Permit �� CITY OF TIGARD MECHANICAL PERMIT
''! g .. COMMUNITY DEVELOPMENT Permit #: MEC2010 -00574
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/19/2010
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 200
Project: Comsys Subdivision: LINCOLN TOWER Lot: 0
Project Description: HVAC modifications
Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC
1339 SE GIDEON ST BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503 - 239 -4600 PHONE:
FAX: 503 - 239 -7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/19/2010 $2,667.11
Class of Work: ALT Type of Const: IIB Plan Review 11/19/2010 $666.78
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 11/19/2010 $320.05
Stories: 6
Project Valuation: $102,000.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 5
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:
Appliances
Vent Fans: Vent Systems: Total $3,653.94
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: split systems
Duct Work: 1
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Noti ion r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or direct uestions to OUNC by sng 03.232.1987 or 1.800.332.2344.
Issued y: Permittee Signature: /�/ l4 c G n G /r CS C �
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Ap 1 lication '. • : �F iR OF IC USE. ONLY •
- City of Tagard -
R NA1, Permit No.: tied A/0,60J r 7
III DateBy: _ , _ J
v 13125 SW Hall Blvd., Tigard, OR I' eview �, x Other Permit: / o��D��l
®
Phone: 503.639.4171 Fax: 5O3.598.1 Date/By: M
Inspection Liner 503.639.4175
f I {7A Itf� O Plan R
V 1 U 2010 Date Read '1y: kris: ® See Page 2 for
- - - Internet: www.tigard Notified/Method: Supplemental Information
CITY OF TIGARD
G D I V t IQ N Fit * SCHEP1JLEk USECHEC$L
' ' . fees* are . I$
CO RCIAL T.
Mechanical permit based on the value of the work
❑ New constructlon 2 Addttton/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value $ /O2 000
., • ,
r.: T Ci< OI,. CONSTR JCTIiON .. ... _ TI
. ,�,/ 3 RE /SXSTEAISFEES *�'
❑ 1- and 2- family dwelling LJ Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
a § " Heating/cooling
' rN ,'; JO$ SITE II�IFORM�TIOI� AND LOCATION >.
Air conditioning
Job site address: / 02 Co 0 5W G r'e er )ov r-9 (requires site plan showing placement) 46.75 _
•
� O R Furnace 100,000 BTU (ducts/vents) • 46.75
City /State /ZIP: I !9 ,- Furnace 100,000+ BTU (ducts /vents) 54.91
• Suite/bldg. /apt. no.: 2 QQ Project name: Co m Y 5 5 Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: 23.32
Hydronic hot water system
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
D SCRIPTION OE WORK „vA heater 23 32
Water h
LL . ... / :.;..., Gas fireplace
2
r1 V A C /77O tl / T I G `t - / o n 5 'f'o / 4 c �u U e Flue vent for water heater or gas
I� (� fireplace 23.32
CI c! GY/G n e s , �'e,�h'► ' ^ 4 " » � i s / � `^ CG /S / Log lighter (gas) 23.32
grill Wood/pellet stove 33.39
• Wood fireplace /insert 23.32
Chimney/liner /flue /vent 23.32
a ❑ PROPERTY Oiiii4k , f , ,,. I` . : f r ® TENANT Other: 23.32
t m Environmental exhaust and ventilation
Name:
Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 3339
City/State/ZIP: Single -duct exhaust (bathrooms,
Phone: ( )
Fax ( ) toilet compartments, utility rooms) 23.3
23.32
Attic /crawlspace fans
� w`�t ?Q APpIIG'2 r . , i } ` , z a `: ? ® C ONTACxT P : ,`, . . 23.32
Other:
Business name: A pie r 1 ( al r7 ' 1 l e° a � / 'y Fuel piping
$14.15 f first tour; $4.03 for each additional
Contact name: 13 rq rJ M A h G 17 e 5+ e r• -
/ J n t '
Furnace; etc.
Address: / 3 5 5 (p 1 e a 5 Gas heat pump
City /State /ZIP: PO r ± U / /a ei a 1 ct 7 2 02_ Wall /suspended/unit heater •
Phone: (5O3)23 - '/ 00 I Fax: : (So 3)239 -7035 Water heater
Fireplace
E-mail: Range
u , , sr`V a K ,V ZWV Z, . iZk't CTO 'N #, s l Barbecue
Clothes dryer (gas)
Business name: A m e r l c 0, n . iq e.!) f l r, Other
cv / +` MECH FEES "+ i
Ar.: ress: �33 ! S E t!p .l c � � O r 7 5 Subtotal _ / p qI 72 V2 Subtota{
Cit /ZIP: P OD f iGf✓!CJ Q l� Minimum permit fee ($90.00)
( 5 0 3 ) 2S/ 7 6 I Fax: (503 ) 2 3°1 70:?.: ; c Plan review (25% of permit fee)
CCii lic.: 3,3136 — State surcharge (12% of permit fee) _
TOTAL PERMIT FEE
� This permit application expires if a permit is not obtained within 180
Authorized signature: t 2 , -4 n C L days after it has been accepted as complete.
L b /0 I * Fee methodology set by Tri -County Building Industry Service Board
Print name: jrgd f GYac C5 T e ms' 1 Date: "