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Permit (115) . PermitCITY OF TIGARD MECHANICALMEC2017-00865 PERMIT #: 2 . COMMUNITY DEVELOPMENT Date Issued: 11/02/2017 T[GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S135AB04500 Jurisdiction: Tigard Site address: 10250 SW GREENBURG RD 125 Project: Spec Space Subdivision: 1991-055 PARTITION PLAT Lot: 1 Project Description: Mechanical for TI:Replacing supply ducts and adding grilles. Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC 5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97202-4765 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-239-4600 PHONE: FAX: 503-239-7038 FEES Specifics: Description Date Amount Permit Fee 11/02/2017 $212.83 Type of Use: COM Plan Review 11/02/2017 $53.21 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 11/02/2017 $25.54 Occupancy Grp: Occupancy Load: Info Process/Archiving-Lg$2.00(over 11/02/2017 $2.00 Stories: 11x17) Project Valuation: $5,109.00 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 $293.58 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 o the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. c Issued By: Permittee Signature: �c GI /1L es y AX j/te,k12ri 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 H` ( ��tlt f`t ,,, ceived Peru No.: III 13125 SW Hall Blvd.,Tigard,OR 97223 li, / v t ,DiteBy: /l 1il /1�� / Phone: 503.718.2439 Fax: 503.598.1960 Plan Review 1 Date/By: Other Permit: 0 /1 Li T I GARD Inspection Line: 503.639.4175 �1 Date Ready/By: �( Internet: www.tigard-or.gov y y ® See Page 2 for . 1-otified/Method: Supplemental Information ri [ 1,-)1 e ii,' €; per, © wo i i i o� , V SCRtL s C " -4,V;. -,-w,' . . tm 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. . / G E(rAR—, ,,e4 1q CT1 N Value:$$5,109 00 " ,�, ' 0 � �1�1''CAI`�Q[ISPI�I>�:1 `I'1`� �`�, ' '" ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist Y ❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total ftOB Srrl O ( a4TTp g/ �N VI ' Heatincooling:Air conditioning 46.75 Job site address:10250 SW Greenburg 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.:125 Project name:VSP 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 I? StIqI'''IONV O Gas fireplace/insert 33.39 `" Flue vent for water heater or gas remove 5 supply duct and diffusers fireplace 23.32 add 5 new supply ducts and diffusers Log lighter(gas) 23.32 Wood/pellet stove 33.39 add 1 new return air grille Wood fireplace/insert 23.32 add 1 new transfer grille Chimney/liner/flue/vent 23.32 ..e P P�T O YET# ,k-,,, r 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/crawlspace fans " 1PPLIC 4NT� :.:,,,,,;,,,,,i, p 23.32 s a 23 32 % ....1,. , a+ ATT I OI .r=/; , Other: 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 0 ft N--,,,, ,,,„....;'i'.„.,...4„L4i ", ;. r,,..f , f „ F Clothes dryer(gas) 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 41,�t) (A This permit applicationdaysafterit expireshasbeen if a permitaccepted isas notcomplete.obtain within 180 '5--/-A--- Authorized signature: /" * Fee methodology set by Tri-County Building Industry Service Board Print name:Brad Manchester Date: 10-31-17 IBuilding\Permits\_EC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)