Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00499
T t C;;1 Rt) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2019
Parcel: 2S 111BCO2600
Jurisdiction: Tigard
Site address: 10490 SW CANTERBURY LN
Project: City of Tigard Subdivision: CANTERBURY RESERVOIR Lot: 7
Project Description: Removing and replacing gas unit heater(like in kind.)
Contractor: REITMEIER MECHANICAL Owner: TIGARD, CITY OF&TIGARD WATER D
19570 SW 90TH CT DURHAM, CITY OF& KING CITY, CITY
TUALATIN, OR 97062 BY TIMOTHY V RAMIS
TWO CENTERPOINTE,6TH FLOOR
LAKE OSWEGO, OR 97035
PHONE: 503-603-0205 PHONE: 503-684-2772
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/17/2019 $194.93
Class of Work: ALT Type of Const: Plan Review 07/17/2019 $48.73
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/17/2019 $23.39
Stories: Info Process/Archiving-Sm$0.50(up to 07/17/2019 $7.50
11x17)
Project Valuation: $4,570.00
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 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 $274.55
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Ouct Work: 'KY
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 by r ling 3.232.1 or 1.80 .332.2344.
Issued By: Permittee Signatur
Call 503.639.4175 by7:00 a.m.for the next available inspection date.
p
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
Received p�
City of Tigard Date/By: 7(1/ / /.i Pl ge-zoi,-(2 _
13125 SW Hall Blvd.,Tigard,OR 97223 w Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 JE ' Date/By: 7_ I �j- ) ') Other Permit:
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: J ': PI See Page 2 for
Internet: www.tigard-or.gov No d/Method: /� / ,/i Supplemental Information
JUL 201 / # ! ,
--.�a' , .�_ ., 1 t :. .., ,., •.'. 9 : F .`Irak
Mechanical permit fees*are based on the val - •.tis-work
❑New construction r&ddltlon/alteratl.} t �` performed.Indicate the value(round... . i - earest�.. )of all
❑Demolition 0 Other: mechanical materials,equipment, and p o it.
, ' t, 4.
aloe � � ea
d,
t#"" 'C'Et�b' 1 r � .' �.1CT_I����_.- ,.,. ���. F�". ", ' it i ail ,��45, ur
0 1-and 2-family dwelling LCommercial/industrial 0 Accessory building For special informaa=
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I otal
, Heating/cooling:
,.-?; '4 .G- . , • z ;'4.1011 b .l 4 r:,,,:',-,-,-,,,-,-:,..,.. " !�, da t,
* a. ` Air conditioning 46.75
Job site address: ( 0 490 'tZ � Z j)/ L Furnace 100,000 BTU(ducts/vents) 46.7.
City/State/ZIP:-7-1 t _ klub to f C ) 2, ----+, v�Furnace 100,000+BTU ducts/vents) 54 •1
Suite/bldg./apt.no.: �! Project name: ,Gi'' LIT//r u Heat pump • .06
__ Duct Duct work 3.32
Cross street/directions to job site: 45.W %/ L.-.•)1/4.1 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. ,F 46.75
Flue/vent for any of above /y. 23.32
�- Other: 23.32
Subdivision: �'®` I Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
; AF GItI *ni -1,: „ Gas fireplacehnsert 33.39
L. ��^ Flue vent for water heater or gas
:41,A,.QJ lett L* :.-)+A5 fireplace 23.32
Ui` Cr- n "t» E - 1 . E_ `� Log lighter(gas) / 23.32
I`� 1 ' 4 �'sk ! Wood/pellet stove /1 33.39
Wood fireplace/insert /£ 23.32
Chimney/liner/flue/vent/ 23.32
"RP " 4t.';'„„ + I11AIN l Other: 23.32
`$ "r - Environmental exha st and ventilation:
. Name: 4 L Range hood/other kite en
gt '2., 5
1, ("� ! equipment 33.39
Address:
i Z k") 1-�-�,„.t. \ vt ,/ Clothes dryer exh.i st . 33.39
City/State/ZIP: 1'( L vkilib01�*" - 13 Single-duct exha t(bathrooms,
I toilet compartm; ts,utility rooms) 23.32
Phone:(.co,.!) t,0r t.1.. '1-'t -4,..,_ Fax:('C4-1,7.-.0) (42E4 2, Attic/crawlspa.-fans 23.32
,,, ''r iii , ;y fri,k , 'e * Other: 23.32
Business name: Fuel •i'inl•
$.4.15 for first four;$4.03 for each additional
Contact name: ma=y" ‘ Furnace, c.
Address: t ` t 46 t.a?•.� C11.0 " I4.:- �S Gas hea pump
Wall/s pended/unit heater
4se
Phone:( ). ) 0 " • Fax::(54. ) 1ekete . C`)IS Oo Fireplace
r Range
E-mail: "{t.� a .kryiLBarbecue
e
OON!' M 4-,,-..,-;, Clothes dryer(gas)
I Other:
Business name: T,
Address: t s L z) 0.1t)1-1-
N. ~.
� ,.,��`""` Subtotal
City/State/ZIP: i le,S 4 e) CMinimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(603 tobS Fax:( ' ) (O ( State surcharge(12%of permit fee)
CCB lic.: ' 3 1 Q TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
` days after it has been accepted as complete.
Authorized SignatuT * Fee methodology set by Tri-County Building Industry Service Board
Print name: .1-0.5c..„<E).„15,4,4 Date: -7-5- I o
I.\Building\Permits\MECPermitApp_040113.doc 440-46171(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 Supplemental Information
Commercial& Multi-Famil Fee Schedule:
4 *„7
F, 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\Permits\MEC_PermitApp_040113.doc 2