Permit e CITY OF TIGARD
y , MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00319
= Date Issued: 07/20/2010
IG 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 1S135AB01006
Jurisdiction: Tigard
Site address: 10500 SW GREENBURG RD 100
Subdivision: LINCOLN PLAZA Lot: 0
Project: Beal Bank
Project Description: Grilles, exhaust fan and ductwork for TI
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee 07/20/2010 $649.97
Plan Review 07/09/2010 $162.49
PHONE: 12% State Surcharge - Mechanical 07/20/2010 $78.00
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: 1IB
Occupancy Grp: B Occupancy Load:
Stories: 3
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 $890.46
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
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 • - ules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0101 ou m: y obtain a copy of the • - •
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: 4 , • - Permittee Signatur / /
Call 503.639.4175 by 7:00 a.m. for an inspection that b. ness 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 ApplicatioiRECEIVED FOR OFFICE USE ONLY
City of Tigard Received /IPA Permit No
1,
q 13125 SW Hall Blvd., Tigard, OR 97223 JUL. 0 9 2010 Date /By: , v9/ � /D -�D D,3/
0 ' Plan , O Other Permm aC /Q .. Phone: 503.639.4171 Fax: 503.598.1960 Date /By: . p ii
Inspection Line: 503.639.4175 Date/By:
T I GA RD CITY OF TIGAR Date Ready/ ■ y: 65 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISION Notified/Method: In Supplemental Information
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: $ 21,871
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: 10500 SW Greenburg Road, Suite 100
(requires site plan showing placement) 46.75
City/State /ZIP: Tigard, Oregon 97233 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91 •
Suite/bldg. /apt. no.: / Project name: Beal Services Corp. T.I. 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 #9378 in -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: 01600
Other: 23.32
Tax map /parcel no.: IS135AB Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Install grilles, exhaust fan and related ductwork for Mechanical T.I. Project. Flue vent for water heater or gas
See detailed plans for complete scope of work. fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER 0 TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Beal Services Inc. 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
0 APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: McKinstry Company, LLC
Fuel piping
Contact name: Diane Parke, Project Coordinator $14.15 for first four; $4.03 for each additional
Address: 16790 NE Mason Street, Suite 100 Fumace, 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
Minimum permit fee ($90.00)
Phone: ( )
Fax ) Plan review (25% of pen nit fee) /A a,. Yi
CCB lic.: 172811 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signs re' days after it has been accepted as complete.
46) Print name: Diane Date: 01/6 * Fee methodology set by Tri- County Building Industry Service Board
I: \Building \Permits \MEC - PermitApp.doc 10/0I/09 44 02 /COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 Supplemental Information
Commercial & Multi -Family Fee Schedule:
Total Valuation Per nit T ee ....
$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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