Permit CITY OF TIGARD MECHANICAL PERMIT
'r7 ' COMMUNITY DEVELOPMENT Permit ft: MEC2015 00261
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/06/2015
Parcel: 1S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 400
Project: Bridgewell Resources Subdivision: METZGER,TOWN OF Lot: 9
Project Description: HVAC modifications for TI
Contractor: AMERICAN HEATING INC Owner:
5035 SE 24TH AVE
PORTLAND, OR 97202-4765
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/06/2015 $444.23
Class of Work: ALT Type of Const: Plan Review 05/06/2015 $111.06
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/06/2015 $53.31
Stories: Info Process/Archiving-Lg$2.00(over 05/06/2015 $2.00
11x17)
Project Valuation: $13,800.00
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 $610.60
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 rules adopted by the Oregon
Utility • a io .-nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or. -ct questions to O C • calls . 503.232.1987 or 1.800.332.2344.
I sued By:.. I ,i / I , I - 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 Aft \ ED FOR OFFICE USE ONLY
City of Tigard V i�!J Received
Date/By: /J Permit No.: 5 c9.40/
N._ 13125 SW Hall Blvd.,Tigard, �'7223 2015
Plan Review n�/S_ ��
Phone: 503.718.2439 Fax: 501:08.196011 Date/By: Other Permit: I'
11(;\r I) Inspection Line: 503.639.C'f1TY OF TI GAR Date Ready/By: luris: 65 See Page 2 for
Internet: www.tigard-o l�DtNG DIVISION Date
Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — IISE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$13,800.00
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:10200 SW Greenburg Road Furnace 100,000 BTU(ducts/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.:#400 Project name:Bridgewell Resources 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
Remove and Relocate Duct work and grilles. fireplace 23.32
Add ductwork and grilles to existing equipment Log lighter(gas) 23.32
Wood/pellet stove 33.39
Add(1)new Fan power box with ductwork and grilles 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:( ) I'ay:( ) 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:Brandon Hutchinson 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:h.hutchinsona 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)
Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE &e.t f9
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:Brandon Hutchinson Date: 3"-&/•-•/
I:\Building\Permits\tvlEC_PermitApp_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
10200 SW GREENBURG RD 400, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00261
Chip Barnett
Violation Summary:
Inspector Contractor