Permit CITY OF TIGARD MECHANICAL PERMIT
11 1 41. COMMUNITY DEVELOPMENT Permit #: MEC2013 -00770
13125 SW Hall Blvd., Ti Date Issued: 12/24/2013
TIC;AR>? and OR 97223 503.718.2439 Tigard 1S135AB03400
Jurisdiction: TIGARD
Site address: 10260 SW GREENBURG RD 400
Project: Regus HQ Global Subdivision: METZGER, TOWN OF Lot: 9
Project Description: Duct modifications to add and relocate supply diffusers.
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 12/24/2013 $148.88
Class of Work: ALT Type of Const: Plan Review 12/24/2013 $37.22
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/24/2013 $17.87
Stories:
Project Valuation: $3,100.00
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 $203.97
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 503.2 1987 or Rnn . 32.2344.
Issued By: _ rmittee Signature:
Call i "'' .175 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 i I FOR OFFICE USE ONLY
City of Tigard Received t 1 y � Permit No.: /h — o�- . _ 00 - 70
• 13125 SW Hall Blvd., Tigard, OR 97223 { l / L �
I I ' Phone: 503.718.2439 Fax: 503.598.1960 4 2 0 1 3 Plan Other Permit: lan Review a Q 13— ' (� 1.3
�
T I G A R D Inspection Line: 503.639 DEC, ' Q Date Ready/By: Juris: See Page 2 for
Internet: www.tigard or.gov p pp Notified/Method: Supplemental Information
c14- 610/Sis --rr
% COMMERCIAL FEF..' SCHEDULE — USECIlECKLISI
TYPE OF WORK
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: $ $3,100.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT SA STEMS FEES'
❑ 1 - and 2- family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder ['Other Description Qty. I Ea. I Total
JOB SITE I1F�ORMATION AND LOCATION
Heating/cooling:
Air conditioning
Job site address: 10260 SW Greenburg Road - 4 Floor (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.: 4th Li Project name: Regus 4`" Floor 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 \YORK Water heater 23.32
-
Duct modifications to add and relocate supply diffusers Gas fireplace 33.39
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
PROPERTY OWNER ® TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Regus 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
Other: Business name: McKinstry Company, LLC 23.32
Fuel piping:
Contact name: Samantha Mack $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) 331.2487 Fax: : (503) 331.6907 Water heater
Fireplace
E -mail: samantham @mckinstry com
Range
... ^A, t �t R Barbecue
Business name: McKinstry Company, LLC Clothes dryer (gas)
Other:
Address: same as above
l CAL PERK
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 172811 State surcharge (12% of permit fee)
r TOTAL PERMIT FEE S ao3q 7
Authorized signature: ( 4 ��� .f � % �%� v This permit application expires if a permit is not obtained thin 180
���JJJ days after it has been accepted as complete.
Print name: Samantha Mack Date: i f/24/13 " Fee methodology set by Tri -County Building Industry Service Board
I:\ Building\Pemits \MEC- PermitApp.doc 09/09/10 440- 4617T (11 /02/COM/WEB)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10260 SW GREENBURG RD 400, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
2014-01-02 00:00:00
MEC2013-00770
PASS - No C of O
Violation Summary:
Inspector Contractor