Permit (46) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019 00030
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/15/2019
Parcel: 2S102DA00401
Jurisdiction: Tigard
Site address: 13125 SW HALL BLVD
Project: City of Tigard-City Hall Subdivision: None Lot: None
Project Description: Relocating duct work and grills.
Contractor: REITMEIER MECHANICAL Owner: TIGARD, CITY OF
19570 SW 90TH CT 13125 SW HALL
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503-603-0205 PHONE: 971-808-8897
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/15/2019 $99.76
Class of Work: ALT Type of Const: Plan Review 01/15/2019 $24.94
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/15/2019 $11.97
Stories: Info Process/Archiving-Sm$0.50(up to 01/15/2019 $3.50
Project Valuation: $1,500.00 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 $140.17
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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 1.8013_32_2344.
Issued By: Signature:
Call 54 .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 USE ONLY
City of Tigard Received !,
Date/By: I Permit No.: 6-
!PI II 13125 SW Hall Blvd.,Tigard,OR 97223 ' t, wt,5 ` j �� `
a Phone: 503.718.2439 Fax: 503.598.196 $ Plan Review
Date/By: Other Permit: /,.),0
Y Ir1I '/ 1)27
T I C;A R U Inspection Line: 503.639.4175 Date Ready/By: Juris: B. See Page 2 for
Internet: www.tigard-or.gov IA N I 4 2 rd I Notified/Method: Supplemental Information
TYPE )F'Vvdi ry o 11��1i-il,� u, COMMERCIAL FEE* SCHEDULE- !JSECHE&LIST
1,.11)L1.?! 1 rirtim r R Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteratllorepacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition Other: mechanical materials,equipment,labor,overhead and profit.
` Value $ / S
v ,, ' � CATEGORY OF CO�N ON I� LEf .� �f`/S
Y$' a6 -. ES
t' �
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
XJOB SITE INFORMATION AND +i trti Heating/cooling:
J,,-..,„,:.k.',.... • Air conditioning 46.75
ob site address: I 31 2 5 ..5 uJ J..., ez*p., , '"- Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '"•11 D"La #2.0Z, I, Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: """' Project name: ( Heat pump
Duct work 61.06
23.32
�
Cross street/directions to job site: A Vii,. 1., i0 B 0 A.A."... 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
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DES ii o WORK ""` M Gas fireplace/insert 33.39
s ,''"t ''n " `` y -" ''` : " '''y� �'q Flue vent for water heater or gas
Moll.) t'V 1.(.�(.. `1� ' ) �) fireplace 23.32
Log lighter(gas) 23.32
`�` _Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
..: ,. P ; Other: 23.32
3',.._ - „PROPERTY O - _ :; N-'?T - '' Environmental exhaust and ventilation:
Name: i.Scry ""'1"' Range hood/other kitchen
equipment 33.39
Address: \ ad, ( " , eS '15 IA) 4 Ai.,C Clothes dryer exhaust 33.39
City/State/ZIP: 111.71 D n 2. 'S Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) .,,.,9r;--... Fax:( -• ) ^^---- Attic/crawlspace fans 23.32
4„;... ,-..a 117 N ICAN1 L .1* 4ONTACT PE'iN s Other: 23.32
Fuel piping:
Business name:
Contact name: ��:. c7.14/4 Sw Furnace,etc.
$14.15 for first four;$4.03 for each additional
Address: 1 Ci 5?b S>� Ci t"r .. J ""'""' Gas heat pump
P
`y Wall/suspended/unit heater
City/State/ZIP: .rij$47:„..... 71 } C)'1 A' 7_ Water heater
Phone:(07,': •;) .0 -2 0 Fax:: Fireplace
E-mail: ��*� Range
u1/47-) � � ± u:) CVA."... Barbecue
. .. ., N r.. ONTRA 'ORM : ._.. r .f Clothes dryer(gas)
Other:
Business name: £. _itt.&.Afr_ti.t2_.. MECHAiyICAE`I,* TSES*
.
Address: 19 S I a tvJ 01,V5 .,. Obty2„„rm Subtotal
City/State/ZIP: To AtAfer IA) , b .,, 0`"715 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:503) Cr/ Fax:(r 3 ) (0%7> 4=1 t State surcharge(12%of permit fee)
CCB lie.: 15 j-77 O TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
(4 Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board"
Print name: T somq Date: \ - (S- I
I:\Building\Permits\MEC_PermitApp_040113.doc 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: %t
$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\Pernuts\MEC_PermitApp_040113.doc 2