Permit CITY OF TIGARD MECHANICAL PERMIT
'! 111 COMMUNITY DEVELOPMENT Permit#: MEC2016-00342
TIARn 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/22/2016
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Parcel: 1 S134BC00500
Jurisdiction: Tigard
Site address: 12388 SW SCHOLLS FERRY RD
Project: McDonalds Subdivision: 1993-057 PARTITION PLAT Lot: 1
Project Description: Replacing(1)12.5 RTU,like for like
Contractor: REITMEIER MECHANICAL Owner: MCDONALDS CORPORATION(36-0105)
19570 SW 90TH CT PO BOX 182571
TUALATIN, OR 97062 COLUMBUS, OH 43218
PHONE: 503-603-0205 PHONE:
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/21/2016 $479.79
Class of Work: ALT Type of Const: VB Plan Review 06/21/2016 $119.95
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 06/21/2016 $57.57
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/21/2016 $10.00
11x17)
Project Valuation: $15,143.00
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 $667.31
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 questions to OUNC by calling 503.232.1987 332.2344.
Issued By: Li�20..„1, Permittee Signature:
-40
• 03.639.4175 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 Application FOR OFFICE USE ONLY
Received PermitNo.:Hge094/10..co3
City of Tigard � �� J�� Date/By: 517/�Q
1111 r 13125 SW Hall Blvd.,Tigard,OR 97 A"dN E \Y/ Plan Review i )y '.
_ Phone: 503.718.2439 Fax: 503.598.1'6- Date/By: l �) •�' Other Permit:
Y
Inspection Line: 503.639.4175 Date Ready/By: kris: ® See Page 2 for
T I G A R D 6 // Supplemental Information
Internet: www.tigard-or.gov MAY 2�� Notified/Method: /n .A. J1 pp
#' '1echanical permit11 fees*are based on the ;, ° t
Vi. - ti* ,-,tii, l �.. a ..-x * valueofthework
r •
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical mertals equipment,labor,overhead,mil profit.
❑Demolition ❑Other Value $ ir a
':; �, t yl, '�- s'li �� alai':'�`i: �h . ., ,a i,. '.,y:_,r *' ,+1 1€:"V k11 '.14,,,:,t1.“ r»:..t , ,4 ,»,v 1
,10
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family D
Master builder ❑Other: Description I Qty. I Ea. I Total
a , : , Heating/cooling:
�.,t,tt
-, ( 1 r a tio- `l, t . Air •conditioning 46.75
Job site address:12388 SW Scholls Ferry Rd 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.: Project name:McDonald's 11502 RTU 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
4 ��a ..-'- Gas fireplace/insert 33.39
:: t ''N t ® :`471 t _ ..t' 4
" Flue vent for water heater or gas
Replacing one 12.5 ton RTU,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
Other: 23.32
e •a i'I ° 3, P.r .'( `r".64'- ,//4- Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
City/State/ZIP:
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
0...E
' - -"Sr. 1na13lasv s a Other:
23.32
.' - C , . Fuel piing:
Business name:Reitmeier $14.15 for first four;$4.03 for each additional
Contact name:Brad Davis Furnace,etc.
Gas heat pump
Address: 19570 sw 90th ct Wall/suspended/unit heater
City/State/ZIP:Tualatin OR 97062 Water heater
:(503)603-0150 Fireplace
Fax:
Phone:(503)603-0205 Range
E-mail:brad.d@reitmeiernw.comBarbecue
"° � 4:, ��° Clothes d er(.as
Other:
Business name:Reitmeier � �;t. ; ` a
Address:19570 sw 90th ct Subtotal
Minimum permit fee($90.00)
City/State/ZIP:Tualatin OR 97062 Plan review(25%of permit fee)
Phone:(503)603-0205 Fax:(503)603-0150 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
CCB lic.:153770
This permit application expires if a permit is not obtained within 180
days aftersetby it has been acceptedilding as complete.
Board
Seryice
Authorized signature: / Fee methodology Tri-County BuIndustry
lit
ry‘d—
Print name: f3 (lot 4Date: F 1 1.0 14,
I:ABuildingA Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
r...
$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.
1:\Bui lding\Permits\MEC_PermitApp_040 1 13.doc 2