Permit n CITY OF TIGARD MECHANICAL PERMIT
1 • COMMUNITY DEVELOPMENT Permit #: MEC2013 -00331
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/17/2013
Parcel: 1S135AB01002
Jurisdiction: Tigard
Site address: 10220 SW GREENBURG RD 135
Project: AmCheck Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Relocate thermostat and add 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:
FAX: 503 - 331 -6907
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/17/2013 $130.46
Class of Work: ALT Type of Const: Plan Review 06/17/2013 $32.62
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 06/17/2013 $15.66
Stories:
Project Valuation: $2,500.00
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 $178.74
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 • 'cation - -r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or ect questions to OU b . i , 503.232.1987 or 1.800.332.2344.
Is ued By: / /ii1 , / • 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 AppliCatioRECEIVED FOR OFFICE USE ONLY
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City of Tigard R , Ell
A 0. . e Permit No. :
1 1 /#6 - if :2033
, 111 ■ 13125 SW Hall Blvd., Tigard, OR 97223 JUN 7 " Plan Other Penn& ia Rdview
Phone: 503.718.2439 Fax: 503.598.19en / A 4 ii , , c , j z
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. rate ' c/.7 r ,..." o
• . 111 Date/By:
- ; ARD Inspection Line: 503.639.4175 ry OFTIGARD
T Date Ready/By: Juris: ra See Page 2 for
Internet: www.tigard-or.gov BUXDINGDIVISION Notified/Method: Supplemehtal Information
• Ilirifir,174rp `,7 '''',7:T
Mechanical permit fees* are based on the value of the work
El New construction El Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
1:1 Demolition ,EI Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ $2,500
- , , - .117 - 17 - 1 , 7 - .' -':' ..-, t- -,, ,-- .-,---,. -, - m ;17 a. :7v c ,.;,.. .:- , v , 1-. z,; :, . ,....•.,..,-% ,;q. 7 -.- li
CAT 19F-!P $t. ; • . . . : • . -6' ?::-• 1 ! :•,. 1 • - =
1', iiigifiA; iii■itisa 7rgi
0 I- and 2-family dwelling El Commercial/industrial 0 Accessory building For special information use checklist.
El Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. Total
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JOB SITE INFORMATION AND LOCATION - '.' .. - ''' -- I Heating/cooling:
.5
• ' 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 (duets/vents) 54.91
Suite/bldg./apt. no:: 135 PrOject name: AMCHECK Heat pump
(requires site plan showing placement) 61 .06
Cross.streetidirections to job site: Duct work 13.32
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 ..
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Tax map/parcel no.: Other fuel appliances:
• DESCRIPTION OF WORK . , • 1 Water heater 23.32
..,
Gas fireplace 33.39
Relocate thermostat, add exhaust fan in server room Flue vent for water heater or gas
fireplace 23.32 •
Log lighter (gas) 23.32 -
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
El PR OPE RTY OWNER TENANT
\ i b I? IT
I It_ (0 -
Other: 23.32
Name: AMCHECK . Environmental exhaust and ventilation:
Range hood/other kitchen
Address:
equipment 33.39'
City/State/ZIP: - , Clothes dryer exhaust . 33.39 .,
Single-duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ..
El
APPLICANT IZI CONTACT PERSON I Attic/crawlspace fans 23.32 , I
Other: 23.32
Business name: McKinstry Company, LLC
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@mckiostry.com
Range
. . Barbecue CONTRACTOR 1
Business name: McKinstry Company, LLC Clothes dryer (gas)
Other:
Address: same as above MECHANICAL PERMIT FEES*
City/State/ZIP: • Subtotal /g fi4,
Minimum permit fee ($90.00)
Phone: ( ) Fax: ( )
Plan review (25% of permit fee) 349.-
CCB lic.: 172811 State surcharge (12% of permit fee) / 5.6(p
TOTAL PERMIT FEE / 73
This permit application expires if a permit is not obtained within Rio
Authorized signature
days after it has been accepted accomplete.
Print name: Jane! Lipe Date: k - 11. 1 * Fee methodology set by Tri-County Building IndustryService Board
I: Building \ Permits \ MEC-PennitApp.doc 09/09/10 440-4617T (11/02/COMAVEB)
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Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
.Commercial & Multi -Family Fee Schedule:
otal Valuation ' atiliart Feet "` ; ° .
$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 o r
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.
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Note: All new commercial buildings require 2 sets of plans.
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