Permit (2) CITY OF TIGARD MECHANICAL PERMIT
I. COMMUNITY DEVELOPMENT Permit#: MEC2019-00757
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2019
Parcel: 1 S 134AA02100
Jurisdiction: Tigard
Site address: 10340 SW NIMBUS AVE NA
Project: Titan Supply Group Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: New ducting,grills,and t-stats.
Contractor: ARJAE HVAC AND MECHANICAL SERVICES LLC Owner: DIETRICH, NANCY BISHOP
8545 SE MCLOUGHLIN BLVD ROBINSON, JERRY CHRISTOPHER TRUST
MILWAUKIE, OR 97222 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-231-7717 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/29/2019 $500.11
Class of Work: ALT Type of Const: Plan Review 10/29/2019 $125.03
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/29/2019 $60.01
Stories: Info Process/Archiving-Lg$2.00(over 10/29/2019 $2.00
11x17)
Project Valuation: $16,000.00
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 $687.15
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: T-stats
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 (Venn a copy of the rules
or direct questions to OUNC b calling 503. 32.1987 or 1 10.33 2344. /
Issued By: - Permittee Signature:
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 Applic .71.i FOR OFFICE USE ONLY
City of Tigard n Date/B: (C�lZ��7 P-�.." 0L2 00
14 13125 SW Hall Blvd.,Tigard,OR 9722D C j 2 '' 2019
Date/By:
�� Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �•t �,/ ��) 2
4 � ✓��J,2,
'f 16„:1-,.1, Inspection Line: 503.639.4175 C1T`r Date Ready/By: turfs: See Page 2 for
Internet: www.tigard-or.gov BU1LD1E4;:� l., i Notified/Method: Supplemental Information
1 iii' t . i0id'f :, ‘111-2..r1',I _
Me
❑New constructs,:; I.: Addition alteration,replacement performed. Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
,. value $ 16,000
C'1 ORN. OF C'O\5TRI, TIOV — RESIDES II 11AL t<Q1IPNIt:A'1 51'61 F\1+1 L C6
0 1-and 2-family dwelling e Commercial industrial 0 Accessor,bathnitdmg For special tr(tormatioi use cherI1ist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
,:(II: SLIT., I\FORMI1l'3t), CN)7 LOC 1ItO1 Heating/cooling:
Air conditioning 46.75
Job site address:10340 SW NIMBUS AVE. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland OREGON Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
- .ldg./apt.no.:N-A Project name:TITAN SUPPLY
Duct work 23.32
Cross street/directions to job site: 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: Other: 23.32
Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
(WS(RD'/10\ Of 's OW& Gas fireplace/insert 33.39
Flue vent for water heater or gas
NEW DUCTING, GRILLS, T-STATS fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
❑ t'itbi't-Ill' OW''s k 1I 0 TLN:v.N F
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( I Attic/crawlspace fans 23.32
>4 O l'I,it k\I ❑ 1.'t)\I ti. 1 .'Flt's[)"V Other: 23.32
Business name:
Arae Sheetmetal Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:David Scheuermann Furnace,etc.
Address:8545 SE Mcloughlin Blvd. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Milwaukie, Or 97222 Water heater
Phone:( )5032317717 Fax: :( ) Fireplace
Range
E-mail:permits@arjae.com Barbecue
CO\CR X('TOR Clothes dryer(gas)
Business name:**Same as above**
PtR111I
. \lLCIt151C FEES'
I;
Address:**same as above** Subtotal
City/State/ZIP:**same as above** Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( )**Same as above** Fax:( ) State surcharge(12%of permit fee)
CCB lie.:224490 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature7: �a.(Aed 3 i i * Fee methodology set by Tri-County Building Industry Service Board
Print name: David Scheuermann Date:10/29/19
I-,Building\Permits\MEC_PemritApp_040113.doe 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:
S0.00 to$500.00 Minimum fee S69.06
S500.01 to S5,000.00 $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 S50,000.00 $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:\Bui(ding\Permits\MEC_PennitApp_0401 13.doc 2