Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2014-00066
T 1G ARE► 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/19/2014
Parcel: 1 S135AB00900
Jurisdiction: Tigard
Site address: 10200 SW GREENBURG RD 700
Project: VSP Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Duct modifications,remove(2)diffusers and install(2)diffusers and(1)return grill
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 02/19/2014 $93.62
Class of Work: ALT Type of Const: Plan Review 02/19/2014 $23.41
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/19/2014 $11.23
Stories:
Project Valuation: $1,240.00
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 $128.26
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 que ••• to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By 1 / 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.
Mechanical Permit Application FOR OFFICE t `-1. ONLY
City f Tigard /Bvcd ��i�
M 13125 SW Hall Blvd.,Tigard,OR 972 ECE#VEp
;� Plan Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 Date/By:
1 c:A 1; Inspection Line: 503.639.4175 FEB 18 2014 Date Ready/By: kris. ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
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:$$1,240.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMEM1T/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 10200 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(ducts/vents) 54.91
Suite/bldg./apt.no.:700 Project name:VSP Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Lincoln 5 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:
73iir0 DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Duct modifications to remove 2 diffusers in hard lid and install 2 new lay-in Flue vent for water heater or gas
diffusers and one return grill fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
El
OWNER ® TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name:VSP Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone: Single-duct exhaust(bathrooms,
( ) 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:Antonija Krizanac $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)278.3971 Fax::(503)331.6907 Water heater
Fireplace
E-mail:antonijakCmckinstry.com Range
CONTRACTOR Barbecue
Business name:McKinstry Company,LLC
Clothes dryer(gas)
Other.
Address:same as above N` C3`"NICALY* W ,Z t:
City/State/ZIP: Subtotal
Phone:( ) Fax:( ) Minimum permit fee($90.00) 93.62
Plan review(25%of permit fee) 23.41 _
CCB lic.:172811 State surcharge(12%of permit fee) 11.23
TOTAL PERMIT FEE 128.26
This permit application expires if a permit is not obtained within 180 /
Authorized Signa days after it has been accepted as complete.
Print name:Antonija rizanac Date: ( �
// f- • Fee methodology set by Tri-County Building Industry Service Board
l �" -f
1.43wldieg\Permits\MEC-PermitApp.doc 09:09./10 440-4617T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10200 SW GREENBURG RD 700, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
June 26, 2014 at 11:03:45 AM
MEC2014-00066
Chip Barnett
Violation Summary:
Inspector Contractor