Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2020-00128
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: /8/342020
Parcel: 1 S134AD06200
Jurisdiction: Tigard
Site address: 10565 SW NIMBUS AVE 0
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: A
Project Description: Removing and replacing,like for like,rooftop HVAC unit(RTU#11.)
Contractor: REITMEIER MECHANICAL Owner: DIETRICH, NANCY BISHOP
19570 SW 90TH CT ROBINSON, JERRY CHRISTOPHER TRUST
TUALATIN, OR 97062 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE,OR 97222
PHONE: 503-603-0205 PHONE: 503-748-0450
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/06/2020 $850.63
Class of Work: ALT Type of Const: Plan Review 04/06/2020 $212.66
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/06/2020 $102.08
Stories: Info Process/Archiving-Sm$0.50(up to 04/06/2020 $17.00
11x17)
Project Valuation: $29,702.00
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 $1,182.37
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 by calling 503.232.1987 or 1.800.332.2344.
7/T Issued By: 6 Permittee Signature: ate./ �c...rcry-- U
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 Applicatio - FOR OFFICE USE ONLY
City of Tigard Receive 3 2 ,,t ;. ® _/� V
11.. 13125SW Hall Blvd.,Tigard,OR 97223 r: 3 232.0 Plan Review rerJ` fi(�
Phone: 503.718.2439 Fax: 503.598.1960 DateB Other Permit:
y:puv 3.3 -ao
Inspection Line: 503.639.4175 ";a ® See Page 2 for
11GeV:I) �. Date ��� lurk: g
Internet: www.tigard-or.gov L. !') ✓0,2,T4 N fied/Method: >' Supplemental Information
TYPE OF WORK -+ MMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑ New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.A
Value.S h9 7i'f?2,.
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑ Accessory building For special information use checklist.
❑Multi-family Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heatinglcooliog:
Air conditioning 46.75
Job site address: I D 5(p5 S tA) 1\1 I IM b J S Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1.-1(1/g-et, ea, -I Furnace 100,000+BTU(duets/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: ..- I Project name: 5 Lktr..L 5 0 05 t 1s Rfs
5 Duct work 23.32
1 tip
p
Cross street/directions to job site: 1' 'e Li)t K1 (1 S Hydronic hot water system 23.32
^l Residential boiler(radiator or
__-- Iv >,vul0VS t S4..46LA.'S 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: !` I Lot no.:.0--- Other: 23.32 --
Other fuel appliances:
Tax map/parcel no.: ..v Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
(i. a(V 1 U 416- A t< 1« y "t-`a.., 1'.bO�fi1, fireplace 23.32
r L, , 1 _ 1 lI" I. n-,u '' n _ t �,Log lighter(gas) 23.32
��TT V Tt V(pV iGs • K.T� �'��1 Wood pellet stove 33.39
UNIT 1 S a L- t h'.f - 1.14._le...to. `s 14 b+ Wood fireplace/insert 23.32 _
f t r Ghimney/liner/flue/vent 23.32
PROPERTY OWNER • J ❑ TENANT Other: 23.32
r Environmental exhaust and ventilation:
Name: AC �1 ( N 4 Y ^r S Range hood/other kitchen
�I �] ',+ s � equipment 33.39 _
Address: 1 � �,C) i� W AtM •'#J`4,�1 P te,Fy y Clothes dryer exhaust 33.39
City/State/ZIP: /3> .1J_ f jp ) I D02„. ci lvt)'e Single-duct exhaust(bathrooms,
,
toilet compartments,utility rooms) 23.32
Phone:(G p-ei) 1 t4.P - 0 4 E.1 t^a Fax:( ) Attic/crawlspace fans 23.32
[,yi1 APPLICANT 7CONTACT PERSON Other: 23.32
Business name: Q ,��Cr Fuel piping:
s"� t'�IN1 ra.I $14.15 for first four;$4.03 for each additional
Contact name: T ,SejelSii,N1 Furnace,etc.
Address: 1 1 c .7 0 4$vi Wail., dwe,r- t. 10_0 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: 1 JA2.#r' ltJ I v 2.. `J at 1 (.Z Water heater
Phone:( p Fax: Fireplace
x� 3 ) �n.� DOS F ('�03) L. C.? 1 50 Range
E-mail: W`i•{ r=. a s`No{.i '( '- U. , ( r 4 s Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name: pW_ t�M
LeC`4 T t/Vl�.1 fe MECHANICAL PERMIT FEES*
Address: I 9$ b Sta at D T v �► ¢,7*^ I D f� Subtotal
City/State/ZIP: `tj A,* ,,! ,,) Da, q 7 b b 2 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(' 43) 4.61 0 2 0 5 Fax:(a ) to p'ij p I 5.0 State surcharge(12%of permit fee)
CCB lie.: fr C 3. 10 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: 61 a ' * Fee methodology set by Tri-County Building Industry Service Board
Print name: ,fTi ,fd,,'s Date:
I:\Building\Permits\MEC PcmotApp 040113.doc 440-4617T(I 1/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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.
S50,000.01 to S100,000.00 $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.
1:1Building\Permits\MEC_PermitApp_040113.doc 2
City of Tigard
1111 V COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G ARD Building Permit Review — Commercial - No Land Use
Building Permit #: /v&tfo202...0-co`f
Site Address: 10 j(oj ,..c14) d im k5 Suite/Bldg#: ,5
Project Name: itc J? acerar>~�nf
(Name of commercial busine occupying the space. If vacant,enter Spec Space.)
Planning Review �/l
Proposal: e5keF R/ (,n/T
Existing Business Activity:
Proposed Business Activity:
, Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: 0 Yes . . No
9--Zoning: 11/1!>E—a
E Permitted Use: ❑ Yes ❑ No ❑ Spec Space
,..ia Confirm no land use required.
0 Business License:
Exists: 0 Yes 0 No,applicant was provided a business license application
Notes:
Approved by Planning: '��ty - Date: �/�7/U
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal / �
Original Submittal Date: (�
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: Planning 0 Pe r nator Building
Workflow Sign-off: KilS -off for Planning(include notes from planning review)
Route Application Documents: l Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date: 5V.:
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans D=' Tax: 0 Yes ❑ N/A
Tigard Trans S C: 0 Yes 0 N/A
Parks SDC' 0 Yes 0 N/A
❑ OK to Issue Permit
Approved by Permit Coordi ,tor: Date:
1::\Building\Forms\BldgPermit Rvw_CO M_N oLood U se_111819.doc x