Permit •
CITY OF TIGARD MECHANICAL PERMIT
.14
: COMMUNITY DEVELOPMENT Permit #: MEC2012 -00133
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/14/2012
Parcel: 1 S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 201
Project: Radiant Senior Living Subdivision: METZGER, TOWN OF Lot: 9
Project Description: TI
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 03/14/2012 $179.58
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 03/14/2012 $21.55
Occupancy Grp: Occupancy Load: •
Stories:
Project Valuation: $4,100.00
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 $201.13
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: fan powered
Duct Work: box w/
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 503.232.1987 or 1.800.332.2344. -
Issued By: Permittee Signature:
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.
•
FROM ' :MCKINSTRY FAX 5033316906 Mar. 13 2012 12:23PM P2
Mechan Permit A lication
I tly Of Tigard 0 \1, Rccoi .-, Pemlit No.:
u 13125 SW I1all Blvd.,'1igard, OR ?,...\,,,
41a1 Datc/B �3 /l — /►') C.�l)l� ()P)/ 3�
i�Q . Plan Review
' Phone: 503.718.2439 Fax: 503.598. � Q: 1 Other Permit: 4ezelpd-cii_ _ Inr� lion tine: St>3 639.417s �p' oe'�.� \C oat Ready/11y; aeva 0 r 2 for s
1'1',,,1;1, a \ \ Cam.
Internet: www.lignrd- or.gov \_ 1 ®\ Notifod/Mathed: '7�, SNpplemental Inhwmntion -
` f 1 1 art 1 t tll f�?4'4RII ll 1 ,Co � I� 7�7W rF4cn,:,rlo � ol� or P1 � u l, It11
L�auIl!V / `ri {1 lyd 7 1 ,1 ,iii; }� { ;;; ( 1 ,,,; H�J. 'I.1 .,1 p 6 it itfi'1' , IP,V5T[+,1�i:tl5I'Llf k 0 { t 7 . { .. ' F .' I t! .7��'� 1 { : :, , ZE quar a�llFrg l , w •�;.,
fi4 14 3 1 i I 1' K � 11 t4t. bri519 r'11.. J . I 1 t I 1 1 II 1 r, 1 ' . .eliro i1!;" L:I:U:t t: m � ep,pnn moan l • �� \� ''V ." ' ' rlaeMiY , ,t 1 ('.'V 7 n,� , q .i i { ' L (!�• .
l �II1511,•. � �,. ,..1. +11�! V. 1�..,'!r If.l {1. {. is 1tI�.. . + {Jlir1111 �iV 111��, ➢:r 1r.n, 1 I � ! � I •y+tii.�fl i �y ( n�liCPl�f�llT, n�C, ttl..f.l'll1'i11:1,�1.1cN'..'.i
i ' 1 '' ` 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
1:3 Demolition ❑ Other: mechanical materials, equipment. labor. overhead andrrnfit.
lyvna "' :,� + t , ill'i } +{ ! t � `rt i ' � I I IJ iU n7 c,: t q` . c � . :�; � i 1 9 tI R� u . n7xlcna " , y, KI' 'FY i r r:r, � III � .. value: $ $411 ■ a -
�ll t1 I ,'1 l I b ,' { h 1 a l IC lli LI ,r � n p 1 N, T'*,:..,,,,u• 718,,, !� ,Cr +.,c gwiis,4,100 , -
l,ili k,, a,,.,.•+, trl� i � l'I,h , kAu n , A,Ije.... 2 S4t : ,or ik c ,44t '' c.R S:', 1i 1 4 1 I '. - t•• v . r.
,LI.,�L,:h �b.>,.mnl 1;�17,n, .,ru�al.+abrrv, {:•r twin Ih � 1 rL6
❑ ' I - and 2- family dwelling ® Commercial /industrial ❑ Accessory building 1 special ir(formativn use checklist.
❑ Multi- family ❑ Master builder ❑ Other: lhxcripdon I Qty. I Tia. f Total
1 �' 1 '.iA) / 7 , J PII IlrI,' ;'' r I L I i J r l
,r Pi`s, c .{ {, F , t ,• „ std. Hcatlrgt/caolll�•
+ t t u, T' {, 1 f L: r Pq( , � lt. r 1 , q t , �' !'fir, I } 4, S A� .. .... ..... .... --
�:4 ,14 f, l .'1: }r� +!11'I, ., I t & f.t1ir 4,1 , L r iiii rr;�,.l ,e . f.,fi (I:rdJ1 ,,450. 41N /IhII �fyL t'elki Air conditioning
Job site address: 10224 SW Greenburg Road (reunites site plan showing placement) . 46.75
City/Slate /ZIP: Tigard, OR 47223 ' 1 n 1 Furnace 100,000 BTU Wets/vents) 46.75
�C Pomace 100,000+ mu (duciWvemc) 54 9I _
Suite/bldg. /apt. no.: 201 Project name: Radiant Senie • ving a lt • Jilin' Neat pump
a .. r _ ftmitea sae pion showing placement) 61.06
Cross slreel /dircc:tions to job site: - t A Duel work 2.3.32 _ . _ ...___
- V 1 ,' Hydrnnic hot water system 23.32
� - ' 1 Residential boiler (radiator or
F it ti. ' \ ♦ hydmnic) 23.32
1 r /' _ L \ ` \t�� Unit heaters (fuel -type, not clectrie),
1 any ■ in -wall, in -duct, suspended, etc. 46.75
Subdivision:
— 1 - r 1 PI
L ot n. ua /vont for of above 23.32 _
. .. .. Y
- Other: I 23_32
Tax map /parcel no.: \ 1 ■ Other fuel a
� � ,� }� ��j heater 2
11pl1anoxs:
jii` 14 'O,j l Fr,i1 ', {; �I) tll l,(t 111' ' `,', icy :rL norm 'rr ,1, ,Bt ��� ! r '�.[ k ti .I't.� ,332
17,.f tit ,:,,,v,: r .: t.. {4!` . t7: „ , w .,+,I.c, . >, U.,+ i • m ,nmrs� ;fa, il/
7 L,,,,' { s; t I t w'.� u , 1 1, I {I L'1 I w
' - . • . ”' - t addition of (1) Gas fireplace 33.39 - _—
Flue vent for water heater or gas
new fan powered box with electric heat and duct modifications. Nreptace 23.32
Cup lighter (Ras) .._............
