Permit CITY OF TIGARD MECHANICAL PERMIT
R COMMUNITY DEVELOPMENT Permit #: MEC2013 -00156
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/01/2013
TIGARD Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 265
Project: Reliance Standard Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Relocate a supply diffuser and return grill. Add a new 120 volt exhaust fan in the plenum
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 04/01/2013 $155.02
Class of Work: ALT Type of Const: IIB Plan Review 04/01/2013 $38.76
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 04/01/2013 $18.60
Stories: Info Process /Archiving - Sm $0.50 (up to 04/01/2013 $1.50
11x17)
Project Valuation: $3,214.00
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 $213.88
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, • w. suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility • otification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 9 -II t■90. You may obtain a copy of the rules
or dir:ct questions to OUNC b . IingQ3.232.1987 or 1.800.332.2344.
Issue. By: / Permittee Signature: .411 r
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.
7 olD
Mechanical Permit A licatio FOR OFFICE USE ONLY
L
1 14 City of Tigard rA• Rec , (;Z O i S r PermitNo.: 1W-040/3 0/5-co 13125 SW Hall Blvd., Tigard, OR 97223
s Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 0 2013 Plan Review �,
Date /By: ® �l' j er Permit: l 0 1 O Do `f7
T I G A R u Inspection Line: 503.639 DT Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov CITYOFTIGARD Notified/Method: 3 �LIf? . f (p Supplemental Information
t !IMIiiiiiii N s l e wI ( ,, II
f i Yali ,
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.
Value: $ $3,214.00
,,:- M., - -e'. CATEGORY OF CONSTRUCTION
❑ 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:
Air conditioning
Job site address: 10300 SW Greenburg Road Suite 265 (requires site plan showing placement) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: 265 I Project name: Reliance Standard Heat pump
(requires site plan showing placement) 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
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
iiiimmisimaimir
Water heater 23.32
Relocate a supply diffuser and return grill. Add a new 120 volt exhaust fan in Gas fireplace 33.39
Flue vent for water heater or gas
the plenum. fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER ® TENANT Chimney/liner /flue/vent 23.32
T ° Other: 23.32
Name: Reliance Standard 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
Oth
Business name: McKinstry Company, LLC 23.32
Fuel piping:
Contact name: Janel 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/State /ZIP: Portland, OR 97230 Wall/suspended/unit heater
Phone: (503) 278.3954 I Fax: : (503) 331.6907 Water heater
Fireplace
E -mail: janell @mckinstry.com Range
Barbecue
Business name: McKinstry Company, LLC Clothes dryer (gas)
Other:
Address: same as above r ECHANICAL PER
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 172811 State surcharge (12% of permit fee)
, TOTAL PERMIT FEE
Authorized signatur 4 /a -4-- This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: Janel Lipe I Date: 0-.1.0 .13 * Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits \MEC- PermitApp.doc 09 /09/10 440- 4617T(I1 /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.
1: \Building\Permits\MEC- PermitApp.doc 09/09/10 2