Permit n CITY OF TIGARD MECHANICAL PERMIT
7 1 IL COMMUNITY DEVELOPMENT Permit #: MEC2013 00169
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/27/2013
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Parcel: 1S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 465
Project: Doral Healthcare Finance Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Relocate diffusers and pneumatic thermostat. Add (1) exhaust fan in 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: 503 - 619 -3200
FAX: 503 - 331 -6907
FEES -
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/27/2013 $136.60
Class of Work: ALT Type of Const: Plan Review 03/27/2013 $34.15
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 03/27/2013 $16.39
Stories:
Project Valuation: $2,647.00
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: 1 Vent Systems: Total $187.14
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 Notificati 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 que ons to OUN by c- 'ng 503.232.1987 or 1.800.332.2344.
Issued By: P / - A 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.
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Mechanical Permit A • I lie .t3`.n1 rEly FOR OFFICE USE ONLY
Cl of and Rece t E C�O G )� QD / /
City Tl g
Date a7 3 / Permit No.: H l d"
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13125 SW Hall Blvd., Tigard, OR 972 P lan Review
Date /By: Q.
Phone: 503.718.2439 Fax: 503.598. I : t R 2 7 2013 Other Permit: 6Le P,01p/t QO„ 3v
TIGARD Inspection Line: 503.639.4175 Date Ready /By: Juris: El See Page 2 for
Internet: www.tigard- or.gov CITYpf TIGARD Notified /Method: Supplemental Information
B UILDING DIVISUN
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: S $2,647.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use check list.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 10300 SW Greenburg Road Suite 465 (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.: 465 Project name: Doral Healthcare 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
Gas fireplace 33.39
Relocate existing diffusers and pneumatic thermostat. Add (1) exhaust fan for Flue vent for water heater or gas
Server Room. 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: Doral Healthcare 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: 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
Fireplace
E -mail: janell@mckinstry.com
Range
CONTRACTOR Barbecue
Business name: McKinstry Company, LLC
Clothes dryer (gas)
Other:
Address: same as above MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal /.6.6 6 , 40
Minimum permit fee (S90.00)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee) aL f , f S
CCB lie.: 172811 State surcharge (12% of permit fee) / ( • 3?
TOTAL PERMIT FEE / 57. /q
Autho si nat This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: Janel Lipe Date: 3.. ? . 7 , ( 3 ' Fee methodology set by Tri- County Building Industry Service Board
I: \ Building \Penn its \MEC- PermitApp.doc 0910910 440 -4617T (I t O2CONi \VEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
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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.
I:\Building\Permits\MEC- PermitApp.doc 09/09/10 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10300 SW GREENBURG RD 465, TIGARD, OR,
97223
Commercial - Mechanical
615 Mechanical rough-in
04/11/2013 00:00
MEC2013-00169
PASS
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10300 SW GREENBURG RD 465, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
05/10/2013 00:00
MEC2013-00169
PASS - No C of O
Violation Summary:
Inspector Contractor