Permit MECHANICAL PERMIT
4 CITY OF TIGARD
Ili
. . : >- COMMUNITY DEVELOPMENT Permit #: MEC2009-00330
TI GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/08/2009
Parcel: 1S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 850
Subdivision: LINCOLN TOWER Lot: 0
Project: Mortgage Express
Project Description: Relocate supply grilles & t- stats.
Owner: FEES
LINCOLN CENTER LLC Description Date Amount
BY SHORENSTEIN PROPERTIES LLC, 555
CALIFORNIA ST 49TH FL Permit Fee 07/08/2009 $72.50
12% State Surcharge - Mechanical 07/08/2009 $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: COM
Class of Work: ALT 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 rted within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio a rules , dopted by t - Ore• on
Utility onion Cen -_ . Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -010. You may o.tain a cop, of the r les
or cf ct questions to OU \ .y al • g 503.246.6699 or 1.800.332.2344.
sued By: /I G, ( Permittee Signature: f l 0,
Call 503.639.4175 by 7:00 a.m. for an inspection that bus 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 Applict . - ,,- '' • FOR OFFICE:USE ONLY' S., : • ' . '
City of Tigard MOVE Received -.°7
Date/By: f Mitili Pennit No.: if 1 ,..)
° 13125 SW Hall Blvd., Tigard, OR 713
Phone: 503.639.4171 Fax: 503.598.19V_ OS 2.009
I
Plan Review
Date/By: Other • • rmit:
Inspection Line: 503.639.4175
TIGARD Date Ready/By: Mal El See Page 2 for
Internet: www.tigard
CITY OF TIGARD Notified/Method: Supplemental Information
N
IRVIG DWISION
' . „ ,.„„..„ „
MIA*q. :''IIIIIIIIIIL: -0s11P*:i
0 New construction Addition/alteration/replacement
Mechanical permit fees* are based on the value of the work
0
.• performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
Value $ 00 00
tlletkcATE6441:R:flk'O.:*oifolliqttV:; ; ,: ., .. ... . „ .„„ v .
voitgbieRtakkito4EN47 s§
D I - and 2-family dwelling 0 Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi-family 0 Master builder 0 Other:
Description Qty. Ea. Total
:40WVtokIVIATIOIL.QC.811oNAISM,11,917:4 Heating/cooling
Air conditioning or heat pump
Job site address: 10260 Creenburg Rd.
(requires site plan showing placement) 14.00
City/State/ZIP: Portland, OR Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: 850 Project name: Mortgage Express
Gas heat pump 14.00
Cross street/directions to job site: Lincoln Tower 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
sqctvr% ra Water heater 10.00
Gas fireplace 10.00
Relocate and/or add grilles to accommodate new floor plan Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Mckinstry Job # 70274 - Wood/pellet stove 10.00
Wood fireplace/insert 10.00
, Chimney/liner/flue/vent 10.00
4ilt*• LIFV PYY - : . 1. 1 '. .'1 '1 ", !.t ' ' :
' Other: 10.00
Name: Shorenstsin 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
'zi'' [8i4klekI4A• .
4 %•
CONTACT PER gOIZIPWS Attic/crawlspace fans 10.00
: ,,,-, , 1 ',,,; %;,
Other: 10.00
Business name: Mckinstry Co.
Fuel piping
Contact name: Diane Parke $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: 16790 NE Mason St. Suite #100
Gas heat pump
City/State/ZIP: Portland, OR 97230 Wall/suspended/unit heater
Phone: (503) 331 Fax: : (503) 331 Water heater
Fireplace
E dianep@mckinstry.com . Range
it*:: t6 1 1 Atl ii iiMi• ' - ' ' '' &1P - Barbecue
... .0::: :,.,,,,,,,,?-,,,, , t,'...... , ,,,. , . '
Business name: same as above Clothes dryer (gas)
Other
Address: . Walt ..':•* IsE 0=; ; '4i
City/State/ZIP: Subtotal
Minimum permit fee ($72.50)
Phone: ( ) Fax• )
Plan review (25% of permit fee)
CCB lie.: 172811 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: / - ( / c a This permit application expires if a permit is not obtaine wih? 180
days after it has been accepted as complete.
Print name: Diane Parke Date: 06/19/09 * Fee methodology set by Tri-County Building Industry Service Board
I: \ Building \ Permits \ MEC-PerrnitApp doe 01/19/07 440-4617T (11/02/COM/WEB)