Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00546
TIG 1?D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/27/2017
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 250
Project: Keyence Corportation Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocate 5 existing supply diffusers,relocate 2 existing return air grills,2 new supply ducts and grills,5 new return
air grills,2 new cooling only VAV box.
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 07/27/2017 $305.56
Class of Work: ALT Type of Const: Plan Review 07/27/2017 $76.39
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/27/2017 $36.67
Stories: Info Process/Archiving-Lg$2.00(over 07/27/2017 $2.00
Project Valuation: $8,475.00 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 $420.62
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: 4/kri-`f4e-0-"Ig— Permittee Signature: f 'fin C 't e cie
#1114
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
- City of Tigard Received
Date/B7 N
Permit o' iia
13125 SW Hall Blvd.,Tigard,OR 97IllIl � y" �1%`G _00Phone: 503.718.2439 Fax: 503.598. 9 Plan Review
DateBy: Other Permit: ir P�f
Inspection Line: 503.639.4175TIGARD
Date Ready/By: 7uris: 0 See Page 2 for
Internet: www.tigard-or.gov JUL 2 7 2017 Notified/Method: Supplemental Information
0. 0 gsr' ei)F t FJ1 1 -r,�,G' I,, *;E T>@�
SING DIVISION' 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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
.,*, , V= �1 7 �Y r 3NS R psi
Value $$8,475
� � ek- , .% '�, 4tEtisr'I11kEQC7IPw lST
❑ 1-and 2-family dwelling ®Commercial/industrial
0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder
❑Other: Description Qty. Ea. Total
7. ideri SITE O, TION oaTI t .,.- 4 4 j Heating/cooling:
Air conditioning 46.75
Job site address:10300 SW Greenburg Road Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:250 Project name:Keyence Heat pump 61.06
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
'o :,; . . R. of isocie Gasfireplace/insert 33.39
Flue vent for water heater or gas
relocate 5 existing supply diffusers,relocate 2 existing return air grilles fireplace 23.32
2 new supply ducts and grilles Log lighter(gas) 23.32
Wood/pellet stove 33.39
5 new return air grilles Wood fireplace/insert 23.32
2 new cooling only VAV boxes Chimney/liner/flue/vent 23.32
1EO1�R O �!. Other. 23.32
❑ * .
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/cra
w p ce fans 23.32
4 ►a AP Li N 1 ,rA, {iI iCT PERSO i, Other:
►� I � 23.32
Business name:American Heating Inc. Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Brad Manchester 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:brad@americanheating.net
A :.* V. A ; CENT A "Oi Barbecue Clothes dryer as
)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave
Subtotal
City/State/ZIP:Portland,OR,97202 Minimum permit fee($90.00)
Phone:(503)239-4600 Plan review(25%of permit fee)
Fax:(503)239-7038 State surcharge(12%of permit fee)
CCB lic.:33135 TOTAL PERMIT FEE 6-/20 62,
i/51{----- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signature: �� ���Z * Fee methodology set by Tri-County Building Industry Service Board
Print name:Brad Manchester Date:7-25-17
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)