Permit CITY OF TIGARD MECHANICAL PERMIT
° COMM UNITY DEVELOPMENT Pe rmit #: MEC2011 -00423
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Date Issued: 09/21 /2011
Parcel: 1 S 135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 710
Project: Axiom Subdivision: METZGER, TOWN OF Lot: 9
Project Description: HVAC modifications for TI
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: 503 - 619 -3200
FAX 503 - 331 -6907
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/21/2011 $130 46
Class of Work: ALT Type of Const: Plan Review 09/21/2011 $32 62
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 09/21/2011 $15 66
Stories:
Project Valuation: $2,500 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 w/o Appliances 50 or Greater HP
Air Conditioning
Heat Pump
Appliances
Vent Fans: Vent Systems Total $178.74
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 Notif . 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 uestions to •UNC b calling 503.232 1987 or 1.800.332.2344
Issued : &444-'0112_,/ Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspec '..: ate.
This permit card shall be kept in a conspicuous place on the job site unti . ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Application ,1' ,-m ' 7 S } 'I) t 4 ` FORnOFFICE+ " t r�
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S itl; City Of Thar' E ew 9 � Permit No SEP 21. Z ®Ar. . l 13125 SW Hall Blvd. Tigard OR 97223
l D ate /By
'' ` 9 4 a•: Ph one. 503 718.2439 Fax 503 598.1960 Other Permit
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T
I t Inspection Line 503.639 4175 CIT I OF eG eady/By Juns El See Page 2 for
k » 0';'-'.i Internet www tigard- or.gov U 1 � 1 � ± D t tJ Notified/Method Supplemental Information
W a% ,; 'COMMERCIAL. FEE SCIWDp E , ST. . I
° ,J - �3„ � "`[`YPE��OF� WORKm .. -_ , -. ...... ..�y -li, ,,.._, us, �- _ .
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
;.. �> 1 r» - Y = € 4 , 11 :i's Value $ 2,500.0
'> _, C ATEG O R1 ;y 0E:.C ONSIRU CTIOA. 3' i M , : - ,' t .
_ - -- ;rr� -� », v, ",� . „a:,W �., u., . .� , .. ; ��RESIDENTI A IE, QUIY MENT'J SYSTEMS ; FEES.
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❑ 1 - and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty , Ea Total
. ' JOB' SITE '1NFORMATION ,AND LOCATION..
,, -, Air conditioning
Job site address: 10260 SW Greenburg Rd (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 (ducts /vents) 54.91
Suite/bldg. /apt. no.: 710 Project name: Axiom Expansion Heat pump
(requires site plan showing placement) 61.06
Cross streeUdirections 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),
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 appliances:
3?, t 3 Water heater 23.32
i3 DESCRIPTIO O = °WORK - €`, s, H, lt= _ , '
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Gas fireplace 33.39
Relocate existing thermostats and diffusers as needed to accommodate the new Flue vent for water heater or gas
floor plan. fireplace 23 32
Log lighter (gas) 23 32
Wood /pellet stove 33 39
McKinstry Job #70656 - Building Permit #BUP2011 -00185 Wood fireplace/insert 23 32
t; IF 1 , fM _,, a -, Chimney /liner /flue /vent 23 32
; , ; fy^: 3 'D PROPERTY 'OWNER 1 -® FENAN'T
Other 23 32
Name Axiom 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
° ' APPLICANT_ " ' t ® CONTACT PERSON Attic fans 23 32
Business name: McKinstry Company, LLC Other 23 32
Fuel piping: .
Contact name. Diane Parke, Project Coordinator $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) 331.2465 Fax: : (503) 331.6907 Water heater
Fireplace
E -mail: dianep @mckinstry.com Range
i :;I - RAC: 4,R.' t: €;€ *'
�' %' ° ter' %�''z ���,' z- CONT,. »..`�,,� „� . =1?)i�' `'��;;:� ,� .. ., . >. Barbecue
Business name: McKinstry Company, LLC Clothes dryer (gas}
_ Other.
Address. same as above �•; "^`tt'
-- MECfTAN1CAL=PERIVII'PFEES„ , '�a. Vie) d " , .
City/State /ZIP: Subtotal
Minimum permit fee ($90 00)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB lie.. 172811 State surcharge (12% of permit fee)
ilt
TOTAL PERMIT FEE f 7 g'.
Authorized signature- This permit application expires if a permit is not obtained within 180
Lm 1/1,2,...-- days after it has been accepted as complete.
Print name: Diane Par 7 , ' ES F/GR Date: 7/zf7 * Fee methodology set by TB-County Building industry Service Board
1 \Buildmg\Permits\MEC- PermOApp doe 09 /09/10 440 -4617T (11/02 /COM/WEB)