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= COMMUNITY DEVELOPMENT Permit #: MEC2009-00603
" Date Issued: 11/12/2009
T I G AA D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
l'P,:, i i ,, Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 470
Subdivision: Lot: 0
Project: Spec Space
Project Description: Relocate ducts and grilles for TI.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee 11/12/2009 $102.83
CALIFORNIA ST 49TH FL 12% State Surcharge - Mechanical 11/12/2009 $12.34
PHONE:
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503- 331 -6906
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $115.17
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 Notificati• • - • - . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct • •estions to OUN • - : ling 503.246.6699 or 1.800.332.2344.
' I , ,
Issued =y: iis.._ i 0 / A Permittee Signa re: �� CJ`
Call 503.639.4175 by 7:00 a.m. for an inspection that business - .y.
This permit card shall be kept in a conspicuous place on the job site un completion of the project.
Approved plans are required on the job site at the time of each inspection.
M.
l "71 Il CITY OF TIGARD MECHANICAL PERMIT
1 > . COMMUNITY DEVELOPMENT Permit#: MEC2009 -00603
Date Issued: 11/12/2009
,,Ti G A P 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
a . ar.-i!a. r
Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 465
Subdivision: Lot: 0
Project: Spec Space
Project Description: Relocate ducts and grilles for TI.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
Permit Fee 11/12/2009 $102.83
CALIFORNIA ST 49TH FL 12% State Surcharge - Mechanical 11/12/2009 $12.34
PHONE:
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503- 331 -6906
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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 $115.17
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 . • ' uspended for more the 180 days. ATTENTION: Oregon law requires you to follow th= i -s adopted by the Oregon
Utility • :cation Center. - ose r - . are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You ma obtain a copy of the r s
or di • ct questions to OUNC • : ling 5 246.6699 or 1.800.332.2344. .
Iss ed By: // �� Permittee Signature: ,A� v1A,0-
�vllG- l
Call 503.639.4175 by 7:00 a.m. for an inspection that bus • ss day.
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.
DE
Mechanical Permit Applica FOR OFFICE USE ONLY
City of Tigard NOV 12 2009 Received l ( / 0 o Permit No.: l . X(P03
q 13125 SW Hall Blvd., Tigard, OR 97223
_ Phone: 503.639.4171 Fax: 503.598. Plan Review
COY OF TIGA DateBy: Other Permit:
T I G A R D Inspection Line: 503.639 Date Ready /By: El ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Supplemental Information
TYPE OF WORK 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.
CATEGORY OF CONSTRUCTION Value: $ $1,600.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description 1 Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heatinglcooling
Air conditioning or heat pump
Job site address: 10300 SW Greenburg Road
g (requires site plan showing placement) 14.00
City/State /ZIP: Tigard, OR 97224 Fumace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 4'(0 Project name: One Lincoln VSP 9 Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) , 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Flue /vent for any of above 6.80
Subdivision: Lot no.:
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Add/relocate diffusers and return grilles per new layout. Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
McKinstry Job # 70337 Wood fireplace/insert 10.00
❑ PROPERTY OWNER 0 TENANT Chimney /liner /flue/vent 10.00
Other 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
® APPLICANT ® CONTACT PERSON _ Attic /crawlspace fans 10.00
Other: 10.00
Business name: McKinstry Company, LLC Fuel piping
Contact name: Diane Parke, Project Coordinator $5.40 for first four; $1.00 for each additional
Address: 16790 NE Mason Street, Suite 100 Fumace, etc.
. Gas heat pump
City/State /ZIP: Portland, OR 97230 Wall/suspended/unit heater
Phone: (503) 331.2465 Fax: : (503) 331.6907 Water heater
Fireplace
E -mail: dianep @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 r
Minimum permit fee ($72.50) /0 pS • g 6
Phone: ( ) Fax:( )
Plan review (25% of permit fee) -49 i
CCB lic.: 172811 State surcharge (12% of permit fee) / 9\ • •,S !
TOTAL PERMIT FEE // . 2
/ This permit application expires if a permit is not obtained ithin 180
111„///
Authorized signature (/ / A /� days after it has been accepted as complete.
Print name: Diane P Date: j .i ' ' / // 07 • Fee methodology set by Tri-County Building Industry Service Board
1/Building \Permits \MEC- PermitApp.doc 01/1907 440-46!7T(11 /02/COM/WE B)