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Permit CITY OF TIGARD MECHANICAL PERMIT 1.1 COMMUNITY DEVELOPMENT Permit#: MEC2013-00505 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/09/2013 TIGARD Parcel: 1 S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 360 Project: DiLorenzo&Company Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Add(1)supply and relocate(1)supply 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 09/09/2013 $69.06 Class of Work: ALT Type of Const: Plan Review 09/09/2013 $17.27 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/09/2013 $8.29 Stories: Project Valuation: $385.00 Fuel Air Handlers Fuel Types: Units< 10000 cfm: 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 $94.62 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct que •- - •UNC by calling 503.232.1987 or 1.800.332.2344. Issu d By: , Permittee Signatur=.111010 '.41111111 ,� Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application c Tan, FOR OFFICE:. USE ONL ��LL.. Receive, �^ 114 City of Tigard Date/By: 9 Permit No.: ge019/2,�50s q 13125 SW Hall Blvd.,Tigard,OR 97223 Y C Phone: 503.718.2439 Fax: 503.598.1960 9 013 Plan Review hu/k) . v ( Date/By: Other Permit: /p u/k) p� Y I'I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: RI See Page 2 for Internet: www.tigard-or.gov CITYOFTIGARD Notified/Method: Supplemental Information BUILDING DIVISION TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 1:1 Demolition Other: mechanical materials,equipment,labor,overhead,�and profit. Value:$ 3 l L CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ I-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: U AO Air conditioning , 46.75 Job site address: / (�� C,� < � 2e - Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: --t"-)�./�,n Fumace 100,000+BTU(ducts/vents) _ 54.91 /���"4 y"J / _ Heat pump 61.06 Suite/bldg./apt.no.: 3 tpo Project name: D l L��.t'4 Duct work 23.32 Cross street/directions to job site: 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 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas f� f1`e- v 6 A-1-c-_ I g4/Op-. fireplace 23.32 / n I 14 e-_, ` 5-(4-1,0,019 Log lighter(gas) 23.32 6J •/ Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: t-i dl l' Li) CIril- vt Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 • Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Business name: ©k_ // ..-4l/2G �' Fuel piping: �n l $14.15 for first four;$4.03 for each additional Contact name: l �l�G` Fumace,etc. Address: "� 7 Ar f_ 33 V. Gas heat pump _ i Wall/suspended/unit heater City/State/ZIP: - m tit' z ©,4 / 7 P-/) Water heater / Phone:k1753) ••3,.:5".... _e')..‘2.._ Z Fax: :(3 _ q ?� Fireplace Range _E-mail: RD ti-U__,i Q p /Q X 22, i/ Barbecue CO OCTOR Clothes dryer(gas) Business name: Other: �� e� MECHANICAL PERMIT FEES* Address: � Subtotal City/State/ZIP: Minimum permit fee($90.00) Phone:( ) Fax: Plan review(25%of permit fee) ( ) State surcharge(12%of permit fee) CCB lic.: ( , q _-,-..:-6.-- TOTAL PERMIT FEE 14.(2 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatur . • Fee methodology set by Tri-County Building Industry Service Board ■ 40Print name. Date:ej-�_ 1.\Buildin g\Perm its\ME.C_PermitApp_040 t I3.doc 440-46I 7T(I 1/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$1 00.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1:\Building\Permits'MEC_PermitApp_040113.doc 2