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Permit • CITY OF TIGARD MECHANICAL PERMIT I I COMMUNITY DEVELOPMENT Permit #: MEC2013 -00128 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/12/2013 Parcel: 1 S134AA01800 Jurisdiction: Tigard Site address: 10240 SW NIMBUS AVE L5 Project: Scholls Business Park Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2 Project Description: Replace 2 -ton RTU Contractor: REITMEIER MECHANICAL Owner: HANSON, RONALD D 19570 SW 90TH CT ROBINSON, CONSTANCE A TUALATIN, OR 97062 ROBINSON, CHESTER TRUST ET AL 203604 EAST FINLEY RD KENNEWICK, WA 99331 PHONE: 503 - 603 -0205 PHONE: FAX: 503 - 603 -0150 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/12/2013 $254.98 Class of Work: ALT Type of Const: IIIB Plan Review 03/12/2013 $63.75 Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 03/12/2013 $30.60 Stories: 1 Info Process /Archiving - Sm $0.50 (up to 03/12/2013 $12.50 11x17) Project Valuation: $6,700.00 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 $361.83 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 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: iIii4 , / / t / Permittee Signature: ejirg - Call 503.639.4175 by 7:00 a.m. for the next available insp- • 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 App f BED FOR OFFICE Received /4 , 1`f tCav/3- GY� City of Tigard Date/By: Permit No.: 111 ° 1 3125 SW Hall Blvd., Tigard. OR 7 y •� • 7 2013 Plan Review Phone: 503.718.2439 Fax: 503.598!IV O Date/By: /// j 9 (.0( t--5 Other Permit: T).G. RI) Inspection Line: 503.639.4175 Date Ready/By: luri : ® See Page 2 for Internet: www.tigard or.gov CITY OFTIGARD Notified /Method: f ` / 3 Supplemental Information t I Li:. . lei. "A1: . iLf��1 *Pr - - TYPE OF WORK , j COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees* are based on the value of the work El New construction Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all El Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. O Value: $ (Flop • CATEGORY gF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* El I- and 2- family dwelling ,�i fCommercial /industrial ❑ Accessory building For special information use checklist. M El Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. Total IC ago JOB SITE INFORMATION AND LOCATION Heating /cooling: Air conditioning Job site address: ' t) I 0 �� (requires site plan showing placement) 46.75 City/State/ZIP: Furnace 100,000 BTU (ducts /vents) 46.75 Cit Y ?p, De J\ t n 0.-_ C H 2 2 Furnace 100,000+ BTU (ducts /vents) 54.91 T Suite /bldg. /apt. no.: , fl L I Project name: L - - A,,,, N i ts5 Heat pump n v (requires site plan showing placement) 61.06 l Cross street/directions to job site: e eiJ i Duct work 23.32 CO Hydronic hot water system 23.32 4 Residential boiler (radiator or hydronic) 23.32 M Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: 1 Lot no.: Flue /vent for any of above 23.32 fl Other: 23.32 - Tax map /parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 n �-) Gas fireplace /insert 33.39 © Y- t� if,� �T L - , k 2 - \ Oe-.►> Flue vent for water heater or gas y Lr fie r 12- L.-AV-6 / C- _ , f AWOL- /1 w OL fireplace 23.32 (� N. � Log lighter (gas) 23.32 Wood /pellet stove 33.39 1 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 I f� Name: , `0Q -C-Z WA.t, Environmental exhaust and ventilation: 3• Address: Range hood/other kitchen l7 equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 Fax: Single -duct exhaust (bathrooms, r Phone: ( ) ( ) toilet compartments, utility rooms) 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 +N Other: 23.32 Business name: 'TWN \eV_ i‘kuL iscr - k C A-t.- Fuel piping: p\ Contact name: l't,,,,..) Q. ,p,..„.„‘ Q C=.0 -1ti $14.15 for first four; $4.03 for each additional �.l Furnace, etc. `% Address: 1C45.--7 s go v w3x Gas heat pump City /State /ZIP: 'r\) I 0(1-- 970U -- Wall/suspended/unit heater / Phone: (,Q?)) 6 (03 'll 0 Fax:: Vd")) 60 d/$ 6 Water heater r„. L Fireplace E-mail: r D , �v ^.^.e.. r `n c.Nr - ti. � 1 Cr y , e - - Range CONTRACTOR Barbecue Business name: '�,.A,k/ Clothes dryer (gas) ? Other: U Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fcc ($90.00) Plan review (25% of permit fee) .. CCB lic.: l S 5 " -7e7 State surcharge (12% of permit fcc) .'t. /L TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Iv Print name: Lid h . !3 �tiy D ate: � � /3 3 * Fee methodology set by Tri- County Building Industry Service Board I:\ Building \Permits \MEC- PermitApp.doc 03/07/12 440 -4617T (I I /02 /COM /WEB)