Permit (221) CITY OF TIGARD MECHANICAL PERMIT
" ' COMMUNITY DEVELOPMENT
e Permit#: MEC2016-00587
" 11
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/22/2016
T E t d' F#. Parcel: 1 S 126DC00900
Jurisdiction: Tigard
Site address: 9510 SW GREENBURG RD
Project: Greenburg Apartments Subdivision: LEHMANN ACRE TRACT Lot: 5
Project Description: Building 1 -HVAC&venting for new 6 unit apartment building
Contractor: VENTILATION EXPERTS Owner: RES-OR TIGARD LLC
PO BOX 959 730 NW 107TH AVE STE 400
DALLAS, OR 97338 MIAMI, FL 33172
PHONE: 503-843-7317 PHONE:
FAX: 503-843-7319
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 12/22/2016 $204.14
Class of Work: NEW Type of Const: VB Plan Review 12/22/2016 $51.04
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 12/22/2016 $24.50
Stories: 3 Info Process/Archiving-Lg$2.00(over 12/22/2016 $36.00
11x17)
Project Valuation: $4,818.00
Fuel Air Handlers
Fuel Types: Electricity 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: 9 Vent Systems: Total $315.68
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 9
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
e--:Issued By: Permittee Signature: ,e,-..., ,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica n1 GENE®
roll Of rlcL I sr oNl_1
City of Tigard RecDate/By:e y�/6 pm ki4 4,_�,,
.. 13125 SW Hall Blvd.,Tigard,OR 97223AUG 1 2016 � � Permit No.: n
Phone: 503.718.2439 Fax: 503.598.1960-, Plan Re a t� N `11��.ial�\�• Other Permit: f
CITY Date.By:" ��� IS- t/ .1.
) 1,i A 1.1, Inspection Line: 503.639.4175 OF TIGARD Date Rea,, :-: 11.1 H See Page 2 for
Internet: www.tigard-or.gov Is� Notified/Method:�.IL�� � ®� tifid/ haI , Supplemental Information
TYPE OF WORK1 COM 00CIAL`FEE*SCHEDULE-USE CU4CKLIST
New constructionMechanical permit fees*are based on the value of the work
0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRi1C1 tll!N }} Value:$ le (8
RESIDENTIAL EQUIPMENT/SYSTEMS FOS*
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
Mufti-family 0 Master builder
0 Other: Description Qty. Ea. Total
" a JOB;SITE impORMATION`AN_D LOCATION Heating/cooling:
Job site address: .. Air conditioning 46.75
6.1z2.2.10 Fk$Lt 1 ]�► Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:-rI t.,iAe,', c.Q., '7-77.23 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: l Project name: ,� Heat pump 61.06
£��4.6 7`' • Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
�
Residential boiler(radiator or
e�
`-tee' ert-Stl2L.f i' L.L. j.rydronic) 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK1 Gas fireplace/insert 33.39
' '` Flue vent for:water heater or gas
veNtr^t���(. - Ufi,,,n YV�,u_'.-1 i�Etr.N fireplace 23.32
l_ O),..1S IZA-1CTtnr►3 Log lighter(gas) 23.32
Wood/pellet stove 33.39
/ Wood fireplace/insert 23.32
(..e cc.--,,..j. Chimney/liner/flue/vent 23.32
VI PROPERTY OWNER ; ❑"TENANT 1 Other: 23.32
L 1 Environmental exhaust and ventilation:
Name: Geg 1 i� UQ.V Wd O 4 rAiss J"rc Lc. . Range hood/other kitchen
Address: "'�(4 Zp L"dequipment 33.39 ZCO,3V
c. tAt�dl e.NLf a. Rt..„. t t 7� 6Clothes dryer exhaust t33.39 Z00.34
�r,�
City/State/ZIP: e iN Oe 97zz 3 , Single-duct exhaust(bathrooms, t
- toilet compartments,utility rooms) L 23.32 134
Phone:(93) (0a5 . ‘‘83 Fax:(913)to Zs- gS 30 Attic/crawlspace fans 23.32
0 APPLICANT " •j CONTACT PERSON :' Other: 23.32
Business name: y e>zv � -,? _!`0 eQ T Fuel piping: -
!7� $14.15 for first four;$4.03 for each additional
Contact name: ' D4eYL Sei.Zc..APP. Furnace,etc.
Address: -7 ki10 5....,3L10,0 41 CsIQ • t,. S• re Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: ,64e6 ca. 4?-22.43 Water heater
Phone:(5.5)) to$O, 0045 Fax::( ) Fireplace
Range
' E-mail tl12Y L e t) .pa op 77 Es C O A+ Barbecue
, CONTRACTOR Clothes dryer(gas)
Business name: \I... c Other:
lt.)TIL AT1o. C.x�Lia:CS !^44-- MECHANICAL PERMIT FEES*
Address: c c> ?)i (FS
Subtotal gq0.44)
City/State/ZIP1.1 C.L46,5 QR- /7336 Minimum permit fee($90.00)
Phone:(Sa�) t/ i . of ej t Fax:/( 7) Plan review(25%of permit fee) �'�' .�$
T 3 State surcharge(12%of permit fee) (� ;87
)
CCB tic.: 15 ZZ.. � /( -z TOTAL PERMIT FEE '7I). bZ•
This permit application expires if a permit is not obtain within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: AA.le.� J12 .00Er'. Date: Bljt JitO
1:Building,Pennitsk.MEC_PennitApp_04011 x.doc 440-4617T(I 102.COMrWEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9510 SW GREENBURG RD, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2016-00587
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor