Permit CITY OF TIGARD MECHANICAL PERMIT
fl; ' COMMUNITY DEVELOPMENT Permit#: MEC2017-00668
T t AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/13/2017
Parcel: 1S 134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B6
Project: Kirby Nagelhout Construction Subdivision: (KOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Replace existing 2 ton RTU with new Carrier 2 ton unit. No new penetrations. New unit will be attached to existing
curb adapter,seismically bolted&restrained.
Contractor: REITMEIER MECHANICAL Owner: ROBINSON, JERRY CHRISTOPHER TRUS
19570 SW 90TH CT ROBINSON, MICHAEL WILLIAM
TUALATIN, OR 97062 HANSON, RONALD D 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 09/13/2017 $313.99
Class of Work: ALT Type of Const: Plan Review 09/13/2017 $78.50
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/13/2017 $37.68
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/13/2017 $10.00
Project Valuation: $8,739.00 11x17)
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 $440.17
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: , /�a Permittee Signature: ''-----y
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
City Of Tigard Received J 66�
13125 SW Hall Blvd.,Tigard,OR 'II", CEIVED
DateB bb -Cl e
11111 y Phone: 503.718.2439-Fax: 503 59:. '.1
Plan Revt �' ' r
i t i Inspection Line: 503.639.4175 Date/By: i Other Permit:
3` (� ry 2017 Date Rea ,( 7uris: H See Page 2 for
Internet: www.tigard-or.gov SEP r 0 Notified/Method/l //740 ( Supplemental Information
� �^`- i.' s '`.li,' ---- { e''',4:-z.:7---: .'r; ' ,),",1`i.K d 1 t 4,111!,*;`i 1 .i .,1''''._-, 5rl ,� -. ,i f i
;, b , isa--•. ,<; 't ' ' ., ''Me :; es .
Mechanical permit fees*are based on the value of the work
0 New construction ® 'ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,andprofit.
t � �{� .�� �:� Value:$ �r)3?. �
.�.. ,. .�, ' ,a�, (01051,44,,,4- AF, FS, �, n' girArmirtly:z- i 4 46t n4yt 4:Z.
�,4i. _3P,�3l3zs�",.,.z 'fes'R ..L's?^ '
❑ 1-and 2-family dwelling C Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
4 d t; '`it 4 56i t k t " ,, a Heating/cooling:
> .;�... �« .��!��� �.�.�. �� ,„ ;� `t �.. ' ��V Air conditioning
Job site address: Svc N (requires site plan showing placement) 46.75
.w��1s
/� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:
• t of a r"` O le Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: L -' Project name: , , ,I
"' �`•. co ,r. Heat res pump
( quisite plan showing placement) 61.06
Cross street/directions to ob 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:
aK, 7� p ,,,' l x �fi � . � Water heater
23.32
If*
y I3Sjjl �on p�71 I wri,/ Gas fireplace/insertventrale33.39
l�C�- 'l �*^� f'1 ' V T'"� Flue vent for water heater or gas
42444), I'/r Giln„.-7,_- L s. �, fireplace 23.32
�� ti./1 t Log lighter(gas) 23.32
nL e f w, ! 0 e �- 14.21 -aa ,� fir/J// Wood/pellet stove 33.39
CA-1-1/10 1/YJ b. .1' m� i fr t- r&1 Wood fireplace/insert 23.32
+ i�
. 6 t r r Chimne /liner/flue/vent 23.32
K C� a--,, �eStOther: 23.32
Name: ,,
�'�!. Environmental exhaust and ventilation: _
Address: Range hood/other kitchen
_ equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone ( ) Fax ( ) Single-duct exhaust(bathrooms,
r �• � arses`raT rte. "tzc� '�. � � �„�
toilet compartments,utility rooms) 23.32
a+ n . ' 1414: ,�-.t ., V�_ ,4, t ' l Attic/crawlspace fans 23.32
Business name: --1n,•� ;er Other: 23.32
�l Fuel piping:
Contact name:
SAA, p kelt,. $14.15 for first four;$4.03 for each additional
Address: 1 et 5 /1, S t, 1 9(JJ� ta'- /�__Covet Furnace,etc.
r� lVJ J �l l (. Jr� Gas heat pump
City/State/ZIP: "Snn ( b e [ o
(09.... Wall/suspended/unit heater
Phone:(4603 tog._ Oa o Fax::( ) Water heater
t Fireplace
E-mail:
f► e- rely t e ' ir'1 Range
tON AcT OJl; Barbecue
Business name: �f, 46, Clothes dryer(gas)
Other:
Address: I cHi 14ellt,lE'ERMI s
City/State/ZIP: Subtotal
Phone: Minimum permit fee($90.00)
( ) TT Fax:( )
State lic.: j S 7 7V Plan review(25%of permit fee)
ate surcharge(12%of permit fee)
TOTAL PERMIT FEE
Authorized signatuI This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print na e: Date: 61,w117 * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Pernuts\M C-PermitApp.doc 03/07/12 44617T(1COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10110 SW NIMBUS AVE B6, TIGARD, OR, 97223 October 11 , 2017 at
9:46:21 AM
Record Type: Record ID:
Commercial - Mechanical MEC2017-00668
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor