Permit q CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2013-00051
T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/24/2013
Parcel: 1S 135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 551
Project: Apex Systems Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocate grilles for TI
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: COM Permit Fee 01/24/2013 $170.37
Class of Work: ALT Type of Const: Plan Review 01/24/2013 $42.59 •
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/24/2013 $20.44
Stories:
Project Valuation: $3,800.00
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 $233.40
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
applicabte 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
Utili •• 'cation .- ter. Th. - 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 - calling 503.232.1987 or 1.800.332.2344.
Is ued By: / ft Permittee Signature: /' �i 11G QS e
/"."
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 Received ,
14 City of Tigard Date/By: ( �A_� Permit No.:�j ao/5.-000$7
° 13125 SW Hall Blvd.,Tigard RECEIVED Plan Review /I C Phone: 503.718.2439 Fax: Other Permit:�u 1 3,,,9m/�
Date/By:
T I G A R D Inspection Line: 503.639.4175 4 ^O Date Ready/By: lures: ® See Page 2 for
Internet: www.tigard-or.gov JAN 2 [ Notified/Method: Supplemental Information
T5.am`"
, IGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
LIIKGDIVISIONMechanical 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:$$3,800.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-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: 10220 SW Creenburg Road (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97223
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:551 Project name:Apex 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
relocation of grilles in new TI space Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39 _
Wood fireplace/insert 23.32
❑ PROPERTY OWNER I 0 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
Fax: Single-duct exhaust(bathrooms,
Phone:
( ) ( ) toilet compartments,utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Business name:American Heating Inc Other: 23.32
Fuel piping:
Contact name: Brad Manchester $14.15 for first four;$4.03 for each additional
Address: 1339 SE Gideon St 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
Fireplace
E-mail:
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
Phone:(503)239-4600 Fax:(503)239-7038 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lic.:33135 State surcharge(12%of permit fee) L
TOTAL PERMIT FEE ra , "
Authorized signature: // ,This permit application expires if a permit is not obtained within 18
days after it has been accepted as complete.
Print name: Brad Manchester Date: 1/24/2013 ' Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits\MEC-PermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10220 SW GREENBURG RD 551, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
02/22/2013 00:00
MEC2013-00051
PASS - No C of O
Violation Summary:
Inspector Contractor