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Permit (17) IN CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit#: MEC2019-00085 T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/21/2019 Parcel: 1 S 135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 365 Project: Farmers Insurance Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Modifying HVAC system to accommodate. Installing(1)water source heat pump and (2)new VAV boxes for TI. Contractor: HUNTER DAVISSON INC Owner: LINCOLN CENTER LLC 1800 SE PERSHING ST BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97202 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503-542-3628 PHONE: 312-636-5012 FAX: 503-542-3654 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/21/2019 $500.11 Class of Work: ALT Type of Const: VB Plan Review 02/21/2019 $125.03 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/21/2019 $60.01 Stories: Info Process/Archiving-Lg$2.00(over 02/21/2019 $12.00 11x17) Project Valuation: $16,000.00 Info Process/Archiving-Sm$0.50(up to 02/21/2019 $10.00 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: Appliances Vent Fans: 1 Vent Systems: Total $707.15 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 .:: 2.2344. Issued By: ' ittee Signature: . 1503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY ill TigardRECEIVED g DateBReceived:ya l( /� ', e®tG1�-Cc a Cityof Ti 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review , Phone: 503.718.2439 Fax: 503.598.1960 " FEB 13 2019 Date/By: _ -a a - 1, ..40;• - _440 3 T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: n ee Page 2 for Internet: www.tigard-or.gov CITY OF TIGARD ;,,tified/Method:,. / Supplemental Information g k DIVISION g '1 ,'' ,,! Wo „ :a. rtrl '' '''.VM::*44EDV,,fif 7 . c,Ku T Mechanical permit fees*are based on the value of the work ❑New construction 11 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all 0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. 'IIValue:$ / d vU , Ob 'u A " + ORY i? 0 'ICU 5!0N 6 smEN`lEQUIPMENT I$' ' FI FES*1:1 1-1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family Master builder ❑Other: Description I Qty. I Ea. I Total JOB SITE INFORM TION LOcATI01 _ Heating/cooling: // Air conditioning 46.75 Job site address: /o?,S0 SW �jr ..r ZL( K Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 7' o f� Oie Cr'-i,2 p3 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suit ldg./apt.no.: k(i S I Project name:. L,N c06,/ -- r«jM er-S ? Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 J ' sat DEIPTIQI WORK 4r4 ,,7.--,e, Gas fireplace/insert 33.39 � �" '° r, Flue vent for water heater or gas M /r 00 /f '.4 . -1),,,Stem 1c4:0 qCGOMMnq# e, 7:277 fireplace 23.32 1-11/3-#3-.I/ f/ / NEW Wafer sot^rCC.Azejt tAAA, qG N / Log lighter(gas) 23.32 Wood/pellet stove 33.39 oQ P1kW Vi91/ 60)(2S'. _ Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 d Other: 23.32 PROPERTY O 4TNEllI 2-,,...-„i„,-,- © T � _ t G, _ ..� Environmental exhaust and ventilation: Name: Geep) Se.CC (p NJ lr t c//oN .2 . Range hood/other kitchen T /S SW /0 n equipment 33.39 ado Address: ( .S-A Ale Clothes dryer exhaust 33.39 City/State/ZIP: Tjvq (ate OX' 990 6o2 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:($ )S/e{ Co QAC Fax:( ) Attic/crawlspace fans 23.32 \„,$)„,-, ),:* �� �o ' :1 i ❑ c4?10,AcT l`I (?N Other: 23.32 Business name: �4�� //11 _Fuel piping: 4N-tzr` //°,✓t•`SoN -7;JC. $14.15 for first four;$4.03 for each additional 1 . Contact name: 43,' qN o : Furnace,etc. / / Gas heat pump Address: /8.045-z- ©C'Si�J�I y s�reQ. F Wall/suspended/unit heater City/State/ZIP: T�,r 11�aNu Oe '7'),20 2.. Water heater Phone:(3-a?)Sy02 3 6-.24? Fax::( ) Fireplace Range E-mail: (�Qte,e�{; `jiwt aV1l 'eN , C-0AnBarbecue F 4t;���.1';� )=� �_�4 m�A 01+10AGTOR! j Clothes dryer(gas) __._:.�e �=*gid Business name: Sq1.42 As A Other: 1/e, Address: �� .. a. 1YCi411cALPI; FE) I, _ Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: /15'42 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: Z 2 A n * Fee methodology set by Tri-County Building Industry Service Board Print name: /Pr AN g•o 4e Date:/,:a-o?/_/# I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 I/02/COM/WEB) • • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Tal Vain tion: _ 'e erg fir` $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building'Permits\MEC_PermitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 10200 SW GREENBURG RD 365, TIGARD, March 13, 2019 at OR, 97223 10:19:24 AM Record Type: Record ID: Commercial - Mechanical MEC2019-00085 Inspection Type: Inspector: 699 Mechanical final Chip Barnett Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor