Permit (115) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00534
13125 SW Hall Blvd.,Ti Date Issued: 08/09/2018
TlC;ARC) and OR 97223 503.718.2439 9
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 350
Project: Kiewit Engineering Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocating and adding supply and return air grills and adding A/C unit for IT room.
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: COM Info Process/Archiving-Sm$0.50(up to 08/09/2018 $1.50
Class of Work: ALT Type of Const: VB 11x17)
Permit Fee 08/09/2018 $688.07
Occupancy Grp: B Occupancy Load: Plan Review 08/09/2018 $172.02
Stories: 12%State Surcharge-Mechanical 08/09/2018 $82.57
Project Valuation: $23,340.00 Info Process/Archiving-Lg$2.00(over 08/09/2018 $6.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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: 1
Appliances
Vent Fans: Vent Systems: Total $950.16
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 follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0 -0 0. You m y o tain a copy, of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: - ----Permittee_Signature: G
"e,e1A:rd/
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.
RECEIVEI)
Mechanical Permit Application FOR OFFICE USE ONLY r �L/
City of Tigard I II r� }} Date By: 7 /7 /�j'I Permit
J�/6) /7`���/JC?
13125 SW Hall Blvd.,Tigard,OR 97223 -71
Plan Review
Phone: 503.718.2439 Fax: 503.598.1 .,. Q 6- p �) Other Permit b � `o. /
TIGARD Inspection Line: 503.639.4175 �rFTIGARD DateReadyBy: / Juris: PI See Page 2 for
Internet: www.tigard-or.gov BII �T 1`g/y S I OINNotified/Method: ,tfh-r- Su lemental Information
4//:
TYPE;OF.WORK COMMERCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction AAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY,OF CONSTRUCTION
Value $
IfESIT)ETpT,I+QtIP.,
0 1-and 2-family dwelling commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
TOB SIT :IiFORM1TTON AND`LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /D ?� S�C1/'eck7Au/X Furnace 100,000 BTU(ducts/vents) 46.75
r /� i `/
City/State/ZIP: -r&ce/r! Or 9'7 t�3 Furnace 100,000+BTU(ducts/vents) 54.91
��J/ ) Heat pump 61.06
Suite/bld ./a t.no.: Project name: D
g p j �i �t �i Sr. 35 Duct work 23.32
Cross street/directions to job site: / / /n Gem"-Cf.-, Hydronic hot water system 1 23.32
Residential boiler(radiator or
/3 e?. 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
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
', DESCRIP ION OF,,WORK 33.39
. - ,_ �. Gas fireplace/insert
Flue vent for water heater or gas
A 4. TP'j'2Gteirt` i 44p(aVeolo V/' ' /`GL 0GC- fireplace 23.32
/ Log lighter(gas) 23.32
SC4//.lr//-e.4- 'rl cal e- s+F/4/kwJ C.6ed a.c'. u"1-- Wood/pellet stove 33.39
Fa..- / r .4-0004 . (J Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
i ' PROPERTY_OWNEit , ... Other: 23.32
�, TENANT
Environmental exhaust and ventilation:
Name: Sh.Dre.,, sr./n l/-( .ServiJGEJ- Range hood/other kitchen
A equipment 33.39
Address: 533 S /I ez /OL.-W s-i- ?7.5 Clothes dryer exhaust 33.39
City/State/ZIP: /m//4, O.S ,. a Or q 7c3 5 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5;E:,.3) (,#`2,-y g,:37::) Fax:( ) Attic/crawlspace fans 23.32
APP„ACA/4)T �i CONTACT.PERSON Other: 23.32
Fuel piping:
Business name:
S�1�-/��ar �X�.Gt' ma-iv--/ $14.15 for first four;$4.03 for each additional
Contact name: SU./ L k.�. Furnace,etc.
Address: -7 Gas heat pump
/�7C7 Hai �r Wall/suspended/unit heater
City/State/ZIP: /C2f/ / Dr,. 4.-??,2"1 Water heater
Phone:'a3 )yS 5.G 31 n7 Fax::(SCJ ) 3,gs5_ 33Y1 Fireplace
� Range
E-mail: ,R_L 4 1&f 2- ✓/re-5 jam. G v 1-( Barbecue
,?;CONTRACTOR,, Clothes dryer(gas)
Business name: Other:
Stre//4 !" S�«/- / 1e,i / 'MECHANICAL'PERMIT FEES*
Address: 2L/0 !0 knnvH E.d... Subtotal
City/State/ZIP: f�fcg Or q- -..>- Minimum permit fee($90.00)
1 Plan review(25%of permit fee)
Phone:(SDS? ) $- 47q I Fax:( 77 '7.0gg-33 y? State surcharge(12%of permit fee)
CCB lic.: 2-3�S TOTAL PERMIT FEE
- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: p * Fee methodology set by Tri-County Building Industry Service Board
Print name: /ft al Z.al' Date: 7-/7,/g
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)