Permit (19) CITY OF TIGARD MECHANICAL PERMIT
14 COMMUNITY DEVELOPMENT Permit#: MEC2019-00100
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/21/2019
T r C ;k t:.Dg Parcel: 1S136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY E
Project: Baskin Robbins Subdivision: None Lot: None
Project Description: Pressure test exiting gas line for new meter to be set. Existing BTU's size are 3 and 4 ton. Gas line is 1".
Contractor: REITMEIER MECHANICAL Owner: PACIFIC CROSSROADS PROPERTIES IN
19570 SW 90TH CT BY WYSE INVESTMENT SERVICES CO
TUALATIN, OR 97062 810 SE BELMONT ST#100
PORTLAND, OR 97214
PHONE: 503-603-0205 PHONE: 503-595-9686
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/21/2019 $90.55
Class of Work: ALT Type of Const: VB Plan Review 02/21/2019 $22.64
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 02/21/2019 $10.87
Stories: Info Process/Archiving-Sm$0.50(up to 02/21/2019 $1.00
11x17)
Project Valuation: $1,200.00
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 $125.06
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 .y calling 503.23 •87 or 1.800. 32.2344. r n
Issued By: . ��i: rmittee Signature: f.
✓/i ��/A/L/�/ /1
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 USE ONLI'
City of Tigard Date/By:Received
02 , `',,! ' C,o/9�Ul-2V
13125 SW Hall Blvd.,Tigard,OR 97223 , n Revie
la
Phone: 503.718.2439 Fax: 503.598.1960 te/By: 7 .
T I( A]t D Inspection Line: 503.639.4175 Other Permit:
Date Ready/By- 4 Auris: ® See Page 2 for
Internet: www.tigard-or.gov
FEB 2 ® 2019
O 1 t1 ' 'fied/Me.' _�, + Supplemental Information
,:` 4 i &€€ * 1 ; amu:'' , -414 9' t;, !, r ,,. v a <
❑New construction °
Mechanical permit fees*are based on the value of the work
®Addition/alteratio irf ° " ' performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
�.. . ' t„. , Value:$$1200
' �ro ` r =
El1-and 2-family �_ u
dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty I Ea. I Total
* E � + f t Heating/cooling:
�r ...os,. ` s ,., ...'- Air conditioning 46.75
Job site address:11705 SW Pacific Hwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR ell-u3 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:E I Project name:Baskin Robbins Heat pump 61.06
Duct work 23.32
Cross street/directions to job site:Pacific Hwy&SW Dartmouth 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
,; 4 , c e Gas fireplace/insert 33.39
Flue vent for water heater or gas
Pressure test exisitng gas line for new meter tto,be stet_. .Xs�'. tc fireplace 23.32
COU, (Aire, -Aic� `I `hal, C-1G.S `.AN. $S Log lighter(gas) 23.32
1 1; — Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
E Other:
e t ,, y 23.32
. i
Environmental exhaust and ventilation:
Name:Wyse Real Estate Advisors Range hood/other kitchen
— equipment 33.39
Address:810 SE Belmont,Suite 100 Clothes
dryer exhaust 33.39
City/State/ZIP:Portland,OR 97214 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)5959686 Fax:( ) Attic/crawlspace fans 23.32
7 M . Ai-4047A ane t Other: 23.32
Business name:Reitmeier Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Luke Rappe Furnace,etc.
Address:19570 SW 900i Court,Suite 100 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tualatin,OR 97062 Water heater
Phone:(503)5778318 Fax::( ) Fireplace
Range
E-mail:luke.r@reitmeiernw.com Barbecue
Ar
i 01 Clothes dryer(gas)
Business name:Reitmeier Other:
Address:19570 SW 90"'Court,Suite 100 0&-4 igwit*"" ''"
Subtotal
City/State/ZIP:Tualatin,OR 97062 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)603-0205 Fax:(503-)6030150
State surcharge(12%of permit fee)
CCB lie.:153770 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: IL_ * Fee methodology set by Tri-County Building Industry Service Board
Print name:Luke Rappe Date:2/18/2019
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)