Permit CITY OF TIGARD MECHANICAL PERMIT
`''� COMMUNITY DEVELOPMENT Permit #: MEC2011 -00304
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/29/2011
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 400
Project: K Force Subdivision: METZGER, TOWN OF Lot: PTS 7 -8
Project Description: Relocating existing grills.
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 06/29/2011 $69.06
Class of Work: ALT Type of Const: 12% State Surcharge - Mechanical 06/29/2011 $8.29
Occupancy Grp: Occupancy Load: Permit Fee 06/29/2011 $104.38
Stories: 12% State Surcharge - Mechanical 06/29/2011 $12.52
Project Valuation: $3,900.00 Plan Review 06/29/2011 $43.36
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 $237.61
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 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By : Permittee Signature: 111
Cal .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.
B/29/211 08:52 503331 690 7 MCK INSTRY PAGE 02/03
Mechanical Permit Applicati
°PECEIVI:81 FOR OFFICE lIST: ()NI ,N
City of Tigard 164, 1,.. Received
tlator , I . f UlIM AA ....._, ,.
III . 13125 SIN Hal .., l Blvd Tigard, OR 97223 JUN 29 2011 Plan Review
/ „ ihr Penult No.: • , j...
: ell .' • Phone: 503,718.2439 Fax; 503,598.1960 Date/By: Other Permit:
.1. Cr; A p I . ) Inspection Line: 503.639.4175 Date Reedy/By; lEll See Page 2 for
Internet: www.tigard CITY OF TIGASIORD N Nntipidimthari;
f- i Supplememmi Information
BUILDING DIVI .. . __,........
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" ::1: " :::- ' 1 " • ' ::! " :: " :;'; ' 7::::::: ''' • • • ' ;1 " : " . ''' : "•-"''''' • - '-' - - ' ' - ' ' ' ' ' ''''''''' - ' ' ' '"- Mechanical permit fees* are based on the value of the work
0
New construction IT Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment labor, overhead, and profit.
Value: $ $3,900.00
. itikfittd!t#*.0:)0±i*,':§ . : j*:7,1101..(::::
0 I- and 2-family dwelling El Commercial/industrial 0 Accessory building For special !reformation re checklist.
0 Multi-family 0 Master builder D Other: Description [ QtY. 2.- total
HPatl
.
Job site address; 10260 SW Greenburg Rd _orztca2c plan allowing placement) 46.75
Furnace 100.000 BTU (ducts/vents) 46.75
City Portland, OR 97223
Furnace 100.000+ BTU (ducts/yenta) 54.91
Suite/bldg./apt. no.: 400 Project name: K-FORCE Heat pump
(requires site plan showing ploccrnent) 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)
BuP9oti-0011 tp in-wall, in-duct, suspended, etc. 46;75
Subdivision: Lot no.: 03400 Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.: 1S135AB Other fuel aepliances:
:,;;;;;;:;i;•:(;;;mwi:;::::,';:::.!:::•:::::::::!!!rdi.::::::
,i it
,.mil A,:;,,::.;,i,;;;i:;;;:;;:::::,.,::.;;;;:.:,.:;; ,:;;H H Water heater 23.32
Q.q:''' , ...„„ , ; mi l , „
Gas fireplace 33,39
Relocate existing grilles, CpopipV6V- . 2 --k-csi- a aJ . _ _ Flue vent for water heater or
_lap I a ec 23.32
Log lighter (gas) 23.32
Wood/pellet stove 3339
MeKinstry Job #70609 Wood fireplacermsert 23.32 •,,
., ::,e; ...,.‘..• ,... •:.:.:...J.,!;;;;::::.1: • '• • • ,4;: ,::..,i...0. ;.; ...•...,,,Iii.; Chimney/liner/flue/vent 23.32
!..1E.:'.:.:i;i!:.i.:L.•171iiPP 1 :=0tAtt!..04 . ',!.:!' :,:::::.:; ,::••••.. r:.! : ,:, ., : ; . , •„;•,:,: !::.•:••: .. :b :;::..: :•.„:;;:.:J.: other:
23,32
Name: K-FORCt 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
. ..
• • - Attic/crawls ace fans
: lgION# . f 0 E46 1 0/W q:; ';':',:::;::::::;!. '''.::':.: : E
',Ii*liStO* ; :•: P . 2332
Business name: McKinstry Company, LT,C Other: , 23.32
Fuel piping: ___
Contact name: Diane Parke, Project Coordinator 514.15 for !Ira four; S4.03 for cacti a dditionaj
Address: 16790 N.E. Mason Street, Suite 100 Furnace, etc,
Gas heat pump
City/State/ZIP: Portland, OR 97230 _
221, Lis .cndediunit heater
. -
Phone: (503) 331.2465 Fax: : (S03) 33L6907 Water heater
Pirgilacc
F-rnall: dinnep@mckinstry.com
.. Range
1.6 :: ' -: • ::: : . : : ••• ••:,.. : ;;;',:,(;:!:!':: . ::' , ■.:ii : .• : ;' : ' , ? • :.i : 00.411,44 5 1.0.1ti:: • ':',. 1 ..':f '''J ;b• 8arbe
Business name: McKinstry Company, LLC Clothes dryer (gas)
• Other;
Address: same as above
: iNt1403.A7,
City/State/ZIP; Subtotal
Phone ( ) Fx. ) Minimum permit fee ($90.00)
...ft Am. ' Plan review (25% of permit fee)
CCE tic.: 17281.1 Adirdira ..
State surcharge (12% of permit fee)
AWN!, TOTAL PERMIT FEE
Authorized signaturiffp ..Z,/ This permit application expire, if fl permit is not obtained within ttin
days sifter it has been accepted as crimpletc.
IIMEMMEMMINIIIIIIIIIMI Date: A .. • Agnia . Pee methodology Rai by Tri.cmmty Roilding TilduRtry Service Borird
T: I Build iniiRermitt \MEC:-Permii Appidn; 09/09/10 " ' • 617 (I 1102/COM(W.E13) •