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Permit
CITY OF TIGARD MECHANICAL PERMIT 1 COMMUNITY DEVELOPMENT Permit#: MEC2016-00686 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/29/2016 3 1 r r�tt c. g Parcel: 1S134AA02100 Jurisdiction: Tigard Site address: 10300 SW NIMBUS AVE PC Project: DaBella Exteriors Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3 Project Description: Modification of ducts and grilles for TI Contractor: AMERICAN HEATING INC Owner: ROBINSON, JERRY CHRISTOPHER TRUS 5035 SE 24TH AVE ROBINSON, MICHAEL WILLIAM PORTLAND, OR 97202-4765 HANSON, RONALD D ET AL 203604 EAST FINLEY RD KENNEWICK,WA 99331 PHONE: 503-239-4600 PHONE: FAX: 503-239-7038 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/29/2016 $188.79 Class of Work: ALT Type of Const: Plan Review 09/29/2016 $47.20 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/29/2016 $22.65 Stories: Info Process/Archiving-Lg$2.00(over 09/29/2016 $2.00 11x17) Project Valuation: $4,349.00 Fuel Air Handlers Fuel Types: Units<10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers&Compressors Furnaces<100K BTU: 0-3 HP: Fumaces>=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 $260.64 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 ques UNC by calling 503.232.1987 or 1.800.332.2344. Issued By. k ( 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 Ap 1st V 11,1 FOR OFFICE USE ONLY City of Tigard �' t Received a g Date/By: 02, Permit No.:HE-6,90/67-604,g , p 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 5031T1:190 9 Z016 Date/By: Other Permit: / —4141 4C T I GA RD Inspection Line: 503.639.4175 Internet: www.tigard-or.gov 4 r �.p Date Ready/By: Jam. 0 See Page 2 for � '' �+ Notified/Method: Supplemental information COMMERCIAL;FEF' SCHEDULE E Y ESE CHECKLIST fig.. N 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. �TEGO1 (OF ONS Gnn.OV,lz s Value:$4349 El1-and 2-family dwelling ®Commercial/industrial ❑Accessory building RESIDENTIAL EQUIPMENT/SYSTEI S`FEESx 1:::)Multi-family ❑Master builder El Other: For special information use checklist. d©l1 Description Qty. Ea. Total �P EI+3A10N AIIIILOG'ATION � £�� " „c. „_ _ , . �. " . ... ��- Heating/cooling: Job site address:10300 SW Nimbus Ave Air conditioning 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.: Project name:DaBella Exteriors Heat pump 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 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other 23.32 Tax map/parcel no.: Other fuel appliances: F ,- Water heater 23.32 • DES4 R1P <)N 010.:fuF ORK Gas fireplace/insert 33.39 Add or relocate Duct work and Grilles 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 Chimney/liner/flue/vent 23.32 ❑ P120T'ERTY O t ❑ E1 ANT Other: 23.32 Name: Environmental exhaust and ventilation: Range hood/other kitchen Address: equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 Single-duct exhaust(bathrooms, Phone:( ) Fax:( ) toilet compartments,utility rooms) 23.32 Attic/crawlspace fans 23.32 ®±CONTACT PERSON $, ,,.< ... Other: 23.32 Business name:American Heating Inc. Fuel piping: Contact name:Brandon Hutchinson $14.15 for first four;$4.03 for each additional Furnace,etc. Address:5035 SE 24th Ave Gas heat pump City/State/ZIP:Portland,OR.,97202 Wall/suspended/unit heater Water heater Phone:(503)239-4600 Fax::(503)239-7038 Fireplace E-mail:b.hutchinson@americanheating.net Range ,', Barbecue % ,..= O Z1+11Rr1GTOR,;` ,,. Clothes dryer(gas) Business name:American Heating Inc. Other: Address:5035 SE 24th Ave IYIAIgLCIPEl4IIf FEES* Subtotal City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00) Phone:(503)239-4600 Fax:(503)239-7038 Plan review(25%of permit fee) CCB lie.:33135 State surcharge(12%of permit fee) il TOTAL PERMIT FEE 0,Z • This permit application expires if a permit is not obtained within 180 Authorized signature', days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board Print name:Brandon Hutchinson Date: I:\Building\Permits\MEC PermitApp_040113.doe 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: ;'Total �1uatia>r>t Permit:Tee,; $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. I:\Building\Permits\MEC PermitApp_040113.doe 2