Permit !PtCITY OF TIGARD MECHANICAL PERMIT
gCOMMUNITY DEVELOPMENT Permit#: MEC2016-00285
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/25/2016
Parcel: 1S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 640
Project: Old Republic Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Modify duct work, relocate supply,move stat.
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON ST., STE. 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/25/2016 $115.11
Class of Work: ALT Type of Const: Plan Review 04/25/2016 $28.78
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/25/2016 $13.81
Info Process/Archiving-Sm$0.50(up to 04/25/2016 $0.50
Stories:
11x17)
Project Valuation: $2,000.00
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 Appliances:
e is w!o 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $158.20
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 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 estions • OU - • calling 503.232.1987 or 1.800.332.2344.
Iss d By: , / /�, / Permittee Signature: AMP
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.
1
.: ; ,
Mechanical Permit Appli �, J ;l'" /51/41
FOR OFFICE: I SF.ONI.\
Cl of Tigard Received
`J g DateB : / Permit No.:ti feAD/ip ag-
III r 13125 SW Hall Blvd.,Tigard,OR 9,J2234 e}, y mu Permit
_ Phone: 503.718.2439 Fax: 503.5 if9 0i 1)1 an Review
i� Date/By: Other Permit:
Ti G A R D Inspection Line: 503.639.4175t Date Ready/By: Juris. H See Page 2 for
Internet: www.tigard-or.gov , .I A 1 1, 'a, Notified/Method: Supplemental Information
` i t L Vi a, 't` t a4 a.
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
mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑Other:
Value $2,000
a a f o .' , IIsi '," ` .
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
°STM .� Hcoog:
la , I e e € e i" ,
�"` Aireating/conditionlining 46.75
Job site address:10220 SW Greenburg Road Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:610 I Project name:Old Republic Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
h 4t4 -...-7:'1','
"1 , f' ,!S:',*, ' Gas fireplace/insert 33.39W '`'' '" " �. �ro _: :
• Flue vent for water heater or gas
Modify duct work,relocate supply,move stat fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
,R � , { ,PER' S �I ,'iZ--•, Other: 23.32
°',-' ,, —v, _. _`*''* a )....--46'5:".' 1 Environmental exhaust andventilation:
Name:Old Republic Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
. -° z = r SNS �. ,,®' 1 „ P, >� '' �'',, Other: 23.32
Fuel piping:
Business name:McKinstry Co
$14.15 for first four;$4.03 for each additional
Contact name:Tria Day Furnace,etc.
Address:16790 NE Mason Street,Suite 100 Gas heat pump
WalUsuspended/unit heater
City/State/ZIP:Portland,OR 97230 Water heater
Phone:(503)318.2057 I Fax::( ) Fireplace •
Range
E-mail:triad@mckinstry.com Barbecue
i;=,,,':" %,,, ®,,�.r., 1 v *, ,, ;' Clothes dryer(gas)
Other:
Business name:McKinstry Co. it t : t ,"
Address:16790 NE Mason Street,Suite 100 Subtotal
City/State/ZIP:Portland,OR 97230 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)331-0234 , Fax:( ) State surcharge(12%of permit fee)
CCB lic.:172811 TOTAL PERMIT FEE f sg*-
This permit application expires if a permit is not obtainedd within 180
days after it has been accepted as complete.
Authorized signature: e--, ) ' Fee methodology set by Tri-County Building Industry Service Board
Print name:Tria Day Date:4/25/16
C'Building\PermitsUMEC_PermitApp_0401 13.doc 440-4617T(I 1/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10220 SW GREENBURG RD 640, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00285
Jeff Grove
Violation Summary:
Inspector Contractor