Permit CITY OF TIGARD MECHANICAL PERMIT
e • • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00464
Date Issued: 10/01/2012
T F G ARD 13125 SW Hall Blvd., Tigard OR 97223 503 718.2439 parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 300
Project: Alton Sakai Subdivision: METZGER, TOWN OF Lot: 9
Project Description: (1) 2 ton split A/C installation for Tuesday server room Must maintain 5' side yard setback and approved rear yard
setback
Contractor: OREGON AIRE INC Owner: LINCOLN CENTER LLC
7715 NE 33RD DR STE A BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97211 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE 503 - 335 -2222 PHONE
FAX: 360- 423 -1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/01/2012 $243.74
Class of Work: ALT Type of Const: IIB Plan Review 09/11/2012 $60.94
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 10/01/2012 $29.25
Stories: 12 Info Process /Archiving - Sm $0.50 (up to 10/01/2012 $5.50
11x17)
Project Valuation: $6,290 00
Fuel Air Handlers
Fuel Types Units < 10000 cfm 1
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 1
Heat Pump:
Appliances
Vent Fans Vent Systems: Total $339 43
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 cationcente` Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-81 -8090. You ma obtain a copy of the rules
or d' ect questions to OUNC.py .= ng 503 232.1987 or 1.800 332 2344.
Is ed By: Permittee Signature. �%
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 A A. s licatio , i V D 1 . . FOR OFFICE USE ONLY ,
City of Tigard SEP 11 2012 Received 1 Permit ryYL_-/•.
`� g Re e ive Q i f / w-r1r`1
13125 SW Hall Blvd., Tigard, OR 97223
1111 Review
: ' Plan Phone: 503 718.2439 Fax: 503 598 1960 . Plan ,
Re' - ether Permtpg �I a — D0I
Inspection Line. 503.639 4175 P 4.01 4
T I G A'KD �' 9 � � Date Ready/By ions El See Page 2 for
Internet www tigard -or gov BUILDING DIVISION Notified/Method /0 z . „i
.ry G , Supplemental Information 0/44 r
- ' - . .TY _ P OF WORK _ - C OMMERCIAL- FEE* SCHEDULE - - CHECKLIST”
Mechanical permit fees* are based on the value of the work
❑ New construction $, Addition /alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Other: mechanical materials, equipment, labor, overhead, d profit
❑ Demolition / �
Value- $ 1P /Q j°•
CATEGORY OF CONSTRUCTION' —RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi- family Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND' LOCATION Heating/cooling:
+ "^^ Air conditioning
Job site address: ) 0 U S ((4) aQ.ce �b r ` ,D ` (requires site plan showing placement) 46.75
City/State /ZIP: / ^^ /� ® n 4/ III Furnace 100,000 BTU (ducts /vents) 46.75
f ) �P /4-4...,0 Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 36,0 Project name: Q- Let.'? -ci, Heat pump
J (requires site plan showing placement) 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 electnc),
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:
DESCRIPTION- OF WORK - _ Water heater 23.32
� +�� Gas fireplace /insert 33 39
'—l� 4,5 o C - Flue vent for water heater or gas
f , .1 // / A T e . y - t fireplace 23 32
^ ��C" ~ Log lighter (gas) 23.32
tai 4. I-) 0 7/L. I3 ' t D /P r Wood/pellet stove 33.39
Wood fireplace /insert 23 32
❑ PROPERTY OWNER I ❑ TENANT ' Chimney /liner /flue /vent 23 32
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
- - ❑ APPLICANT - ' , ❑ CONTACT PERSON _ Attic /crawlspace fans 23 32
Business name: Other 23.32
Fuel piping:
Contact name: $14.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City/State /ZIP: , Wall /suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
Range
- - CONTRACTO_ R• -- V " , ' _ Barbecue
Business name: D a e o c ,/^�!t e t o lac :. A �, Clothes dryer (gas)
Address: 7 - 7 /'5 ` T � � / . - 8 3 & LW •
Other: .
- MECHANICAL PERMIT FEES*, .
City/State /ZIP: (D 4.9--- L I ) 4 0 A 9 ? / ) Subtotal
ft_ Minimum permit fee ($90 00)
�'� 3
Phone: (�� 3S rL Fax: ( 3) _ ,_ ' �` Plan review (25% of permit fee)
CCB lic.: /„ I 1 a J / - State surcharge (12% of permit fee)
`� ' `' TOTAL PERMIT FEE 40
Print % r •tore: 10 y4 is , This permit application expires if a permit is not obtained within 8
int days after it has been accepted as complete.
Prnt • Date: 15`. ' Fee methodology set by Tn -County Building Industry Service Board
1 \Building\Permits \MEC- PennlApp doc 03/07/12 440 -4617T (1 l /02/COM/WEB) .