Permit
n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2010-00033
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/22/2010
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW Greenburg RD 1250
Subdivision: LINCOLN TOWER Lot: 0
Project: Reinisch & McKenzie
Project Description: Relocate grilles & diffusers and add (2) VAV boxes.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee 01/22/2010 $1,287.51
Plan Review 01/22/2010 $321.88
PHONE: 12% State Surcharge - Mechanical 01/22/2010 $154.50
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503-331-2461
FAX: 503-331-6906
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $1,763.89
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 N ca ion ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You obtain a copy of the r s
or din t questions to NC alling 503.246.6699 or 1.800.332.2344. 0,
Issu By: ` Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 Appl' V
I i/ L FOR OFFICE USE ONLY
Received ,O 6e / d f �,q�,, 2
City of Tigard ddC771 °°�� Date /By: I 6t Permit No.: MW d c w J f
13125 SW Hall Blvd., Tigard, OR 97 Plan Review
G Phone: 503.639.4171 Fax: 503.59 2 2 2010 Date/By: Other Permit: •
TIGARD Inspection Line: 503.639 Date Ready /By: ® See Page 2 for
Internet: www.tigard -or.gov CITY OF TIGARD Notified/Method: lin Supplemental Information
BUILDING DIVISION
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
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.
CATEGORY OF CONSTRUCTION
Value: $ 47,000
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. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 10260 SW Greenburg Road Air conditioning
(requires site plan showing placement) 46.75
City/State/ZIP: Tigard, OR 97224 Fumace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: 1250 Project name: Reinisch & McKenzie 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.: 03400 23.32
•
Tax map /parcel no.: 1S135AB Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Relocate grilles and diffusers and add (2) new VAV boxes. Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
• Wood/pellet stove 33.39
McKinstry Project #9342 Wood fireplace/insert 23.32
❑ PROPERTY OWNER ® TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Reinisch & McKenzie Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39 '
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) • toilet compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans ' 23.32
Business name: McKinstry Company, LLC Other: 23.32
Fuel piping
Contact name: Hobie Miller, PM or Diane Parke, Project Coord. $14.15 for first four; $4.03 for each additional
•
Address: 16790 NE Mason Street, Suite 100 Furnace, etc.
Gas heat pump
City/State/ZIP: Portland, OR 97230 Wall/suspended/unit heater
Phone: (503) 262.2342 Fax: : (503) 331.6907 Water heater
. Fireplace
E -mail: hobiem @mckinstry.com Range
CONTRACTOR Barbecue
Business name: McKinstry Company, LLC Clothes dryer (gas)
Other.
Address: Same as above MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Minimum permit fee ($90.00)
Phone:( ) Ai Fax:(
Plan review (25% of permit fee)
CCB lic.: 172811 II State surcharge (12% of permit fee)
y TOTAL PERMIT b
Authorized si a lieriflifilMFAM This permit application e:plres Ii a permit t i n s ot o obtained within 180
da s after it has been accepted as complete.
Print name: Di : e P A Date: / �� * Fee methodology set by Tri -County Building Industry Service Board
I:\Building \PermitAMEC -' - . • pp.doc 10/01/09 / • • 0461 (1 I /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.
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