Permit � v CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00119
IL CARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/09/2015
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 720
Project: Ameriprise Subdivision: METZGER,TOWN OF Lot: 9
Project Description: TI for new tenant. Work includes minor demolition and new walls.
Contractor: STREIMER SHEET METAL WORKS INC Owner: LINCOLN CENTER LLC
740 N KNOTT STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97227 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-288-9393 PHONE:
FAX: 503-288-3327
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/09/2015 $133.53
Class of Work: ALT Type of Const: Plan Review 03/09/2015 $33.38
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/09/2015 $16.02
Stories:
Project Valuation: $2,530.00
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 $182.93
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Grilles&
Duct Work: Exhaust Fan
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or . 32.2344.
Issued By: Permittee Signature: ‘,-(4/// 41
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard 1 ED DateBy: l �M►> Permit No V , _Ols •
_ • 13125 SW Hall Blvd.,Tigard,OR 972A Plan Review
Phone: 503.718.2439 Fax: 503.598.1x6 `G� Date/By: Other Permit ` /46/S
�l ri. II
TI GARD Inspection Line: 503.639.4175 9 7,05 Date Ready/By: 10 See Page 2 for
�^
Internet: www.tigard-or.gov R Notified/Method: Supplemental Information
�1 AcRp FM TYPE OF WO NG Q V1` 1 COMMERCIAL FEE* SCHEDULE —USE CHECKLIST
qqU�)E-� Mechanical permit fees*are based on the value of the work
❑New construction 0►, Addition/alterd it afi�replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑ Other:
CATEGORY OF CONSTRUCTION Value:$ ).-7 S 3)v DO
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 0-Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: A7}6d 4/-e-)huir, pi. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 7'�7�Q Or, Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: ! Pfoject name: r� d '"" Heat pump 61.06
7o � ��u/Vic_ / /w/C/? ri\fc. Duct work 23.32
Cross street/directions to job site: /Ir4 GO Al 16La-/Cr— ,,ç c-v /770 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
/17////4- r ,,yr � pi-Dvc,i4l4 t`- - fireplace 23.32
Ae-10 , cc,///l 4,-;l/� Aotel /G7, 4 .G 4411-- Log lighter(gas) 23.32
J` y Wood/pellet stove 33.39
a-$i4j, ,.7 V Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
.• I PROPERTY OWNER ❑ TENANT Other: 23.32
r(�� Environmental exhaust and ventilation:
Name: w7O,.-C� i'N •thL, S'��/GC} Range hood/other kitchen
7 equipment 33.39
Address: v"l.{)
fC_.,...7 �/`Ge,..„i(40- ad .s--c,(i}„ 3/D Clothes dryer exhaust 33.39
City/State/ZIP: pile, Q 7yy) Single-duct exhaust(bathrooms,
it r toilet compartments,utility rooms) 23.32
Phone:(ra) ) G/y -"22/ Fax:(5)3 ) 6/9--3`/v Attic/crawlspace fans 23.32
APPLICANT ,[CONTACT PERSON • Other: _ 23.32
,• , Fuel piping:
Business name: S7r-e/,,,,,.c.„._ S'-4 I /c'( ) '/ A 4 r,�s
$14.15_for first four;$4.03 for each additional _
Contact name: /1St(.t/ U e..;. Furnace,etc.
Address: 7 i v /L-4 AM a Tit Gas heat pump
WalUsuspended/unit heater
City/State/ZIP: P1/ (/ v(- '9 72, 7 Water heater
Phone:(5y3 ) 2,8$- 4 3 9 7 Fax: :(5y3 ) j se.2�'3 Y Fireplace
Range
E-mail: 4_ L ze.,.
Jli�'e/41e/, C.dM Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 7,/,/.�/me_ J-',4P A..{e (..,..„,s,_ Other:
MECHANICAL PERMIT FEES*
Address: 1 D N /CLI.a sr Subtotal
City/State/ZIP: pc.&" O� T7,y 7 Minimum permit fee($90.00)
Phone:(c ?) - $-g;
17 Fax:T13 ) y 2R-3"Y),7 Plan review(25%of permit fee) JI
State surcharge(12%of permit fee)
CCB lic.: 3-36 5 TOTAL PERMIT FEE :./ i,",t,CO
This permit application expires if a permit is not obtained within 180
� � �/J days after it has been accepted as complete.
Authorized signature: /C[�.✓ * Fee methodology set by Tri-County Building Industry Service Board
Print name: /�a.u/ L u 4e-J Date: -2-/V 6//5
I:\Building\Permits\MEC PermitApp040111.doc 440-4617T(I I/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
10260 SW GREENBURG RD 720, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00119
Chip Barnett
Violation Summary:
Inspector Contractor