Permit q CITY OF TIGARD MECHANICAL PERMIT
'`1 II, COMMUNITY DEVELOPMENT Permit#: MEC2015-00636
Date Issued: 09/24/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S134AA01800
Jurisdiction: Tigard
Site address: 10130 SW NIMBUS AVE D5
Project: Rapid Tech Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Replace(2)rooftop units,(1)heater and associated duct work due to fire damage in suites D5 and D6.
Contractor: OREGON AIRE INC Owner: HANSON, RONALD D
7715 NE 33RD DR STE A ROBINSON, CONSTANCE A
PORTLAND,OR 97211 ROBINSON, CHESTER TRUST ET AL
203604 EAST FINLEY RD
KENNEWICK,WA 99331
PHONE: 503-335-2222 PHONE:
FAX: 360-423-1978
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/24/2015 $632.19
Class of Work: ALT Type of Const: IIIB Plan Review 09/24/2015 $158.05
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 09/24/2015 $75.86
Stories: 1 Info Process/Archiving-Sm$0.50(up to 09/24/2015 $12.50
11x17)
Project Valuation: $21,160.00
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 $878.60
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.3
Issued By: Permittee Signature: ..4 Call 407�5 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicatk Ej El 1VEj p ,! FOR OFFICE USE ONLY' �J nom/
•J g DateeBy: !/���jCs ., � c�/I ,3t,
Cl of Tigard
y i Permit No.'
• 13125 SW Hall Blvd.,Tigard,OR 97223
7 Plan By: Q
Phone: 503.718.2439 Fax: 503.598.1960 S E P 1 I Z O 5 Date/By: ,j�g ( 2 alter P / iao/S-Q',7 4.
I_I G A R I Inspection Line: 503.639.4175 Date Ready:Y-: tuffs ® See Page 2 for
Internet: www.tigard or.gov C�ii'ol- f`GN ayD Notified/Method: `/ t J/5 Supplemental Information
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Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
Heating/cooling:
Air conditioning 46.75
Job site address: f c i $a 6 J A)t I, w A a v L Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -_ rci O .. Q ..1 ZZ3 Furnace 100,000+BTU(ducts/vents) 54.91
g ap x 5 j ) Heat pump 61.06
Suite/bld / t.no. Pro ect name: �
�# 1 1-
� `1 G��. 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: I 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
-A C '�-os" 4-v r G�b f q c- k_,' fireplace 23.32
I t-�. . "..-` �..∎L 1 A s Se Cr L - Log lighter(gas) 23.32
r Wood/pellet stove 33.39
'•4 .c..` -Pk t Te I�t.r._ -Pie-.. . Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32 _
Environmental exhaust and ventilation:
Name: /4 G i: ..Jc, (-........ 3 Range hood/other kitchen
equipment 33.39 _
Address: (D L40 6"1J N l 'AN b t-A,> 4 J� 5I4 s k 1.3 Clothes dryer exhaust 33.39
City/State/ZIP: �� f- Single-duct exhaust(bathrooms,
TI q J G toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
Other: 23.32 _
Fuel piping:
Business name: )ioNat.C. a A ∎ Y.,er $14.15 for first four;$4.03 for each_ additional
Contact name: 6a'c Je_o L 4/>d — Furnace,etc.
Address:
A Gas heat pump
7 Z 5 I/L^ 33 v. Pv 5 h s Wall/suspended/unit heater
City/State/ZIP: ¶ 4 I , .- 4 o (Z 1 7 t? ( C Water heater
Phone:( 5-45 14 t„ d 4 Z ( Fax::( ) Fireplace
Range
E-mail: 5 , • . a• •c- O `.- A i rC . G•--II Barbecue
Clothes dryer(gas)
Business name: Other:
W�C� •
Address: Subtotal _
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( )
_ State surcharge(12%of permit fee)
CCB lic.: • O (2- 6p 4 Z 5 TOTAL PERMIT FEE
This permit application aspires 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: 5 t-c Jt L. ✓•5a. ..--. I Date: Q9_.1A - AS 1
I:\Building\Pern its\MEC_PermitApp_040113.doc 440-46177(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
$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
1 $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.
I:1BuildingWermits\MEC_PermitApp_040113.doc 2