Permit (50) CITY OF TIGARD MECHANICAL PERMIT
s ' COMMUNITY DEVELOPMENT Permit#: MEC2016 00332
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/12/2016
TIGARD 9 Parcel: 1 S 135AB01003
Jurisdiction: Tigard
Site address: 10300 SW GREENBURG RD 570
Project: ID Experts Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Installing(1)2-ton RTU,(1)condensing unit,and refrigeration lines.
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 05/12/2016 $472.17
Class of Work: ALT Type of Const: VB Plan Review 05/12/2016 $118.04
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/12/2016 $56.66
Stories: Info Process/Archiving-Sm$0.50(up to 05/12/2016 $1.50
11x17)
Project Valuation: $14,900.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm: 1
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $648.37
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 : obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1•: . . :- 2.2344. .
Issued By: _ 'ermittee Signature: L ,''` , L
_• �` —r\
AA,
Call 03.639.4175 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 OF TIC F. 1 SF O\1.1
Received
. City of Tigard Permit No.: `f
■ 13125 SW Hall Blvd.,Tigard,OR 97223
Date/By: S 5 �{D /��Ci�()!�(o-003.3
_ tClEIVE
Ilan ReviPhone: 503.718.2439 Fax: 503.598.1960 ��YDateBy: �� t)' 2\14 Other Permit:
T I G n R D Inspection Line: 503.639.4175 Date Ready :•. Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method/Z / ,„,,t. Supplemental Information
. `t _' : 1 t4° a t 4. t: a
1-1 * a Mechanical permit fees*are based on the value of the work
El New construction ®Addition/alteration/co.1. t ISIU*, performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: �1lL�Il�GDIVj l 1� mechanical materials,equipment,labor,overhead,and profit.
• Value:$$14,900.00
it ata tso
❑ I-and 2-family dwelling ®CommerciaUindustrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total
"-t'• m '' Heating/cooling:
°'_ # 3 Q' 3 6 t . 0 r'0 ,. -
.,,� ,.,:,.. i«*. Air conditioning 1 46.75 46.75
Job site address:10300 SW Greenburg Rd Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 1 61.06 61.06
Suite/bldg./apt.no.:570 I Project name: Duct work 23.32
Cross street/directions to job site:Oak Street &Greenburg Rd 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
Other: 23.32
Subdivision: 1 Lot no.:
Other fuel appliances:
Tax map/parcel no.:1S135AB01003 Water heater 23.32
?i A''� `�"t `�, to �"° - y�� q Gas fireplace/insert 33.39
.112ad4444 "1125-- K, Flue vent for water heater or gas
Install(1)2-ton ductless system with(2)12,000 BTU Fan Coil Units.Install fireplace 23.32
high on the wall in the copy room.Provide and install(1)condensing unit on Log lighter(gas) 23.32
Wood/pellet stove 33.39
the roof up to 15 feet above suite 570.run refrigeration lines between the fan Wood fireplace/insert 23.32
Coil and condensing unit. Chimney/liner/flue/vent 23.32
\a .. 4 Other: 23.32
,.Ra. !�,a.'k '-..<,1).., mx.,s. -;L ...x'?,y' 4�`; ..IA-WANT. �?e e.ni x '.G,-�- ,
Environmental exhaust and ventilation:
Name:ID Experts Range hood/other kitchen
equipment 33.39
Address:10300 SW Greenburg Rd Ste 570 Clothes dryer exhaust 33.39
City/State/ZIP:97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) _ 23.32
Phone:(971)242-4704 Fax:( ) Attic/crawlspace fans 23.32
-,,,,,,,,....„.$,a t ---c 1-: ; f a '''''''4;c°1‘74- ► 74 Other: 23.32
Business name:McKinstry Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Andi Van Blaricom Furnace,etc.
Address:16790 NE Mason St Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97230 Water heater
Phone:(503)331-0234 Fax::(503)331-6906 Fireplace
Range
E-mail:andiv@mckinstry.com
Barbecue
1''''':‘-','-'''*:ci ..-v * _ ``, Clothes d er(_as
Business name:McKinstry Co Other:
Address: 16790 NE Mason St , r,::... . , ,O
Subtotal
City/State/ZIP:Portland,OR 97230 Minimum permit fee($90.00) 107.81
Plan review(25%of permit fee) 26.95
Phone:(503)331-0234 Fax:(503)331-69096
State surcharge(12%of permit fee) 12.94
CCB lic.:172811 TOTAL PERMIT FEE 147.70
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: ificit
- ' * Fee methodology set by Tri-County Building Industry Service Board
Print name:Andi Van Blaricom Date:05/02/2016
:\BuildingiPermitsUMEC_PermitApp_040113.doc 440.4617T(1 I/02/COM/WEB)