Permit (140) 4
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00558
TTG RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017
Parcel: 1 S 135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 450
Project: Apex Systems Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocating grilles 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: Permit Fee 07/31/2017 $423.91
Class of Work: Type of Const: Plan Review 07/31/2017 $105.98
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/31/2017 $50.87
Stories:
Project Valuation: $12,976.00
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 $580.76
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- 90. You may obtain a copy of the rules
:: :::: 5tb0:0
dueOUNC by calling 503.232.1987 or 1.800.332.2344. /
.VL- —.00.2"-- '- Permittee Signature: � '4" �� ,"' f
Call 5e3.639.4175 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 TigardGe‘ Received
- g • DateBy: t ' Permit No.: r ' ,3 ,`.. -',.
13125 SW Hall Blvd.,Tigard,OR s
w' Plan Review
Phone: 503.718.2439 Fax: 503.5• ! 1 Date/By: OtherPermit: J
TIGARD Inspection Line: 503.639.4175 /.®1 Date Ready/By: 0 See Page 2 for
Internet: www.tigard-or.gov w- +, r Date Read/By: IffllSupplemental Information
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TYPE OF' ,�, �+ COMMERCIAL FEE* SCHEDULE -USE,CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alt on/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$12,976.00
CATEGORY QF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYST.EMS FEES?
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE TNFORRI.ATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:10220 SW Greenberg Rd Tigrad,Or.
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,Or. Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:450 Project name:APEX Duct work 23.32
Cross street/directions to job site:Lincoln Center Bldg 2 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
HVAC Tenant Improvement,add/relocate grilles for new room configuration. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT
Other: 23.32
Environmental exhaust and ventilation:
Name:Shorenstein Property Services Range hood/other kitchen
equipment 33.39
Address:10220 SW Greenberg Rd.Suite 310 Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,Or.97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)619-3000 Fax:(503)60-19-3110 Attic/crawlspace fans 23.32
®: APPI;ICANT CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Streimer Sheet Metal Works,Inc
$14.15 for first four;$4.03 for each additional
Contact name:Paul Lukes Furnace,etc.
Address:740 N.Knott St. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,Or.97227 Water heater
Phone:(503)288-9393 Fax: :(503)288-9393 Fireplace
Range
E-mail:Pa_lukes@streimer.com Barbecue
CONTRACTOR; Clothes dryer(gas)
Business name:Streimer Sheet Metal Works,Inc. Other:
MECRANIC PERMIT FEES*
Address:740 N Knott St Subtotal 423.30
City/State/ZIP:Portland,Or.97227 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)288-9393 Fax:(503)288-3327 State surcharge(12%of permit fee)
CCB lic.:2365 TOTAL PERMIT FEE 5 ' )' z
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:Paul Lukes �/ Date:7-28-17
I:\Building\Permits\MBC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)