Permit CITY OF TIGARD MECHANICAL PERMIT
.111
COMMUNITY DEVELOPMENT Permit#: MEC201000438
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/01/2010
Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 125
Subdivision: LINCOLN THREE Lot: 0
Project: Hood River Distillers
Project Description: Relocating ducts and grilles.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
Permit Fee 09/01/2010 $235.31
CALIFORNIA ST 49TH FL 12% State Surcharge - Mechanical 09/01/2010 $28.24
PHONE:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202
PHONE: 503 -239 -4600
FAX: 503- 239 -7038
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 $263.55
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. // /�V / /n/
Issued By: i Permittee Signature: / `� / Gl / ` l✓I�� e.-% e.-% _
/AIIP
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 roll order: uSh: ONLY
City of Tigard •
SW Hall Blvd., Tigard, OR 97223 RECE :1 c teB 0C 1 V `� Y 4 a �. M. an Review
I1 Phone: 503.639.4171 Fax: 503.598.1960 Daffy. Other Permit: L 0 . 0-01— O
i i c.; A it p Inspection Line: 503.639.4175 e u at Ready/By: ■ See Page 2 for
J EP 0 1 2 0 �
Internet: www.tigard r N otifie d/M ethod: III M. Supplemental Information
OTTy OFTIGA o
• TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
• BUILDING D M Mechanical permit fees* are based on the value of the work
❑ New construction E Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ 5 3
• CATEGORY OF CONSTRUCTION .
' . RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ 1- and 2- family dwelling [r] Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty.I Ea. I Total
JOB 'SITE INFORMATION AND LOCATION Heating/cooling -
Job site address: ' oz 2.0 S w G rcen b ( / ✓') 1 cf Air conditioning
(requires site plan showing placement) 46.75
City/State /ZIP: T a and 0 R q 722 ii Furnace 100,000 BTU (ducts/vents) 46.75
I 1 ery Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: /Oaf Ri v' Distillery �`' er r Heat pump 61.06
Cross street/directions to job site: 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
r . /o ca f e 3 e x s + 1.1 Sapp)
-- 1 / I } } uSt', rs Flue vent for water heater or gas
reloG4 fie 1 eXI 5+14 r>elv /rl Gtr r;IIcs fireplace 23.32
.� Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner /flue/vent 23.32
❑ PROPERTY OWNER • 1 ❑ TENANT Other: 23.32
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ' ❑ CONTACT PERSON • Attic/crawlspace fans 23.32 .
Other: 23.32 _
Business name: Arne r i c a1 r7 Heel f f h ✓ q Fuel piping
Contact name: l jr a ci M A r7 c. .i e s + e , $14.15 for first four; $4.03 for each additional
I Furnace, etc.
Address: / 33 q 5 E t 1 U e 0 r? S t Gas heat pump
City/State /ZIP: Fort /a /7 d 0 R 972 02.. Wall /suspended/unit heater
Phone: (5o3 y6,0 Fax: : (5e3) 231 -703$ Water heater
Fireplace
E -mail: Range
• • CONTRACTOR : Barbecue
•
Business name: A rn e r 1 C A 0 Hem - f I n I Clothes dryer (gas)
Other:
Address: /33 9' 5 E CO 1 c .e 0 /] 5 MECHANICAL PERMIT FEES*
City/State /ZIP: r0 CI- l Geld 0 f ci72O2 Subtotal ?3541
Minimum permit fee ($90.00)
Phone: (r50 3 23,- 4I (iQQ Fax: (603 )23 - 703 $ Plan review (25% of permit fee)
CCB lic.: 33 136 State surcharge (12% of permit fee) )y
TOTAL PERMIT FEE 3,55
This permit application expires if a permit is not obtained within 180
Authorized signature: /" �J� Q Z #4,7 days after it has been accepted as complete. (it) Print name: ,. 'y r na�G4 es +G/' Date: CI I 1 I 1 0 • Fee methodology set by Tri County Building Industry Seia ckB
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