Permit • . CITY OF TIGARD MECHANICAL PERMIT
ill COMMUNITY DEVELOPMENT Permit #: MEC2012 -00080
1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/14/2012
. - .: � Parcel: 2S110DCO2300
Jurisdiction: Tigard
Site address: 11555 SW DURHAM RD A -1
Project: Willowbrook Subdivision: 1998 -128 PARTITION PLAT Lot: 1
Project Description: 2.5 ton RTU replacement.
Contractor: REITMEIER MECHANICAL Owner: HIP WILLOWBROOK LLC
19570 SW 90TH CT BY HARSCH INVESTMENT CORP
TUALATIN, OR 97062 PO BOX 2708
PORTLAND, OR 97208
PHONE: 503 - 603 -0205 PHONE:
FAX: 503 - 603 -0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/14/2012 $240.93
Class of Work: ALT Type of Const: VB Plan Review 02/14/2012 $60.23
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 02/14/2012 $28.91
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 02/14/2012 $2.00
11x17)
Project Valuation: $6,158.00
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 $332.07
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 Notif enter. 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 % estions to 0UN - calling 503.232.1987 or 1.800.332.2344.
Issued :y: - ( : � 4L 4L L % Permittee Signature' �� , ., P � •
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 until completion of the project.
Approved plans are required on the job site at the time of each inspection.
te.ila! ,_tr,:L ■ "L
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard V Date /B Received Permit No.:
lig - ® 13125 SW Hall Blvd., Tigard, OR 97223 a y � (,'
Plan Rev ►
Phone: 503.718.2439 Fax: 503.5 j + D ate /By: VIM Other Permit.
Inspection Line: 503.639 O \�
TIGARD Date Rea•y /By: s: See Page 2 for
Internet: www.tigard or ,� ! � �� Notified /Method y� • lot ® Supplemental Information
r° C TYPE -OF WO (�� ,,,Nit � 0 MERCIAL FEE* SCHEDULE – USE CHECKLIST -
> . Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alter cement performed. Indicate the value (rounded to the nearest dollar) of all 'et ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ 6,158
CATEGORY. OF CONSTRUCTION i RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2- family dwelling ® Commercial /industrial ❑ 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
Job site address: 1 ' w D urham Roa (requires site plan showing placement) 46.75
City/State /ZIP: Tigard, Or. 97223 Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: A - Project name: Willowbrook A - Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Corner of SW 99 and SW Durham road 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
Gas fireplace 33.39
Replace 2.5 ton push pull gas pack like for like. Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
El PROPERTY OWNER ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: Harsch Investments Environmental exhaust and ventilation:
Address: 851 SW 6 Ave Suite 550 Range hood /other kitchen
equipment 33.39
City/State /ZIP: Portland, Or. 97204 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Q'' Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
":::) ® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Reitmeier Mechancial Other: 23.32
I Fuel piping:
11 Contact name: Florin Ungureanu $14.15 for first four; $4.03 for each additional
i
i Address: 19570 SW 90 Court Furnace, etc.
Gas heat pump
1 City /State /ZIP: Tualatin Wall /suspended/unit heater
1 Phone: (503) 603 -0205 Fax: : (503) 603 -0150 Water heater
Fireplace
E - mail: florin.0 @reitmeiermechanical.com Range
CONTRACTOR 1 Barbecue
S Business name: Same as applicant Clothes dryer (gas)
Other:
L Address: MECHANICAL PERMIT FEES*
-.1--- City /State /ZIP: Subtotal
Phone: ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: 153770 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
� � This permit application expires if a permit is not obtained within.l80
Authorized signature: Vv-`�
c days after it has been accepted as complete.
Print name: F\ a , , ,,,,, l', o o Date: 2/6/2012 * Fee methodology set by Tri- County Building Industry Service Board
l: \Building \Permits \MEC- PermitApp.doc 09/094 440 -4617T (1 I /02 /COM /WEB)