Permit (12) CITY OF TIGARD MECHANICAL PERMIT
lig COMMUNITY DEVELOPMENT Permit#: MEC2016 00473
TI..C;AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2016
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 1250
Project: Reinisch Wilson Weier Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Duct work and grille modifications.
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 06/27/2016 $426.45
Class of Work: ALT Type of Const: Plan Review 06/27/2016 $106.61
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/27/2016 $51.17
Stories: Info Process/Archiving-Lg$2.00(over 06/27/2016 $2.00
Project Valuation: 11x17)
$13,040.00
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 $586.23
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
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 OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1•: • 1.800.332.2344.
d :
Issued By: / Permittee Signature: ��nw
40i-
• 9.4175 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
- Cl of Tigard and Received
lig `J g Permit No.:
0 13125 SW Hall Blvd.,Tigard,OR 97223RECEINIFEDate/By: (�7 7 J� �'„
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: /'° I• , l '
T I GARD Inspection Line: 503.639.4175 JUN 2 2016 Date Ready/By: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: I7M. Supplemental Information
:e :,, 4,,..',0]-'TYLE"OF r i S ci%1 IElzcl�>c Fll i usE ill l- -—
Mechanical 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:$3,040
" CATEGORy OF4•GONIJG"l1`OAI,�.`: 1
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building .i1 '4 D . LEQiPME r/SY TEMS FEES
❑Multi-family 111 Master builder ❑Other: For special information use checklist.
Description Qty. Ea. Total
4OB ITEO ��,L TION .., ,_ Heating/cooling:
�. :. �FOIhTI ) Alm
Job site address:10260 SW Greenburg Road @ Lincoln Tower Air conditioning 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:#1250 Project name:Reinisch Wilson Exp Heat pump 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
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 23.32
Tax map/parcel no.: Other fuel appliances:
/ . Water heater 23.32
` : , -,,w'' H'T 011 (3F W
Gas fireplace/insert 33.39
gas
or relocate Duct work and Grilles Flue vent for water heater or
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PRQPI' a T-•.-: '..
,.., � �� Other: 23.32
Name: Environmental exhaust and ventilation:
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
�; Other:
Attic/crawlspace fans 23.32
�� APP?I�YG 0 �(?INi'I�� T P�1 [IN s 23.32
Business name:American Heating Inc. Fuel piping:
Contact name:Brandon Hutchinson $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
City/State/ZIP:Portland,OR.,97202 Wall/suspended/unit heater
Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace
E-mail:b.hutchinson@americanheating.net Range
" %r r 4,6N- cO s" . . l - Barbecue
, y ---'-*I''-------'''''-'-' ,� . 44
Clothes dryer(gas)
Business name:American Heating Inc. Other:
Address:5035 SE 24th Ave ,y1:',..i111.
..•• %-,..1..'::!.'_ I*Ortz: * r:
Subtotal
City/State/ZIP:Portland,OR.,97202 _ Minimum permit fee($90.00)
Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee)
CCB lic.:33135 State surcharge(12%of permit fee)
TOTAL PERMIT FEE s 2,
This permit application expires if a permit is not obtained within 180
Authorized signature' days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Brandon Hutchinson Date: 6�7'
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)