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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2014-00170 T[G A K 17 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2014 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 190 Project: Conference Center Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Installing(1)new cooling VAV box and ducting. 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: 503-412-4902 FAX: 360-423-1978 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 04/21/2014 $108.97 Class of Work: ALT Type of Const: Plan Review 04/21/2014 $27.24 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/21/2014 $13.08 Stories: Project Valuation: $1,756.00 Fuel Air Handlers Fuel Types: Units<10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers 8 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 $149.29 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: VAV box Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OA -00 - 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 • :00.332.2344. Issued By: Permittee Signature. *law— Call 50 .• gry`by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicatio � t1' FOR OFFICE USE ONLY II City of Tigard �� Received `1�l ,y Permit No.: 1 I ` u - Date/By: -1 I 1 /r', ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 R 212�� Other Permit: RN�ri,, i. O y p Date/By: {® JCL) G 7 T I G A R D Inspection Line: 503.639.4175 Q QD Date Ready/By: Juris See Page 2 for Internet: www.tigard-or.gov CO"cN`GAA _vohfied/Method: ��' Supplemental Information v , 1. AN ' �4 TYPE OF WO°e i''(0\0' ' COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work El New construction *Addition/alteration/replacement performed. indicate the value(rounded to the nearest dollar)of all El Demolition El Other: mechanical materials,equipment,labor,overhead,iltprofit. I Value:$ 7,:, Zp CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* El 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. El Multi-family ❑ Master builder El Other: Description Qty. I Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: / 0 4, C) �' � GR re-f4ki�� Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: /'—�r f�`f4y, 4) Furnace 100,000+BTU(ducts/vents) 54.91 TVy /� ,�^ Heat pump 61.06 Suite/bldg./apt.no.: (4. Project name: 6p!1 K2'nee R0 0"t'I 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 OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas /1 5 rt4-lam L > •C • C 0 0 L 1,,)!, e A fr fireplace 23.32 - f 'l t �f 23.32 V �� � l� Log lighter(gas) � 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 Q APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: d R 7(j 4. A.)Q C_ ,;/1 c E. L $14.15 for first four;$4.03 for each additional Contact name: C-,1�I G E Furnace,etc. Address: 77 IS A r E ;e a O Gas heat pump y ; ' Wall/suspended/unit heater • City/State/ZIP: p D/2 *l �' O2 Cj 7a / Water heater Phone:V`.b.a a )oS r Fax::03.3)) 3 S:. 9f77 Fireplace Ts-) Range E-mail: I` s-)41 I L- Oil.r"'.f hr1 _/i1?sr. (`,'k firl Barbecue CONTRACTOR Clothes dryer(gas) Business name: Other: MECHANICAL PERMIT FEES* Address: Subtotal'11211/e City/State/ZIP: --- Minimum permit fee($90.00) 167. Plan review(25%of permit fee) v27,,1cl Phone:( ) Fax:( ) State surcharge(12%of permit fee) /3.,'J O CCB lie.: 4, I a... � TOTAL PERMIT FEE fit . 02.1`CC This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Autho ' ed signature: * Fee methodology set by Tri-County Building Industry Service Board Print nati\ge: Date: I/ . a/01 L., B I:\ uilding\Permits\C_PermitApp_040113.doe 440-4617T(I 1/02/COM/WEB) Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10260 SW GREENBURG RD 190, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2014-00170 Chip Barnett Violation Summary: Inspector Contractor