Permit CITY OF TIGARD MECHANICAL PERMIT
71COMMUNITY DEVELOPMENT Permit#: MEC2017-00730
T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2017
Parcel: 1S 134AA01800
Jurisdiction: Tigard
Site address: 10130 SW NIMBUS AVE D8
Project: Triangle Medical Office,D8 Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Replace(1)Roof top HVAC unit.
Contractor: REITMEIER MECHANICAL Owner: DIETRICH, NANCY BISHOP
19570 SW 90TH CT ROBINSON, JERRY CHRISTOPHER TRUST
TUALATIN, OR 97062 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-603-0205 PHONE:
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/02/2017 $297.13
Class of Work: ALT Type of Const: VB Plan Review 11/02/2017 $74.28
12%State Surcharge-Mechanical 11/02/2017 $35.66
Occupancy Grp: B Occupancy Load:
Stories: 1 Info Process/Archiving-Sm$0.50(up to 11/02/2017 $4.00
Project Valuation: $8,200.00 11x17)
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 $411.07
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / --
I,,, �/�/�i�� /�� Permittee Signature: //bpi
date.
e:1--/77i '1"2
Call 503.639.4175 by 7:00 a.m.for the next available inspection
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
-'i7 7-
Mechanical Permit A t s ..,L i i''.� rL-.9 LJ
FOR OFFICE USE ONLY
•
City of Tigard Received 7 /7
13125 SW Hall Blvd.,Tigard,OR 9`�213 ;• {, DateBy: PermitNo ,�c420/2�67e)�
Phone: 503.718.2439 Fax: 503.5981960 Date/By:
Plan vie- /ter
i t t t .i I, Inspection Line: 503.639.4175 g i f ) 2°? I Other Permit:
Internet: www.tigard-or.govl OF I (I1 i Date Ready: : Jur is: ® See Page 2 for
YAA Notified/MethoV f
_ SupplementalI f
• l 4\ .• 1, v'4 n —
2 � a a� � ��a ormahon
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❑New construction ,Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
C2
' ..%r CJ T coitY OI?°6616041-i:4014 Value:$
❑ 1-and 2-family dwelling ,r Commercial/industrialRESIDENTIAci l opI /S S FEES*
0 Accessory building For special information use checklist T
0 Multi-family 0 Master builder
} 0 OtherDescription estl
D Qty. Ea. I Total
;..;: . 1' JOB SII'E, N(C A'[•IO T .P W:01.4*;
C4 'I )YHg,/coong:
°
Air conditioniling Job site address: 1013 o S o m U S (requires site plan showing placement) 46.75
City/State/ZIP: ”' 04_, - Fumace 100,000 BTU(ducts/vents) 46.75
p,�,, 1 _ Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: [Project name: v - Heat pump
"1" �'� (requires site plan showing placement) 61.06
Cross street/directions to job site: T2Z/. Ic-
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: I Lot no.:
Tax map/parcel no.: Other: 23.32$ Other fuel appliances:
xtrOQN OF '4'i RK '' ::„
z �, �£ �« w _ Water heater 23.32
v. r.�� Gas fireplace/insert 33.39
. ' Inve^.c Flue vent for water heater or gas
�d� r�► L:,- h-J s fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
•
, .❑ PROPER OWNER4 4 Chimne /liner/flue/vent 23.32
.. r _. .. �i'��rENA�r� � ,K y
Name: wt�c IJ c( Other: 23.32
`' Saatplt) f�60L3'/� Environmental exhaust and ventilation:
Address: Range hood/other kitchen
City/State/ZIP:
equipment 33.39
Clothes dryer exhaust 33.39
Phone ( ) Fax Single-duct exhaust(bathrooms,
( ) toilet compartments,utility rooms) 23.32
APPLICANT ❑ CO TA
_•: .: <: '' � � N CT,PERSON° '.` Attic/crawlspace fans 23.32
Business name: !`moi r ii -v"�a}.-
Other: 23.32
Contact name: Gits. Fuel piping:
��►%( $14.15 for first four;$4.03 for each additional
Address: 194-7 fy C !)� /1 L Furnace,etc.
{ 4s /V J 6 l./� r
City/State/ZIP: �Ut1�, D 4_ 1 7D 6s 2--
` Gas heat pump
/ i t�/^ _ Wall/suspended/unit heater i
Phone:(531, t0®3 02,40S- I Fax::(5-0-)) `•� 1)/Jb Water heater
lace
E-mail: r(�'�^"-w' � I \, A Range
\l �,3 G Zf �.i�,l, t Cj Range —
CONTR 4 CTOR Barbecue
Business name: A-1".....15: IClothes dryer(gas)
Address: Other:
MECHANICAL:PERMIT FEES* '
City/State/ZIP: .
Subtotal
Minimum permit fee($90.00)
Phone:( ) I Fax:( )
CCB lie.: /.....5-3 77 -t Plan review(25%of permit fee)
(d State surcharge(12%of permit fee)
$ TOTAL PERMIT FEE
Authorized signature: 1*--) �7"l Q Q�„�� This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I Print na -• Date: / ' * Fee methodology set by Tri-County Building Industry Service Board
I:\Building\Permits -P ...doc 03/07/12 / 441-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10130 SW NIMBUS AVE D8, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00730
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor