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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2012 -00516 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 10/09/2012 Parcel: 1 S135AB01004 Jurisdiction: Tigard Site address: 10220 SW GREENBURG RD 350 Project: Softsource Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Duct alteration and diffuser relocates to place new conference room on a shared zone with server 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. FAX: 503 - 331 -6907 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 10/09/2012 $182 65 Class of Work: ALT Type of Const: Plan Review 10/09/2012 $45 66 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 10/09/2012 $21.92 Stories: Project Valuation: $4,176 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 $250.23 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 Notificatio 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 qu ions to O C by • - , g 03.232.1987 or 1.800 332 2344. Issued By I / L 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. R 7a ? 7 - 5 Mechanical Permit Aia f1;� . CE.`i a . 19 D l FOR OFFICE USE ONLY { ��ii City of Tigard Received �� Permit No : hl! e4�a - -/ /0 13125 SW Hall Blvd , Tigai�� 5� O�t �3 012 Date /By. /Q� 0 Plan Review Phone: 503 718.2439 Fax: 503 598 1960 Date /By. Other Permit. P _Q ,,g7 T I G A R D Inspection Line: 503 6 y d' , (F'1`IQSD(1 Date Ready /By Jura El See Page 2 for . Internet: www.tigardLq ) ING DIVISION Notified/Method: Supplemental Information IS TYPE OF WORK I COMMERCIAL FEE* SCHEDULE – USE CHECKLIST j 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. . - I Value: $ $4,176 . 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. 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 City/State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 46.75 Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: 350 Project name: SoftCourse 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 map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Duct alterations and diffuser relocates to place the new Conference Room on a Gas fireplace 33.39 Flue vent for water heater or gas shared zone with the Server Room fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 McKinstry Job #70925 Wood fireplace/insert 23.32 ❑ PROPERTY OWNER ®- TENANT i Chimney /liner /flue /vent 23.32 Other: 23 32 Name: SoftSource 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 moms) 23.32 ® APPLICANT ® CONTACT PERSON I Attic /crawlspace fans 23.32 Business name: McKinstry Company, LLC Other: 23 32 Fuel piping: Contact name: Janet 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 @rockinstry.com Fireplace Range CONTRACTOR 1 Barbecue Business name: McKinstry Company, LLC Clothes dryer (gas) Other: Address: same as above MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal / 6,2, 4' 5 Phone: ( ) Fax: ( ) Minimum permit fee ($90 00) �°• — Plan review (25% of permit fee) L f sj" CCB lit.: 172811 State surcharge (12% of permit fee) Ai. 9p TOTAL PERMIT FEE A co. 23 / J y This permit application expires if a permit is not obtained within 180 Authorized slgnatur 7 days after it has been accepted as complete. Print name: Janel Lipe Date: to - 9.- ( — * Fee methodology set by Tri-County Building Industry Service Board \Building \Permits \MEC- PermitApp dot 09/09/10 440 -4617T (1 I/02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi -Family Fee Schedule: Total Valuation: ; Permit Fee: $0.00 to $500.00 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 $100.00 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. 1:\ Building \Permits\MEC -PermitApp.doc 09/09/10 2