Permit CITY OF TIGARD
' MECHANICAL PERMIT
"� r COMMUNITY DEVELOPMENT Permit#: MEC2015 00548
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/12/2015
Parcel: 1 S135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 370
Project: Epic Land Solutions Subdivision: METZGER,TOWN OF Lot: 9
Project Description: HVAC modifications for TI
Contractor: MCKINSTRY COMPANY LLC Owner: LINCOLN CENTER LLC
16790 NE MASON ST.,STE. 100 BY SHORENSTEIN PROPERTIES LLC
PORTLAND, OR 97230 235 MONTGOMERY ST, 16TH FLOOR
SAN FRANCISCO, CA 94104
PHONE: 503-331-0234 PHONE:
FAX: 503-331-6907
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/12/2015 $207.21
Class of Work: ALT Type of Const: Plan Review 08/12/2015 $51.80
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/12/2015 $24.87
Stories: Info Process/Archiving-Lg$2.00(over 08/12/2015 $2.00
11x17)
Project Valuation: $5,000.00 Info Process/Archiving-Sm$0.50(up to 08/12/2015 $5.00
11x17)
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 $290.88
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance r if work is . 'ended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility otification Center. •se rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or ' ect questions to OUNC • g 503.232.1987 or 1.800.332.2344.
Is ued By:
Permittee Si�nature: le
Call 503.639.4175 by 7:00 a.m.for the next available inspecti• date.
This permit card shall be kept in a conspicuous place on the job site unti completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applic tKEIVEII FOR OFFICE USE ONLY
City of Tigard L� �� r� / PermitNo.: ve_ /s a9 g
.
• 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.7182439 Fax 503.598.1 Plan Review
��9G 1 2015 Date/By: Other Permit: 111, l i 4o,
TI G A R n Inspection Line: 503.639.4175 (](� Date Ready/By: Iuris. ® See Page 2 for
Internet: www.tigard-or.gov ��tl'1�TY�FTI(lA!\!J Notified/Method: Supplemental Information
TYPE I IE f3�li$'1"sl(��'' I. • A >l
Mechanical permit tees*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.
i . . Va lue $$5,000.00. .
' r r a + t ' a �r ' E QU � .
�x aF
E l 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 46.75
Job site address: 1 Lincoln,10300 SW Greenburg Rd. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:370 Project name:Epic Land Solutions 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
AVM Gas fireplace/insert 33.39
Flue vent for water heater or gas
New VA jexhaust fan and 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 ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name: i\IcKinstry Co
$14.15 for first four;$4.03 for each additional
Contact name:Tria Day Furnace,etc.
Address: 16790 NE Mason Street,Suite 100 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97230 Water heater
Phone:(503)278.3917 Fax: :( ) Fireplace
Range
E-mail:triad/if(mckinstry.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:McKinstry Co. MECHANICAL PERMIT FEES* ..
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)278.3917 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:172811 TOTAL PERMIT FEE a 1CI ,
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: —� • Fee methodology set by Tri-County Building Industry Service Board./5
Print name: Date: 2r/ pit
I:\Building\Permits\MEC_PetnitApp 040113. 440-4617T(I
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.
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