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Permit • CITY OF TIGARD MECHANICAL PERMIT .1111 COMMUNITY DEVELOPMENT Permit #: MEC2013 00374 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/09/2013 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 525 Project: Kannact Subdivision: METZGER, TOWN OF Lot: 9 Project Description: Relocate a diffuser and thermostat. Add new exhaust fan in server room and new coiling only VAV with pneumatic controls for TI. 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 07/09/2013 $210.02 Class of Work: ALT Type of Const: Plan Review 07/09/2013 $52.51 Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/09/2013 $25.20 Stories: Project Valuation: $5,100.00 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 $287.73 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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: ��, ���......111((( 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 Application FOR OFFICE USE ONLY r� City of Tigard Received / ef /3 1, Permit N CC �ji_/ q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date /By: Other Perrt j i o a 7n 3 ge, �O f} T I GARD Inspection Line: 503.639 Date Ready /By: See Page 2 for Internet: www.tigard - or.gov Notified/Method: Supplemental Information 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: $ $5,100.00 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ l- 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: 10260 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.: 525 Project name: Kannact 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) 23.32 014 - jab 7 (( ff Unit rs (f pe, not electric), jab in -wall, in-duct, suspended, ended, 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 Relocate a diffuser and thermostat. New exhaust fan in Server Room. New cooling Gas fireplace 33.39 Flue vent for water heater or gas only VAV with pneumatic controls 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: Kannact Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 . City/State /ZIP: Clothes dryer exhaust 33.39 Fax: Single -duct exhaust (bathrooms, Phone: ( ) ( ) 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: Address: same as above MECHANICAL PERMIT FEES* City/State /ZIP: Subtotal cV0 Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) S;2, 5/ CCB lic.: 172811 State surcharge (12% of pennit fee) LS .2. TOTAL PERMIT FEE aP7 7,3 Authorized signature: This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Janel Lipe RL Date: 7— 7,13 * Fee methodology set by Tri -County Building Industry Service Board h\ Building \Permits \MEC- PermitApp.doc 09/09/10 440- 4617T(II /02 /COWWEB) 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