Permit (137) CITY OF TIGARD MECHANICAL PERMIT
1111COMMUNITY DEVELOPMENT Permit#: MEC2017-00161
-B-LG AR o 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/06/2017
Parcel: 1S135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 115
Project: Reflex Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Duct modifications to existing VAV box for new offices.
Contractor: OREGON AIRE INC Owner: LINCOLN CENTER LLC
7715 NE 33RD DR STE A BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97211 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-335-2222 PHONE:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/06/2017 $112.04
Class of Work: ALT Type of Const: Plan Review 03/06/2017 $28.01
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/06/2017 $13.44
Stories: Info Process/Archiving-Sm$0.50(up to 03/06/2017 $2.00
11x17)
Project Valuation: $1,875.00
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 $155.49
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV Box
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR •52-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987. .:e' 332.2344.
Issued By: Permittee Sig . /•:,>>'C��"-�"'�/ - 401f''
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard „,,,.„.....7,,,,,
„ Received
g11
'^t Date/By. /' Permit No.: ,G _ i //
13125 SW Hall Blvd.,Tigard,OR 97223= ,,,,. r ;"'"
Plan Review
Phone: 503.718.2439 Fax: 503.598:
T I G A R D Inspection Line: 503.639.4175 j § Date/By: Other Permit: tit, � ! iikr —00 j3 C
b Note Rd o: See Page 2 for
Internet: www.tigard-or.gov �� of Notified/Met Method: INISupplemental Information
,,. .„„,. ., ! tib t t44 1 1 ;: ( i !Es Iii
It
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alterit ntire'p'lacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit.
;
Value.$ ”'
u
❑ 1-and 2-family dwellingfp Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family Master builder ❑Other: Description I Qty. I Ea. I Total
+ !,® ''1'''''°1 ; Heating/cooling:
.., 1 : ! "' 'I'-':‘r-74;-- -7M. Air conditioning 46.75
Job site address: U 1.1��aI I c.� , s
/ IJV to !"1 �/� ;�1"2* Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: � Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg./apt.no.: its I Project name: R. r,e„, 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
1 !1° ! ! ! �. w ,` Gas fireplace/insert 33.39
~- ' Flue vent for water heater or gas
)11,,,te7-41)0 r 1 F 6y9 /t �! ” .a ”f-51/!( 7 fireplace 23.32
. f`h f i 8, ad )\ r) ' „ s i Log lighter(gas) 23.32
V / Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
.. Other: 23.32
`” "° M::';_ '° 'y 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 Atlie�wsl pacc-fans --23.32
''` �' Other: r 23.32
Business name: fil, "" Fuel piping:
� 0.� R 1 ,,,, $14.15 for first four;$4.03 for each additional
Contact name: SRI,. C ,',.1t I-„ Furnace,etc.
Address: 7/,,. ,�,,.,;; 3),'""e Gas heat pump
'" Wall/suspended/unit heater
City/State/ZIP: �y
�j" f WG I) Water
e� Water heater
Phone:,(5/,.3) 33 1 , Fax::(�li,3) 53...,47: f.�r?g-g Fireplace
py
Range
E-mail: Rc' & , `eL 0 ' efl - At t Barbecue
x ., '' '',i ., . _. "< Clothes dryer(gas)
Other:
Business name: /'
Address: YCjillia< Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.: 4 Li n TOTAL PERMIT FEE 107 "%l
`C ` -- This permit application expires if a permit is not obtainwithin 180
`' days after it has been accepted as complete.
Authorized s1 atur•. * Fee methodology set by Tri-County Building Industry Service Board
Print name: r G A -b,41.-i_ Date:3,4r7
I:\Building\Permits\.MEC_PermitApp_040113.doc 440-4 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
$0.00 to 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\Buddineermits\MEC_PermitApp_040113 doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10250 SW GREENBURG RD 115, TIGARD, OR,
97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00161
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor