Permit CITY OF TIGARD MECHANICAL PERMIT
:111111 111:11., COMMUNITY DEVELOPMENT Permit#: MEC2013-00684
T t G AR.L� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2013
Parcel: 1 S 135AB01003
Jurisdiction: TIGARD
Site address: 10300 SW GREENBURG RD 410
Project: Buckendorf Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Adding(1)supply from existing VAV box.
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:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/13/2013 $69.06
Class of Work: ALT Type of Const: Plan Review 11/13/2013 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/13/2013 $8.29
Stories:
Project Valuation: $385.00
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 $94.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Supply
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 952-00 -0090. You may •stain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2= ,
Issued By: •ermittee Signatur Ain
Call 503.639.• 75 • 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 V FOR OFFICI USE OiNLY . -
City of Tigard
Date/By: ,
lig ®� y / A �J' Permit No.: fa 1- ^ ••Ili
° 13125 SW Hall Blvd.,Tigard,OR 9722 DDD
Plan Review
III Phone: 503.718.2439 Fax: 503. Date/By: Other Permit: ; // 01 _vOra67
l I G R D Inspection Line: 503.639.4175 1 1 Date Ready/By: RI See Page 2 for
Internet: www.tigard-or.gov �7 . :.'fied/Method: Supplemental Information
' ,TYPE OF WORK UFG��(�/,' � COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Cj��aa `v Mechanical permit fees'are based on the value of the work
❑New construction gAddition/alteration/trt?nent performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: Q mechanical materials,equipment,labor,overheaik profit
Value:$3 g�
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. 1 Ea. Total•JOB SITE INFORMATION AND LOCATION : Heating/cooling:
O U "5, \ Air conditioning 46.75
v
Job site address: 3 W G rkreji 4{/2Gg RIO- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '-1.c p,11,Q Furnace 100,000+BTU(ducts/vents) 54.91
6 ) ), Heat pump 61.06
Suite/bldg./apt.no.: L& )<c.
v Project name: 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
• DESCRIPTION F WORK Gas fireplace/insert 33.39
4o O I 1 / Y) EX/ 7;45 flep vent for water heater or gas
t,tp� � X fire lace 23.32
ll'AV Q c5X ` Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
- - ❑.PROPERTY OWNER ❑ TENANT Other: 23.32
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:( ) Fax:( ) Attic/crawlspace fans 23.32
. • ' 0.APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: D A-T m A
n w y r $14.15 for first four;$4.03 for each additional
Contact name: R, G L.L. Furnace,etc. •
Address:
7,/s N aQ Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: pm firt 4 6 ?7z) // Water heater
Phone:45'1:z) e , Fax: Fireplace
C7 � — ( L�i'�ES'.�j Cj Range
E-mail: re&Ate(L c) e 41,61.:-oil 64-,e2g , (i//1/ Barbecue
CONTRACTOR , • Clothes dryer(gas)
Other: •
Business name: PERMIT FEES"
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 4 ca,-3 TOTAL PERMIT FEE III,(0),,
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Si atu -7 • Fee methodology set by Tri-County Building Industry Service Board
Print name:` L'e/‘ (i k Date:
I:\Building\Permits\MEC_PermitApp_040113.doc 440-46171'(I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to$500.00 Minimum fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 for each additional$100.00 or
fraction thereof,to and including
$5,000.00.
$5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and
$2.81 for each additional$100.00 or
fraction thereof,to and including
$10,000.00.
$10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and
$2.54 for each additional$100.00 or
fraction thereof,to and including
$50,000.00.
$50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first$100,000.00 and
$2.92 for each additional$100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
I:\Building\PermitsWlEC_PermitApp_040113.doc 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10300 SW GREENBURG RD 410, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
2013-11-14 00:00:00
MEC2013-00684
PASS - No C of O
Violation Summary:
Inspector Contractor