directions to job site: Bldg 5 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
Subdivision: Lot no.:
Flue /vent for any of above 23.32
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 r m
PP g
Contact name: Paul Lukes 514.15 for first four; $4.03 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: O p
Address: 740 N Knott St MECHANICAL PERMIT FEES*
City /State /ZIP: Portland, Or. 97227
Subtotal .- 457216 (
Phone: (503) 288-9393 Fax: (503 -) 288-3327 Minimum permit fee ($90.00)
Plan review (25% of permit fee) 2— nil
CCB lic.: 2365 State surcharge (12% of permit fee) 44.V. l
/J TOTAL PERMIT FEE ..2.1-45
Authorized signature: This permit application expires if a permit is not obtained within 180 1 °
days after it has been accepted as complete.
Print name: Paul Lukes Date: 7 - - * Fee methodology set by Tri- County Building industry Service Board
I:\Building \Permits \MEC- PermitApp.doc 10/01/09 440 -4617T (11/02 /COM/WEB) (y"j"