Permit CITY OF TIGARD MECHANICAL PERMIT
II. '~ COMMUNITY DEVELOPMENT Permit#: MEC2020-00003
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2020
T[G;1 R.0g Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 308
Project: Variant Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Ductwork modifications and relocation of(3)thermostats 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: 503-412-4844
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/02/2020 $145.81
Class of Work: ALT Type of Const: Plan Review 01/02/2020 $36.45
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/02/2020 $17.50
Stories: Info Process/Archiving-Lg$2.00(over 01/02/2020 $4.00
11x17)
Project Valuation: $3,000.00
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 Fumaces: 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 $203.76
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Relocate(3)
Duct Work: 1 T-stats
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are se :forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC allin 3.232.19 or 1.8 .33 344.
•
Issued By: Permittee Signature: / /-C"
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard Date/By: ,!7 G�.!
t ,
e 13125 SW Ha11 Blvd.,Tigard,OR 97223 u ... •
�� �� , �
Plan Review /
S Phone: 503.718.2439 Fax: 503.598.1960 Date/By: _1L /
Inspection Line: 503.639.4175 Date Ready/By: Iuris: :� See Page 2 for
TIGARD Y y g
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction gi Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ 30 p p a
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
El 1-and 2-family dwelling tgl Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /p 5'p sw 61-z,N&,,r-r A Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: �3. of a Oe cr'7,2,2 J Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suit 1dg./apt.no.: 2OS7 Project name:Lt`„I c J1pi 46:inlldfl */ 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
,r/Cell;- Flue vent for water heater or gas
AlL <-(//JJ-1t•lO1'A- rn0 / 01 .JfS 7 gGC.a•M/iocdQ fireplace 23.32
l.-L a i re l l�tk.._etaµ (3) r.-cyl 7 . Log lighter(gas) 23.32
' Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
N PROPERTY OWNER ElTENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Cid p) , srr(( r NslC�G-`/6J _7j C,, Range hood/other kitchen
T " / N equipment 33.39
Address: av 745 Sty/ ids-tI AV€ Clothes dryer exhaust 33.39
City/State/ZIP: /(At\ 0.+<n! Ue 7'70 62 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(Sc3 ) 7crO.- ,2,2.a, Fax:( ) Attic/crawlspace fans 23.32
n APPLICANT ❑ CONTACT PERSON Other: 23.32 _
_ Fuel piping:
Business name:
gut r/te r Da v e fs OA _TA (-• $14.15 for first four;$4.03 for each additional
Contact name: y,q ��'t/ • {- Furnace,etc.
Address: /eo J ,j LG C S!n 1 jl c1 L'iep� Gas heat pump
�r fc.A) � ( ! < 2, eheaterWall/suspended/unit heater
City/State/ZIP: c J Water heater
Phone:(563).5"t ,2--?OA Fax::( ) Fireplace
Range
E-mail: C po ' ' s�Iil Alfa,t- ci,41/S-S.0�l,Co A Barbecue
/ CONTRACTOR Clothes dryer(gas)
Other:
Business name:
GlN-kr. A✓''SSO ri ZN L, MECHANICAL PERMIT FEES*
I
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.: / i TOTAL PERMIT FEE
ir,i/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: II * Fee methodology set by Tri-County Building Industry Service Board
Print name: ��c Le,
l Date: / � /) --
I:\Building\Permits\MEC P rmitApp_0401 13.doc 440-4617T(I 1/02/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:\Building\Permits\MEC_PermitApp_040113.doc 2