Permit •
ip CITY OF TIGARD.
MECHANICAL PERMIT
"~ COMMUNITY DEVELOPMENT Permit #: MEC2012 -00594
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/28/2012
Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10220 SW NIMBUS AVE K4
Project: Scholls Business Park - Building K Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: Replace 2 -Ton RTU from side discharge to downshot with factory curb.
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Contractor: REITMEIER MECHANICAL Owner: HANSON, RONALD D
19570 SW 90TH CT ROBINSON, CONSTANCE A
TUALATIN, OR 97062 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK, WA 99331
PHONE: 503 - 603 -0205 PHONE:
FAX: 503 - 603 -0150
FEES
Specifics: .Description Date Amount
Type of Use: COM Permit Fee 11/28/2012 $280.27
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Class of Work: ALT Type of Const: IIIB Plan Review 11/28/2012 $70.07
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 11/28/2012 $33.63
Stories: 1 Info Process /Archiving - Sm $0.50 (up to 11/28/2012 $9.00
Project Valuation: $7,511.00 11x17)
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 $392.97
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC bb •ng 503.232.1987 or 1.800.332.2344.
Issued By: j 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 ApplicaAnc EIVED FOR OFFICE USE ONLY
Received �, � r ,
City of Tigard Date /By: 1 /Q s / /��
Permit oyie---caO /2 DD5-99.
. . 13125 SW Hall Blvd.. Tigard. OR 97223 Plan Revi • s I '" Phone: 503.718.2439 Fax: 503.598.1960 N O V 1 9 201Z D ale /By: A/r�� ,..4 ' t R1 Permit:
1-1.6..,, LW Inspection Linc: 503.639.4175 Date Read 7 Jura' ® See Page 2 for
Internet: www.tigard or.gov CITY OFTIGARD Notified /Method: f l( al ((ZSr --T7 , Supplemental Information
BUIa1LDING� �i IISSION � Ct. u4 f4.o.
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* arc based on the value of the work
❑ New construction Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
mechanical materials. equipment, labor, overhead, and profit.
❑ Demolition ❑Other:
Value: $ •7SII
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1- and 2- family dwelling commercial /industrial ❑ Accessory building For special information axe checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATIO Heating/cooling:
Air conditioning
Job site address: (420 St, N I PAS / � 2 A 7 (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZIP: pP_tLAa6 f p (L 0 177 23 Furnace 100.000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name:S'it S V� V Heat pump
�\ (requires site plan showing placement) 61.06
Cross street/directions to job site: &k J I ` s G /AA 0,143.4) r J Duct work 23.32
r y 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:
DESCRIPTION OF WORK Water heater 23.32
�n Gas fireplace /insert 33.39
47L-I t.E 2 T el,J F p -fl.) t f'1�/kt4 Flue vent for water heater or gas
) , 5 Ct���c ` ax„ ) S1- 0 fireplace 23.32
�1 7 , 1 Log lighter (gas) 23.32
tJ/ ekur-04._ (A Wood /pellet stove 33.39
1 Wood fireplace /insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: .I. 11 OE,c S Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Fax: Single -duct exhaust (bathrooms,
Phone:
( ) ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: D e , T ,,„ 7 ,, rU L � 4 _,,,, `A . . Fuel piping
Contact name: C n.._.� � $14.15 for first four; $4.03 for each additional
Address: (41)7b Stn] c - — Furnace. etc.
Gas heat pump
City /State /ZIP: 60-j 1—',.) . �.� - \ t 9 (L q30 D P 2_ -7 5o� � Wall /suspended/unit heater
Phone: ( 60-j f man I—
� " � . Fax: : (5 ' ' c ' 3 p1 co Water heater
`�' J 1- Fireplace
E- mail: . L,, .._ Hk , •ti� x,GrVl...4.tJ��.• s caw. Range
CONTRACTOR Barbecue
,� 2 Clothes dryer (gas)
Business name:
l (?YS N6O Vt." Other:
Address: 1%I ECHANI CAL PERMIT Y VES* '
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fcc)
CCB lie.: I s 0 State surcharge (12% of permit fee)
V TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Pri r ame: / 4 LrLV Date: 1( i Fee methodology set by Tri- County Building Industry Service Board
1: \building \Pe its \MCC - per =pp.d 03/p7
i �oc 03/57112 ' 0 � 0 � �� 0- 4617T(II /02 /CO ' �� // ' w y
Kl \ i ®�L7 (r(i 3 S77 fr