Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2021-00422
Date Issued: 7/1/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1 S134AD06202
Jurisdiction: Tigard
Site address: 10500 SW NIMBUS AVE T
Project: Soli Rock Fellowship' Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: A
Project Description: Relocate or add(7)ceiling diffuser,(4)returns and(3)supply.
Contractor: REITMEIER MECHANICAL Owner: DIETRICH, NANCY BISHOP
19570 SW 90TH CT ROBINSON,JERRY CHRISTOPHER TRUST
TUALATIN, OR 97062 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE,OR 97222
PHONE: 503-603-0205 PHONE:
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/01/2021 $291.51
Class of Work: ALT Type of Const: VB Plan Review 07/01/2021 $72.88
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 07/01/2021 $34.98
Stories: Info Process/Archiving-Sm$0.50(up to 07/01/2021 $0.50
Project Valuation: $8,000.00 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 $399.87
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: H,.77„vcvevv&we Permittee Signature: O� y�Ay� 1
^`JJ Call 503.639.4175 by 7:00 a.m.for the next available inspection datfe.f
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CEIVEC . ' 2
Mechanical Permit Applica FoR oFFICF LSF.ONLY
City of Tigard JUN 1 0 2021 Received py �O 102/ „ce Permt No.y fEcz,H/T,,,, 22
Date/By:(D
-" 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
i• Phone: 503.71 R.2439 Fax: 503.598.19t�IIY OF 7lGAE U Date/B 6- 2 j i Other Permit:TIf3ARD Inspection Line: 503.639.4175 Date Ree
ady/By: tuns: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION otified/Method: -flex Supplemental Information
TYPE OF WORK MMERCIAL FEE* CHEDULE - USE CHECKLIST
Mechanical permit fees`are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 8'2000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Dir Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
/l Air conditioning
Job site address: /�0 a Vli Nt m6us' %ve_ . (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: T//_ ar ) Or,
727i 3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: T Project name: So/a 46.k c//ws�.,� Heat pump
•/c- (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
/ 1 / / r/� � Gas fireplace/insert 33.39
del err lceio cede e t !I I'�S CY.t T-TAGS C� Flue vent for water heater or gas
• Cy) rear, (3,) s, O Log l cegh 23.32
Log lighter(gas) 23.32
• Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32
•
• Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32
2K APPLICANT 0 CONTACT PERSON Attic/crawlspace fans 23.32
Other: 23.32
Business name: R ^
f 4 f,L -..I-Y/G. Fuel piping:
Contact name: 7o SeP /i{l f j L $14.15 for first four;S4.03 for each additional
Address: 19 5 79 �'id ✓q/l l.. C -/-. Furnace,etc.
Gas heat pump
City/State/ZIP: „,i ty, / or, 97O�0 2 Wall/suspended/unit heater
Phone:(spa) 6,03. 0205 Fax::( ) Water heater
-r / n/� / Fireplace
E-mail: (Jae,rl Y{) f etthnCt C✓f tAr : CO�1 Range
CONTRACTOR Barbecue
Business name: sa,iy� �S" a-It7Zj� Clothes dryer(gas)
Other:
Address: MECHANICAL PERMIT FEES*
City/State/ZIP: Subtotal
Minimum permit fee($90.00)
Phone:( ) Fax:( )
Plan review(25%of permit fee)
CCB lic.: /s-3 7 70 / lL/O 9 .r[7� State surcharge(12%of permit fee) a
�/�- TOTAL PERMIT FEE
Authorized si atur This permit application expires if a permit is not obtained within 180
gn ' days after it has been accepted as complete.
' . Fee methodology set by Tri-County Building Industry Service Board
Print name: Date: ` �Q. Z/
I:\Building\Pcr,eits\ME itAp c 03/07/12 440-4617T(11/011COM/wEB)
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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