Permit CITY OF TIGARD MECHANICAL PERMIT
2 , COMMUNITY DEVELOPMENT Permit#: MEC2017-00277
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/04/2017
T tR° g Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10330 SW GREENBURG RD
Project: Red Lobster Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Replacing kitchen exhaust hood,fan,and duct work.
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 05/04/2017 $238.12
Class of Work: ALT Type of Const: VB Plan Review 05/04/2017 $59.53
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 05/04/2017 $28.57
Stories: 1 Info Process/Archiving-Lg$2.00(over 05/04/2017 $4.00
11x17)
Project Valuation: $6,100.00 Info Process/Archiving-Sm$0.50(up to 05/04/2017 $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: Vent Systems: Total $331.22
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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.:0!... . 44.
Issued By: / � — Permittee Signature: I Mc.,C (CS'j C/'
Ca 50 .•39.4175 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 t'SE ONLY"
INCity of Tigard R' c'FIIVF �1'Date/By:• . '"l 7 Permit No.: !�l t'C�
�' 13125 SW Hall Blvd.,Tigard,OR 97223 Plan ReVie
Phone: 503.718.2439 Fax: 503.598.1960 DateBy-7 Ili `-7 Other Permit_
T I GARD Inspection Line: 503.639.4175 NPR 1 g 2017 Date Re.�. By: huffs: la See Page 2 for
Internet: www.tigard-or.gov Notified/Methott>///j I Supplemental Information
R•• � S
;, ., „r
li Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alteratio ep acement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
j � Value:$6,100
N
Yts
1111-and 2-family dwelling ®CommerctaUmdustrtal 111 Accessory building �- �- # ,. . °4 .� t_TIS $+ , N't,'):v-.
11]Multi-family 111 Master builder For spedal informalion use checklist
❑Other:
Description Qty. Ea Total
„ cif:JOB SITE 1FORM�T.flt 1Ld !tfl l ;,F.. 1` Heating/cooling:
Job site address:10330 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.: Project name:Red Lobster 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
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
s�,. . 0 ,;DEC'lll -OF QM -.- Gas fireplace/insert 33.39
demo existing kitchen exhaust hood,fan and duct Flue vent for water heater or gas
fireplace 23.32
install owner furnished grease hood,exhaust fan and ductwork Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
4,412OPERTY.'OWNER �g ---,-- ------
• >.
.... w ,,,;� . - �'„. Other: 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
, ®,- .,. u ate ....�. r ...
Attic/crawlspace fans 23.32
; , AP114CANT ® O TACT ERSUr ,
23.32
Business name:American Heating Inc. Fuel piping:
Contact name:Brad Manchester $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 heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
E-mail:brad@americanheating.net Range
��� Ari
`
- , , U
Clothesdryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave a-
Subtotal
City/State/ZIP:Portland,OR.,97202 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
This permit application expires if a permit is not obtained within 180
Authorized signature: G days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Brad Manchester Date:4-18-18
I:1I3uilding\Permits\MEC_PermitApp 040113 doc 440-4617T(11/02/COM/WEB)