,, Wood/pellel stove 3339
McKinatry Job *70747 Russell Construction Job #112074 Wood fireplace/insert - 23.32 _
( �L�I{4 " � , 1 p h 11 i , J I+ , ',1 ,, %0L.: p � ', uV1,I;Lh� ` I �y Q+ { !,‘..,!‘.41,4 tl n1f iiJf i�pQ 7Y i-,(t , 1 : ,f - r ; L �l . Y, . ' '� <' 1 I , � � • { r {t i f CJiltilney /bile! /f I ur/vell l 23.32
M]li'uPekfi 1dt1:., ,f,.nn. .N. :,. gl ,.. . f i ,r .� i�, 0 ' , . + a.,, ? .,d61,4, I. ; � a.,, a Q...—. 23.32
Nitmc: Radiant Senior Living Environmental exhaust and ventilation:
Address: Range hood /other kitchen
- equipment 33.39
City/Slate/ZIP:" Clothes dryer oxhauat 33,39
Single -duct exhaust (bathrooms
Phone: ( ) Pax: ( )" _ toilet co,npartmenls, utility room) 2332
i 7 i
, ;; " : :!:','�; Affr
tii' o ',; fl w , ' :•ii'' - :1 , ; 'r. Kt: ' gl ^L ^q' .ri
,li 1f a f.1l yl 11 1 I +,, ,t ;, , F(1∎4l' E ,,o I.I� l � tf 1�I ):444 „s1∎ u 1' ` . , 1 7 !, i r, gt∎' ,.; 41
Attic /crawlspace fans 1 23.32 23.32
. ,f., .IflrFl ,l i,J L, dll,n, Id.1. A „I,.. T , . 11.1 L �, 111,511,.It, ,,. AI .h'- ' ":4.. 71.7d..A,n1•+� S�}�t ,tS'fLaF.�„L �., `I It 1S :
Business name: McKinstry Company, TIC Other: - -- 23,32
_..._ - Fuel piping:
Contact name: Janet Lipe $14.15 for first four; $4.03 for each additional
Address: 16790 N.E. Mason Street, Suite 100 Furnace, etc.
- Gas heat pump
City/Slate/ZIP: Portland, OR 97230 R Wall/nunpendcd/unit heater
Phone I Fax: : (503) 331.6907 Water heater .
- Fireplace __......_
mail: janeil(Q nt mckinstry.co _......_... . -
,pi'it!{'y{ i ral• ri 1 ;I i 4;;, l ilt �1:'i,1,, ,. r,`,'Iis'. i, ' i; + .d 4I% 1 '{{11 , tgy pp.�
g,,, a '. k, i , 1 ` . i t .i , (;'`1 • l a s'igo.-1 ,6imn y r r . t t. •. ∎1' Barbecue
i . ' v 1,
�t.. ,',711.7,c,n,,li,;1 „10.1 t' �.' 1. 11! 71. a,. �. 1:, 1” n. th6l1^ r�U. L. v, S IV,: Lli.ld!i f tc{ 1 . ! ."il .J �tth'f ,v �
Business name: MeKinstry Company, LLC MACS dryer (fax) _ --
— ...... - ._... ... Other:
Address Same as above fir+ t •ny v '',70 ;r:r
I •'{'t? I' 11� }�`• ";r'.'�3rr ,t }''; 17 q• i - L c
... ,.� ot k � L ,tike },i•;ism•: ,u _ milt i; 4i.., .11:,'.Ye„'; �, LIL
City /State /7.iP: Subtotal 11 .
Minimum permit ice (290.00) - --...
Phone: ( ) (Fax: ( ) _ Plan review (2,5% of permit foe)
CCB tic.: 172811 .�, State surcharge (12% of permit feel. 0�1, SS.
_ TOTAL 1'.i RMrr NEE (, / -
Aulltpriicd signature: This permit appltcutinn expires lra permit Is not oblal within 180
days after It has been accepted as complete.
( Ptirlt mime: lanai Lipe Date: 1 95.- (5...,1? ' Nee melhLxhllnry te1 by Th•Cminly 11nSalmi, indw .toy Service Board
1; 1RIdldltaaPenttiuAMGC- R,rmLIApp.dne 09/09/10 440 t11/02/COM/wn12)