Permit q CITY OF TIGARD MECHANICAL PERMIT
= COMMUNITY DEVELOPMENT Permit#: MEC2014 00136
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/02/2014
-r t�" D g Parcel: 1S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD
Project: Lincoln Three Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Installing(1)VAV box with ducts and grills for restroom and shower facility addition in common area on first floor.
Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC
1339 SE GIDEON ST BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/02/2014 $280.27
Class of Work: ALT Type of Const: IIB Plan Review 04/02/2014 $70.07
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 04/02/2014 $33.63
Stories: Info Process/Archiving-Lg$2.00(over 04/02/2014 $2.00
11x17)
Project Valuation: $7,600.00 Info Process/Archiving-Sm$0.50(up to 04/02/2014 $7.50
11x17)
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: 4 Vent Systems: Total $393.47
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: grills,VAV
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
issuan - - is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Uti • Notification Ce -r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
• direct questions to OU • -I•-! 503.232.1987 or 1.800,332.2344.
Issued By: ��Al � 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 Application FOR OFFICE USE ONLY
EeW . , Permit No.: ,/ C0• 13125 SW Hall Blvd.,Tigard,OR 97223 . 7
Phone: 503.718.2439 Fax: 503.598.1 \ Date/By: -. -I J �, other Permit:
ice.•
1-1 1,i i,n Inspection Line: 503.639.4175 Date Ready/Fly: Juris: s See Page 2 for
Internet: www.tigard-or.gov �-- Notified/Method:,� ) , / Supplemental Information
11A��, ,. 1, / /J" •
r_/. (91 Lt.
CO R CIAL FEE* SCHEDULE — USE CHECKLIST
TYPE OF WORK _, ..,41411
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alterai n/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$7,600.00
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 I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:10220 SW Greenburg Rd. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR.,97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Lincoln 3 Center 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:
ITax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
• Flue vent for water heater or gas
Install 1 VAV& 1 EF SRIa`Q fireplace 23.32
0 JJ\ / Log lighter(gas) 23.32_si Ductwork&Grilles 1
6 t h \. l� a' J, Wood/pellet stove 33.39
�dIP Wood fireplace/insert 23.32
rI 3` pP ., Chimney/liner/flue/vent 23.32
(l7d �11" Other: 23.32
❑ PROPERTY OWNER ❑ TENANT
` �„ 14r
�' Environmental exhaust and ventilation:
Name: rJ�` 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
Fuel piping:
Business name:American Heating Inc.
$14.15 for first four;$4.03 for each additional
Contact name:Sean Dyer Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR.,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 _Fireplace
Range
E-mail:sean@americanheating.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:American Heating Inc. Other:
-- MECHANICAL PERMIT FEES*
Address:5035 SE 24th Ave _ _ Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: / / * Fee methodology set by Tri-County Building Industry Service B.
Print name:Sean Dyer Date:3/24/14
L I:\Building\Permits\MEC_PemvtApp_040113.doc 440.4617T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10220 SW GREENBURG RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
May 9, 2014 at 10:50:01 AM
MEC2014-00136
Chip Barnett
Violation Summary:
Inspector Contractor