Permit p CITY OF TIGARD MECHANICAL PERMIT
111 3 COMMUNITY DEVELOPMENT Permit#: MEC2014-00290
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2014
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 308
Project: West Coast Careers Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Relocate(1)pneumatic thermostat. Relocate/add(4)supply diffusers and return grilles.
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 06/11/2014 $170.37
Class of Work: ALT Type of Const: Plan Review 06/11/2014 $42.59
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 06/11/2014 $20.44
Stories:
Project Valuation: $3,800.00
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 $233.40
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 UNC b calling 503.232.1987 or 1.800.332.2344.
I �
Issued B : ` �/ / Permittee Signature: �`���
Call 503.639.4175 by 7:00 a.m.for the next available inspection •:t:
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 I'SE ONLY
Received 0 Q
City of Tigard �u ED DateBy: Permit No ( LL X/ e '. O a 13125 SW Hall Blvd.,Ti:: 1 , a Plan Review
a Phone: 503.718.2439 Fax: •. DateB Other Permit: le ed!�3
Inspection Line: 503.639.41 5 1 y
T I G A R F) ��� 1 01(4 Date Ready/By: Juris El See Page 2 for
Internet: www.tigard-or.gov 1 Notified/Method: Supplemental Information
fw'11•�V Ct AL) SCHEDULE - USE CHECKUS'T
l ace e t Mechanical permit fees'are based on the value of the work
❑New construction ®Addi� placement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:S 3,800.0
CATEGORY OF CONSTRUCTION
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special Information use ckeck[isL
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
lob site address:10300 SW Greenburg Rd (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.:308 Project name:West Coast Careers 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
Relocate 1 existing pneumatic thermostat.Relocate/add 4 supply diffusers and Gas fireplace 33.39
Flue vent for water heater or gas
return grilles. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER I ® TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name:West Coast Careers Environmental exhaust and ventilation:
Address:10300 Sw Greenburg Road Range hood/other kitchen
equipment 33.39
City/State/ZIP:Tigard OR 97223 Clothes dryer exhaust 3339
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32
-Business name:McKinstry Company,LLCM 23.32 Oth
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 WalUsuspended/unit heater
Phone:(503)278.3971 Fax::(503)331.6906 Water heater
Fireplace
E-mail: mtJ(jt .abiir ArAtoes,js.1r e reek.-∎vs 4r1.La/-*. Range
CONTRACTOR Barbecue
Business name:McKinstry Company,LLC Clothes dryer(gas)
Other:
Address:same as above MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal 177.3 2
Phone:( ) Fax:( ) Minimum permit fee($90.00) -----
Plan review(25%of permit fee) e/S
CCB lie.:172811 State surcharge(12%of permit fee) 01,0 `�
TOTAL PERMIT FEE £35 fa
This permit application expires if a permit is not obtained within 180
Authorized signa — ,, days after it has been accepted as complete.
T
I Print name:Antonija nac Date: f I OI I ti' * Fee methodology set by Tri-County Building Industry Service Board
1:\Building\Permits\MEC-PamitApp.doc 09/09/10 440-4617T(I1/02/COM/WEB)
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.
I:\Building\Permits\MEC-PermitApp.doc 09/09/10 2
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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
10300 SW GREENBURG RD 308, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00290
Chip Barnett
Violation Summary:
Inspector Contractor