Permit (101) CITY OF TIGARD MECHANICAL PERMIT N.. COMMUNITY DEVELOPMENT Permit#: MEC2017-00075
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/31/2017
TIC,; It I r 9 Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 610
Project: Guild Mortgage Subdivision: METZGER,TOWN OF Lot: 9
Project Description: HVAC modifications to grilles and ducts for TI
Contractor: STREIMER SHEET METAL WORKS INC Owner: LINCOLN CENTER LLC
740 N KNOTT STREET BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97227 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-288-9393 PHONE:
FAX: 503-288-3327
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/31/2017 $194.93
Class of Work: ALT Type of Const: Plan Review 01/31/2017 $48.73
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/31/2017 $23.39
Stories: Info Process/Archiving-Lg$2.00(over 01/31/2017 $2.00
11x17)
Project Valuation: $4,594.00
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 $269.05
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notifi . '•• enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire., •uestions to •.NC b calling 503.232.1987 or 1.800.332.2344.
Issu d By: K 4a A Permittee Signature: ft ,���
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
UPIReceived ,
City of Tigard �x I�°. Date/By: 3! 620
permit No.:� ��� 00:y75"- q 13125 SW Hall Blvd.,Tigard,OR 7 i-..t t C plan Review
Phone: 503.718.2439 Fax: 503.598.196J0A N32O� Date Ready/By: Other Permit. atrni.I�QO 1 /Date/By:Inspection Line: 503.639.4175
TIGARD
Juris: H See Page 2 for
Internet: www.tigard-or.gov (I
Notified/Method: Supplemental Information
61 1Jt tir-Z, ll
lialyilid f`'i? # r f . z COMMERCIAL FEE* SCHEDULE -USE CHECKLIST;
Mechanical permit fees*are based on the value of the work
❑New construction 1Q Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 5/ 54L/.db
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling zgCommercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
,;, SOB>SITE,TNFORM4;TION'AND,I;OCAflON Heating cooing:
• • / Air conditioning 46.75
Job site address: 2 -j{3 Go/fr /0 7.7-o S[,z)c ,./,6 /3 Ap` Furnace 100,000 BTU(ducts/vents) 46.75
i J
City/State/ZIP: -77?ae'�' O . q-7?-2-1/ Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suit,ldg./apt.no.:6a Ai Project name: u,•/,/ ®,� e Duct work 23.32
Cross street/directions to job site: Z.../i7,,,,,,,, Cc ,cf., h/ i Hydronic hot water system 23.32
1 Residential boiler(radiator or
SG€if .. 60L/ 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
Other: 23.32
Subdivision:
Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
�,a..• I- , Gas fireplace/insertlace/insert 33.39
z DESCRIPTION OF.N oRK
Flue vent for water heater or gas
jvA z. Teyterbie ../-hiy,2("ovcrwe,v)fj i-eloce.iz fireplace 23.32
/+ / 1 Log lighter(gas) 23.32
Ce)1l�r q -1)/e'1 I-1 br1l f"�/ y oh i✓1C[ `t t-C'twa r Ic1 Wood/pellet stove 33.39
J J Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY:OWNER , ?. •❑ 'TENANT 23.32
Other:
. ..., Environmental exhaust and ventilation:
Name: 5 pret-/sect lt- Sen/l G el. Range hood/other kitchen
equipment 33.39
Address: 533 5 Ale.-Ades c.,),t /1Z-0/ Ste- 2-1 5 Clothes dryer exhaust 33.39
City/State/ZIP: G,tit`, ca.--c., ek 6r CI" o S Single-duct exhaust(bathrooms,
/ toilet compartments,utility rooms) 23.32
b Fax:( ) Attic/crawlspace fans 23.32
Phone:(51,3) 6/1' 3�a 23.32
PLICANT CONTACT PERSON Other:
� - , Fuel piping:
Business name: Ste-Si//4 jG,- J^ C�` F1ei".,/ 1,03 rb-r $14.15 for first four;$4.03 for each additional
Contact name: PG u,( L a h e,J Furnace,etc.
Cras heat pump
Address: 74,a /k/ khp�}- . 7 Wall/suspended/unit heater
City/State/ZIP: P �
?i' / . /; ! 7) 2 7 Water heater
Phone:(55) ) 2.0£l `7 3q'j Fax::(5j3 ) 7'E3D''337.? Fireplace
Sri- Range
E-mail: 4,4hGS e Sr e,ime` (i®K Barbecue
cols/i ACTOR Clothes dryer(gas)
� .. .....:....... ..a .
Business name: S�'r- —i er- C A,c,..4... me*l �v/-1 S Other:
MECHANICAL PERMIT FEES*
Address: 7 C j D /V / 14 4*ii ST} Subtotal
City/State/ZIP: /9,--42•1 / Or 9722-7 Minimum permit fee($90.00)
- Plan review(25%of permit fee)
Phone:(j 63 ) 2-00 - q 3 C 3 Fax:(S03 ) ?y$` - 3 3 2-'7 State surcharge(12%of permit fee)
CCB lic.: 2-36' to(s 1$ TOTAL PERMIT FEE q�0�,O J
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: fa.GA/ / a Jce,- Date: /-3 C. / )
I:\Building\Permits'MEC_PermitApp_040113.doc 440-4617T(1 l/02/COM/WEB)
13125 SW Hall Blvd.
Tigard, OR 97223
City of Tigard
Location:
10220 SW GREENBURG RD 610, 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:
MEC2017-00075
Inspector:
Chip Barnett
Contractor