Permit q CITY OF TIGARD MECHANICAL PERMIT
r7 13 • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00410
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/18/2013
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 320
Project: Springwater Wealth Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Install VAV box
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 07/18/2013 $210.02
Class of Work: ALT Type of Const: Plan Review 07/18/2013 $52.51
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/18/2013 $25.20
Stories:
Project Valuation: $5,100.00
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 $287.73
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:
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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
issuan - • suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili Notification Center. T . - rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or : irect questions to OUNC calli . 513.232.1987 or 1.800.332.2344.
Is ued By: ., /� _` Permittee Signature: /1
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.
Mechanical Permit Application � FOR OFFICE USE ()NIA
`r Received h � �/ `/
City of Tigard D Date /B Ari ii Permit No.: I I ' �T/X/�
• 13125 SW Hall Blvd., Tigard, OR 97223 ""__ ((
C Plan Review /* /0
• Phone: 503.718.2439 Fax: 503.598.1960 JUL 1 Date /By: &µidol — Oa
1 I L. n It I� Inspection Line: 503.639.4175 8 L U I J Other Permit: Date Ready /By: Jtuis: See Page 2 for
Internet: www.tigard- or.gov CITY OFMARI) Notified/Method: Supplemental Information
i : -m 0 lv(. .4 - -, :, r Ti: / �ii .� i A }3 f ) El � s l 1 ' �i 1ti (ts`J - c41W , l .y .
} w ` 1 St. sr. -' "a A +'�'' tr-a' 135""' �? �* � • i Mechanical p ermit 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.
t
' 6 ' ■ ° , i: • } it.. .• ' 114411 � k? 074 ?: x ' . ; . - - - ' I o 1 , � a o ii -11, '- i0 1:0 ' I- - •- +tsj -C f. -- - C. S.
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use check list.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. 1 Ea. I Total
r i"^ .. K Heating/cooling:
Air conditioning
Job site address: 10200 SW Greenburg Road (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.: 320 Project name: Springwater Wealth 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),
n/(e-k- j i 7(111 in -wall, in -duct, suspended, etc. 46.75
Subdivision: Lot no.: Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
'' , - *' "DESCRIPTION , - Water heater 23.32
Gas fireplace 33.39
Install new fan powered box with electric heat and pneumatic controls 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
0 PROPERTY OWNER ' ENAk�T . '
•
Chimney/liner/flue/vent 23.32
• Other: 23.32
Name: 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
a" PPL'ICAI T ►a 'CONTACT PERSON Attic /crawlspace fans 23.32
Business name: McKinstry Company, LLC 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/State /ZIP: Portland, OR 97230 Wall/suspended/unit heater
Phone: (503) 278.3954 Fax: : (503) 331.6907 Water heater
Fireplace
E -mail: janell @mckinstry.com Range
CONTRACTOR Barbecue
Business name: McKinstry Company, LLC Clothes dryer (gas)
Other:
Address: same as above MECHANICAL PERM IT (FEES*
City/State /ZIP: Subtotal
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( )
Plan review (25%o of permit fee)
CCB lic.: 172811 State surcharge (12% of permit fee)
TOTAL PERMIT FEE 402(9. 7 3
•
ature' This permit application expires if a permit is not obtained within 180
Authorized Si
C days after it has been accepted as complete.
Print name: Janel Lipe Date: -p 7 — jg. 3 * Fee methodology set by Tri- County Building Industry Service Board
t: \Building \Permits \MEC- PermitApp.doc 09/09/10 4404617T (I 1 /02,COM'WEB)