Permit , CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00445
Ti rARI ) 13125 SW Hall Blvd Tigard OR 97223 503.639.4171
Date Issued: 08/25/2009
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 350
Subdivision: Lot: 0
Project: Softsource
Project Description: Add /relocate diffusers and return grilles, install vent fans.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555 Permit Fee 08/25/2009 $84.00
CALIFORNIA ST 49TH FL 12% State Surcharge - Mechanical 08/25/2009 $10.08
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: ADU 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 $94.08
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 is, suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Center. hose rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. Y' m =y obtain a copy of the es
or di ct questions to OUN c ling- 503.246.6699 or 1.800.332.2344.
� i lssu d By: u ` )L-1■2-0/tA-AA l Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that bu ..: s 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.
i
Mechanical Permit AppliLCatio FO R OF FICE US E ONLY Y ,
City Of Tigard
Received �,
74 Per Date/By: 16
mit No.: H , Do
1 3125 SW Hall Blvd., Tigard, OZ 7223 Plan Review
?' • Phone: 503.639.4171 Fax: 503.59W 6� Other Permit:
MU u 2 5 2 009 Dat B Y :
T
Inspection Line: 503 See Page 2 for
'IGARD ne Date Ready /By:
` Internet: www.tigard - or.gov Notified /Method: ,....1......r"
/ j 0 Supplemental Information
CITY OF TIGARD
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;•, , .EE <, : SCHE E��:' E CHEGKLIS •
Mechanical permit fees* are based on the value of the work
❑ N ew construction
®Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
>' Value: $ $2,500.00
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.,,, „ ' ATEG�RY , .O
RESIDENTIAL EQUIPMENT , I; SYS EFS
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
; JOB: SIET'. INRORMA TIONr»AND" :LOCATION " ='` tii, ;" Heatin coolin
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Job site address: 10220 SW Greenburg Road, Lincoln 2 Air conditionng or heat pump
(requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: 350 Project name: Soft Source 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
� ;.. ;0 Water heater 10.00
�`,� - 2 : ` DESCRI „
'`:' v' �' �C`: � : "''�'•.�:.','r,'�"?•.�a'� €•;. � ca:, r?, »<,�, ,_. � .�s�., ..e. .. ,, ,,. »,xyia... ... .. . ,. ... "" ,,, ,,
Gas fireplace 10.00
Add/relocate diffusers and return grilles per plan and install in -line Flue vent for water heater or gas
fireplace 10.00
fan. Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace/insert 10.00
McKinstry Job #70299
� �:,• . ":• .�...,,., ..,,; . , ,� ,. ... _,..... ,_ , Chimney /liner /flue /vent 10.00
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„PROPERTY: =OWNER , ®; TEN ANT- ) %; ' <. Other: 10.00
„
Name: Soft Source Environmental exhaust and ventilation
Range hood/other kitchen
Address: equipment 10.00
City/State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
'e® APPLICANT " '° <'F, Attic /crawlspace fans 10.00
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s �ax,. ;,,,. ; "'r'. _N.,. ... ....... »..... ... 10.00
» � ..�,.,,. ,. .. Other: 10
Business name: McKinstry Company, LLC Fuel piping
Contact name: Diane Parke, Project Coordinator $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 16790 NE Mason Street, Suite 100 Gas heat pump
City/State /ZIP: Portland, OR 97230 Wall/suspended/unit heater
Water heater
Phone: (503) 331.2465 . Fax: : (503) 331.6907 Fireplace
E -mail: dianep @mckinstry.com Range
'":' M;� �:'•„•,,<: Barbecue
.� "CONTRCTOR ° " �;%; %,A: ��:::, •.
<..' '`.:!_: s-. x�•.: `Y..ab &�q•J;'§°'a�'.4 \: xli .._ _ o...: ..�`�EE^ �" v�itu!i ., ..a�.,$a•. r..x Ma,..,.,,<..,. .. -�. (gas)
-- � Clothes dryer gas
Business name: McKinstry Company, LLC - Other:
Address: I
s: Same as above ,a;', „ MEC IIANICAI:;PEIiMI T;,EEES * - ,w
City/State /ZIP: Subtotal V0
Minimum permit fee ($72.50) 0 7
Phone: ( ) Fa ) Plan review (25% of permit fee) -e-
CCB lie.: 172811 State surcharge (12% of permit fee) r. O�
•i'� TOTAL PERMIT FEE Y `y 0d
, -�� / / This permit application expires if a permit is not obtained within 180
Authorized signature: jilfrIM after it has been accepted as complete.
Print name: Diane '' arke Date: 8/19/09 * Fee methodology set by Tri -County Building Industry Service Board
1. \Building \Permits \MEC -Perms ..:doc 01/19/07 440.4617T (1 1 /02/COM/WEB)