Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT Permit #: MEC2012 -00406
T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/14/2012
Parcel: 1 S135AB01004
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 210
Project: Advanced Wealth Management Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Adding (1) new fan powered box with electric reheat pneumatic controls. Relocate (1) existing diffuser and (1)
existing thermostat
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 08/14/2012 $218.45
Class of Work: ALT Type of Const: Plan Review 08/14/2012 $54.61
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 08/14/2012 $26.21
Stories:
Project Valuation: $5,329.00
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 $299.27
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: \,rLeAr Permittee Signature: �� t
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.
FROM :MCKINSTRY FAX NO. :5033316906 Jul. 30 2012 09:13AM P2
71905
Mechanical Permit A rt)I< OFFI(•I' IJSI' ONI.VV
74 City of Tigard IVED ED Rexeivcd • q / /�li: w�
■ 1312 Sw Hall Blvd., Tigard, OR 9 uat0rt►r: �J Permit N,.,; �
U. . Phone: 503.718.2439 Fax: 503.598!L9" 0 Nan Review
n ',r ' g I)nte/By: Older Pernik I I , , A It I , Inspection Line: 5(1x,639.4175 2 V 1 2
Internet: www.tigurd- or,gov Iklo Ready/By: lam: See Page 2 for
Notified/Method: Supplemontat Inf.,rmefon
Cl' O TIC
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❑ Ncw construction ® Addition /alteration /replacement Mechanical permit tees*
are bused on the value of to work
performcd. Indicate the value (rounded to the neared dollar) of all
0 Demolition ❑ ()thca: mechanical materials, equipment, labor, overhead, and profit
1 —
Vahto $ $5,329.
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❑ I- and 2- family dwelling ® Commercial/industrial q Accessory building For special b .,emotion use ch, [ddrsr.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
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Job site address: 10220 SW Grecnhurg Road (ragti lea site phi. shuwing placcnuom) 46.75
City/Stale/Z,iP: Tigard, OR 97223 — Furnace 100,000 BTU (due Wve iIs) 48,75
Furnace 100,0001 BTU (ducta/venu) 54.91
SSuite/bldg. /apt. no.: 210 Project name: Advanced Wealth Managemen Heat pump `�
J adoming , quirca site pl,n doming Mumma) 61.06 _
Cross street /directions to job site: Duct work 23.32
Hydronic hot water system 23.32
— Residential boiler (radiator or
_1dmnic) 23.32
• - Unit heatety (runt-type; not electric), —
imwull. in -duct, suspended, etc. 46.75
•
no.:
23.32
Subdivision; Flue/vont fur uny of above 23,
,.- . - Other: 23.32
Tax map/parcel nix: r fl,.,l, 1 ,,.f ,t I �. ,,.
Other fuel appliances:
tl 1 t -..,-,'F- t , E 7 t I '� Ill 1” r i )f� �11jIS � �, 1 �fi id 1 I( 1 1 1
' . ,.., m., 1
. �. I . „- _ , ... t 1 1 , f,, � '1 .,,! � � r iir, x ,i) i r i ' 1 !� '1 „I!i tna:l an,lr.d�l Water heater 23.32
Adding (1) new fan powered box with electric reheat and pneumatic controls. Cue fire 3 3 .39
Flue vent for water heater or mut
Relocate (1) existing diffuser and (1) exlsdng thermostat, fireplace 23.32
- — Log lighter (gas) _ 23.32 —
Wood/pellel stove 33.39
Wood fircplaco /insert 23.32
” . )7 , , , �)R ,I ,le : n J 1f1 t+ y { + n lI^ i, r .'.himn /Inter /fluc/vcnt 2 . •
.: � ! i•!i v a.. j
t. ? 1 ! f '11 1 N ', i, al tl I . d t I 4f r , '� 'h . a1i eY 3,32
. .:. , 'I on %; •i 7 .1x1 ,., I�. I. I Ild „16�, .,.u1.1J �.r dllr, ...L �1a,ll:d @1 elk �yµLt1(lir rar
,!Vtl,
(hficr: 23.32
Name. Advanced Wealth Management Environmental exhaust and ventilation:
Address: Range hcnal/other kitchen
equipment 33.3[)
City /State/' %[P: . Clothes dryer exhaust 33,39
Phone ( ) Fax ( ) Single-duct exhaust (bathrooms.
