Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00485
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/20/2015
TIGARD Parcel: 1 S 135AB04500
Jurisdiction: Tigard
Site address: 10250 SW GREENBURG RD 214
Project: Gerald Miller Subdivision: 1991-055 PARTITION PLAT Lot: 1
Project Description: Installing a new cooling VAV box with pneumatic thermostat and duct modifications.
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 07/20/2015 $201.07
Class of Work: ALT Type of Const: Plan Review 07/20/2015 $50.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/20/2015 $24.13
Stories:
Project Valuation: $4,723.00
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 $275.47
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: VAV box
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 503.232.1987 or 1.800.332.2344.
ANIL
Issued By: � 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 USE ONLY
City of Tigard �� Received '7 / M
`v Date/B i r Permit No.: I' rL,n r /l C.
- • 13125 SW Hall Blvd.,Tigard,OR 97221.-1 Plan y PIJL !�j
Plan Review
Phone: 503.718.2439 Fax: 503.598.19 015 Date/By. Other Permit: $L„p: i y • I
T I GA R D Inspection Line: 503.639.4175 ` Ready/By: ® See Page 2 for m
`` Date Juris:
Internet: www.tigard-or.gov ,V ,.,NIA11 Notified/Method: 7›....6 Supplemental Information
TYPE OF WORK 1 j' c 0., 1 :'° COMMERCIAL u ` . c y° ' �s 'A
, tk, ,
Mechanical permit fees*are based on the value of the work
❑New construction [Addition/alterationireplacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
Value S 4,723
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ommercial/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 46.75
Job site address: 10250 SW Greenburg Road Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:214 Project name:Gerald Miller Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install new cooling only VAV with pneumatic thermostat,duct modifications fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY OWNER
Other: 23.32
®
❑ TENANT Environmental exhaust and ventilation:
Name:Shorenstein Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:McKinstry Co Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Rebecca Fitzsimmons Furnace,etc.
Address: 16790 NE Mason Street,Suite 100 Gas heat pump
WalUsuspended/unit heater
City/State/ZIP:Portland,OR 97230 Water heater
Phone:(503)331-0234 Fax::(503)331-6906 Fireplace
Range
E-mail:rebeccaf @mckinstry.com Barbecue
e `a"' ,, "i'k t - N O4 4 Clothes dryer(gas)
wx . , e eta � ... Z ,<a,'.
Business name:McKinstry Co.
Other:
Address:16790 NE Mason Street,Suite 100 Subtotal
City/State/ZIP:Portland,OR 97230 Minimum permit fee($90.00)
Plan review(25%of permit fee) _
Phone:(503)331-0234 Fax:(503)331-6906
State surcharge(12%of permit fee)
CCB lie.:172811 TOTAL PERMIT FEE a!7
This permit application expires if a permit is not obt ned within 18
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: pal,e h 4 z.J, vu„", Date: 10&/0.--
1:\Building\Permits\ME.C_PermitApp 040113.doc 440-4617T(11/02/COM/WEB)
I �� � n 'M
7 __ai pi
„ . p■ 0 „ li 5
JEN.. , Fri \,, \ 7
1-is C F M
• , T
v G
71 C
4, IA 7 F ( 75 CF I
CFM 0 75_1 FM
1: / ,
I ®: ■ 8"
'' ''- r ,._,..„_,
,, _ ,
Ark PARTIAL REFLECTED CEILING PLAN
A21 1/8"=1 '-0"
LEGEND