Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2020-00226
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2020
T t G r1 li Il 9 Parcel: 15135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1050
Project: Sentry Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocate(9)supply diffusers and ducts, (7)return air ducts and grill. Add(1)return air grille,(2) FPBs,(1)rooftop
condensing unit and relocate existing exhaust fan.
Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC
5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202-4765 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-239-4600 PHONE: 503-412-4844
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/15/2020 $558.53
Class of Work: ALT Type of Const: VB Plan Review 05/15/2020 $139.63
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/15/2020 $67.02
Stories: Info Process/Archiving-Lg$2.00(over 05/15/2020 $6.00
11x17)
Project Valuation: $18,280.00 Info Process/Archiving-Sm$0.50(up to 05/15/2020 $4.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units<10000 cfm: 2
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: 1
Appliances
Vent Fans: Vent Systems: Total $775.18
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
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 O C by calling503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
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 Applicat C IV D FOR OFFICE USE ONLY
City of Tigard D et r�)-v/?4 ry r;Z;2p.2p_ Od d
. 14 y. Peratit
"l 13125 SW Hall Blvd.,Tigard,OR 97223 APR 15 2020 plan Review s+
Phone: 503.718.2439 Fax: 503.598.1960 Date/By v(` 2
i .. 0 Other Permit:
T I G.A R D Inspection Line: 503.639.4175 CITY®F PGA i® Date Ready By: / Ju is ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DWIS! N Notified/Method:51/;' Supplemental Information
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 ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$18,280.00
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑ Other: Description j Qty. I Ea. Total
d : Heating/cooling:
t SITF. 1NFORM4 s er t
Air conditioning 46.75
Job site address:10260 SW Greenburg Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:1050 Project name:Sentry Ste TI 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
tttf3t17Ftg 1fy ,.� b " = Gas fireplace/insert 33.39
I Flue vent for water heater or gas
Relocate(9)existing supply diffusers and ducts,(7)return air ducts and grill fireplace 23.32
add(1)new return air grilles,(2)FPBs,(1)rooftop condensing unit,and Log lighter(gas) 23.32
Wood/pellet stove 33.39
relocate existing exhaust fan. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
,, ate' Other: 23.32
❑ PROPERTY OWNER 0 T , = 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:( ) I Fax:( ) Attic/crawlspace fans 23.32
Other. 23.32
Fuel piping:
Business name:American Heating Inc. $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
—7:-- ititagfiWC4431176VbittClothes dryer(gas)
Business name:American Heating Inc. Other.
11*Elt'.Vll 1'FEES'
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: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Amanda Bostic r Date: Llic6110
1'.\Building\Pemuts\ME.0 PermitApp_o4o1l 3.doe 440 617 (I trovcoM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
/IN 0
T l c A u o Building Permit Review — Commercial - No Land Use
Building Permit #: /7 re,2-D-20
Site Address: 102ke0 SW Care nbur C2-ci • Suite/Bldg#: lea)
Project Name: Serrhm Sic-- T .
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: MGl'lavl't cal eeptynnavtt (roc34 -fop
Existing Business Activity: N 1 pt.
Proposed Business Activity: IN/ /Qr
)Rt Verify site address/suite#exists and active in permit system.
18.. River Terrace Neighborhood: ❑ Yes IszNo
'. Zoning: to: — 1
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes: RDO•( �b - h VtaW fyom stchwot
Approved by Planning: P • Date: 4 1 2 1W
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: VhAyyv
Site Plans: # 1,2
Building Plans: # 2--
Building Permit#: ca.-Inter building permit# above.
Workflow Routing: Planning ❑ Permit Coordinator ding
Workflow Sign-off: Sign-off for Planning (include notes from planning review)
Route Application Documents: -2 uilding: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: &21 e /ea> Date: J�Ly/w
1:\Building\Porms\BldgPermitRvw_COM_NoLandU se_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
1►
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to ' pplicant:
Revision Notice 2: Date Sent v Applicant:
Revision Notice 3: Date S- t to Applicant:
❑ SDC Fees Entered: Wa• Co Trans Dev Tax: ❑ Yes ❑ N/A
gard Trans SDC: 0 Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Pe Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx