Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00761
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/09/2015
Parcel: 1S135AB01003
Jurisdiction: TIGARD
Site address: 10300 SW GREENBURG RD 400
Project: ID Experts Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Installing a VAV box,exhaust fan,and modifying duct work.
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 11/09/2015 $235.31
Class of Work: ALT Type of Const: Plan Review 11/09/2015 $58.83
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/09/2015 $28.24
Stories:
Project Valuation: $6,000.00
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:
Heal Pump:
Appliances
Vent Fans: Vent Systems: Total $322.38
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. 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: ermittee Signature:
43110
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
114 City SW Tigard Date/By: I l or (y ay._ Permit No.:M 5--_ 00
- " 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review ! ,
Phone: 503.718.2439 Fax: 503.598.1960
Date/By: Other Permit: _ _r act
Inspection Line: 503.639.4175 Date Ready/By: runs: n See Page 2 for
TIGARD Y Y g
Internet: www.tigard-or.gov \) Notified/Method: .`y� Supplemental Information
•I'1PE OF,x pt'* COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
s (--- Mechanical permit fees*are based on the value of the work
❑New construction ® Addition'alterationirU lacement PcO A` performed.Indicate the value(rounded to the nearest dollar)of all
0 mechanical materials,equipment,labor,overhead,and profit.
❑Demolition ❑ Other: r�\ l�C\
.. ‘1: Value:$ 0L�''
CATEGORY OF CONS"fR�"� 1 1 RESIDENTIAL EQUIPMENT/SSTE:14S FEES'
❑ I-and 2-family dwelling ®Commercial/industfl- Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 10300 SW Greenburg Road 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.:400 Project name:ID Expert 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
Duct modifications,intall new 8"VAV,install exhaust fan 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
Environmental exhaust and ventilation:
Name:ID Expert 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
Business name:McKinstry Co Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tri a 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)331-0234 Fax::( ) Fireplace
Range
E-mail:triad a 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)331-0234 Fax:( )
State surcharge(12%of permit fee)
CCB lie.: 172811 TOTAL PERMIT FEE I 301a. V
This permit application expires if a permit is not obtained within I80
—..., days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Tria Day Date:11/6/15
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