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Permit CITY OF TIGARD MECHANICAL PERMIT .111111 2 : COMMUNITY DEVELOPMENT Permit#: MEC2013 00646 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/28/2013 Parcel: 1 S126DC03300 Jurisdiction: Tigard Site address: 9900 SW GREENBURG RD 130 Project: TIAA-CREF Subdivision: LEHMANN ACRE TRACT Lot: 4-5 Project Description: Ductless A/C for server room,and relocating grills and diffusers. Contractor: OREGON HEATING&AIR CONDITIONING Owner: ATHERTON REALTY PARTNERSHIP 19300 SW 118TH AVE 2100 S WOLF TUALATIN, OR 97062 DES PLAINES, IL 60018 PHONE: 503-691-9699 PHONE: FAX: 503-691-8556 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 10/28/2013 $500.11 Class of Work: ALT Type of Const: Plan Review 10/28/2013 $125.03 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/28/2013 $60.01 Stories: Project Valuation: $16,000.00 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 $685.15 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rule- adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may ■tain a copy of the rules or direct questions to OUNC by calling 503.232.1987 o ;0I 344. Issued By: / / •-rrnittee Signature: • Call 503.639.41 5 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFI•ICE USE ONLY Received City of Tigard �� Date/By: `a �, / �5� Permit No.: V�c r l . , ° 13125 SW Hall Blvd.,Tigard,OR 9 r)t Plan Review C ' Phone: 503.718.2439 Fax: 503.598. '.1 Other Permit:Date/By: T I G A R D Inspection Line: 503.639.4175 01'3 Date Ready/By: 3ucis: El See Page 2 for Internet: www.tigard-or.gov OC,1 Notified/Method: �(y Supplemental Information TYPE OF W ®�'�lV A�®pt COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 1 1V �'` r01 Mechanical permit fees*are based on the value of the work ❑New construction Addition/alter4ttMe dit performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: IIJJ►}' mechanical materials,equipment,labor overhead,and profit. Value:$ (4•19-111) CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/S STEMS FEES* ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: 7 ,� C �till ,L Air ace 1 Toni 0g 46.75 Job site address: C��_/ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: l7 t. 'y3.4 Furnace 100,000+BTU(ducts/vents) 54.91 ® -OA ( A_" Heat pump 61.06 Suite/bldg./apt.no.: Project name: /LT 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: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 /�""" a./ 7 �l Flue vent for water heater or gas • / leS r [�/ fireplace 23.32 �i .471 `�Z:��° �///1` _ nS Log lighter(gas) 23.32 �� /' Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER I ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: 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 0 APPLICANT >CONTACT PERSON Other: 23.32 Fuel piping: Business name: ©A�C/ $14.15 for first four;$4.03 for each additional Contact name: cilr,/t./ llfh � Furnace,etc. 7 A� /' ,/ //V /l Gas heat pump Address: �j �j!/►� /D� Wall/suspended/unit heater City/State/ZIP: �j�4Pl�/ elf- Water heater / - Fireplace Phone:-2 3) FO.....- Fax: :( ) "'�� I) �i Range E-mail: c4,04.1...„ c. R /`i:/y�j , h/. Barbecue CONTRTOR J Clothes dryer(gas) /1 Other: Business name: f'bL, MECHANICAL PERMIT FEES* Address: 1 5,v Su/// x4� Subtotal S(,�kf.- J/ City/State/ZIP: iVie(e I f )r,-- Minimum permit fee($90.00) Phone:( l_ Fax:( ) Plan review(25%of permit fee)J /A5,0 3 61/...„�( , State surcharge(12%of permit fee) to.61, _ CCB lie.: / ?Y v TOTAL PERMIT FEE pl.% IS_ This permit application expires if a permit is not obtai ed within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: GLL Loe/(h.ew I Date: /0 I';� I:\Building\PerminVMC PermitA 040113.doc 44 171'(II/�OM/WEB) ' _ A _ 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$100.00 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. • IABuildingWermits\MEC_PerrnitApp 040113.doc 2