Permit CITY OF TIGARD MECHANICAL PERMIT
lig • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00352
T l GARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/10/2012
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 300
Project: Jason & Leiberan Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Relocate (4) existing diffusers, (3) return grilles and add (3) new supply ducts and diffusers to existing terminal unit.
Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC
1339 SE GIDEON ST BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202 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: Permit Fee 07/10/2012 $167.30
Class of Work: Type of Const: Plan Review 07/10/2012 $41.83
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/10/2012 $20.08
Stories:
Project Valuation: $3,631.00
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 $229.21
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
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 is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Cente Tr : e les are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or di ct questions to OUNC cal /lir,/, 0 32.1987 or 1.800.332.2344. /�> / /^
A Issu By: " I / / I , Permittee Signature: ��(� T L� L/
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 A licati D I OR OFFICE USE ONLY
City of Tigard Received v B d
: Permit No.:
-
• 13125 SW Hall Blvd., Tigard, OR 97223 y �� �� �J! D� _ e.5 S -
^,.'
Phone: 503.718.2439 Fax: 503.598.1960 JUL 1 • ' Plan Review
DateBy: Other Permit pao,a -ea77
TI G A R D Inspection Line: 503.639 Date Ready/By: rte: RI See Page 2 for
Internet: www.tigard -or.gov CITY OFT1GARD Notified/Method: Supplemental Information
RIIILDINGDNISION
TYPE OF WORK COMMERCIAL 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.
Value: $ $3,631.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® 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: 10300 SW Greenburg Road (requires site plan showing placement) 46.75
City/ State/ZIP: Tigard OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 300 Project name: Jensen & Leiberan 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
relocate 4 existing supply diffusers Gas fireplace /insert 33.39
Flue vent for water heater or gas
relocate 3 existing return grilles fireplace 23.32
Log lighter (gas) 23.32
add 3 new supply ducts and diffusers to existing terminal unit Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chi 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
Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: American Heating Fuel i
P pte:
Contact name: Brad Manchester $14.15 for first four; $4.03 for each additional
Address: 1339 SE Gideon Street Furnace, etc.
Gas heat pump
City/ State/ZIP: Portland OR 97202 Wall/suspended/unit heater
Phone: (503) 239 -4600 Fax: : (503) 239 -7038 Water heater
E -mail: Fireplace
Range
CONTRACTOR Barbecue
Business name: American Heating Clothes dryer (gas)
Other:
Address: 1339 SE Gideon St MECHANICAL PERMIT FEES*
City/ State/ZIP: Portland OR 97202 Subtotal /6 7. 3 30
Minimum permit fee ($90.00)
Phone: (503) 239 -4600 •
F ( 503) 239-7038 plan review (25% of permit fee) �l k�4 ( p w. g 3 ,
CCB lic.: 33135 State surcharge (12% of permit fee) Og
TOTAL PERMIT FEE e� &� A/
cc� _ij� C.15 This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: Brad Manchester Date: 7/10/2012 • Fee methodology set by Tri- County Building Industry Service Board
I :\BadingTermits\MEGPenmitApp.doe 03/07/12 4404617T (11/02/COM/WEB)