Permit r,
CITY OF TIGARD MECHANICAL PERMIT
_ COMMUNITY DEVELOPMENT Permit#: MEC2014-00119
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03!13(2014
Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 235
Project: Randstad Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Duct modifications
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 03/13/2014 $207 21
Class of Work: ALT Type of Const: Plan Review 03/13/2014 $51 80
Occupancy Grp: Occupancy Load: 12%State Surcharge- Mechanical 03/13/2014 $24.87
Stories:
Project Valuation: $4,972.00
Fuel Air Handlers
Fuel Types Units< 10000 cfm
Gas Pressure: Units> 10000 cfrn
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 $283 88
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 you to follow the rules adopted by the Oregon
Utility Notific _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 estions to OUNC y,tcalling 503.232.1987 or 1.800.332.2344 '
•
Issued y: --fi `J`R-(J Permittee Signature: V ira�• /IP
•
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 prop ct.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application w FOR OFFICE USE ONLY
City of Tigard �, Received /y/ ,• Permit No.: t
II II �,
Y lllllCJJJ
13125 SW Hall Blvd.,Tigard,OR 7223 ?{ Plan Review �`
Phone: 503.718.2439 Fax: 503. 8.1960 Other Permit: Zit je?o li-11Ov1/.
Date/By:
T d C A R D
Inspection Line: 503.639.4175 1 3 2014 Date Ready/By: furls li3 See Page 2 for
Internet: www.tigard-or.gov Notified;Metlwd: Supplemental Information
iTYPE OF, WOR .,i 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.
Value.5 4972.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ® Commercial./industrial ❑ Accessory building For special information use checklist.
❑Multi-family ❑ Master builder ❑Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 10220 SW Grcenburg Road (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(duels'vents) - 54.91
Suite/bldg./apt.no.:235 Project name: Randstand Suite 235 Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
3 Lincoln Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.3.2_ -
Unit heaters(fuel-type,not electric),
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 OF WORK Water heater , 23.32 _
Duct modifications Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove V-kcAc, 0 b 44- -1.119 Wood fireplace/insert 23.32 ,
❑ PROPERTY OWNER ® TENANT Chimney/liner/flue/vent 23.32
Other: 23.32 _
Name:Randstad Environmental exhaust and ventilation: _
Range hood/other kitchen
Address: equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct
Phone:( ) Fax:( ) toilet mpartments(utility omoms) 23.32
® APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
Business name:McKinstrs Company, LLC
Other: 23.32
. Fuel piping:
Contact name:Antonija Krizanac $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)2783971 Fax::(503)331.6907 Water heater
Fireplace
E-mail: antonijakth mckinstry.com Range
CONTRACTOR Barbecue
Business name:McKinstry Company,LLC Clothes dryer(gas)
Other. _
•
Address:same as above MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal A7.a/
Minimum permit fee(590.00)
Phone:( ) Fax:( ) Plan review(25%of permit fee) _ 67.
CCB lic.: 172811 State surcharge(12%of permit fee) v711.$7
TOTAL PERMIT FEE , gl
' o► This permit application expires if a permit is not obtained within 180
Authorized signs days after it has been accepted as complete.
Print name:Antonija Krizanac Date: 3 I 1 1 1(4 * Fee methodology set by Tri-County Building Industry Service Board
1:\Bulding`Permits'MEC-PerntitApp.doc 0909'10 4404617T(II/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.
I:\Building\Pennits\MEC-PennitApp.doc 09/09/10 2
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10220 SW GREENBURG RD 235, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
2014-04-08 00:00:00
MEC2014-00119
PASS - No C of O
Violation Summary:
Inspector Contractor