Permit - CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2011 -00435
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/04/2011
Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 440
Project: Tristar Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Add (1) supply diffuser and relocate (2)
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 10/04/2011 $105.90
Class of Work: ALT Type of Const: Plan Review 10/04/2011 $26.48
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 10/04/2011 $12 71
Stories:
Project Valuation: $1,675.00
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 $145 09
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 'cation b-nter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 :.9s You may o' a copy of the rules
or dir ct questions to O NC by calling 503.232 1987 or 1.800.332.2344. /
Issue y: / Permittee Signature: 4J. / , S
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.
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Mechanical Permit Application `'� �i '� ' TtOR OFiI�iUSE O
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.� City of Tigard Rr-+, Received Permit No MG q �/� g
rhy . e �`�`" Date /By / /V /// A._ j i eeettI��VV J�
f - ° 13125 SW Hall Blvd., Tigard, OR 9 223 Plan Review Other Permit
t f: °, )'i Phone 503.718 2439 Fax 503.598 1960
Date /By
r r 4 2011
,aZ..IGA)D Inspection Line 503. 4175 h Date Ready /By funs E See Page 2 for
v' Internet www.tigard- or.gov Notified/Method Supplemental Information
f CITY OF TINI N ; v F *. s % us cirECriis "T "
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Mechanical permit fees* are based on the value of the work
❑ New constriction ® Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. equipment labor, overhead, and profit
Value $ $-1.675.00
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ATEGORI.w OFii, II, ,— 'RII i IO N ;
; �.. , _ ..- - . :�., -� , _ _tea - " �'' '
=� , � � �� � - - � �: fI2ESI DENT:IAL :EQUIPMENT /:SI'S'TENISIEEES *. F” r „ -��
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❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ['Master builder ❑ Other: Description Qty Ea I Total
.;, , '-- -' , ... „ , - - - ,._ .. �. - r3,r<. , • '., I /cooling:
) ;;t j , ' _ '1 � % - 49TI• NEORMATI OlV AND L 3: .;) �:r .,
;. . - _ - f , - -s. . -� Air conditioning .
' Job Site address: 10300 SW Gi•eenburg 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. 430 Project name TRISTAR Heat pump
(requires site plan showing placement) 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),
. in -wall, in -duct, suspended, etc 46 75
Subdivision: Lot no.: 01003 Flue /vent for any of above 23.32
Other 23 32
Tax map /parcel no.: 1S135AB Other fuel appliances:
t s ' ,.at= ;�;`�'"M - I-`` ?^: '1”" -'. a .,' -,. ,r x+ ,_,,. -- Water heater .
F : E P< r �:. �4 -� -� 1 --: _ „i ce
•;:DESGRIYT WQRIZ „ ��
Gas fireplace 33 39
Add /relocate supply diffusers per plan Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33 39
MCKINSTRY JOB #70669 BUILDING PERMIT #BUP2011 -00212 Wood fireplace /insert 23 32
, ' E .-- ,; : ,I- .„ F ; ' i , - t - 6 ,:' Chimney /liner /flue /vent 23 32
❑ ~PROPERTI, ,OWIVET2, `,. ` ® -
• `M .., : A�- , = , Other 23.32
Name: 'TRISTAR 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
� X-41. g :t,A. i, +.' ki-i� ,T P g - : - 5' O Attic /crawlspace fans 23 32
� , m�;a�- r ®� =Al'P- I STG�IVT:, ,'UAL. {,,II.-',''' = to "�- �. �< '® :CONTA G �R ONm
Other 2 3.32
• Business name McKinstry Company, LLC -
Iuel piping:
•
Contact name: Diane Parke; Project Coordinator 514.15 for first four; 54.03 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
`CON=*:, OR ' " °" 1,; K rg'li: Barbecue
Business name: McKinstry Company, LLC
Clothes dryer (gas)
Other
Address• same as above ` - w viiiIECITANICALEERMflifits - ;' :. ' ; _, -_4
City /State /ZIP: Subtotal /5" 90
Minimum permit fee (590 00)
Phone: ( ) Fax: ( )
Plan review (25n /o of permit fee) 416 .e
CCB lie.: 172811 State surcharge (12% of permit fe- .0 •
TOTAL PERMIT , EE ' / 5.
This permit application expires if a permit is not . • awed within 180
Authorized signature 'L+G� days after It has been accepted as comple .
Print name: Diane Parke Date ( ,
w / / 0 Fee methodology set by Tn- County Building Industry Service Board
I 'Buddmg\Permts',MEC- PermitApp doe 09/09/10 440- 617T ( 1/02 /COM/WEB)