Permit (11) MECHANICAL PERMIT
CITY OF TIGARD
!. COMMUNITY DEVELOPMENT Permit#: MEC2016 00396
` 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/05/2016
Tit''� f O g Parcel: 1S134AA01800
Jurisdiction: Tigard
Site address: 10240 SW NIMBUS AVE L12
Project: KG Investment Management Subdivision: (KOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Replacing(1)RTU unit,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 06/28/2016 $319.61
Class of Work: ALT Type of Const: IIIB Plan Review 06/28/2016 $79.90
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/28/2016 $38.35
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/28/2016 $5.00
11x17)
Project Valuation: $9,000.00
Fuel Air Handlers
Fuel Types: 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 $442.86
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
too OUNC by calling 503.232.1987 or 1.800.332.2.344.
Issued By: •- •• •.nature:
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 Application FOR OFFICE USE ONLY
City Tigard Received
� Et) Date/By: Le / / PermitNo.:t-liedt/9�t 6„_66,394,
111111 u 13125 SWW Hall Blvd.,Tigard,OR 9 � Plan Revr• � [ r
Phone: 503.718.2439 Fax: 503.59 1 """"""""" Date/By: - ��� I Other Permit:
TI G A R D Inspection Line: 503.639.4175A, Z��� Date Ready7fiy. f� loris: H See Page 2 for
?-7Internet: www.tigard-or.gov
JUN 1 Notified/Method:(r � t Supplemental Information
• 4 . SCD
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/al eration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
1=1 Demolition ID Other:
K Value: $9,000.00
su-
❑ fif
1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family D Master builder ❑Other: Description I Qty. I Ea. I Total
xm�'t� E: Heating/cooling:
f,..s n ....°_ ".‘,.a,. ..1,::;AVA Air conditioning 46.75
Job site address:10240 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.:bdg L/'j, Project name:Scholls bldg L RTU-3KG I�►vestwle4s 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
t .,= ;. DE t t _ i� + Gas fireplace/insert 33.39
'� °�' ` "` Flue vent for water heater or gas
Replacing(1)2.5 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
o $° 1�1,11T ,
•�.n �t .� '''s..'' 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
x.v
€
. .. ,i � � € '
Other: 23.32
Business name:Reitmeier Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Brad Davis Furnace,etc.
Address: 19570 sw 90th ct Gas heat pump
Wall/suspended/unit heater
City/State/Z1P:Tualatin OR 97062 Water heater
Phone:(503)603-0205 Fax: :(503)603-0150 Fireplace
Range
E-mail:brad.d@reitmeiernw.com Barbecue
t lToit: a ,7,T:I'fit4i5iiiitriagett Clothes dryer(gas)
Business name:Reitmeier Other
Address:19570 sw 90th ct 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)
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:Brad Davis Date:5/25/2016
1:A Building\Permits\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
$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:\Building\Permits\MEC_PermitApp_040113.doc 2