Permit 1
CITY OF TIGARD MECHANICAL PERMIT
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IN I ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00576
Date Issued: 09/10/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134AA02100
Jurisdiction: Tigard
Site address: 10300 SW NIMBUS AVE PD
Project: DaBella Exteriors Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Replacement of(1)5 ton RTU,like for like.
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 09/10/2015 $291.51
Class of Work: ALT Type of Const: IIIB Plan Review 09/10/2015 $72.88
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/10/2015 $34.98
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/10/2015 $7.50
11x17)
Project Valuation: $8,000.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $406.87
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dir uestions • OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: r' / ./ 1 Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati FOR OFFICE USE ONLI
C�I�ElF Received W -s-�
11 . City of Tigard DateBy: �a� Permit No.: �� /C- j /
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review V1, r
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: f ' 1 lher Permit:
1 11, \1:1, Inspection Line: 503.639.4175 JUL 2 7 2015 Date Ready/By: Juris: ' ® See Page 2 for
Internet: www.tigard-or.gov Notified/Meth odfl� ' � p. - Supplemental Information
(ITYOFTI(rAR�➢ .,,del MMrEJRC A FEE* SCHEDULE - USE CHECKLIST
. TYPE O *DING mislay li
Mechanical permit fees*are based on the value of the work
❑ New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
• Value:$ gi AOC)
IIIIIIIIIIIIIIIIIIMIIIILCATEGORY OF CONSTRUCT( MESIDENT1AL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total
OB SITE INFORMATION AND LOCATION
Heating/cooling:
Air conditioning 46.75
Job site address:10300 sw Numbus Ave 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.:PD Project name:SchQUs l tot i4criiiedi, 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
Other: 23.32
Subdivision: Lot no.: — —
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
5 ton RTU replacement,like for like fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Oth
,tint.PROPERTY OWNER ❑ TENANT S' 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility moms) 23.32
, Phone:( ) Fay:( 1 Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Reitmeier Fuel piping:
/Q�� ��� 4 $14.15 for first four;$4.03 for each additional
v Contact name:Ryan Campbell 9 71. 3as-'/5// Furnace,etc.
Gas heat pump
Address: 19570 sw 90th et ` r4,41, e� c dQi f-Mtl 1A- tie'ti J Wall/suspended/unit heater
City/State/ZIP:Tualatin OR 97062 Water heater
Phone:(503)603-0205 Fax::(503)603-0150 Fireplace
Range
E-mail:ryan.c @reitmeier.com
Barbecue
Clothes dryer(gas)
Business name:Reitmcier Other:
AIIIM 'ES*
Address: 19570 sw 90th et Subtotal
City/State/ZIP:Tualatin OR 97062 Minimum permit fee($90.00)
Phone:(503)603-0205 Fax:(503)603-0150
Plan surcharge(25%of permit fee)
State stucharge(12/o of permit fee)
CCB lic.:153770 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
r/- days after it has been accepted as complete.
Authorized signature: • Fee methodology set by Tn-County Building Industry Service Board
Print name:Ryan Campbell `� I Date:
(:\Building\Penults\MEC_Permitppp_0401 l3.doc 440.46171'(11/02/COM/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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