Permit p ;(q ecl -4 G Q 6uud addi ./33.
9 CITY OF TIGARD MECHANICAL PERMIT
11111 g COMMUNITY DEVELOPMENT Permit #: MEC2009-00242
Date Issued: 05/28/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 parcel: 1S135A601002
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD, STE# 750
Subdivision: Lot: 0
Project: Western Architectural
Project Description: Replace diffuser, relocate thermostats.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee 05/28/2009 $72.50
12% State Surcharge - Mechanical 05/28/2009 $8.70
PHONE:
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503- 331 -6906
Type of Use:
Class of Work: 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 $81.20
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: Permittee Signature: LC
tnnt
Call 503.639.4175 by 7:00 a.m. for an inspection that business 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.
„
y CITY OF TIGARD MECHANICAL PERMIT
, � COMMUNITY DEVELOPMENT Permit #: MEC2009 -00242
Date Issued: 05/28/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S135A601002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 125
Subdivision: Lot: 0
Project: Western Architectural
Project Description: Replace diffuser, relocate thermostats.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee 05/28/2009 $72.50
12% State Surcharge - Mechanical 05/28/2009 $8.70
PHONE:
Contractor:
MCKINSTRY COMPANY
12021 NE AIRPORT WAY SUITE G
PORTLAND, OR 97220
PHONE: 503 - 331 -2461
FAX: 503 - 331 -6906
Type of Use:
Class of Work: 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 $81.20
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Y ay obtain a copy f the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
GOA Issued By: it I , , , , I ' , J Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application T ___ - _._;FOR'oFFJCE_USE.oNLY� __ _,.
r ��� • eceived
City of Tigard Date /By: 1 4 Permit No.: ' I A, 00 A
IIN ° 13125 SW Hall Blvd., Tigard, OR 97223 MAY ZOO 8 n Plan Review • _
Phone: 503.639.4171 Fax: 503.598.1960 � D Other Permit:
a
Inspection Line: 503.639.4175 y y
TI GAR D [ , Tate Read /tB See Page for
Internet: www.tigard- or.gov CITY OFTIG otified /Method:
Supplemental Information
BUILDING DIVIS i ,
:: I „ , ® F ERGIAI .FEE* SC1 LSE CHECK
xt �.. �: :: �,,. TYPE WORK <(t;; .,�� �. COMIVI , . ..E U
.
Mechanical permit fees* are based on the value of the work
❑ New construction ®Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
E
ATEGORY OF NSTRUC$TION` .': '���� Value: S 2,000.00
�M.�„ •• _ •• ,,. S'�i, \�• ,`:. ..ry .... .•e4 a�...u�.�aE, c.> . ... -. -� .•. �l b.
. RESIDE NTIAL " . EQUIPM ENT;/ S�'STEMSIF FS* ,,
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
"-,t>„4: , JOB IIV °AND.:: % L. 00„,,, ; ' ' -. Heating/cooling
Job site address: 5 Lincoln Suite;�3'0" `` �� Air conditioning plan or heat pump
I l � � (requires site plan showing placement) 14.00
City/State /ZIP: Portland, OR 97223 1.25 U Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Western Architectural Gas heat pump 14.00
Cross street /directions to job site: Duct work 10.00
McKinstry Job #70262 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
,, s '• i: % �s, - Water heater 10.00
\;, DESCRIPTION =UF`WUiRK r -s';,; W
Gas fireplace 10.00
Remove and installing diffuser through out tenant improvement space to include Flue vent for water heater or gas
reception area and conference room. Relocate thermostats as necessary. fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
11)1E111.40 , -, , r; ,, ,,, Chimney /liner /flue/vent 10.00
-
WIV :.
P RC3PERTX =Q. ER l S , -, >E NA N T : :-=:-,:',,,,,,.:
a., .. .<� •,.. ,.... �,,��::. ..:,_ ,.. , :.:...... a >.:.,: ` ° ,,., < {y: ;4.., .�., ,...�...�.:. .. 10.00
O t h er•
Name: Western Architecturals 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
F1111410: %,<,•,..; ', y`: •
> i:, _ ,.
APPLICANT : <CO$17; •PERSO- 5' ; 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 St., 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
,
,. „ .�t .' ;,. NTRA R .._
Barbecue
�.:.: „�,.,:.� .�,,� _ <t .. ..e..::,C10 . CTO `a.;���� - `'" Clothes dryer (gas)
Business name: McKinstry Company, LLC
Other: .
Address: same as applicant •' *.i`:
PP �,'MEG. P =E fi��.
City/State /ZIP: Subtotal
Phone: ( ) x: ( ) Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 172811 ' / State surcharge (12% of permit fee)
_� / TOTAL PERMIT FEE 4 , 20
fro, ,, � �/ This permi application expires if a permit is not obtaine within 180
Authorized si gn
days after it has been accepted as complete.
Print name: Diane ' : c • Date: 5/28/09
* Fee methodology set by Tri-County Building Industry Service Board
I: \Building\Permits \MEC- PermitApp doc 01/19/07 440 -46I7T (I I /02 /COM/WEB)