Permit r
CITY OF TIGARD MECHANICAL PERMIT
-=.1. COMMUNITY DEVELOPMENT Permit t!: MEC2015-00677
TIGARD 13125 5W Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2015
Parcel: 1 S135AB01003
Jurisdiction: TIGARD
Site address: 10300 SW GREENBURG RD 380
Project: MasterCare Solutions Subdivision: METZGER,TOWN OF Lot: 9
Project Description: HVAC modification of ducts and grilles for TI
Contractor: AMERICAN HEATING INC Owner: LINCOLN CENTER LLC
5035 SE 24TH AVE BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97202-4765 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/05/2015 $93.62
Class of Work: ALT Type of Const: Plan Review 10/05/2015 $23 41
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/05/2015 $11.23
Stories: Info Process/Archiving-Lg$2.00(over 10/05/2015 $2.00
11x17)
Project Valuation: $1,250.00
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:
Heal Pump:
Appliances
Vent Fans: Vent Systems: Total $130.26
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 SO:to : ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or rect questions to OU by cal••• 503.232.1987 or 1.800.332.2344.
Issued By: ic.1/4. I // ' r Permittee Signature: •
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.
pp ' gy ,,- ` . e +1FOR.OFFICE(USEONLY e. "A:1 . r
Mechanical Permit Applicati C, IVES r
> Received
City of Tigard Dalemy' /O 5/1§FM. Permit No.: . eeca)75'0100
" 13125 SW Hall Blvd.,Tigard,OR 97223 7is— Ilan Review
Phone: 503.718.2439 Fax: 503.598.1960 OCT O r C`�'7 Date/By. Other Permit: p ' j/��a�
dection Line: 503.639.4175
G'AR Inspection P CITY Of II NmcRd Mato: runs, a See l'enc2 fur
... . ..-.. Internet: a'ww'.tigard-or.gov CITY �p�U Notified/Method: Supplemental Information
BUILDING npr,SFANl
T1-PE OF-%\ORK<. COMMERCIAL. FL/. SCHEDULE - 1151. C111
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:$51,250.00
C.ITECORY OF CONSTRUCTION RESIDENTIALEQUII'MENf/S\'S`I'EMSFEES*
❑ I-and 2-family dwelling ® Commercial/industrial ❑Accessory building Far.special information use checklist
❑Multi-family ❑ Master builder ❑Other: Description Qty. 1 Ha. Total
' JOB SITE INFORA1A'TION;AND LOCATION - Ileating/aroling:
y - Air conditioning 46.75
Job site address: 1031)1)SW Creenhurg Road Furnace 100.000 BTU(ducts/vents) 46.75
City/State/ZIP:'Tigard 012 97234 Furnace 100.000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suitc/bldg./apt.no.:380 Project name:Mastereare
Duct work 23.32
Cross street/directions tojob 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
Ductwork and grilles fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimn evil iner/flue/vent 23.32
rs. Other: 23.32
❑ PROPERTY ONSNLR ❑ TENANT
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:( ) Attie/erawlspace fans 23.32
® APPLICANT - 0 CONTACT PERSON Other: 23.32 _
Fuel piping:
Business name:American Heating Inc.
514.15 for lint four;54.03 for each additional
Contact name: Brandon Ilutchinson Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland,OR.,97202 Water heater
Phone:(503)239-4600 Fax: :(503)239-7038 Fireplace
Range
E-mail: b.hutchinsonQamericanheating.nel Barbecue
' CONTRACTOR'.. Clothes dryer(gas)
Other:
Business name:American heating Inc. b1ECFEINICA L.PIiRMI"f FEES"
Address:5035 SE 24th Ave Subtotal
City/State/ZIP: Portland,OR.,97202 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)239-4600 Fax:(503)239-7038 State surcharge(12%of permit fee) ���" .qy
CCI3 lie.:33135 TOTAL PERMIT FEE kY
This permit application expires ira permit is nut obtained within ISO
�+J days after it has been accepted as complete.
Authorized signature:/ , • Fec methodology set by Tri-County Building Industry Service Board
Print name:Brandon flute inson Date: /O' 5./g' 1/30 '249
iiBuildingwermits\MliC_PermitApp_Ot01 l3.doc 440-46171'1 1 I/OJCOM/WER)
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
10300 SW GREENBURG RD 380, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2015-00677
Chip Barnett
Violation Summary:
Inspector Contractor