toilet compartments, utility rooms) 23.32
;n t 1 /d iI I I f l t. I 1 I tP li y ''t tl II' I S I Y i 1+t i , Il cuac .—
, - !; ,,; I ' ' I j,�., ) {Ill. I�b, uI dot 1 1� i i 11 C'� 1 4 Alli
•, c%mwa acifan 32 __- .. ,,, ,d.I ?I .!..n,.7 r., �ntia l 23
Business name: Mclilnstry Company, LLC r Other 73,32
7 �' � � Fuel piping:
-
Contact name: hotel Lipe _ $1415 for first four; $4.03 for each additional_
Address: 16790 NJ!. 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
•
F -mail: janell(a)mcklnatry,com Pnreplacc
, t i i I „ l I p nil l s�llp a ll lf � F , .t li r li} l l I ' , i fr j 1 � tJ� l { At ,q Range
. w. 1,1I ,.I..1 I, tl...,, ., 1'. o, 1 .,hq :∎.4. f, n..l .,. /;, ! i l Ir i kto.,11, li "I ,, k 4'i ;111 } !lags' Rarbe<:ue
Business tame: McKlnslry Company, LLC Clothes dryer (gas)
Other
Address: same as above 1 1 U t 1 ,'.1 + a t R •
P I , 111 I ,. 1 ∎ y l 1. r ilr,i' „
City/State /ZIP: 1t . , ,,,;,;, I I ! ,, •,,r,. .,,, th _ „felt q1 w 1i�,il� , Lpi. l n i �i,
Subtotal ,' /;
Phone: ( ) I Fax; ( ) Minimum permit fee ($90,00) ------
Plan review (25% of permit fee)
5Y. lo/
C:C:13 tie.: 172811 Slate surcharge (12 "/0 of permit fee) Ato. A/
x TOTAL PERMiT FE g J 7
Authorized signature.
This permit application expire. Ir a permit b not obtained within tan
clays niter It has been accepted as complete_
Print name: ,Janel Lipe i)ate: 7.24.2012 — 1 * Fee methodology wt by Tri County Ituildififi Industry Service Board
•
I: u [ maoai :\rurmits\Mt!c:.aemlilArn.doc MIN I° 44O - 4,uTI (II /e: /COMM'F:N)
FROM :MCKINSTRY FAX NO. :5033316906 Jul. 30 2012 09:14AM P3
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental mental Information
Commercial & Muld -Famil Fee Schedule:
I I ���I RV� ISI{il lt;fi T;
1{f Vf1i7;Illd'
$0.00 to $500.00 ,1 I ,. r
° '14t; ;4+ } ,,�:;n,t;„
Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $1 00.00 or
fraction thereof, to and including
_ $50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
l:\ Building \PennirA \MF.0 -PennitApp. 09/09/1(1
2
7vg'S
Mechanical Permit Application MEWED FOR OFFICE USE ONLY
�u
City of Tigard Received
Date /By: - - J Y ' I °T / Permit No.:H , , # 1 . — CV •
• 13125 SW Hall Blvd., Tigard, OR 97223 AUG 0 2 2012 Plan Re �1
e Phone: 503.718.2439 Fax: 503.598.1960 Other Pe ' , e 45
Date /By:� � i /,?......... �W �1�� 00/
T I G A R D Inspection Line: 503.639 crr T. G p Date R - tr ey: Jura: El See Page 2 for
Internet: www.tigard-or.gov 1 E OF O F 1 tt r ub - Notified/Method: 714 Supplemental Information
BUILDING DM S110 L• .
TYPE OF WORK 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, and profit.
Value: $ $5,329.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS :FEE$*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND - LOCATION Heating/cooling:
Air conditioning
Job site address: 10220 SW Greenburg Road (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.: 210 Project name: Advanced Wealth Managemen Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: , L/) Duct work 23.32
* toI_ ' Hydronic hot water system 23.32
U. t , -- Residential boiler (radiator or
0 ' hydronic) 23.32
' qv, 07 l Unit heaters (fuel -type, not electric),
lh in -wall, in -duct, suspended, etc. 46.75
Subdivision: / 12 b Lot no.:
Flue/vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
NSCRIPTJON OF WORK Water heater 23.32
Gas fireplace 33.39
Adding (1) new fan powered box with electric reheat and pneumatic controls. Flue vent for water heater or gas
Relocate (1) existing diffuser and (1) existing thermostat. fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER ® TENANT
+ Chimney /liner /flue/vent 23.32
Other: 23.32
Name: Advanced Wealth Management 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
Fireplace
E -mail: janell @mckinstry.com Range
CONTRACTOR Barbecue
Business name: McKinstry Company, LLC Clothes dryer (gas)
Other: j
Address: same as above MECHANICAL PERMIT FEES*
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of pennit fee)
/CCB lic.: 172811 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
•
This permit application expires If a permit is not obtained within 180
Authorized signature
days after it has been accepted as complete.
Print name: Janel Lipe Date: 7.24.2012 • Fee methodology set by Tri- County Building Industry Service Board
I: \Building \Permits \MEC- PennitApp.doc 09/09/10 440-4617T (I I /02 /COM /WEB)