Permit CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit #: MEC2011 -00110
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/16/2011
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 800
Project: Mortgage Express Subdivision: LINCOLN TOWER Lot: 0
Project Description: Relocate (5) existing supply diffusers and (2) existing return grilles. Add 2 ton ductless split system.
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 03/16/2011 $339.28
Class of Work: ALT Type of Const: IIB Plan Review 03/16/2011 $84.82
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 03/16/2011 $40.71
Stories: Info Process /Archiving - Lg Sheet (over 03/16/2011 $2.00
11x17)
Project Valuation: $9,700.00 Info Process /Archiving - Sm Sheet (up to 03/16/2011 $1.50
11x17)
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 - 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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $468.31
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicabl- • work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issu- e, or if work i suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
U ity Notification Center. Ti • e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
.r direct questions to OUN• • cal g 503.232.1987 or 1.800.332.2344.
Issued By: i,_ _ _ Perm ittee Sign ure:
i
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
11 City of Tigard Received Pe itNo.: G,� /
13125 • SW Hall Blvd., Tigard, OR 97223 Datemy. Plan Re. . ^ gel # i —CO /(
e` • " ■
Phone: 503.639.4171 Fax: 503.598.1960 MAR 1 6 2011 Date/By: , WiVii �J m Other Penult:
TIGA RD Inspection Line: 503.639.4175 5j.•.
n Date Rea.' kirk: ® See Page 2 for
w
Internet: ww.tigard -or.gov CIP:: Notifie. c..•: Supplemental Information
3 ` TX PE O F , WOR Q1�IMERQfAI +,SCI>TPULE,XSLCIit~Ll$
El 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
ti CA G0.RX OF CONS RU�ON . Value S ,,,
y70o
...,.. - - ' n JIF NT /; t$ TEh . S FE
❑ 1- and 2- family dwelling M Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: .
Description I Qty. 1 Ea. 1 Total
y t i <JO1 FORMATIO 1 AND 7. rt_ Heating/cooling
1 ... /� .._ ...t..T . t p ... _I .,•..r, 4 Air conditioning
Job site address: 10260 . S t'v Y/ r.c e I 1 V Iri (� Cl (requires site plan showing placement) 46.75
City/State/ZIP: Ti q rd O R '1-1223 Furnace 100,000 BTU (ducts/vents) 46.75
U r o r f94 J C. Ex p e 5 5 Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt no.: SQ P roject name:
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
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances
} i . ' i- ggfe_ fiTi Y Oli - j ` ; , st ' s Water heater 2332
Oc 5 e x I5 i I n Gas fireplace ent for water heater or gas
33.39
Ye / a e S(� p p 1 y 1 � i -r-ruse �S Flue vent
re lQC a e 2 e 1 s� e. ! v ✓1 e 11 1c 5 fireplace 23.32
ci d -t on C4odT'es 5 ' is sfe� Logdgelletstove 33.39
23.32
a
2 p I � Wood/pellet stove
Wood fireplace/insert 23.32
Chitnney/liner /flue/vent 23.32
i [�;�PROI' lf ; $ 'NEl2,a . .,.7t . .: .. TENANT _ . ~ . _. .. Other: 23.32
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment _ 33.39
City/State/ZIP:" Clothes dryer exhaust _ 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) _ 23.32 ,
e , rv:�»-� ' , ° IsIC` �` t, F- l 'R i I } Attic/crawlspace fans 23.32
...Y }. %"� d4.6� 4Y _y .i�...5'k 3lxv� uY... /. •.:is_ ..1: .. -... 4e....' M.. .,,,
Business name: A me r I .' H e Gr t! n Other: 23.32
Fuel piping
Contact name: 13rA ci lviOl rl c. h e. S + e $14.15 for first four; $4.03 for each additional
Address: / 33 5 E ( 'clef? '7 S -I- Fumace; etc.
9 /
Gas heat pump
City/State/ZIP: Po r - f - /G/7 c I 0 2 972 02.. Wall/suspended/unit heater .
Phone: (5o3 )23 y6,00 Fax: : ($'03) 239 -703 $ Water heater
Fireplace _
E -mail: Range .
W . ^ ,4 ` ' 0, ZW&
'.R c O y i t c a Barbecue
Business name: Am e r I C A n ! J C T 1 n Clothes dryer (gas
Other
Address: /33 `i S E 6o ,con S ' l c !ioA>u ER1kn r EFSk
City/State/ZIP: or-f- 1 a e7 c 0 l \ G17202 02 Subtotal
(503) 23e/ '/ GDO ( ) 23 8 Minimum permit fee r it fee
Phone: Fax: 50 3
Plan review {25% o' permit fee)
CCB lie.: 3-3 State surcharge (12% of dernuit fee)
TOTAL PERMIT FEE '68 3/
-
Authorized si ature: This permit application expires if a permit is not obtained within 180
I gn � �'r f days after it has been, accepted as complete.
I Print name: grord nae7c A e s 1c,-- Date: y / b 1/ • Fee methodology set by Tri -County Building Industry Service Board
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