Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit #: MEC2011 -00279
13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/17/2011
, g Parcel: 2S102DA00401
Jurisdiction: Tigard
Site address: 13125 SW HALL BLVD PD
Project: City of Tigard Subdivision: BARNUM PARK Lot: 9
Project Description: Replacing (2) 3 ton RTU's.
Contractor: REITMEIER MECHANICAL Owner: TIGARD, CITY OF
19570 SW 90TH CT 13125 SW HALL
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503 - 603 -0205 PHONE:
FAX: 503 - 603 -0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/17/2011 $339.28
Class of Work: ALT Type of Const: Vg Plan Review 06/17/2011 $84.82
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/17/2011 $40.71
Stories: 1 Info Process /Archiving - Sm Sheet (up to 06/17/2011 $5.00
11x17)
Project Valuation: $9,678.00
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 $469.81
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 -00 -0090. You y obtain a copy of the rules
or direct questions to OUN by calling 503.232.1987 .rar
Issued By: � �� '! •e " °e- Si / . 7
Call 5 .41 5 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 ONLY
City of Tigard Received p ermit No.: ,'1
13125 SW Hall Blvd. Tigard, OR 97223 „�- \ 0 DDate /Byi f /6 j°� th .9 V if/-00t?-71
14
' '.: k Plan Review
Phone: 503.718.2439 Fax: 503.598.1960? '.'� Date /By: � / 17( Other Permit:
T I GA R D Inspection Line: 503.639 �� �a c � Q� Date Ready /By: Jas 0 See Page 2 for
Internet: www.tigard - or.gov , Notified/Method: (Dal Supplemental Information
: 2.
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Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alteration/re lacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: ���� mechanical materials, equipment, labor, overhead, and profit.
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❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
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Heat
A cond
Job site address: /3/2 5 5 , i 1 l 6 I vD. (requires site plan showing placement) 46.75
a Furnace 100,000 BTU (ducts /vents) 46.75
City/State /ZIP: riQ �� p og, . Q'7, Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: e.i Project name: P O it G e 5 R /� i. ct as. Heat pump
, (requires site plan showing placement) 61.06
Cross street/directions to job site: CO LA jet_ O'F Ai u / ' loin 1fr Het l 1 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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
g t > . x: si: . .:.:. : :.x,,:: A , ,,, RII ;T N . , :. F .._ V , ..,,, .: : . .,,.: • : - - 6 . R �:: Water heater 23.32
. ;. iCc; ,a :,.::,,D ,.< .:.., w:.\ c: C:, s: kr.:::' 5: �, �a& r ?,..::' \':ckv..:,'; ^::t: ?+: v.:fr.:
Gas fireplace 33.39
/Z ep i ct.c.e: C2) ¶C.-' 0 3 TO ev packet-5P_ c k-A. t T5 la A e. Flue vent for water heater or gas
10"-- /I k e. , fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert . 23.32
,: /liner/flue/vent -
himne 23.32
;.� .:. 23.32
: .... , . : Other:
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State /ZIP: Clothes dryer exhaust 33.39
Phone: ( ) Fax: ( ) Single -duct exhaust (bathrooms,
toilet compartments, utility rooms) 23.32
,.,,x „,.. ,, . _ , . , ::-, .• k : ',,.�<,.,, ,., ttic /crawls ace fans 23.32
.1=�.:.AP LIG , T:, � , .+Ct?N:IPAC"T'> .��• A
Other: 23.32
Business name: 2.e lTblmele.w... P1 eck L. #L Fuel i in
P g:
Contact name: So$ CI e V eta 4 $14.15 for first four; $4.03 for each additional
Furnace, etc.
Address: /9570 Sty go th CO 0 , 43 .
Gas heat pump
City/State /ZIP: feAa i0. , 0 A , Cl 7 324 Wall/suspended/unit heater
Phone: (503 ) 603., a Z O 5 Fax:: ( 5 0 3 ) *1 (03- 0/J50 Water heater
Fireplace
E-mai
go& C 1€ u of o 'O a L e t17h ea e".m a cd.a...• a ea./ • Co" Range
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te Barbecue
Business name: 5-Q M.e apt" 1 e "47 Other:
dryer (gas)
• Other:
Address. :,.,;:..<, <..,.:
.: <MECHA2��CAL:.PZa >:1FEtS::.. ^a <aR:< >:;;::r< >:;,:;:;:
City/State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 1 53776-
State surcharge (12% of permit fee)
TOTAL PERMIT FEE . 7, 81
Authorized signature This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name. C di-- -- � Date: ,/ 5/i i * Fee methodology set by Tri-County Building Industry Service Board
I:\ Building \Pertnits\MEC - PermitApp.doc 09/09/10 440 - 4617T (I1 /02 /COM/WEB)