Permit (103) CITY OF TIGARD MECHANICAL PERMIT
N -a COMMUNITY DEVELOPMENT Permit#: MEC2017-00068
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/30/2017
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 530
Project: SVN Imbrie Realty Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Modification ducts&grilles,add(1)VAV
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 01/30/2017 $148.88
Class of Work: ALT Type of Const: Plan Review 01/30/2017 $37.22
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/30/2017 $17.87
Stories: Info Process/Archiving-Lg$2.00(over 01/30/2017 $2.00
11x17)
Project Valuation: $3,035.00 Info Process/Archiving-Sm$0.50(up to 01/30/2017 $6.00
11x17)
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Fumaces>=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 $211.97
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 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 direc les ion • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issu By: / Permittee Signature: 4 g,,177)/K-------
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 Ap licatio E FOR OFFICE USE ONLY
Cl Of Ti and ,,t; ''eceived
'J . DateBy: f Permit No.: a
. 't' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review �,
Phone: 503.718.2439 Fax: 503.598.1960ih
., ryry Date/By: Other Permit: ,, ,,:i O �• °)°- al
T I GA RD Inspection Line: 503.639.4175 j U L��p OS
Internet: www.ti and-or. Ov Date Ready/By: Jur s: ® See Page 2 for
g g Notified/Method: [ l; Supplemental Information
�C ``TYPE Ole * £ It L� _' E E4,,,,,,,,,,,,,i...,,,,,_E 1L _11,4"E ' ''
Oft
lw • � 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
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition 111 Other:
Value:$$3,035.00
r4 GORY circ 5TRHerki.14 1. ,. �,a
. ."""" .:. ai, ti1 )SIDENTIAE 1 Nit 1v
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
.Tou iiki _ ORl4 !T QY LOGATI q Heating/cooling:
Ay",""k ,, Air conditioning 46.75
Job site address10260 SW Greenburg Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06 _
Suite/bldg./apt.no.:#530 Project name:SVN-suite 530 Lincoln Tow 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
5,, DEscON OF row 0Gas fireplace/insert 33.39
44 -:**,,,m::',',-, �c<--;.... `-,144*- -/
Flue vent for water heater or gas
Add or relocate Duct work and Grilles fireplace 23.32
add 1 VAV Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
i Other: 23.32
_: " ❑ PRFIZTY Q (, :ii ❑
• 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:( ) Fax:( ) Attic/crawlspace fans 23.32
Other23.32E
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:b.hutchinson@americanheating.net Barbecue
CfNR � �R - -�ti�4
� Clothes dryer(gas)
�"��. . i � ..,,o ,. " 't1,- -,� ,. - .,4KAIl�
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave i (��? + AL-ii ...° £
Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee)
CCB lic.:33135 TOTAL PERMIT FEE <<Y7
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: i * Fee methodology set by Tri-County Building Industry Service Board
Print name:Brandon Hutchinson Date: et--377-7----
1\Building\Permits\MEC_PermitApp_040113.doc
- 7L\Building\Permits\MEC_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: 4 Perm CFee ,. ,.
$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
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
10260 SW GREENBURG RD 530, TIGARD, OR,
97223
Record Type:
Commercial - Mechanical
Inspection Type:
699 Mechanical final
Result:
PASS- NoCofO
Comments:
Violation Summary:
Inspector
Tel: 503.718.2439
Inspection Date:
Record ID:
MEC2017-00068
Inspector:
Chip Barnett
Contractor