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Permit V CITY OF TIGARD MECHANICAL PERMIT IIIII _ • COMMUNITY DEVELOPMENT Permit#: MEC2014-00439 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/18/2014 Parcel: 1 S135AB03400 Jurisdiction: Tigard Site address: 10260 SW GREENBURG RD 380 Project: Kforce Subdivision: METZGER,TOWN OF Lot: 9 Project Description: Duct modification,relocate(3)thermostats,install(1)new fan power box. 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 08/18/2014 $316.80 Class of Work: ALT Type of Const: Plan Review 08/18/2014 $79.20 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/18/2014 $38.02 Stories: Project Valuation: $8,884.00 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 $434.02 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: 2 acQz Permittee Signature: k.„ /0( 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 Applic Ft1R OFFICE USE ONLY City of Tigard EIVEP Received q _ �b - b Date/By: V �tp i , Permit No.: �C�/I�f `�� � 114 • 13125 SW Hall Blvd.,Tigard,OR 97223 �`- Plan Review /T 0 f r 1 OC//7 Phone: 503.718.2439 Fax: 503.598.1964 Date/By: Other Permit J p�(i 1� [ `t 1 I G R D Inspection Line: 503.639.4175 J G 18 2014 Date Ready/By: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information CITY OFTIGARI) COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$$8,884 CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling ® Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description I 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 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.:308 Project name: Kforce 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 , Duct modifications,relocate 3 thermostats,install one new FPB I Gas fireplace 33.39 Flue vent for water heater or gas /3 fireplace 23.32 Phwf,� �x� 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:Kforce Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 I Single-duct exhaust(bathrooms, Phone:( ) 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 I Fax: :(503)331.6907 Water heater E-mail: a rlAv yvi,,^1c-e(Y�CI�)nStvvJ.c orrw Fireplace Range CONTRACTOR Barbecue Business name: McKinstry Company,LLC Clothes dryer(gas) Other. Address:same as above MECHANICAL PERMIT FEES* City/State/ZIP: Subtotal I -f,/CG.`6 Minimum permit fee($90.00) ' Phone:( ) Fax:( ) Plan review(25%of permit fee) 1 77, , O CCB tic.: 172811 State surcharge(12%of permit fee) I 38, :,), TOTAL PERMIT FEE 4/34.G,.l -- This permit application expires if a permit is not obtained within 180 Authorized signatu days after it has been accepted as complete. Print name:Antonija • nac Date: I • Fee methodology set by Tri-County Building Industry Service Board 1 Building,PermitsMEC-PermitApp.doc 09/09/10 440-46171(II/W./COM/WEBB))1 .` I rI■1i; RECEIVED ► ill!■ i■■► Mr/N. AUG 1 8 2014 : II■M■■ ■.a., _i1■I■�" ■■ OPi. 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