Permit CITY OF TIGARD MECHANICAL PERMIT
111111 COMMUNITY DEVELOPMENT Permit A: MEC2014-00521
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/13/2014
Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10110 SW NIMBUS AVE B2
Project: Scholls Business Center Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Replacing(3)RTU's,and(2)of them will have curb adapters.
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 10/13/2014 $677.91
Class of Work: ALT Type of Const: IIIB 12%State Surcharge-Mechanical 10/13/2014 $81.35
Occupancy Grp: B Occupancy Load: Plan Review 10/13/2014 $169.48
Stories: Info Process/Archiving-Sm$0.50(up to 10/13/2014 $12.50
11x17)
Project Valuation: $23,000.00
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 $941.24
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 di questions fO O.UNC by c 'ling 503.232.1987 or 1.800.332,2344.
Is ued By: 2 Perm ittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspecti•• •a
This permit card shall be kept in a conspicuous place on the job site unt • pletion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application 1 ()r, ()1 I 14 I ( .,1 (1\I
City of Tigard Received
R.►�a a
. Date/By: � E ..•
13125 SW Hall Blvd.,Tigard, 1� -.�
III
Plan R ��
Phone: 503.718.2439 Fax: q 14 Date/BY 11�� Q Other Permit.
i t 1 ,:� Inspection Line: 503.639.4175 C p 2 3 L� Date R.,, y_ ® See Page 2 for
Internet: www.tigard-or.gov SG` Notified/Method: Ell Supplemental Information
T �
TYPE s / 1 FEZ* SCHEDULE E-USE CHECKLIST
it11 Mechanical permit fees'are based on the value of the work
❑New construction ' . dditio replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead and profit. -
Vahte:S c;231 0040
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling 5Cornmercial/industrial ❑Accessory building For special information arse checklist.
❑Multi-family ❑Master builder El Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heati 1OOS.g` -
Air conditioning
Job site address: (requires site plan showing placement) 46.75
��!�� 5 ►1Kb�S Furnace 100,000 BTU(ducts/vents) I 46.75 4(6.TS
City/State/ZIP: T.` ,,,re.) t 0 '112 Z3 `�t Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name: Sc,�O t LS �ik.S. !u eS$ `C�0,4 ,` Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Sc.kot\S ce_((y it k3 i 0,,Al0u1/4.5 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.: p Flue/vent for any of above 23.32
SG�O�LS Bt.IS►�t4SS LCepK. �,`,Z- Other: 23.32
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32 .
Gas fireplace/insert 33.39•R e.Q(cic e- 3 R 't.w;s l 2 L...),,Tv, L LA.(b etdeqTtfS Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑fTENANT et.1t � 23.32
Name: �(„�r e' "1
\� ` Environmental exhaust and ventilation:
Address: g��� �"1" f 1` 9qu ood/other kitchen
Su. ent 33.39
City/State/ZIP: i,‘i 'wu ,,0l. Clothes dryer exhaust 33.39
-` Single-duct exhaust(bathrooms,
Phone:( ) Fax:( ) '' toilet compartments,utility rooms) 23.32
'APPLUCANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Business name: ■ Other 23.32
Re.t Tw.e 1 e-C Fuel piping:
Contact name: ,3-; S14.15 for first four;S4.03 for each additional
Address: I Ss 7 O 5 W C1 oft a C.l-• Furnace,etc.
q Gas heat pump
City/State/ZIP: ---IA qty*1�h i O¶., `10 to Z Wall/suspended/unit heater
Phone: Fax: ( p ) Water heater
($n3>577-5r3lto S 3 (oU3" DSO Fireplace
E-mail:a-: v-1.,.F A Re:, 'wvt tar,.J Li- Lo wt. Range
( ACTOR Barbecue
-Business name: R C'.,.%T'1't'1tr or
Clothes dryer(gas)
Other
Address: I 9G-7o S w YO't`'C T'. IItECHANICALP $T PUS'
City/State/ZIP: -/-14.0,,,,,_,..., ,A tj k. 9 70 0 L Subtotal
_ Minimum permit fee(590.00)
Phone:(5-6,_..)La 3_ O Z) 1 Fax:(f p j) toe"3._0(. p
Plan review(25%of permit fee)
CCB lit:.: is--3 7 767 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: aK1; days after it has been accepted as complete.
Print name: r. Q.twl t 5 F;.s. ke( I Date: q-z 2-(4 I • Fee methodology set by Tri-County Budding Industry Service Board
1:\Buildogt\Permits\MEC-PermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10110 SW NIMBUS AVE B2, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00521
Chip Barnett
Violation Summary:
Inspector Contractor