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Permit CITY OF TIGARD MECHANICAL PERMIT ' "- COMMUNITY DEVELOPMENT Permit #: MEC2011 -00061 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/11/2011 Parcel: 1 S135AB00900 Jurisdiction: Tigard Site address: 10200 SW GREENBURG RD 400 Project: Bridgewell Resources Subdivision: LINCOLN CENTER /FIVE LINCOLN Lot: 0 Project Description: Adding (1) supply diffuser and relocating (4) supply diffusers. Relocating (1) return diffuser and adding (3). Adding (2) return diffusers to 5th floor. Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC 16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC PORTLAND, OR 97230 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 503 - 331 -0234 PHONE: FAX: 503 - 331 -6907 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 02/11/2011 $274.65 Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 02/11/2011 $32.96 Occupancy Grp: Occupancy Load: Stories: Project Valuation: $7,380.00 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 $307.61 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 ou to follow the rule '..ted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 95 101 0090. Y. ay obtain copy of the rules or direct questions to 0 C by calling 503.232.1987 or 1.<9I. . 4' . Issued By: �� Permi r: ttee Signatu: / ,i 0 .' �i r e 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. kii:cL �l*yti r_ !-5 \! \ 1 Mechanical Permit Application FQR:OEFICE usE ONLY .'ry City of Tigard Received Date /B y: j a ' / � l/ t Permit No.,/j.� A.� c ' Other Permit: 13125 SW Hall Blvd., Tigard, OR 97223 1 MI Pla Review / 14 Phone: 503.639.4171 Fax: 503.598.1960 Date /By: 8/". t i IX_ Inspection Line: Iti Li 503.639.4175 `\\ Date of Read /B Juris ® See Page 2 for TIG ARD, �� Internet: www.tigard- or.gov � � ified /Metho . Supplemental Information ''` ,i WW `� - „ � _ . COA411iERCfA *`F' L EE * ;USE =C[IECI{L:IS'I'. ❑ New construction ® Addition /alteration /replac 0 t r, Mechanical permit fees* are based on the value of the work & 40Y performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, the profit. Is, equipment, labor, overhead, and o r VX..4,4.,.,- ..- .... - •,. -. l CATEGORY OF`; COS 'CRIICT14)\4- .` 3>i. - -� =� `' i ''RESIDEI\r,T I±„ Q 1AL UI P.MENT /, S7ySTKM,S,EEES': ; ; , ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building `" For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total .r° >: `S�Q iSITE INF ,ORIGIATTON,44 "OGATT01tigaga:, Heating/cooling (} Air conditionin Job site address: SNP' Greenburg Road (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.: 400 Project name: Bridgewell 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 #9427 in -wall, in -duct, suspended, etc. 46.75 Flue /vent for any of above 23.32 i Lot no.: 04600 Other: 23.32 Tax map /parcel no.: 1S135AB Other fuel appliances : ,,,. �. t�,,� °?' <',:,,,,; "�; � ,.� ,.�:::�.= yea, -: >,. - =..;.. it CRIP7l0 OF,. :gfi:Rg '• �� ' -�` DES�� 1\�u" O - �A „ `' `' "' Water heater _ _'..,'...._e. - _, t ., tt �< ,_. i -a ;a - _,a Gas fireplace 33.39 4'" Floor: relocate (4) supply diffusers and add (1) new. Relocate (1) return Flue vent for water heater or gas 4 diffusers and add (3) new. fireplace 23.32 Log lighter (gas) 23.32 5th Floor: Add (2) return diffusers Wood /pellet stove 33.39 -, a a . nev /liner /flue /vent 2 — 3 . :'.��c �� ' ,. __. :. X1`; : i , :t- .si x; . l , ;\ .. � ��:T'` Wood fireplace/insert _ _ Ch � �3.3� t ® Q NER . E < dk, k >,. . , ®,tTENANT t:t ,i, .. - - -- Other: 233 Name: Bridgewell T.I. Environmental exhaust and ventilation Address: Range hood /other kitchen equipment 33.39 City/State /ZIP: Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, .\ ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 4'. , . ® APPLICANT .' - _ ° ' °, „ ®- CONTACT .i0§ON- .,. Attic /crawl space fans 23.32 Other: 23.32 Z Business name: McKinstry Company, LLC Fuel piping Contact name: Diane Parke, Project Coordinator 514.15 for first four; $4.03 for each additional Furnace. etc. Address: 16790 NE Mason Street, Suite 100 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 . ,�C : -RAC�Tt O R i ti I 'i Barbecue �a£ „�F�,3.�.....v ,�.: �, l3. „c .. � --:-.� OtH'h�,�4T' +4.4�O � . ��` _ . '..�i � - .9.m. Business name: Same as above Clothes dryer (gas) Other: Address: s 3 ' a ” . , „-, .. , - � ' :: a _. �� _ ��' ��; X11' IECI-[ i1NICAli'�P >�,,; ` a � = _. ,-�� City /State /ZIP: Subtotal n ! � � Minimum permit fee ($90.00) Q,l( Phone: ( ) F ( ) Plan review (25% of permit fee) - CCB lic.: 172811 / ) State surcharge (12% of permit fee) 3.4.96 /�^Qy 6 ' TOTAL PERMIT FEE O �� (�� Authorized Signature ` /� I \ ` %� �� This permit application expires if a permit is not complete. within [80 days ! das after it has been accepted as complete. Print name: Diane P. e Date: 2/9/11 * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits\MEC- PermitApp.doc 10/01/09 440 -4617T (I I /02 /COM/WEB) MEN go i i -000(1 102 s GREq_ -N a» &- RP 40 RECEIVED FEB 9 2011 CITY OF TIGARD BUILDING DIVISION t L i. 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