Permit U CITY OF TIGARD MECHANICAL PERMIT
``! � COMMUNITY DEVELOPMENT Permit #: MEC2009 -00104
Date Issued: 04/08/2009
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S102DA00800
Jurisdiction: Tigard
Site address: 13335 SW HALL BLVD
Subdivision: Lot: 0
Project: Fanno Creek House
Project Description: Replace furnace.
Owner: FEES
TIGARD, CITY OF Description Date Amount
13125 SW HALL BLVD Permit Fee 04/08/2009 $255.80
TIGARD, OR 97223 Plan Review 04/08/2009 $63.95
PHONE: 12% State Surcharge 04/08/2009 $30.70
Contractor:
RINU
19570 SW 90TH CT
TUALATIN, OR 97062
PHONE: 503 - 603 -0205
FAX: 503 - 603 -0150
Type of Use: COM
Class of Work: ALT Type of Const: VB
Occupancy Grp: R -3 Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue 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: 1
Appliances
Vent Fans: Vent Systems: Total $350.45
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 - 001 -0100. You may obtain a copy of the rules
Issued By: S C9, k Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 r , ECFIVEr FOR OFFICE USE ONLY
City g of Ti and Received
MAR 1 3 2009 Date /By: 3. 13 -Q c Permit No.: rn € . 7x •pe)t
Q
e 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie
• :.. Phone: 503.639.4171 Fax: 503.598.1960 Date /B l t ( • �° Other Permit
Inspection Line: 503.639.4175 CITY OF TIGARD jay � .
TIGARD ��/± �/ �+ D ate Rea. :y: 0 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVIJI ®I� Notified/Method: LI 7 . 6w , , ' Supplemental Information
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I'YI'E >;;.OE��WO ' s. ° OMMERCIAI, °FEE.- ...SCHEDU E — `'tTSE' =GHECI{LISTa
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❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
a . . ; _ p y : Value: $ $11,759.00
k CATEGORY °OFACONSTR OPT ' `
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�<<RE I t 4:45 :* _ SYSTEMS FENS* e; ,,
01- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building _ « °° " "" '' T ° `' "w' '< " ° - "'r 'V = - v 'r' v.
For special information use checklist.
❑ Multi- family ❑ Master builder . ❑ Other: Description I Qty. Ea. Total
V MOB' 51Ttgl4EOR117Aifid . AND LOCA'I'iONr ; -�;-
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_ �`� ` "`' Heating/cooling
Air conditioning or heat pump
Job site address: 13335 SW Hall Blvd (requires site plan showing placement) 14.00
City/State /ZIP: Tigard, Oregon 97223 Furnace 100,000 BTU (ducts /vents) 14.00
Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg. /apt. no.: Project name: Fanno Creek House
Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
• Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
��;�? ' ? _ ' ?���.`"° < Water heater 10.00
.. N .;: DES ',TI TION MOF WQRKFX I ° `0:_ 0r, *-;
Gas fireplace 10.00
Replace existing furnace with new high efficiency furnice with cooling coil Flue vent for water heater or gas
and condensor. Replace existing flu with concentrik kit fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
. e . .,..... ._:�, 7 , ; ., himne /liner /flue /vent 10.00
['RHIPERTX t:1WNER 4 ' ' `A `' i :TENANT.,
ate `• 3.� , ., .x_ ,, ,, ,m•Y `. t -, ,.iu_ °r.' a: " .,_., tFP 10.00
°� <.. Other:
Name: City of Tigard Environmental exhaust and ventilation
Address: 13125 SW Hall Blvd Range hood/other kitchen
equipment 10.00
City/State /ZIP: Tigard, Oregon 97223 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
zwi_ z‘W- ' ' ace fans 10.00
®: APPLICANT ®:ON't' CI' P >ERSON<:: F; Atti /crawls P
Other: 10.00
Business name: Reitmeier Mechanical Fuel r m
P g
Contact name: Matt Rogers $5.40 for first four; $1.00 for each additional
Address: 19570 SW 90 Court Furnace, etc.
Gas heat pump
City/State /ZIP: Tualatin, OR 97062 Wall/suspended/unit heater
Phone: (503) 603 -0202 Fax: : (503) 603 -0150 Water heater
Fireplace
E -mail: matt .rgers @reitmeiermechanical.com Range
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:.. ` : n> = =.u. ; -r • - y ; V ' & Barbecue
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Business name: Reitmeier Mechanical R. ■ NU 1 N C Clothes dryer (gas)
Other:
Address: 19570 SW 90 Court Mii 141E PER FEES' ", <'
City/State /ZIP: Tualatin, OR 97062 Subtotal
Phone: (503) 603 -0205 Fax: (503) 603 -0150 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lie.: 153770 12 . 2_00 • `O State surcharge (12% of permit fee)
�1 TOTAL PERMIT FEE
/4.---F., This permit application expires if a permit is not obtained within 180
Authorized si gn /� /// � ature: ((�. days after it has been accepted as complete.
Print name: Matthew Rogers Date: 3/13/09 * Fee methodology set by Tri -County Building Industry Service Board
I:\ Building \Permits \MEC- PertnitApp.doc 01/19/07 440- 4617T(I1/02 /COM/WEB)