Permit (43) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00380
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2019
T f t ;ti R I3 9 Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 650
Project: Marcus and Millichap Subdivision: METZGER,TOWN OF Lot: 9
Project Description: HVAC duct modifications and installing exhaust fan in server room for TI.
Contractor: HUNTER DAVISSON INC Owner: LINCOLN CENTER LLC
1800 SE PERSHING ST BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-542-3628
PHONE: 503-412-4800
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/19/2019 $373.11
Class of Work: ALT Type of Const: VA Plan Review 06/19/2019 $93.28
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/19/2019 $44.77
Stories: Info Process/Archiving-Lg$2.00(over 06/19/2019 $4.00
11x17)
Project Valuation: $11,000.00 Info Process/Archiving-Sm$0.50(up to 06/19/2019 $1.50
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: 240 Vent Systems: Total $516.66
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
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 50 232.1987 or 1.800.332.2344.
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Issued By: /A .1( Lo �e ature:
/ 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 ONLN
City of Tigard Received
Date/By: tstk,1,\\g rv- Permit No.Mtc. 342k V
Il 13125 SW Hall Blvd.,Tigard,OR 97223
' !��
C Phone: 503.718.2439 Fax: 503.598.1960 R E C E I V E lateanByReview ]6 )ri ) P Other Permitk (f\c_ _;
T I GARD Inspection Line: 503.639.4175 Date Ready/By:
Juris ® See Page 2 for
Internet: www.tigard-or.gov JUN - 6 2019 otified/Metho . a,, //GSupplemental Info
rmation
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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
El Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
" - 74:0
Value $ 1 IO"�00.60
'' i ■ 1 7 ! _ 0�i _ } ,� ; 1Ii w. a _ AY - t-
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❑ 1-and 2-family dwelling w Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
p- a� ��4�g;� - I ,t� _ Joii pd Heating/cooling:
Air conditioning 46.75
Job site address: i Oa.)a ,5-(A/ cj�e,eNe.,1 k0 a G Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: —1,3‘ j. O p� J ` 01,2 Furnace 100,000+BTU(ducts/vents) 54.91
Suite�bldg./apt.no.:6,50C6 O I Project name: d Li/4 CN Su, f2 6-So 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,, i , a '! -- _' �l o� , - Gas fireplace/insert 33.39
1 �- Flue vent for water heater or gas
/1v4G �i�fc, lo4i/1CaltcN.c 1,J /NS G// G� llawff fireplace 23.32
-1,7,0 _. 10 ck GCA M M o(7 4±. 14e,44 a/J� t M,,ro(>'e./11/2If".. Log lighter(gas) 23.32
Wood/pellet stove 33.39
/C/-4-7Le-e*/ ,/1/ r j.-it.- ,/"<e-..4./‘1Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
_ [° Tr, �� Other: 23.32
i�'c I*II)Qlll",EIR. ,ia;A ct R' i, �ibl t W =- � t 7-, _r,-
\ '` ��' �'' ''�'~i - i «` Environmental exhaust and ventilation:
Name:(/hep) RU SSe(1 Cor4S'tr t 4, /ON //,)G Range hood/other kitchen
equipment 33.39
Address: oZ 09 /S sA/ /OS 14 Ave- Clothes dryer exhaust 33.39
City/State/ZIP:'774 4/04.1";1,4 31 9 70-C,2 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(3'03 ) 78'0-3a as Fax:( ) Attic/crawlspace fans 23.32
_ba ►.t� ' -,,h,1 i1i,0l H- _,-,-.,..)...A,, ,,,,, P W,I r Other: 23.32
Business name: Fuel piping:
�/ti ,7 .-QGV/..1SON, 1111 C, $14.15 for first four;$4.03 for each additional
Contact name: Rya N A tet Furnace,etc.
Gas heat pump
Address: /Foe, 3--E C,Si>/�p ,s- re�'1"" Wall/suspended/unit heater
City/State/ZIP:/-t/Q/J d o e 'J er7a0�, Water heater
Phone:(5-'03).5--6/2_36ag" Fax: :( ) Fireplace
o Range
E-mail:r,0-i'ee�' N .'Cc®®U/S'5o/to, 0/>� Barbecue
-11',15%,,-. 11:10,W35 :11111,1-1-:::-.4*',„, = Clothes dryer(gas)
Business name: tk- Ab 1;',71-_-5-::::W1--
Other:
SGtMe �i� > :„ `ai 1ae311 :'..',-,-,e -,,'v' t ,111,ii(i -_'S
Address: 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.: /6 i 1--111\;ii 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: __.--- * Fee methodology set by Tri-County Building Industry Service Board
Print name: fy a.N 41-013- Date:,S-/s/9
I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
$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