Permit CITY OF TIGARD MECHANICAL PERMIT
>: COMMUNITY DEVELOPMENT Permit #: MEC201000482
T t G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/27/2010
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 500
Subdivision: LINCOLN CENTER/TWO LINCOLN Lot: 0
Project: Concern
Project Description: Mechanical for TI.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee 10/27/2010 $477.25
CALIFORNIA ST 49TH FL Plan Review 10/27/2010 $119.31
PHONE: 12% State Surcharge - Mechanical 10/27/2010 $57.27
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: IIB
Occupancy Grp: B 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: 1
Appliances
Vent Fans: Vent Systems: Total $653.83
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800. ••• .
1
Issued By: Permittee Signature: t i
Call 503.6 -• 7:00 a.m. for an inspection that busin • 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 1[ D
FOR OFFICE USE ONLY
City of Tigard WO x,30 ' Received permit No.: ry
City g i �� 1 DateBy (Q 1 iI0 /577 �p'��'oJV — V0 � bck
1,,,
v 13125 SW Hall Blvd., Tigard, OR 97223 Rev /���
Phone: 503.639.4171 Fax: 503.598.1960 1 �Q Plan
pa1e/gy iew 0121 ( Other Permit: �/t/ , - / _ DUI J"I
T I G A R D Inspection Line: 503.639 t1 Date Ready /By: ' Juris: ® See Page 2 for
Internet: www.tigard - or.gov `r a3 I Notified/Method: /O/ r/ / ( ) 03r � Supplemental Information
TYPE OF WORK 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: $ 15,007
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
(re
Job site address: 10220 SW Greenburg Rd (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.: y Project name: Suite 500 Concero Ti Heat pump 61.06
Cross street/directions to job site: Lincoln Center, Building 2 `-VnrGe ire) 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 ductwork and diffusers for new office configuration and new tenant Flue vent for water heater or gas
demising wall fireplace 23.32
Log lighter (gas) 23.32
Alternate to install new water source heat pump for server room. Install new Wood/pellet stove 33.39
condenser water lines back to building cond. water mains. Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
❑ PROPERTY OWNER 0 TENANT Other: 23.32
Name: Shorenstein Realty Services, LP Environmental exhaust and ventilation
Range hood/other kitchen
Address: 5335 SW Meadows Rd., Suite 300
equipment 33.39
City / State/Z1P: Lake Oswego, Or. 97035 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)619 -3200 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; $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: Range
CONTRACTOR Barbecue
Business name: Streimer Sheet Metal Works, Inc. Clothes dryer (gas)
Other:
Address: 740 N. Knott St MECHANICAL PERMIT FEES*
City/ State/ZIP: Portland, Or. 97227 Subtotal 474.89
Minimum permit fee ($90.00)
Phone: (503) 288 -9393 Fax: (503) 288 -3327 118.73
Plan review (25% of permit fee)
CCB lic.: 2365
State surcharge (12% of permit fee) 56.99
TOTAL PERMIT FEE 650.61
Authorized signature: This permit application expires if a permit is not obtained within 180
D ate: 9 - - days after it has been accepted as complete.
Print name: Paul Lukes *
Fee methodology set by Tri -County Building Industry Service Board
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