Permit (58) •
CITY TIGARD MECHANICAL PERMIT
PERMIT #: MEC2005 -00794
j DEVE H BM r So R9 2CES -639 -4171 DATE ISSUED: 12/2/2005
PARCEL: 2S 115AB -01900
SITE ADDRESS: 16200 SW PACIFIC HWY I ZONING: C -G
SUBDIVISION: TIGARD TOWNE SQUARE LOT: JURISDICTION: TIG
Project Description: Replace 3 ton gas pack like for like. $5688.00
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 1 AIR HANDLING UNITS
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
HARSCH INVESTMENT PROPERTIES Description Date Amount
1121 SW SALMON ST.' [MECH] Permit Fee 12/2/200: $88.60
PORTLAND, OR 97208 [TAX] 8% State Surchar€ 12/2/200E $7.09
Phone: Total $95.69
Contractor:
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REITMEIER MECHANICAL INC
7051 SW SANDBURG ST STE 400 REQUIRED ITEMS AND REPORTS
TIGARD, OR 97223 -8011
Phone: 603 - 0205
Reg #: LIC 153770
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: Permittee Signature:
Call 503 - 6394175 by 7:00 a.m. for inspections that business day.
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 °Per F () IZ 01.11(1.: l JL ()NIA
City of Tigar ® . w a Q5
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
Phone: 503.639.4171 Fax: 503.598.,I,�6 Date/By. Other Permit:
Line: 503.639.4175 (JCL ®2 200 1 -
Internet: www.ci.figard.or.us
. :. - �e Ready/By. ®See Page 2 for
CITY OF TIGARD Notified/Method: l Supplemental Info
BUILDI OJ�IISIC)N V
BULL Q a
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ 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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ S 4223$;;; ,
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling g Commercial/industrial ❑ Accessory building
❑ Multi - family ❑ Master builder ❑Other; For special information use checklist.
Description I Qty. I Ea I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: / t0 Z 00 S.W. Y Air conditioning or heat pump
A4 I L )� V (requires site plan showing placement) 14.00
Furnace 100,000 BTU (duets/vents) 14.00
(7:A4.0 t m e Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg./apt. no.: Q A/c I Project name:
Gas heat pump I 14.00
Cross street/directions to job site: Duct work 14.00
/
`� ' / , Hydronic hot water system 14.00
DuAl/,4M P/1-cu Cc- / t,O y • Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.:
Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
n i - Gas fireplace 10.00
rep /.ace 3 roll CA 5 PAckhr- k./.2,51
t 1
-t Flue vent for water heater or gas
fireplace 10.00
— Like # L k e - Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
❑ PROPERTY OWNER l ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: HA4 sz.ti /N11s,4fMeN ' P/Q,¢/} ` o{(I e 5 Environmental exhaust and ventilation
Address: 112 W . 5 / ,r„ �� V /" equipment d/other kitchen 10.00
4 /J
City /State/ZIP: ,t J 7 o. . 9/ . p 8 Clothes dryer exhaust 10.00
F �A i Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ® CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: - - 10.00
Fuel piping
Contact name: 7) / c.`t /41'44 $5.40 for first four; $1.00 for each a dditional
Address: Furnace, etc.
Gas heat pump
City / State/ZIP: co/ Wall/suspended/unit Wall/suspended/unit heater
Phone: ( SD F ,577.- S 33 T I Fax:: ( ) Water heater
Fireplace
E-mail: Range
CONTRACTOR Barbecue
Business name: f G / E,Z ME.tilit A)/ GA Clothes dryer (gas)
Other:
Address: 7051 / 5u) S/0403 ‘..i.S(.Gt Sc-L.A Q. 116 0 MECHANICAL PERMIT FEES*
City / State/ZIP: 77 QQ4 I / 0` � ,Z Z 3 Subtotal
Minimum permit fee ($72.50)
Phone: 3) !0c3 - b ZCi 5 F ax: foil 6.0 0/-50
Plan review (25% of permit fee)
CCB lic.: / 53 770 State surcharge (8% of permit fee)
049.414/"-- 'u perm w TOTAL PERMIT FEE 95: (py Authorized signature: This app li c ati empires if a permit is not obtained within 1dd0
days after it has been accepted as complete.
I Print name: 0tr T 2, I Date: j ' , z — O s
• Fee methodology set by Tn County Building Industry Service Board
i:\ Building\PenninVMEC- PermitApp.doc 12/03 410-4617T (I1 /02/COM/w®)
Mechanical Permit Application - City of Tigard J - � �$
Pagel - Supplemental Information '
Commercial Fee Schedule:
Total Valuation: Permit Fee: 7a • Go
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 11,10
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and G p . I „�
$1.80 for each additional $100.00 or 00 �"
fraction thereof, to and including /7 -0 Q . 1
$10,000.00. / /
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or n
fraction thereof to and including 9
5. V'
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or
fraction thereof to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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i:\ Building \Permits\MEC- PermitApp.doc 12/03 2
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-00794
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /212/2005
Phone: (503) 639 -4171 v �9py 8111
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/20/2005 TIME: 7:30AM PAGE: 45
SITE ADDRESS: 16200 SW PACIFIC HWY I CLASS OF WORK:
SUBDIVISION: TIGARD TOONE SNARE LOT #: TYPE OF USE: •
PROJECT NAME: GNC
DESCRIPTION: Replace 3 ton gas pack like for like. $5688.00
OWNER: HARSCH INVESTMENT PROPERTIES, PHONE #:
CONTRACTOR: REITMEIER MECHANICAL INC PHONE #: 603 -0205
Inspection Request Scheduled For: Date: 12/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 023739-01 503-603 -0205 N
Corrections/Comments/Instructions:
Ay r . 4 ‘4 1 11r A. '
.■1111 —.I .'A . 41 I --Alibi.
PASS • '. l APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ / 2g-ZIC)‘ '(— Inspect. : ' te: hone #: (503) 718-
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