Permit (21) IN CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00694
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/04/2016
Parcel: 1S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 600
Project: Maccoll,Busch,Sato Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Modification of ducts&grilles,add(1)exhaust fan.
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 10/04/2016 $238.12
Class of Work: ALT Type of Const: Plan Review 10/04/2016 $59.53
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/04/2016 $28.57
Stories: Info Process/Archiving-Lg$2.00(over 10/04/2016 $2.00
11x17)
Project Valuation: $6,029.00 Info Process/Archiving-Sm$0.50(up to 10/04/2016 $1.00
11x17)
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: 1 Vent Systems: Total $329.22
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 NotifiLation 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 di questions to 'U _ by calling 503.232.1987 or 1.800.332.2344.
I sued By: 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.
Ili
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Mechanical Permit Appl n , FOR OFFICE USE ONLY
City of Tigard Received
Date/By: /�; !� `� (-------),P) Permit No.. H�j/D rl ��to...,a)/„Q1./
13125 SW Hall Blvd.,Tigard,OR 9723.3..„ plan Review `'lam O ((J ,a)Y,`/T
Phone: 503.718.2439 Fax: 503.598046N Date/By: Other Permit: u /ado/dr-made
TiGARD Inspection Line: 503.639.4175
Internet: www.tigard-or.gov ✓ �' I F x'1& t 171 i It Date Ready/ y: Juris: See Page 2 for
1t_3`q • c 1 Notified/Method: Supplemental Information
41.4
- " ' ,. TYP (II d COMME,-,, --,.."FEE*.sC,--- .LE „.t•FSE 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:$6,029.----.4,,,,,,,,,. ...- fIS * QNz� ? ROF C1U 4f
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building i RkiD»Nk At• 444.'1 :N"IS1 ST SFE1IS* c.
E1Multi-family ❑Master builder ❑Other: For special information use checklist.
Description Qty. Ea. Total
JOB SFFL:II-IFOIf .T1Q1'+ A II?IQCATIO1-" . ., " _: Heating/cooling:
Job site address:10260 SW Greenburg Road 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.:#600 Project name:Maccoli Bush Sato 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:
t 4 1 CItlp'F�OF ' TfK y Water heater
23 32
'r n, T,, �' _._"� d4Gas fireplace/insert 33.39
Add or relocate Duct work and Grilles and add 1 ceiling exhaust fan 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
-Q t libl'tteri. Qi R " Chimney/liner/flue/vent 23.32
N NT Other: 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
Attic/crawlspace fans 23.32
"' 1,11.- ,. i ;L ACT PIR (, it i, 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 beater
Phone:(503)239-4600 Fax::(503)239-7038
Fireplace
E-mail:b.hutchinson@americanheating.net Range
t �' 'CUII'Itl2 r r:4 Wt
Barbecue
_ 2 / . . , A'" om
Clothes dryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave * 1CgTR 4
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 lic.:33135 State surcharge(12%of permit fee)
TOTAL PERMIT FEE 3A 9.a�.
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Brandon Hutchinson Date��'
I:\Building\Permits\Iv1EC PermitApp 040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation =Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:Building\Permits\MEC_PermitApp_040113.doc 2
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 600, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00694
Chip Barnett
Violation Summary:
Inspector Contractor