Permit CITY OF TIGARD MECHANICAL PERMIT
11111 a .. COMMUNITY DEVELOPMEN Permit #: MEC2013 00053
TIGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/28/2013
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10170 SW NIMBUS AVE H5
Project: Neo Focal Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: Replace RTU - No heat!
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 01/28/2013 $319.61
Class of Work: ALT Type of Const: Plan Review 01/28/2013 $79.90
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 01/28/2013 $38.35
Stories:
Project Valuation: $9,000.00 -
Fuel Air Handlers
Fuel Types: Natural Gas 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 $437.86
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 by calling 503.232.1987 or 1.800.332.2344.
Issued By: `.. ,/ , /i ■ G Permittee Signature: ,C
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.
1
Mechanical Permit A licati CEI1,E
1 ! Received
City of Tigard
Y Date Revie A ,� Permit No.: 5 .. 5
- 13125 SW Hall Blvd.. Tigard. OR 97223 Plan Review
1 IV- r. Phone: 503.718.2439 Fax: 503.598.1960 JAN 2 4 2013 Date /By: / t 1 " _ LA _ 1'3 Other Permit:
� I
Linc: 503.639.4175
T 1 i �, I>, Inspection Datc Rcady/B}': Juris: 0 Sec Page 2 for
Internet: www.tigard- or.gov CITY OFTIGARD Notified/Method: i j_W1 /3 < 1- r i V Supplemental Information
TYPE OF WORK iO,MMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
El New construction Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
El Demolition El Other: mechanical materials. equipment, labor, overhead, and profit.
Value: S Cefa
CAT, OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2- family dwelling C ommercial /industrial El Accessory building For special information use checklist.
El Multi - family ❑ Master builder El Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating /cooling:
Air conditioning
Job site address: 16 ) r
1 1 t C N; t b & (requires site plan showing placement) 46.75
l/ s v } � , v Furnace 100.000 BTU (ducts /vents) 46.75
City /State /ZIP:
c144.1...,,1/4,...; , Q` '( 1 - -- 11 2---2; Furnace 100.000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: N.6 Project name: ' t !? V[ ��L Hcat pump
� (re qu i res site plan show placement) 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
Subdivision: I 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
Le Gas fireplace /insert 33.39
Flue vent for water heater or gas
fireplace 23.32
- / - Log lighter (gas) 23.32
Jul J 4_5 /� Wood /pellet stove 33.39
T \\\/// Wood ftrcplacc /insert 23.32
ID PRO .. Ty OWNER f ❑ TENANT
23.32
Other: 23.32
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
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Other: 23.32
�1 ,1 ' k 4 t %- Fuel piping:
Contact name: J �:.1ti� $14.15 for first four; $4.03 for each additional
Address: I fit& 7 Sit 9 - c Furnace. etc.
L _ Gas heat pump
City/State /ZIP: To oriel -ATI as) o✓L R 70 (U '� 7 7 O s Wall/suspended/unit � cndcd / unit heater
Phone: (,1 07) ( 02 Fax: : (1 b3 ) (o' o1 I.. ST Water heater
1 Fireplace
E -mail: C G 1't^ - Qtr V v .,,, (A.A., _ r ®, Range
CONTRACTOR Barbecue
Business name: iso,„\ti Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: Minimum permit fee (S90.00)
r ( ) Plan review (25% of permit fee)
CCB lie.: (S. 4 " -1 V / �LOI (U State surcharge (12% of permit fee)
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.
i /)
Print name: ... i � ( Date: * Fee methodology set by Tri- County Building Industry Service Board
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