Permit (49) CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2017-00033
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/28/2017
Parcel: 1 S 134AA02100
Jurisdiction: Tigard
Site address: 10340 SW NIMBUS AVE ND
Project: AT&T Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Convert vacant offices into mechanical room, Replace HVAC indoor and on roof,other associated work.
Contractor: ACCO ENGINEERED SYSTEMS INC Owner: ROBINSON, JERRY CHRISTOPHER TRUS
6265 SAN FERNANDO RD ROBINSON, MICHAEL WILLIAM
GLENDALE, CA 91201 HANSON, RONALD D ET AL
203604 EAST FINLEY RD
KENNEWICK,WA 99331
PHONE: 818-244-6571 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/12/2017 $5,528.71
Class of Work: ALT Type of Const: IIB Plan Review 12/12/2017 $1,382.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/12/2017 $663.45
Stories: Info Process/Archiving-Lg$2.00(over 12/12/2017 $30.00
Project Valuation: 11x17)
$200,000.00 Info Process/Archiving-Sm$0.50(up to 12/12/2017 $17.50
11x17)
Fuel Air Handlers
Fuel Types: Units< 10000 cfm: 2
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: 2
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $7,621.84
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: intake and
Duct Work: 2 relief hood
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 503.23 .1987 or 1.800.332.2344.
Issued By: Permittee Signature:
_�_ � JJJVVV �,v✓f
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 FOR OFFICE LSE ONLI'
City of Ti and Received
g Date/By: r P7 /7 7 / Permit No.: I' [M ao,7-c 33
III 13125 SW Hall Blvd.,Tigard,OR 9723''' '
1111 il Phone: 503.718.2439 Fax: 503.598.1960 Date/By:PlanReview i' 2. \l7 Other Permit:a( c, O/7--606n&
T 1 G ARD Inspection Line: 503.639.4175 Date Ready/By: Juns: la See Page 2 for
Internet: www.tigard-or.gov Notified/Method: 7Jy%/7//1) Supplemental Information
TYPE OF WORK `.'t l CO RJCIAAL FEE* SCHEDULE- USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:93,0(5,D c.O
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling - Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning It. 46.75
Job site address: 1,53,0 s Li N i fi,$05 ! Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: S4,r,(4e
p r .� v o ' „......P.,-0.!402.--
a%3 �(;'�� 9
a � Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: ALJ t) Project name: A-f d-` T 3a e-d �(J.�( 0(.04.s Duct work a23.32
Cross street/directions to job site: 50,A 04) S j,".1.1 15 p`t 4y 1 J tl 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: l klb11 604',r.e$5 C e.N.n-kV' Lot no.: 3
Other fuel appliances:
Tax map/parcel no.: IS 13 LIAA 07-10(_. Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
(k A VIA(1)V'e-• Jo,c4.'ti-- 6%;c Q S ck,v‘.L. ciDo 51,-vac-)-- fireplace 23.32
�� �`t Log lighter(gas) 23.32
°"3 f oovtn • '!�(�4t.c. /t L 9 i 4 00i C.ti`I Wood/pellet stove 33.39
D- Job q* • 6-1-Lt2,J e.Jjo�..,i-cd. �„t,d (a, Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
1TENANT Other: 23.32
0 PROPERTY OWNER X
I Environmental exhaust and ventilation:
Name: 7 1 c.o�n -c, . 0;cl,-, f ✓ Rangehood/otherkitchen
equipment 33.39
Address: /9 1.1 c € Nu✓t.,\,, L...,„42_ J , Ail '1 Clothes dryer exhaust 33.39
City/State/ZIP: R e v.‘0 ^ t,v % at ,Sc. 2 Single-duct exhaust(bathrooms,
7 V v toilet compartments,utility rooms) 23.32
Phone:(1/f)-3 31 - t-t 3 2 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT 0 CONTACT PERSON Other: 23.32
Business name:�� Fuel piping:
x 1�S ` f' Q $14.15 for first four;$4.03 for each additional
Contact name: Ma J` - c L/1 a k Furnace,etc.
Address: 10-2,0-t• Gas heat pump
�1 .4r V - ►n,,-.1e -?c Wall/suspended/unit heater
City/State/ZIP: Se,1�Y'c1L J (.3A 51125- Water heater
Phone:(Lo G )S 4 +.( 9 k D Fax::( / ) 3 Fireplace
E-mail: imez,t 4.. jc,,0145 Range
��.5 a I�e to .�a�/L.� Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 11 A C dn J c Other:
L n q,/-n e v✓ed c/b ;1 moi, MECHANICAL PERMIT FEES*
Address: 6 2 S Se...... Farn.t-wo1v Rd Sy
Subtotal
City/State/ZIP: '/ur C h 4 /e- C4, 9/oZ a / Minimum permit fee($90.00)
/ Plan review(25%of permit fee)
Phone:(e1/6,) c' 2 ) - /6 0 Fax:
( ) State surcharge(12%of permit fee)
CCB lie.: 6 s 5 S s TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature:5,...-....----- 2 Fee methodology set by Tri-County Building Industry Service Board
Print name: S c wvpk,rn-f\.y S.n,p5 eon- Date: 1/11-1 2.0 11.
B \Permits\ME
I:\ uildingC_PermitApp_040113.doc �1 440-4617T(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.
I:\Building\Permits\MEC_PermitApp_040113.doc 2
FOR OFFICE USE ONLY–SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
■IIII Transmittal Letter
r cl;\E<n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: / j DATE i! re I v ` ' j
DEPT: BUILDING DIVISION
JAN 2 3 2.017
FROM: Sq_w"c. v-..\--Lo, S;r. seq CITY OF TIGARD
BUILDING DIVISION
COMPANY: , )Q. c,g
PHONE: . (5 Cs - 514 1- - I `fi tl v BY.Q
RE: b34/O Eco 1V i ry/Su ,4UJ � M p P j 7--00033
(lite Address) (Permit umber
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): ,,: `1 rv�-� r.�.r g l�.o jo )-s
REMARKS:
FOR E USE ONLY
Routed to Permit Technician: Date: z-./ , J17 Initials•�Wa.
Fees Due: 0 Yes g415— Fee Description: Amount sue:
$
$
$
$
Special
Instructions:
Reprint Permit(per PE): 0 Yes 0 No 0 Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions_061316.doc