Permit •
CITY OF TIGARD MECHANICAL PERMIT
s • COMMUNITY DEVELOPMENT Permit #: MEC2012 00316
T LGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2012
Parcel: 1 S135AB03400
Jurisdiction: Tigard
Site address: 10260 SW GREENBURG RD 710
Project: Axiom EPM Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Relocate (3) diffusers and (4) thermostats, increase inlet size of existing fan in conference room.
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 06/14/2012 $283.08
Class of Work: ALT Type of Const: Plan Review 06/14/2012 $70.77
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 06/14/2012 $33.97
Stories:
Project Valuation: $7,671.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers 8 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 $387.82
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 -0090. You may obtain a copy of the rules
or direct estions to a NC by calling 503.232.1987 or 1.800.332.2344.
`
Issued y: , 4I / /� ✓ u ` ■ / Permittee Signature:
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.
Mechanical Permit Applicati Hilt, .% FOR OFFICE USE ONLY /� p City Of Tigard L R eceived / / n / , ennitNo.: HE( Oi�oc ' IN ° 13125 S W Hall Blvd., Tigard, OR 9722 �6 Plan Review
(� i
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 4 Other Permit: / 77
Inspection 503.639.4175 JUN 1 212 Date /By:
T I G A R D P Date Ready /By: Juris: Ia See Page 2 for
Internet: www.tigard - or.gov Notified/Method: Supplemental Information
�' C ` ITY p O , F TIIGA D
TYPE OF W9�R1RJ -DING DI 1O ? : COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
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, andt.
Value: $ $0.00 7(07! •
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I >a. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 10260 SW Greenburg Road (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97224 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 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.: Flue/vent for any of above 23.32
Other: 23.32
Tax a /parcel no.: Other fuel appliances:
3) DESCRIPTION OF WORK Water heater 23.32
Diffuser and the i'tndstgt relocates. Increase inlet size of existing fan powered Gas fireplace 33.39
Flue vent for water heater or gas
box to increase air flow in the conference room. fireplace 23.32
• Log lighter (gas) 23.32
Wood/pellet stove 33.39
4' Job # 70 806 Wood fireplace/insert 23.32
❑ PROPERTY OWNER ® TENANT Chimney/liner/flue/vent 23.32
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 ® CONTACT PERSON Attic /crawlspace fans 23.32
Business name: McKinstry Company, LLC Other: 23.32
Fuel piping:
Contact name: Janel Lipe $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) 278.3954 Fax: : (503) 331.6907 Water heater
E -mail: janell @mckinstry.com Fireplace
Range
CONTRACTOR Barbecue
Business name: McKinstry Company, LLC Clothes dryer (gas)
Other:
Address: same as above MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 172811 State surcharge (12% of permit fee)
TOTAL PERMIT FEE 35-24 7
This permit application expires if a permit is not obtained within 180
Authorized signatsiiver days after it has been accepted as complete.
Print name: Janel Lipe I Date: `• it, • a • Fee methodology set by Tri- County Building Industry Service Board
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