Permit CITY OF TIGARD MECHANICAL PERMIT
1. COMMUNITY DEVELOPMENT Permit#: MEC2014-00483
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/04/2014
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1170
Project: Ameriprise Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Adding ducts and grilles to existing system.
Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC
5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202-4765 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 09/04/2014 $108.97
Class of Work: ALT Type of Const: Plan Review 09/04/2014 $27.24
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/04/2014 $13.08
Stories:
Project Valuation: $1,730.00
Fuel Air Handlers
Fuel Types: 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: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $149.29
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 questions to OUNC by calling 503.232.1987 or . 344.
Issued By: �/ _ ittee Signature:
s•�
Cal ' .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
Received
City of Tigard ti i� ,Q Permit No.:� ' „ ,sj_fie
DateBy: rJ 1�-- ,I If=iivs.+'r 13125 SW Hall Blvd.,Tigard,OR 972lEcEly Plan Review
Phone: 503.718.2439 Fax: 503.598.19 Other Permit
Inspection Line: 503.639.4175 Date/By: �aol�t�(��7S
TIGARD SEP 4 2014 Date Ready/By: Juris: See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF W• g l OF A ' COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
• �" ■ . k a• t'.` • Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteratio 1r-r acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$1730
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: 1060 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.:1170 Project name:Ameriprise Suite 1170 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
Add New Ductwork&Grilles To Existing Systems fireplace 23.32
Log lighter(gas) 23.32 _
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: 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*
ff' Address:5035 SE 24th Ave Subtotal kg.`i--)
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 ? a-'j
State surcharge(12%of permit fee) /3 at
CCB lie.:33135 TOTAL PERMIT FEE At 1,11
- 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 Board
Print name:Sean Dyer Date:9/4/14
I:\Building\PermitsVMEC_PermitApp_040113 doc 440-4617r(11/02/CO /WEB)