Permit (108) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00636
Date Issued: 09/04/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 110
Project: MiaDonna Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Installing 5 ton heat pump to existing ductwork.
Contractor: OREGON AIRE INC Owner: LINCOLN CENTER LLC
7715 NE 33RD DR STE A BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97211 555 CALIFORNIA ST 49TH FL
SAN FRANCISCO, CA 94104
PHONE: 503-335-2222 PHONE:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/04/2019 $398.51
Class of Work: ALT Type of Const: VB Plan Review 09/04/2019 $99.63
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/04/2019 $47.82
Stories: Info Process/Archiving-Sm$0.50(up to 09/04/2019 $20.50
11x17)
Project Valuation: $12,000.00
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: Vent Systems: Total $566.46
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rule adopttied by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-00100_ through OAR 952-001-0090. You may •btain a .opy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.80Q352.2344.
Issued By: Permittee Signature: `II,'
atila
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
LINGo-N ti
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Received
iiiii 't 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: g� �� 4 , 1 e e1 7►/�X�3c.
r Plan Review ' ^� """���///��-
Phone: 503.718.2439 Fax: 503.598.196 r=j" ,3 - , ) •-dp�r /)J C,-e)/TC
Date/By: Ul VG / t/[/ /
TIGARD Inspection Line: 503.639.4175 ,. Date Read Tom:
Internet: www.tigard-or.gov C° 'F ' Ready/By: H See Page 2 for
hfied/Meth • / `/ Supplemental Information
TYPE OF WORK OMMERC P. FEE* SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction IXAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 12,000. 1
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling J Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family ❑Master builder ❑Other: Description P Qty. Ea. Total
10?.. c o JOB SITE INFORMATION AND LOCATION Heating/cooling:
'� Air conditioning 46.75
Job site address: i' ZL0. eleetawgve..G RD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T.t pn4D Off,/q 3-Z Z3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: D Project name:
Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: AA;A 0W !'�J!` n A a n O'et Hydronic hot water system 23.32
�'s Residential boiler(radiator or
ghydronic) 23.32
1/....
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
SLot no.: Other:
Subdivision: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
N. DESCRIPTION OF WORK Gas fireplace/insert 33.39
ll Flue vent for water heater or gas
SN
I S ut.. mH
5 ^
N e R)I..AP "Ca exxsm1361 fireplace 23.32
Dk)C -W 0 RZV... Log lighter(gas) 23.32
Wood/pellet stove 33.39
4-1 Wood fireplace/insert 23.32
a, Chimney/liner/flue/vent 23.32
'F XPROPERTY OWNER CI TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: 5 of-0491-01.) / `. =, ,v - Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
S( City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
W INC APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Oteazo -Atm 'oco Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: M,GDOr4A(.0 Furnace,etc.
J Address: x"115 we 337tic . t &V( n Gas heat pump
f'( Wall/suspended/unit heater
City/State/ZIP:eq R. r 412,1 t Water heater
12. Phone:(503 )335-222.'-2 (#1404)/I Fax::( ) Fireplace
Range
E-mail:figmill ^ 2
O �_• t ' coma, Barbecue
(.�' CONTRACTOR Clothes dryer(gas)
Business name: opt Goa-. A me. I KG. Other:
j(? N E MECHANICAL PERMIT FEES*
Address:
J 33 ) -' 1 tj( A- Subtotal
City/State/ZIP:T�.A,Op /M / 1j Z11 Minimum permit fee($90.00)
VIS �L ( _i
Plan review(25%of permit fee)
Phone:(1o5)33 2222 (*1q e cd Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 4(4 23 JT TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
i&4\i5k...) iiteDj..."
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name 0 (DD)Fr p Date: $3.2'.II
I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total,Valuation: Permit Fee:
$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:\BuildingTermits\MEC PermitApp_040113.doc 2
City of Tigard
IN .
COMMUNITY DEVELOPMENT DEPARTMENT
. . .
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 3./P(Z(`'AO(' — 006,3 Cv
Site Address: /0 c7 <j,O (ii- d)G Suite/Bldg#: //(;
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
f"ExiProposal: ) r2y Axe/oil/ea/ (,ln d---
Existing
sting Business Activity: (/c
Pro.3 sed Business Activity: //
ra V-rift'site address/suite# exists and active in permit sys .
'10' r:ver Terrace Neighborhood: ❑ Yes No
PI onmg: E-1
7 ermitted Use: Yes ❑ No ❑ Spec Space
firm
:;us2_rec
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: _ _ �< Date: / `�
,
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: !
Site Plans:
7,7_, ,
Building Plans:
Building Permit#: I' nter building permit#above.
a.
Workflow Routing: /I Planning ❑ Perdinator ,wilding
Workflow Sign-off: i— ign-off for Planning(include notes from planning review)
Route Application Documents: ►.' :uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
1.
By Permit Technician: /4 �` Date: /,.2., 7i7'
ti t
1:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Ap• . ant:
Revision Notice 2: Date Sent to % splicant:
Revision Notice 3: Date Sen o Applicant:
❑ SDC Fees Entered: Wa Co Trans Dev Tax: ❑ Yes ❑ N/A
'tgard Trans SDC: El Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved byermit Coordinator: Date:
ziv
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx