Permit e CITY OF TIGARD MECHANICAL PERMIT
'' COMMUNITY DEVELOPMENT Permit #: MEC2009 -00211
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/15/2009
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 320
Subdivision: Lot: 0
Project: Ameriprise
Project Description: TI - Relocate (5) diffusers, add (1) VAV.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee 05/15/2009 $134.60
Plan Review 05/15/2009 $33.65
PHONE: 12% State Surcharge 05/15/2009 $16.15
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 $184.40
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• ' uspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Cent-c. o e rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or d • ect questions to 0 C al 'ng 503.246.6699 or 1.800.332.2344. / 1
Is -ued By: \ f/ 4 / ' Permittee Signature: �Cr`7 C �C S ef
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 , FOR OFFICE USE ONLY
Received fty Amu
City of Tigard
.1 13125 SW Hall Blvd., Tigard, OR T.I .f,
I Phone: 503.639.4171 Fax: 503. - 1 - :: ill t "0
: EIVED Date/By: V , 7
Plan Review
Date/By: Permit No.. fi __ /
Other Permit:
Inspection Line: 503.639.4175
T I G AR D Date Ready/By: MI HI See Page 2 for
Internet: www.tigard-or.gov
MAY 1 5 2009 Notified/Method: Supplemental Information
gARtiMatatater**.T 4 ft4 AAD,NVVSZM!ag 170.:**:, :#04. If.ktli**);(0 '0,#
0 New construction )2K.IditicHARLIMPAMN Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Tallhati-SOUggaiito iit OF tiii■i§fRifenoSege4WaigaMP Value: $ L i 67 1 -17
D 1- and 2-family dwelling Commercial/industrial 0 Accessory building ''" -;
For special information use checklist.
0 Multi-family 0 Master builder 0 Other:
Description Qty. •1 Ea. Total
agosigap '4***„0:4i*Togaggitos Heating/cooling
Job site address: i 07 2 0 GrceV1 0(.-(c g cl Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: 77 o
3 ,,c/ R Fumace 100,000 BTU (ducts/vents) 14.00
. • Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 3 2 . c , Project name: A frvt er 1 f,' / S C Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel-type, not electric),
in-wall, in-duct, suspended, etc. 14.00
Flue/vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00 _
Tax map/parcel no.: ' Other fuel appliances _
r. - Water heater 10.00
Gas fireplace 10.00
re /ocei +C. 5 5 , .. , _pp I X di.r-rt.).5 ce-- s Flue vent for water heater or gas
i ;n e 1„, VA V • fireplace 10.00
.,,
Log lighter (gas) 10.00
N)
• Wood/pellet stove 10.00
Wood fireplace/insert 10.00
6
- Chimney/liner/flue/vent 10.00
NM • 4*****70, - '* 1 41,4:',Z".* Pnt!VSILG,'''t*f4j:laV oth 10.00
Name: • Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00 •
S ingle-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) • toilet compartments, utility rooms) 6.80
IiiireArtIRVIM retif. a :' :i :.; Atti c/crawl sp ace fans 10 00
Other: 1000
Business'name: A p / ca 4 fiec, -/ i r c
Fuel piping
Contact name: 27a/6 ,1/4,710.1e 7 t $5.40 for first four; $1.00 for each additional
Address: /33.7 5E &l le 0,7 _CI- Fumace, etc. ,
Gas heat pump
City/State/ZIP: f"
0,P OX 97202 Wall/suspended/unit heater
Phone: (503 )235- 000 Fax: : (563 ) 23'7-7o3 Water heater
Fireplace
E-mail: '
Range
%Oci*, '.1 =;,:0C.9N1,14c..1:91.0',d0M4YR Barbecue
Business name: Arhee/C4.1. H e* - 71/j Clothes dryer (gas)
Other:
Address: /33 5E 6 c o n 54-
A'
f:' -„, -.,...-1- --Z
City/State/ZIP: p / a.,c.i 0 g '972 c).2. Subtotal
Minimum permit fee ($72.50)
Phone: (503) 23?- 000 Fax: (503) 23,- - 703 8 Plan review (25% of permit fee)
CCB lic.: 33 / 3 5 . State surcharge (12% of permit fee)
TOTAL PERMIT FEE /
Authorized signature: 4
This permit application expires if a permit is not obtained within 180
..- :S.":."---A--'.
days after it has been accepted as complete.
Print name: g„-- /40.2chesier- Date: 3 / 44-0.7 * Fee methodology set by Tri-County Building Industry Service Board
1: ) BuildingWermits \MEC-PermitApp doe 01/19/07 440-4617T (11/02/COM/WEB)
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