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Permit CITY OF TIGARD MECHANICAL PERMIT ' COMMUNITY DEVELOPMENT Permit#: MEC2019 00688 p TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/26/2019 Parcel: 1 S 135AB04500 Jurisdiction: Tigard Site address: 10250 SW GREENBURG RD 110 Project: MiaDonna Subdivision: 1991-055 PARTITION PLAT Lot: 1 Project Description: Mechanical for TI: Relocating grilles,registers,and diffusers. 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 Type of Use: COM Permit Fee 09/26/2019 $263.41 Class of Work: ALT Type of Const: Plan Review 09/26/2019 $65.85 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/26/2019 $31.61 Stories: Info Process/Archiving-Lg$2.00(over 09/26/2019 $2.00 11x17) Project Valuation: $7,000.00 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 $362.87 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 or 1.800.332.2344. Issued By: _` ��. — Permittee Signature: IL�A/40 */*i,T 4111.." y 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 Received Ci}�, of Tigard Permit No. _ - `J g ' DateB n ^/�� 1413125 SW Hall Blvd.,Tigard,OR 97223 ! s Plan Review l_ — 1 C Phone: 503.718.2439 Fax: 503.598.19601� Date/By: Other Permit: /`O /el. f ,c-4 T I G A R D Inspection Line: 503.639.4175 cE 2 6 2.5 Date Ready/By: Juris El See Page 2 for Internet: www.tigard-or.gov . otified/Method: ',Cr Supplemental Information v.,._ „, :41 .. `OF"W© ” 'ICO E1C4AL FEES` i ,I in '' �" 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 0 Other: mechanical materials,equipment,labor,overhead,and profit. , 9L+�GtM OF.CflNS1'Rl t'w n Value: $7,000 00 ...... , �ter, `IiES111E1VT1A ,, .�.:�� �� �� 5;1#EES ::. ❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-fatnily 0 Master builder 0 Other: Description Qty. Ea. Total Heating/cooling:S . ..,� ; .,.:5,.‘„,c,,,,44,.,-,I.,OC,A.TI©I51; ' ,_ Air conditioning 46.75 Job site address:10250 SW Greenburg Road Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Portland,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:110 I Project name:Mia Donna 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: 1 Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ); Gas fireplace/insert 33.39 1, , i e 1 ©ItK 4''',/%1,'///'�� 1,0,. Flue vent for water heater or gas grille,register and diffuser changes to TI space fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32 ` ® t Other: v ' ❑ PPE " ,A -` Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 , ,1 A T ,:% /' l #�� Ac'r P N Other: 23.32 Business name:American Heating Inc. Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Amanda Bostic 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:a.bostic@americanheating.net Barbecue 4,40% ,. '? 'W9 ._ „�j z € s , i a CU1T R1j � , % . Clothesdryer(gas) Business name:American Heating Inc. Other: Address:5035 SE 24th Ave Subtotal City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee) CCB lie.:33135 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: fr ,' / d J (/1� , * Fee methodology set by Tri-County Building Industry Service Board Print name:Amanda Bostic Date:9/17/2019 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)