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Permit (100) II OF TIGARD MECHANICAL PERMIT 1111 ' COMMUNITY DEVELOPMENT Permit#: MEC2016-00216 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/29/2016 Parcel: 1S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 200 Project: Rian Group Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Duct and grill modification for TI Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC 5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97202-4765 235 MONTGOMERY ST, 16TH FLOOR SAN FRANCISCO, CA 94104 PHONE: 503-239-4600 PHONE: FAX: 503-239-7038 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/29/2016 $164.23 Class of Work: ALT Type of Const: Plan Review 03/29/2016 $41.06 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/29/2016 $19.71 Stories: Info Process/Archiving-Lg$2.00(over 03/29/2016 $2.00 11x17) Project Valuation: $3,600.00 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 $227.00 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: 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 .-stions to 0 NC by g 503.232.1987 or 1.800.332.2344. Is ed By: 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 Appli, 1 t: b II r 1171(EIVEP FOR OFFICE USE ONLY City of Tigard Received ,DateBy: . CA9 a, el Permit No.:M �/6At, 14 ' 13125 SW Hall Blvd.,Tigard,OR 9R 2 9 2016 plan Review v"' _ Phone: 503.718.2439 Fax: 503.598. 9ou Date/By: Other Permit: 4 • --0096 , T t G A K D Inspection Line: 503.639.4175 Tri, f Date Ready/By: loris: ® See Page 2 for `� Internet: www.tigard-or.gov �1 S J1 11 J 1 I) Notifed/Metbod: Supplemental Information Mechanical permit fees*are based on the value of the work El 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. k �-�' Aekk kit ii1 C3Ya.'' I STRUt`.i10Ny Value.$3,6 0 1:11-and 2-family dwelling ®Commercial/industrial 0 Accessory building RESLDEIYTiAL QUIPd .1V ..S140.1WFEES* 0 Multi family ❑Master builder El OtherFor special information use checklist. Description Qty. Ea. Total ' ,"" 'SW JUB;STYE INFURS+ TI4N_AIYD 1;OGATIQN;± *0r j Heating/cooling: Job site address:10300 SW Greenburg Road @ Lincoln 1 Air conditioning 46.75 City/State/ZIP:Tigard OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.:#200 Project name:Rian Group Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 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 Tax map/parcel no Other fuel appliances: ;.• IDESCR1PTXON ©P;'WORK Water heater 23.32 Gas fireplace/insert 33.39 Add or relocate Duct work and Grilles Flue vent for water heater or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ',.•:).143•1(?.'' 3,. PO_EY:OWR _�x-0117W. A .❑ TENA_N.T.. Other: 23.32 Name: Environmental exhaust and ventilation: Range hood/other kitchen Address: equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, Phone:( Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawlspace fans 23.32 �.- . ►' ONTAGT PERSQN "." ,_ "n Other: 23.32 Business name:American Heating Inc. Fuel piping: Contact name:Brandon Hutchinson $14.15 for first four;$4.03 for each additional Furnace,etc. Address:5035 SE 24th Ave Gas heat pump City/State/ZIP:Portland,OR.,97202 Wall/suspended/unit heater Water heater Phone:(503)239-4600 Fax::(503)239-7038 Fireplace E-mail:b.hutchinson@americanheating.net Range , o RAID R: i . a Barbecue Clothes dryer(gas) Business name:American Heating Inc. Other: Address:5035 SE 24th Ave City/State/ZIP:Portland,OR,97202 Subtotal Minimum permit fee($90.00) Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee) CCB lie.:33135 State surcharge(12%of permit fee) TOTAL PERMIT FEE �V A i•o0 This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name:Brandon Hutchinson Date: 3 -.30 // • Fee methodology set by Tri-County Building Industry Service Board I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)