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Permit CITY OF TIGARD MECHANICAL PERMIT 1 ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00574 T IGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/10/2015 Parcel: 1S 134AA02100 Jurisdiction: Tigard Site address: 10300 SW NIMBUS AVE PB Project: DaBella Exteriors Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3 Project Description: 5 ton RTU replacement,like for like 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 09/10/2015 $291.51 Class of Work: ALT Type of Const: IIIB Plan Review 09/10/2015 $72.88 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/10/2015 $34.98 Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/10/2015 $7.50 11x17) Project Valuation: $8,000.00 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 $406.87 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct que laps_ o OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Cr"(O� Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit AppliEI IVr J) FOR OFFICE USE ONLY i/ City of Tigard Received f y` Q R �� Permit No.:l`ifej �S-�57 13125 SW Hall Blvd.,Tigard,OR 9' 243 q 7 Date/By: .74 S q$i0.fi �O�� Plan Review 4 Phone: 503.718.2439 Fax: 503.5 \ 2'j Other Permit: Date/By: T I GAR D Inspection Line: 503.639.4175 r Date Ready/ lurk: IB See Page 2 for Internet: www.tigard-or.gov L.1I YOFTIGARD Notified/Method:// ,t' AD Supplemental Information RU! 1 r i7/Tay 's • 7 - . TYPE OF WORK c OMMER AL 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:$$8,000.00 CATEGORY OF CONSTRUCTION _ RESIDENTIAL EQUIPMENT/SYSTEM _ ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address:10300 sw Nimbus Ave Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:PB 7 Project name:Sehii is -1),,1;4-4--L 4 EX/f2/p(`7 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 dirk. Flue vent for water heater or gas 5 Ton RTU replacement,like for like 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 I ❑ TENANT Other' 23.32 Environmental exhaust and ventilation: Name: Range hood/other kitchen equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 MK ❑ APPLICANT ® CONTACT PERSON Other: 23.32 a. f �a'Jt Fuel piping: Business name:Reitmeier P� $14.15 for first four;$4.03 for each additional e� Contact name:Ryan Campbell '17, - 3g5_1451 Furnace,etc. Address: 19570 sw 90th ct bY0.A`•A f(-tf .. a.['„M Gas heat pump Wall/suspended/unit heater City/State/ZIP:Tualatin OR 97062 Water heater Phone:(503)603-0205 I Fax::(503)603-0150 Fireplace Range E-mail:ryan.c@reitmeier.com Barbecue CI '4 Clothes dryer(gas) Business name:Reitmeier' Address: 19570 sw 90th et Subtotal City/State/ZIP:Tualatin OR 97062 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)603-0205 Fax:(503)603-0150 State surcharge(12%of permit fee) 1 CCB lic.: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 ,,, * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: l:\Build ng\Permits\MEC_PermitApp_0401 1 3.doc 440-4617r(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: , $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5.000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including _ $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. L\BuildingV'ermits\MEC_PermitApp_040113.doc 2 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 10300 SW NIMBUS AVE PB, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00574 Chip Barnett Violation Summary: Inspector Contractor