Permit 1 I ' CITY OF TIGARD MECHANICAL PERMIT
n
I a ' - COMMUNITY DEVELOPMENT Permit#: MEC2015-00839
?�Y
..f II Date Issued: 12/23/2015
TIGARD: 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
w4k ili a s..• Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10150 SW NIMBUS AVE E5
Project: ARM Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Replace existing RTU with like kind
Contractor: GSC MECHANICAL LLC Owner: HANSON, RONALD D
10150 SW NIMBUS AVE ROBINSON, CONSTANCE A
TIGARD, OR 97223 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK,WA 99331
PHONE: 503-923+7952 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/23/2015 $249.36
Class of Work: ALT Type of Const: IIIB Plan Review 12/23/2015 $62.34
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/23/2015 $29.92
Info Process/Archiving-Sm$0.50(up to 12/23/2015 $5.00
Stories:
11x17)
Project Valuation: $6,500.00
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 $346.62
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers
This permit is issued subject to the regulations contained in the Tigard Municipal Code, tate of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expir- if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law require. you to follow the rules adopted by the Oregon
Utility No. , . Center Those rules are set forth in OAR 952-001-0010 through OAR 95'-001-009• You may obtain a copy of the rules
or di -ct questions t. •UNC by c Ilin 503.232.1987 or 1.800.332.2344.
Iss ed By: (/ Permittee Signature: '
' Call 503.639.4175/by 7:00 a.m.for the next available inspecti.Ti date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Appli ii:,41).,70 E1VEP FOR OFFICE USE ONLY
City of Tigard Received IA
IN
Date/By: (lir Prinit No..J.../f2 /,/5--6,0 3 9. 13125 SW Hall Blvd.,Tigard,OR 97A2T.36,, 1 7 20 15 A -
I
1 kil ether Permit:
: 111 Phone: 503.718.2439 Fax: 503.5981119b Date/By: 4 (..
. i vi
Inspection Line: 503.639.4175
TIGARD Date Ruddy D : Jr gi See Page 2 for
Internet: www.tigard-or.gov CITY OF libiAKD Notified/Method:0,4046" , Supplemental Information
Ds IPT' 41°4:44 *:
COMME1ICIAL.T4* SCHEDULE L,PSkettE:CIGAT
Mechanical permit fees*are based on the value of the work
0 New construction V'Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
El Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 6-1500
CATEGORY OF CONSTRUCTION itESiotAi:TIAL EQUIPMENT/SYSTEMS FEES* ..
-
El 1-and 2-family dwelling 'Commercial/industrial 0 Accessory building .For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION 1 ' Heating/cooling:
.
, n..., Air conditioning i 46.75
Job site address: t v .SO .S V-) 1%vAto v..S 1,4\a Furnace 100,000 BTU(ductsivents) 46.75
. ,
City/State/ZIP: ,----kr-a 0 vct--0.0.3 Furnace 100,000+BTU(ducts/vents) 54.91 zr ,
Heat pump 61.06
Suite/bldg./apt.no.: ,...Sr-- I Project name: VV\ Duct work 23.32
Cross street/directions to job site: vio A ) CP 7---5 Hydronic hot water system 23.32
, Residential boiler(radiator or
hydronic)
k, L - Unit heaters(fuel-type,not electric), 23.32
in-wall,in-duct,suspended,etc. 46.75
O
.-/ Flue/vent foriany of above 23.32
A
Other: 23.32
Subdivision: ' I k' . e7 Lot no.:
Other fuel appliances:
,_....-,„..,...--,
Tax map/parcel no.: - / ..- Water heater] 23.32
----DESCRIPTIGN OF WORKj Gas fireplacinsert 33.39
_ ----- Flue vent foil water heater or gas
) AL .rctsks1/4c/kiL uk, .1i---0 4v-ktv 1- ( 2.q\c^(-L fireplace 23.32
S Cqtr‘ ... S krtk_ cA.A.I M Log lighter(gas) /3.3')
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
• D PROPERTY OWNER - ,ErtENIANT .-. ' Other: , 23.32
.Environmental exhaust and ventilation:
Name: -16a,AV\ Range hood/other kitchen
equipment 33.39
Address: L`0 l.SN) SW ( kti-‘6il ikf t Clothes dryer exhaust 33.39
City/State/ZIP: ---t k orb 0v, 11;-).a3 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(S-03) .. 11. .b0
.46
Fax:( )
Attic/crawlsPace fans
23.32
-.- -.
.. APPLICANT ' : gi CONTACT PERSON - Other ! 23.32
t
Fuel piping:
Business name: GsC_ A s cca
C)1/4Vt6 00A-0 V-• E avt.tvi e$tc1.4.15 for first four;$4.03 for each additional
Contact name: Furnace,
Address: k.Q Lc 0 5\1/4) IC 04a)I Aq L Gas heat pump
Wall/suspended/unit heater
City/State/ZIP; r---V)Cuck) ( Ov.. 9 1 aa3 Water heater
Phone:(50) 0[3: ---Ft sa Fax::( ) Fireplace
, Range
E-mail: RS S c71G(.)o 1,q i& CyviAtA-iu. co vt,‘ Barbecue
,..,c(*srriiA094 - • .. . .t :,.. .,:,::-.!,,.,- : Clothes dryer(gas)
Business name: csc.. y\kKkAcc.„z cc,k /....V., _Other:
1:MECHANICAL PERMIT FEES*' .. , ,':. 2' '
Address: (0[S-0 SW YQkw`6--) Akt? Subtotal
City/State/ZIP: Torn) OC 11A33 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone: 5D3)( C1a-.1 -1ct eL Fax:( ) , State surcharge(12%of permit fee)
CCB lie.: R003 111(1-7 TOTAL PERMIT FEE
t / This permit adafter thbeen accepted
pplicationexpires if a permitis not obtained within 180
ays
as
s complete.
Authorized signature: 1 .40v - * Fee methodology set by Tri-County Building Industry Service Board
Print name: \)(xitk) -- ,,eve-r\aOV`Ak. Date:ka,- is, I 5--
1
,:,BuildingTermits‘MEC_PennitApp_040113.dot: 440-46171(II,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 Minimuni fee$69.06
$500.01 to$5,000.00 $69.06 for the first$500.00 and
$3.07 forleach 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 $1,363.711 for the first$50,000.00 and
$2.49 for each additional$100.00 or
fraction thereof,to and including
$100,000.D0.
$100,000.01 and up $2,608.711 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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