Loading...
Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2012 -00195 TI G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/19/2012 Parcel: 1S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD 360 Project: DiLorenzo & Company Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Install 1 -ton ductless split a/c unit and relocate existing grilles and diffusers. • 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: 503 - 619 -3200 FAX: 503 - 335 -9977 FEES Specifics: Description Date Amount • Type of Use: COM Permit Fee 04/19/2012 $215.64 Class of Work: ALT Type of Const: Plan Review 04 /19/2012 $53.91 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 04/19/20.12 $25.88 Stories: 5 Info Process /Archiving - Sm $0.50 (up to 04/19/2012 $2.50 11x17) Project Valuation: $5,216.00 • Fuel Air Handlers Fuel Types: Units < 10000 cfm: 1 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: 1 Heat Pump: Appliances Vent Fans: Vent Systems: Total $297.93 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 0 -0090. You ma obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _�— • ermittee Signal e: • Call 503. • lI T � 0 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,l ' / ,� ° FOR OFFICE USE ONLY 1 F� �QI `to Received / - � � ] e No City Df Tigard z'� � Date/By: i — `tv - . - • • • 13125 SW Hall Blvd., Tigard, OR 97223 A P Plan Review ► Phone: 503.718.2439 Fax: 503.598.1960 R 9 20 Da � `j� ®� ► Other Permit: j / 1, — 0! T I G A R D Inspection Line: 503.639 G I 12 Date ReadyB :. Juris: M See Page 2 for Internet: www.tigard - or.gov TY pp. Notified/Method: ' Supplemental Information U ni '. - . TYPE OF WORK `-` v i .)jull ,� COMMERCIAL CH AL FEE* SCHEDULE - USE CHECKLIST 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. CATEGORY OF CONSTRUCTION Value: $ ,c C. ,6 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2- family dwelling I Commercial/industrial ❑ Accessory building For special information use checklist . ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I .Total JOB SITE INFORMATION AND LOCATION Heating/cooling: • Air conditioning • Job site address: ' J C. „D C� 6 a, g �Q$ (requires site plan showing placement) 46.75 / / Furnace 100,000 BTU (ducts/vents) 46.75 City/State /ZIP: / 1 )) C, R 5 7 -T / � Furnace 100,000+ BTU ( ducts/vents) 54.91 Suite/bldg. /apt. no.: 'J ) Project name:) 2eh p v 4 C , Heat pump (requires site plan showing placement) • 61.06 Cross street/directions to job site: Duct work 23.32 . 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 Subdivision: Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.' Other fuel appliances: DESCRIPTION OF WORK Water heater • 23.32 �, ^7- / /� Gas fireplace /insert 33.39 .�V -(� / -To 0 A, �' -c-1:.. Lis Sp 1,4 ,47c". Flue vent for water heater or gas L &h rte° Ref � /_ gyp /S �1� fireplace 23.32 n t ( I N t T+° ex/ Log lighter (gas) 23.32 l,Q Q/ Licts b 2 / c/2S Wood/pellet stove 33.39 • e Wood fireplace /insert . • 23.32 ❑ PROPERTY OWNER ❑ TENANT Chimney/liner /flue /vent 23.32 Other: 23.32 • • Name: Environmental exhaust and ventilation: • Address: Range hood/other kitchen • • _ equipment 33.39 City/State /ZIP: • . • Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) • Fax: ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32 • Other: 23.32 Business name: D (L ,0 4_, A �f e � 1 C Fuel piping: • Contact name: - t - , ` $14.15 for first four; $4.03 for each additional Address: 7 7(35- ��� !VV /��� A) v ' a- y� Furnace, etc. • Gas heat pump - • • City/State /ZIP;; B /l� C 4.1,ilia 4 9 7� -// • Wall/suspended/unit heater Phone 3) 3 S. r 2 1 Fax: : ( 3) 3.3,...s--.. 777, Water heater ,t �r� � / � /� Fireplace E-mail: l�*r v� ©ile / ! 1 P e' s `e /f\ Range CONTRACTOR Barbecue . Business name: Clothes dryer (gas) • ' ��a Other: Address: / MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal Phone: ( ) F ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) _ CCB I_ic.: L State surcharge (12% of permit fee) TOTAL PERMIT FEE 7.9,3 Authorize u re: This permit application expires if a permit is not obtain within ISO .. . days after it has been accepted. as complete. Print named G.k /q- L L Date: I /9, / #2.,„„..-- ' Fee methodology set by Tri County Building Industry Service Board l:\ Building \Pennits\MEC- PermitApp.doc 03/07/12 4404617T(11 /02/COM/WEB) .