Permit ;, r .? CITY OF TIGARD
�. MECHANICAL PERMIT
v COMMUNITY DEVELOPMENT Permit #: MEC2010 00342
13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/16/2010
T f G A R D Parcel: 1S1 35AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 280
Subdivision: LINCOLN ONE Lot: 0
Project: FX Global
Project Description: Relocate (3) grilles for TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee 07/16/2010 $142.74
CALIFORNIA ST 49TH FL 12% State Surcharge - Mechanical 07/16/2010 $17.13
PHONE:
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 $159.87
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 3
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 -0100. :. , ay obtain a copy of th= • es
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: 1 IAN ` �
/ CaII 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 Application , . FOR OFFICE USE ONLY
City of Tigard l i _ . -) i - - . Received 0 ` emit No./7- 6---‘,20/0 °010,:3 5.2,
III - Date /By: /�
° 13125 SW Hall Blvd., Tigard, OR 97�L� Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Other Permi
J UL 16 2010 Date /By:
T 1 G A R D v�(,�a0 /0 �(D /(o
Inspection Line: 503.639 Date Ready /By: Juris: ® See Page 2 for v
Internet: www.tigard-or.gov Notif /Method: Supplemental Information
TYPE OF WQBK 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: $ 2,806
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family 0 Master builder 0 Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: 10300 SW Greenburg Road, Suite 280
(requires site plan showing placement) 46.75
City/State /ZIP: Tigard, Oregon 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: FX Global 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),
McKinstry Project #70423 in -wall, in -duct. suspended, etc. 46.75
Flue /vent for any of above 23.32
Subdivision: Lot no.: 01003
Other: 23.32
Tax map /parcel no.: ISI35AB Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Relocate (3) grilles for small tenant improvement project. Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER Chimney /liner /flue /vent 23.32
® TENANT Other: 23.32
Name: FX Global 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
Other: 23.32
Business name: McKinstry Company, LLC Fuel r m
Pp g
Contact name: Diane Parke, Project Coordinator $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) 331.2465 Fax: : (503) 331.6907 Water heater
Fireplace
E -mail: dianep @mckinstry.com Range
CONTRACTOR Barbecue
Business name: Same as above
Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal pia, 79
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
dJ /CBlic.: 172811 , State surcharge (12% of permit fee) /7 , �c-
/ TOTAL PERMIT FEE /
/ This permit application expires if a permit is not obtaibetTwithin l
Authorized signatur .- ' l ' P. / Alr days after it has been accepted as complete.
Print name: Diane lj e I Date: /, // U ° Fee methodology set by Tri- County Building Industry Service Board
1:\ Building \Permits \MEC- PennitApp.doc 10/01/09 4 6 !7T(1I I/ /02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi -Family Fee Schedule:
Total Valuation , , Per "mit 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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