Permit (122) CITY OF TIGARD MECHANICAL PERMIT
a COMMUNITY DEVELOPMENT Permit#: MEC2017 00742
T Ic ART) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/11/2017
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 500
Project: Myatt&Bell Subdivision: METZGER,TOWN OF Lot: 9
Project Description: (5)air grille modifications.
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 10/05/2017 $99.76
Class of Work: ALT Type of Const: Plan Review 10/05/2017 $24.94
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/05/2017 $11.97
Stories: 500 Info Process/Archiving-Lg$2.00(over 10/05/2017 $4.00
11x17)
Project Valuation: $1,500.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Fumaces<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 $140.67
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: 5 air grills
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 952-001-009 . You m y obtain a copy of the rules
or direct questions to OUNC by callingr --- -:4.
Issued By: / - - • ature:.
Call 503.639.4175 by 7:00 a.m.for the next available inspecti n date.
This permit card shall be kept in a conspicuous place on the job site until c mpletion of the project.
Approved plans are required on the job site at the time of each inspection.
REC
EIVE
Mechanical Permit Applic I FOR OFFICE USE ONLY
City of Tigard Received
Permit No
II '. 13125 SW Hall Blvd.,Tigard,OR 97223 SEP 2 8 2017 /
Date/By: °� �� �c...6.,267/2_,„,007,./2,
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Date/By. -- t ' `,i'i l Other Permit:
TIGARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Read/B Iuris:
Internet: www.tigard-or.gov Ready/By: ,/ A 10 See Page 2 for
PLANNING/ENGiNEERINC�Notified/Method: /0/ N7 /({. Supplemental Information
i
�' 3
,. ".. . t `�£0 .4 \ /mss -0.K.,.. IEt�L >!�* Fl�l i (T � . .,..,",,
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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
' �, Value:$1500 00
❑ 1-and 2-familydwelling /� �� � � � �
®Commercial/industrial 0 Accessory building For special information use checklist.
o Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
` ' Heating/cooling:
"`, 4 ..,.. �, IN OIEIIATIt AMID �iTT N
"� Air conditioning 46.75
Job site address:10300 SW Greenburg Rd, 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.:500 1 Project name:Myatt&Bell,P.C.-TI
_ 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
v . -.. 4. . % E I ', , 1-,,E OIC Gas fireplace/insert 33.39
" �' Flue vent for water heater or gas
(5)Air grille modifications. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PRbPI R' ;O NER �' "A`,;. P EN N")
Other: 23.32
--.4,,, '"� , ����� . `"g' ��� � � � - WEnvironmental exhaust and ventilation:
Name:Myatt&Bell Range hood/other kitchen
equipment 33.39
Address:10300 SW Greenburg Rd,Suite 500 Clothes dryer exhaust 33.39
City/State/ZIP:Tigard OR,97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)641-6262 Fax ( ) Attic/crawlspace fans 23.32
k: N , T4 A01.1 4 ' ° ; -4 . toWiACT PEER bN %4f Other: 23.32
Business name: ,- i
McKinstry Co Fuel piping:'
$14.15 for first four;$4.03 for each additional
Contact name:Joe Slom Furnace,etc.
Address:16790 NE Mason Street,Suite 100 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97230 Water heater
Phone:(503)331-0234 I Fax::(503)331-6906 Fireplace
Range
E-mail:joes@mckinstry.com Barbecue
.. / „ , ,� 1. _ ;,, • l Clothes dryer(gas)
Business name:McKinstry Co. Other:
Address:16790 NE Mason Street,Suite 100 1. .�.. Nr 4441• `
Subtotal total 'VI
City/State/ZIP:Portland,OR 97230 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)331-0234 Fax:(503)331-6906 State surcharge(12%of permit fee)
CCB lic.:172811 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Joe Slom Date:9/27/2017
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
A
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
/ 'otal Valaation er it F f: .....
$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.
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