Permit a CITY OF TIGARD MECHANICAL PERMIT
111 it - COMMUNITY DEVELOPMENT Permit #: MEC2010 00686
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/28/2010
Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B11
Project: Horiba Subdivision: SCHOLLS BUSINESS CENTER Lot: 0
Project Description: Relocate condenser and coil for clean room.
Contractor: REITMEIER MECHANICAL Owner: ROBINSON, CONSTANCE A &
19570 SW 90TH CT ROBINSON, LYNN ET AL
TUALATIN, OR 97062 BY KG INVESTMENT MGMT
10240 SW NIMBUS AVE #L3
PORTLAND, OR 97223
PHONE: 503 - 603 -0205 PHONE:
FAX: 503 - 603 -0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/28/2010 $235.31
Class of Work: ALT Type of Const: Plan Review 12/28/2010 $58.83
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/28/2010 $28.24
Stories:
Project Valuation: $5,948.00
Fuel Air Handlers
Fuel Types: Units < 10000 cfm: 1
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 $322.38
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Condenser
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, k is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility tification Ceri -r. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules
or dire t questions to OU , by . I . 503.232.1987 or 1.800.332.2344.
Issued y: / ` // 0 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 ApplicationR CEIVED FOR OFFICE USE ONLY
Rece ived
City /¢ ,Z(� / I PennitNo
Ihi .., tY of Tigard DateBy: tG�a /D 8 �
y 13125 SW Hall Blvd., Tigard, OR 97223 DEC 2 8 ?010 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: -4 - at . Other Permit:
T I GA RD Inspection Line: 503.639 CITY OF TIGARD Date Ready/By: runs: ® See Page 2 for
Internet: www.tigard- or.gov BUILDING DNISIO Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollal) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $5,948.00
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: J /(SSW Nimbus Ave (requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: B -// Project name: Horbista Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
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
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
Relocate Condenser and Coil for clean room. Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
Chimney /liner /flue /vent 23.32
❑ PROPERTY OWNER ® TENANT Other: 23.32
Name: Horbista Environmental exhaust and ventilation
Range hood/other kitchen
Address: 10180 SW Nimbus Ave equipment 33.39
City /State /ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: Reitmeier Mechanical Fuel piping
Contact name: Matt Rogers $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: 19570 SW 90 Court Gas heat pump
City /State /ZIP: Tualatin, OR 97062 Wall /suspended/unit heater
Phone: (503) 603 -0205 Fax: : (503) 603 -0150 Water heater
Fireplace
E -mail: matt .rogers@reitmeiermechanical.com Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: Reitmeier Mechanical -
Other:
Address: 19570 SW 90' Court MECHANICAL PERMIT FEES*
City /State /ZIP: Tualatin, OR 97062 Subtotal
Minimum permit fee ($90.00)
Phone: (503) 603 -0205 Fax: (503) 603 -0150 Plan review (25% of permit fee)
CCB lic.: 153770 �,� o / State surcharge (12% of permit fee)
(� TOTAL PERMIT FEE U • re
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name: Matthew Rogers Date: 12/27/10 • Fee methodology set by Tri - County Building Industry Service Board
l:\ BuildinskPermits \MEC- PermitApp.doc 10/0I/09 440- 46t7T(11 /02/COM/WEB)
Building Division
Over- The - Counter (OTC) Mechanical Permit
T1GAD° Check List
Description of Project: _ � r ce- t-
GENERAL INFORMATION
Class of Work:* Floor Furnace: Evap. Coolers:
Type of Use:* Unit Heaters: Vent Fans: •
Occupancy Group: Vents w/o Appl.: Vent Systems:
Stories: Boilers, Comp, Heat Pump, A /C: Hoods:
Fuel Types: 0 - 3 HP: Domestic Incinerator.
ELC / GAS / NG / OIL / OTHER 3 - 15 HP: Com. /Ind. Incinerator.
. Max Input BTU: 15 - 30 HP: Repair Units:
Fire Dampers: 30 - 50 HP: Wood Stoves:
Gas Pressure: H / M / L >50 Hp Clothes Dryer.
No of Units: Air Handling Units: Other Units:
Furnace <100k BTU: <_10,000 CFM: Gas Outlets:
Furnace >_100k BTU: >10,000 CFM: r( ,
Notes:
INSPECTIONS I I FEES DUE
Post /beam mechanical $ Permit Fee
Gas line $ State Surcharge
Mechanical rough -in $ Plan Review Fee
Fire damper $ Additional Permit Fee
Duct work $ Additional Plan Review Fee
Smoke detector $ Investigation Fee
Investigation inspection $ Misc. Fee
Misc. inspection $ Hourly Rate Fee
Final inspection $ Hourly Rate State Surcharge
•
$ Total Fees Due •
I OTHER PERMITS REQUIRED
Building Electrical
Plumbing Site Work
*OPTIONS:
TYPE OF USE: COM = commercial; CMS = commercial manufactured structure.
-CLASS OF WORK ACS = accessory; ADD = addition; ALT = alteration; FND = foundation; DEM = demo;
FND = foundation; FPS = fire protection system; NEW =.new; OTR = other (use for fences, decks, retaining walls, signs, awnings
. • or canopies); REP = repair.
•
I: \Building\Forms\OTC- MEC.doc 09/22106