Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2013-00415
T[CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/23/2013
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10330 SW GREENBURG RD
Project: Red Lobster Subdivision: METZGER,TOWN OF Lot: 9
Project Description: New HVAC equipment and duct work
Contractor: UNITED TEAM MECHANICAL LLC Owner: LINCOLN CENTER LLC
PO BOX 257 BY SHORENSTEIN PROPERTIES LLC
KAYSVILLE, UT 84037 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 801-991-1100 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/23/2013 $2,620.39
Class of Work: ALT Type of Const: VB Plan Review 09/23/2013 $655.10
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 09/23/2013 $314.45
Stories: 1 Info Process/Archiving-Lg$2.00(over 09/23/2013 $26.00
11x17)
Project Valuation: $100,350.00
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers 8 Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 2 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 8 Vent Systems: Total $3,615.94
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Duct work,
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 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: mittee Signature:
g_e
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.
Jul 2313 07: 42a S Hale 707426905242
. p. 2
Mechanical Permit Applica ' ` FOR OFF1CZ.USE ONL\
City of Tigard Permit No Hz-cage) O /S
tY g _Datdsr. 7 23/l3 r! 020 4/
13125 SW Hall Blvd.,Tigard,OR 97223 JUL 2 3 2013 p�'"R""e"
C Phone: 503.718.2439 Fax: 503.598-1960 Dnd6 qt (2 Other Permit: 464446,210/6_aGR(f
Y / 7 r
T l GA R t) Inspection Line: 503.639.4175 Dare Rcady711 : rods: H See Page 2 for
Internet: wtirw.tigprd-or.gov CITY OFTIGARD Notified/Mrthod:99 /.9 441-- Supplemental information
:1 111 I. _ , :, 1
�_ 1! ��//��
TYPE OP WORK COMMERCIAL'FEE' SCHEDULE- USE CHECKLIST
Mechanical permit fees`arc based on the value of the work
❑New construction ®Addition/alteration/replacement performed Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S$100,350.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
12 1-and 2-family dwelling ®Commereial/indtutrial ❑Accessory building FOP special inforrn�ra use checklist
r,
0 Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
[_
3011 SITE INFORMATION AND LOCATION 'IcahnI coo n,-:
Air conditionitz 96.75
Job site address:10330 SW Greettburg Road Furnace 100 0001.3111 ducts/vents) 46.75
City/State/ZIP:Tigard,OR Furnace 100,000*BTU(ducts/vents) 54 91
— - ,
IIcat. m 61,06 (.
Suite/bldg./opt.no.- Project name:Red Lobster Duct work 23.32
let_
Cross street/directions to job site:Washington Square Road Hydronic hot water system 23.32 `
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duet,suspended,etc. 46.75 (�
Flue/vent for any of above 23.32 1f�
Subdivision: I Lot no.: Other: 23.32 ret
Other fuel appliances: d
Tax map/parcel no.: Water beater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
New I1YAC equipment and ducting fireplace 23-32
Log lighter(gas) - ;23.32
Wood/pellet stove 33.39
Wood fir-.lace/insert _ 23.32 _
Chimney/liner/clue/vent 23.32
❑ PROPERTY OWNER I ® TENANT fie`
----- 23.32
Environmental exhaust and ventilation:
Name:Red Lobster Range hood/other kitchen
equipment 33.39
Address:1000 Darden Center Drive
Clothes dryer exhaust 33.39 _
City/State/ZIP:Orlando,FL 32837 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(760)707-9124 Fax:(407)241-5825 Anic/crawlspacc fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
piping:
Business name:Red Lobster ltitel
St4.15 for first four;$4.03 for each additional
Contact name:Steve Hale Furnace,etc.
Address:1048 Peppertree Drive Gas heat pomp
Wall/suspended/wait heater
City/State/ZIP:Fairfield,CA 94533 Water heater
Phone:(707)427-8671 Fax::(707)426-9052 Fireplace
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:TED (j,J � Other.
iN�)' ` fir/►[ ,-c41 MECHANICAL PEHMIT FEES*
Address: /'(J R.k 9�7 Subtotal
C'r�'JOrarri71P f,( . �uri//_- (AT �+'fc) ) Minimum permit fee($90.00)
ve �L t 3 ( Plan review(25%of permit fee)
Plume:( 1 ) 4I....- 1/00 t Fax:( ) State surcharge(12%of permit fee)
CUB lie.: V0_0011/ te fozgi/7 TOTAL PERMIT FEE
This pc rmil application expires Ifs permit is net obtained within 180 .
I f I7`3 ! I'7) me atter It has been accepted es complete.
Authorized signature: lik / f J • Fee methodology set by Tti-County Building industry Scn•tcc Ooord
Jul 2-0 :•13 07: 42a S Hale 707426905242 p, 1
STEVE HALE •
FACSIM1LlE TRANSMITTAL
CONSULTING/MANAGEMENT RECEIVFD
1048 Peppertree Drive
Fairfield,CA 94533 . JUL 2 3 2013
Fax:707/426-9052 CITY OF TIGARD
BUILDING DIVISION
Company: City of Tigard Date: 7/23/13
Deliver to: Debbie Adamski Fax Number: 503-598-1960
From: Steve Hale Number of pages,
Including cover sheet: 4
Project: Red Lobster remodel
Tigard, OR Original to Follow by Mail: No
Job No.:
Remarks:
Debbie-attached are the applications for Site Work and
Mechanical as requested.
Let me know if you need anything else or if have any questions.
Thanks, Steve Hale
C:tUsers\StevetDocumen3\111111tDardenlaaaForms0GCheckRequestFax152CheckReque
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10330 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
2013-12-10 (null)
MEC2013-00415
PASS - No C of O
Violation Summary:
Inspector Contractor