Permit ` -e CITY OF TIGARD MECHANICAL PERMIT
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2 _, COMM DEVELOPMENT Permit #: MEC2009 -00390
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T IQARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/29/2009
Parcel: 1S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 450
Subdivision: Lot: 0
Project: Credit Union Home Loan Center
Project Description: Remove (1) supply diffuser, add (2) supply ducts & diffusers, add (1) return air and (1) exhaust
fan. Per Dan Nelson no plan review required.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee 07/29/2009 $72.50
CALIFORNIA ST 49TH FL 12% State Surcharge - Mechanical 07/29/2009 $8.70
PHONE:
Contractor:
AMERICAN HEATING INC
1339 SE GIDEON ST
PORTLAND, OR 97202
PHONE: 503 - 239 -4600
FAX: 503 - 239 -7038
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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: 1 Vent Systems: Total $81.20
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers: -
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct que • o - by - ' • • 50 .246.6699 or 1.800.332.2344.
Issued B I �� / J �/ Permittee Signature: K Rf 4C fil Sn c 'I C f 1 C-
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
• Mechanical Permit Applica n'i V`j
D FOR OFFICE USE ONLY •
City of Tigard Rec 7 A? 0 � _ PermitNo.: 1ife ,fao' - 00 �9e,
l 13125 SW Hall Blvd., Tigard, OR 97220 UL 2 9 2009 Plan Review
a Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 Dat eBy: • •
TI GARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: ® See Page 2 for
ormation
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: Mil Supplemental
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Addition/alteration/replacement
Mechanical permit the are based on to the ar the work
❑ New construction . ,
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
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• � °;; �� ~yam � CATE O
GRY.
; OF=! COSTRiJCTION': � i _
? �1e��. ': �.+$f.- ._,....AZ .w�':�"�.;s[: - -. � :;:.; -. : �i� = ,... '� w-� • • d ,Aa
-- _�,_,:�:...., FEES
�RESIDENTIAI EQLIIPMENT> / .,,,..
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. I Ea. I Total
i'- R . JOB `SITE INFORMATIONAND., LO s
;� �' � '���' `� ,. �'. MM,244i* Heating/cooling
0 3 DD 5 V ✓ & ✓• e c. n b v+r 9 /\ � Air conditioning or heat pump
Job site address: (requires site plan showing placement) 14.00
City/State /ZIP: T G ar ci O Furnace 100,000 BTU (ducts/vents) 14.00
J // Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 1 5 0 Project name: C► -ec/, 7 /fl) U fI 1 p c Log n Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.: Other: 10.00
• Tax map /parcel no.: Other fuel appliances
; "^ " : . " DESCRIPTION OR WORK � ° ` }�* $ Water heater 10.00
Gas fireplace
fern o ve ! SV)y) y d) 1 -rU S e r Flue vent for water heater or gas
q V 2 ✓ c L✓ su pp f C-! U c 1 , I - t �/ vS e - S fireplace 10.00 Log lighter (gas) 10.00
aci ci / new re,-/ ✓n q/ 1 /` j r r 1 1 5 Wood/pellet stove 10.00
add ex hau3 ' c n �J Wood fireplace /insert 10.00
Chimney /liner /flue/vent 10.00
PROPERTQWNE
Y`R ' =TENANT rri 10.00
, ,,. ��.,�.. .�.. .�.�.,.�. � ry x �
Name: Environmental exhaust and ventilation
Range hood/other kitchen
Address: • equipment 10.00
City/State/ZIP: Clothes dryer exhaust . 10.00
Single -duct exhaust (bathrooms, •
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
x r gr : ;ic Attic/crawlspace fans 10.00
��� ' 4 � � � 'APPLICAIVT�,� ,€ t < ' a+ � `�` 0 ' CONTACl��ER50 �; �,� p
- -• . f_ ,, r.
.: d . Other: 10.00
Business name: Ai'7 t!rI c , 7 1 /e �i f //1 _Tr, C. Fuel piping
L7
Contact name: p, :p/c. 1- m� e - * • $5.40 for first four; $1.00 for each additional
Address: ?? C7 S E (Q 1 mole on 5-* Furnace, etc.
�3 J / Gas heat pump
City/State /ZIP: / ) (7-- / c/ Oj ' 72 o2. WalUsuspended/unit heater
Phone: (503 239 - y6 00 Fax: : (5s )3) 239 -.- Water heater
703 8 ree he
E -mail: Range
' f v . a ' CONTRACTOR ;a ; - -- >Avt - Barbecue
` t o
N e -i f / /l Clothes dryer (gas)
Business name:
Amer1c l Other:
Address: /339 5 E (. C 0 ✓ -- '�,.,; :r ,t ";,r. MI -t'a r i
p S z�;� �� wa, ME PERMIT FEES r:�+�� =mo ;
City/State /ZIP: Par -t- l a, J O R 97202 Subtotal
Minimum permit fee ($72.50) � -
Phone: (5 b 3) 23.7_ y (� Q F ax: (5 03 ) Z 3 - 7o 3 8 Plan review (25% of permit fee) $—
CCB lic.: 33 / 3 5 State surcharge (12% of permit fee) ¶v. ?'E)
/ / S TOTAL PERMIT FEE g A
This permit application expires if a permit is not obtained within 180
Authorized Signature: days after it has been accepted as complete
Print name: f /rqd M6hc, 4 CS f C.-- Date: 7 -2 0 9 * Fee methodology set by Tri -County Building Industry Service Board
I:1 Building 'Permits'MEC- PermitApp.doc 01/19/07 440 -461TT (11 /02/COM/WEB)
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