Permit q CITY OF TIGARD MECHANICAL PERMIT
111 g_ COMMUNITY DEVELOPMENT Permit #: MEC2013 -00397
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/31/2013
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10160 SW NIMBUS AVE F8
Project: Spec Space Subdivision: IKOLL BUSINESS CENTER, TIGARD Lot: 2
Project Description: Replace 5 - ton RTU with like kind and curb adapter.
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 07/31/2013 $319.61
Class of Work: ALT Type of Const: IIIB Plan Review 07/31/2013 $79.90
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 07/31/2013 $38.35
Stories: Info Process /Archiving - Sm $0.50 (up to 07/31/2013 $11.50
Project Valuation: $9,000.00 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 $449.36
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
issua • - or if wor ' suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
• ity 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
• r direct questions to OUNC • - li , • - .3.232.1987 or 1.800.332.2344.
ssued By: / / �� 4 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.
i ir
I
Mechanical Permit Applic .I": it EIVED ) , FOR OFFICE USE ONLY
City of Tigard Date/By: 7 /t'o Permit No.: l/ V 010/3 eo 3 7
II a 13125 SW Hall Blvd., Tigard, OR 972 I 16 Plan Review' � 1Z. Other Permit:
' l1 .N1
Phone: 503.718.2439 Fax: 503.598.1 60 2 Date /By: `,
T1 _ , u. Inspection Inspection Line: 503.639.4175 CITYOFTIGARD Date Rea y: tuns: ® See Page 2 for
Internet: www.tigard or.gov Notified/Method9 / 6 X T Supplemental Information
BUILDING DIVISION iwz - <. �/ V
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ lax)
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I - and 2- family dwelling "mmercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling:
Air conditioning
Job site address: 10 4 S % v....,60 S (requires site plan showing placement) 46.75
\ 9
Furnace 100,000 BTU (ducts /vents) 46.75
City /State /ZIP:
R \x„,,,,,,.. t Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: g Project name: &id Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: ap " 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:
DESCRIPTION OF WORK Water heater 23.32
/� r� Gas fireplace /insert 33.39
p /f P
�1.-bs � `� TO/'' C £ WI
4 C I-O/I- Flue vent for water heater or gas
Li IL,‘ /C0�� p_ fireplace 23.32
�1-C �ti Log lighter (gas) 23.32
Wood /pellet stove 33.39
Wood fireplace /insert 23.32
❑ PROPERTY OWNER I ❑ TENANT Chimney /liner /flue /vent 23.32
Other: 23.32
Name: S kC,1 11■-\,)p- P VT Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Phone: Single -duct exhaust (bathrooms,
( ) Fax: ( ) toilet compartments, utility rooms) 23.32
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
9..c\ Other: 23.32
Business name: � fh� Fuel piping:
1;:
Contact name: e,,- Qt „� C,Ar�,e6.0„, �_ $14.15 for first four; $4.03 for each additional
Address: ILt 57 0 S� Q 0 F ; t`(.), Nyr Furnace, etc.
Gas heat pump
City /State /ZIP: To A'ni■-f ( DO- q'j D(n2 Wall /suspended/unit heater
Phone: (5'] ) ( 0 - 1 ,, c; < Fax:: ( 5'') (ov o D Water heater
n Fireplace
E -mail: f y q ,r5, �- 2. C4,\ k. (J� , c_ Range
tVT CONTRACTOR Barbecue
Business name: .( r Clothes dryer (gas)
Other:
Address: MECHANICAL PERMIT FEES*
City /State /ZIP: Subtotal
Phone: ( ) Fax: ( ) Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lie.: ‘s ' 7 0 State surcharge (12% of permit fee)
A TOTAL PERMIT FEE
Authorized signature: e...-°".-
Date: ��� /� This permit application expires if a permit is not obtained within 180
P, ` - u,p /// days after it has been accepted as complete.
I Print name: �N „s,e(k * Fee methodology set by Tri -County Building Industry Service Board
(:\Building \Permits \ME - PermitApp.doc 03 /07/12 440 -4617T (11 /02 /COM/WEB)