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Permit
INCITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2017-00645 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/29/2017 Parcel: 1S 135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 1100 Project: Academy Mortgage Corporation Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Mechanical for TI: Installing(10)new supply ducts and diffusers and(9)new return air grilles;Relocating(7)supply diffusers and(4)return air grilles. 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 08/29/2017 $434.07 Class of Work: ALT Type of Const: Plan Review 08/29/2017 $108.52 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/29/2017 $52.09 Stories: Info Process/Archiving-Lg$2.00(over 08/29/2017 $2.00 11x17) Project Valuation: $13,325.00 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 $596.68 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 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 .1987 or :00.3 2.2344. Issued By: ,� Permittee Signature: ��C/ ,�C 4_11('Th ,>s--' 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 e DateBy 1 'C,C' � Permit No.: �.� 13125 SW Hall Blvd.,Tigard,OR 9722 )m Phone: 503.718.2439 Fax: 503.598.19 0 -- ° v Plan Review Date/By: Other Permit:i° r� I . T I GARD Inspection Line: 503.639.4175 Date Ready/By: n See Page 2 for Internet: www.tigard-or.gov AUG 2 9 2017 Notified/Method: FM Supplemental Information E OF W '._€ 1.', ,-' r COMMERCIAL FEE'SCHEDULE—USE IEC LIST. ° 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 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$13,325 CATEGORY CII=CONSTRUCTION 1SIDEN`1'IAL EQUIPMENT/SYSTMSFEES* ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total � ." Heating cooling: t JiJOB UI DLOCATION Air conditioning 46.75 Job site address:10260 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 Heat pump 61.06 Suite/bldg./apt.no.:1100 Project name:Academy Mortgage 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 DESCRIPTION OF WORKGas fireplace/insert 33.39 Flue vent for water heater or gas relocate 7 existing supply diffusers fireplace 23.32 relocate 4 existing return air grilless Log lighter(gas) 23.32 _ Wood/pellet stove 33.39 10 new supply duct and diffusers Wood fireplace/insert 23.32 9 new return air grilles Chimney/liner/flue/vent 23.32 ,..�� 23.32 '.•1‘ D l)RO F4rya OWNR.." '3044' , 4,„ ,4 „ , y r ` ,4 ter: ,-.,N� gz” ° 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:( ) Attic/crawlspace fans 23.32 .APJ'LItrtANT ) t .I ONTA PERS©N :.,j5 ; Other: 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 Barbecue a ., ,-•/ M NTR.TORr::- r A 4,. Clothes dryer(gas) Business name:American Heating Inc. Other: ,,'.;.''',9!'A ', >, ii,.ME i 1ERMIT I#EES" Address:5035 SE 24th Ave Subtotal City/State/ZIP:Portland,OR,97202 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee) CCB lic.:33135 TOTAL PERMIT FEE` 5r/... ,,{t^l5 This permit application expires if a permit is not obtained within 180 . '� /3G�� days after it has been accepted as complete Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:Brad Manchester Date:8-23-17 I_ABuildingAPermits\MEC PermitApp_040t 13.doc 440-4617T(I1/02/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10260 SW GREENBURG RD 1100, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2017-00645 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor