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Permit IL CITY OF TIGARD MECHANICAL PERMIT 1ril '1: COMMUNITY DEVELOPMENT Permit#: MEC2015-00700 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2015 Parcel: 1 S135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 700 Project: Somerset Investment Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Add(1)new cooling only VAV box&ducting. Replace(4)existing diffusers. 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 10/19/2015 $204.14 Class of Work: ALT Type of Const: Plan Review 10/19/2015 $51.04 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/19/2015 $24.50 Stories: Project Valuation: $4,825.00 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 $279.68 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility ■• i ication -- er. Those rules are set forth in OAR 952-001-0010 through OAR 952-00 -11•1 You may obtain a copy of the rules or di'-ct questions to OU ,fib all/''•1.232.1987 or 1.800.332.2344. Is ued By: (/ L/ Permittee Signature: i • Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY Eril Received � �� City of Tigard Nyst DateBy: /0 /145_ C Permit No:�"f eCo 5 C)C)7c O • 13125 SW Hall Blvd.,Tigard,OR 97223 ��°° Plan Review Phone: 503.718.2439 Fax: 503.598.19 06 Date/By: Other Permit: 2u��i5-�Q a S� TIGARD Inspection Line: 503.639.4175 YY'' DateReadyBy: luris ® See Page 2 for Internet: www.tigard-or.gov a '1.0S Notified/Method: Supplemental Information CHEDULE —USE CHECKLIST 1 Mechanical permit fees*are based on the value of the work New construction X Addition/alteratio + performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: St mechanical materials,equipment,labor,overhead,and profit. v, Value:$ O' 0 ❑ 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 Heating/cooling: Air conditioning 46.75 Job site address: /0&op . (A) GA cep i Co PD • Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: l l a All O Furnace 100,000+BTU(ducts/vents) 54.91 l f Heat pump 61.06 Suite/bldg./apt.no.: 700 Project name: S 6 tY Y1 St!l __1.-( ! Duct work 23.32 Cross street/directions to job site: C 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 IIDESCRIPTION OF WORK Gas fireplace/insert 33.39 `` '' - \ )) n / Flue vent for water heater or gas D I Ne'.) 0_901-/(7(9 19/1 C �)/4 �J 3©X fireplace 23.32 2f � 7, Log lighter(gas) 23.32 �^ Wood/pellet stove 33.39 RC?t,4 r r j/ Y},, , t`-(, ` Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑ PROPERTY OWNER LI TENA 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 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: o a c �p _ tr `? 1 C. $14.15 for first four;$4.03 for each additional Contact name: I �� �.� Furnace,etc. Address: 7 7 ,5---1,1 33 "Jo . Gas heat pump Wall/suspended/unit heater City/State/ZIP: C.`r i f 1 1414P el Water heater �+ d et^ ! Fireplace Phone:(��� B. „5.--. �C��'�-- Fax: :(��� ``'�c-, � Try 7,7 p Range E-mail: l:3, * 1-Z- ` 0/"+�tr; ,.1 i , (.f ' Barbecue CONTRACTOR Clothes dryer(gas) Business name: / --) Other: Address: _�-),�1�� Subtotal City/State/ZIP: / Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: L y a a TOTAL PERMIT FEE 9. �s This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized Signature: * Fee methodology set by Tri-County Building Industry Service Board Print name:S t. ue A.Li...__ Date: /et _/L , /6 I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)