Permit CITY OF TIGARD MECHANICAL PERMIT
111 COMMUNITY DEVELOPMENT Permit#: MEC2013-00512
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/03/2013
Parcel: 1 S134AD06201
Jurisdiction: Tigard
Site address: 10450 SW NIMBUS AVE R
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3
Project Description: Replace(1)RTU unit,like for like,with 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 10/03/2013 $271.84
Class of Work: ALT Type of Const: IIIB Plan Review 10/03/2013 $67.96
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/03/2013 $32.62
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/03/2013 $23.00
11x17)
Project Valuation: $7,289.00
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 $395.42
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 qu=: ions to O by c. • 503.232.1987 or 1.800.332.2344.
Issued By. / Or/ 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.
Mechanical Permit Applic I EpED FOR OFFICE USE ONLY
p
City of Tigard Received Date/By: /O IJ 4 , / Permit No.:We /�4QS/a
13125 SW Hall Blvd.,Tigard,OR 97 -D 1 0 ?�13 Plan Review
0. Phone: 503.718.2439 Fax: 503.598.1.9601
Date/By: Lp,,, , ( Other Permit:
TI C.A R D Inspection Line: 503.639.4175 ❑OFTIGARD
Date Rea y: 1 A Juris: ® See Page 2 for
Internet: www.tigard-or.gov CITY Oi Notified/Method:IU /ate T_ 77-<-4...
�y�13 ,CS Supplemental Information
BUILDING DNISION 1 Vf will^ -t' Ø . .
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:$$7,289.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description I Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 10450 SW Nimbus Ave. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,Or.97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:R Project name:Bldg R RTU Replacement Duct work 23.32
Cross street/directions to job site: 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
Flue/vent for any of above 23.32
Subdivision: Lot no.:
Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace one 5 ton gas heat/electric cooling package unit like for like fireplace _ 23.32
with a curb adapter Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert _ 23.32
Chimney/liner/nue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: KG Investment Management Range hood/other kitchen
equipment 33.39
Address: 10240 SW Nimbus Ave. Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,Or.97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) . 23.32
Phone:(503)598-9980 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Reitmeier Mechanical
$14.15 for first four;$4.03 for each additional
Contact name:Ryan Campbell Furnace,etc.
Address: 19570 SW 90th Court Gas heat pump -
Wall/suspended/unit heater
City/State/ZIP:Tualatin,Or.97062 Water heater
Phone:(503)603-0205 Fax: :(503)603-0150 Fireplace
Range
E-mail:ryan.c @reitmeiernw.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Same as applicant Other:
MECHANICAL PERMIT FEES* .-
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 153770 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature 1 —:� • Fee methodology set by Tri-County Building Industry Service Board
Print name: A43 e.A Date: /4;3
I:\Building\Permits\MEC_PennitApp_040I I3.doc 440-4617T(1 I/02ICOM/WEB)