Permit CITY OF TIGARD MECHANICAL PERMIT
- " COMMUNITY DEVELOPMENT Permit#: MEC2017-00866
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2017
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1000
Project: Miller and Kim CPA's Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Mechanical for TI: Relocating(2)existing supply diffusers,replacing(1)supply diffuser,adding(1)return grille,and
(1)new exhaust fan.
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: Permit Fee 11/02/2017 $124.32
Class of Work: Type of Const: Plan Review 11/02/2017 $31.08 .
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/02/2017 $14.92
Stories: Info Process/Archiving-Lg$2.00(over 11/02/2017 $2.00
11x17)
Project Valuation: $2,216.00
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 $172.32
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 1.800.332.2344. f
Issued By: 42. Permittee Signature: �ht �^C es/
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 :::.1',,, Received
*g Date/By: /1Permit No.: .-a r
13125 SW Hall Blvd.,Tigard,OR 9 d IMIa♦L v 11'
Phone: 503.718.2439 Fax: 503.59 .1 9' Plan Review
Date/By: Other Permit. t ° )�
TIGARD Inspection Line: 503.639.4175 ,
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1 i 1( Date ReadyBy: Juris www.tigard-or.gov #,,-V 11 ^( S See Pagel for
Notified/Method:
Supplemental Information
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,,, .,,,„:, iy ir.0 ,„ 0 4 :A' A" :A" ,0 ,,,-• -", 0 • , -,,, :,- 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
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$2,216.00
` CA 'O Ol tt1J01 .
:� H ,� �° 1� E �
❑ 1-and 2-family dwelling ®Commercial/industrialt�� S'�t.
0 Accessory building For special information use checklist.
❑Multi family 0 Master builder
0 Other: Description I Qty. 1 Ea. I Total
.I B Tn`i 1 rib t'1111A'I'I'11`N,1A1 H, ocA ois ' Heating/cooling:
,
Job site address:10260 SW Greenberg Air conditioning 46.75
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.:1000 I Project name:Mill Kim CPA 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: I Lot no.: Other: 23.32
Tax map/parcel no.:
Other fuel appliances:
Water heater 23.32
l CR ION oWOR 77' 't 4' Gas fireplace/insert 33.39. .k
Flue vent for water heater or gas
relocate 2 existing supply diffusers fireplace 23.32
add 1 new return air grille Log lighter(gas) 23.32
replace 1 existing supply diffusers to matach others Wood/pellet stove 33.39
Wood fireplace/insert 23.32
new exhaust fa Chimney/liner/flue/vent 23.32
I'R1'lElt I'O4'1�Iit Other: 23.32
. Vii. .. ❑'T ' - - * 'a
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,
Phone: toilet compartments,utility rooms) 23.32
( ) Fax ( )
y Attic/crawlspace fans 23.32
., �... ICQN' CT PI2,ON Other: 23.32
Business name:American Heating Inc. Fuel piping:
514.15 for first four;$4.03 for each additional
Contact name:Brad Manchester Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
City/State/ZIP:Portland,OR.,97202 Walllsuspended/unithxcter
Water heater
Phone:(503)239-4600 I Fax::(503)239-7038 Fireplace
E-mail:brad@americanheating.net Range
Barbecue
. _. � CQITRTOlI 0 " ; f 0 =
0,40,04.0°. Clothes dryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave
1 *,, 'MEc11kAI IJCAT.t''F T FEE * .. 'F A,.
Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Phone:(503)239-4600 I Fax:(503)239-7038 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:33135 TOTAL PERMIT FEE t
This permit application expires if a permit is not obtained within 180
le,f045>ek 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:10-31-17
I.\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)