Permit Y a CITY OF TIGARD MECHANICAL PERMIT
'`1 stl . COMMUNITY DEVELOPMENT Permit#: MEC201500047
T t GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2015
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 220
Project: Apex Systems Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocating duct work and grilles.
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 01/29/2015 $173.44
Class of Work: ALT Type of Const: Plan Review 01/29/2015 $43.36
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/29/2015 $20.81
Stories:
Project Valuation: $3,875.00
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 $237.61
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grilles
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 1.•'i .2344.
Issued By: - Permittee Signature:
C. r .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 Application, Date/By: r {/j- 477— Permit No: Ike. /y)i� 47
t;
■ 13125 SW Hall Blvd.,Tigard,OR 97223 ! /(ic�iU
14
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:(/��4k/t,y,3 by
T I G A R D Inspection Line: 503.639.4175 JAN 2 8 2015 Date Ready/By: Juris: 65 See Page 2 for
Internet: www.tigard-or.gov Notified/Method: _ Supplemental Information
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TYPE O ( iff COMMERCIAL FEE* SCHEDULE – USE CHECKLIST
'
Mechanical permit fees*are based on the value of the work
❑New construction ®Addit ion/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition El Other: mechanical materials,equipment,labor,overhead,and profit
Value:$$3,875.00
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 El Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 12220 SW Greeenburg Road Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:#200 Project name:APEX Systems
Dud 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
Remove and Relocate Duct work and grilles.Add ductwork and grilles to existing Flue vent for water heater or gas
fireplace 23.32 _
., Log lighter(gas) 23.32
equipment Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ PROPERTY OWNER ❑ TENANT 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. S14.15 for first four;S4.03 for each additional
Contact name:Brandon Hutchinson Furnace,etc.
Gas heat pump
Address:5035 SE 24th Ave Wall/suspended/unit heater
i City/State/ZIP:Portland,OR.,97202 Water heater
Fireplace
Phone:(503)239-4600 Fax: :(503)239 7038 Range
E-mail:b.hutchinson(aiamericanheating.net Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:American}leafing Inc. MECHANICAL PERMIT FEES*
Address:5035 SE 24th Ave __ Subtotal
_ Minimum permit fee($90.00)
City/State/ZIP:Portland,OR.,97202 _Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee)
CCB lic.:33135
TOTAL PERMIT FEE 1o4J 2 (0/
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ,„ ‹. � T''�---- . Fee methodology set by Tri-County Building Industry Service Board
Print name:Brandon Hutchinson Date:4,72ff-if
L1 Building\Permits\MEC_PermitApp_040113.doc 440.46171(11/02/COM/WEE)
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 220, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00047
Chip Barnett
Violation Summary:
Inspector Contractor