Permit (17) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2016-00517
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/25/2016
Parcel: 2S102DA00200
Jurisdiction: Tigard
Site address: 8720 SW BURNHAM ST
Project: City of Tigard Subdivision: None Lot: None
Project Description: Replace(2)2-ton ductless split systems with(2)3-ton ductless split systems.
Contractor: REITMEIER MECHANICAL Owner: TIGARD, CITY OF
19570 SW 90TH CT 13125 SW HALL BLVD
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503-603-0205 PHONE:
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/25/2016 $670.29
Class of Work: ALT Type of Const: VB Plan Review 08/25/2016 $167.57
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/25/2016 $80.43
Stories: Info Process/Archiving-Sm$0.50(up to 08/25/2016 $2.50
Project Valuation: $22,689.00
11x17)
$22,689.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm: 3
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: 3
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $920.79
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 Not''cation 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 direr questions OUNC by calling 503.232.1987 or 1.800.332.2344.
Issue By: bk___ r iiCic // ; Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available insp ction 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 of Tigard A �:, " Received
ai�B• 7 i /(D Permit No.:M (), 119 0 �7
III 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review r Vit' ! tlGs� -f/Q
I Phone: 503.718.2439 Fax: 503.598.1960Other Permit:
Date/By: e .,
1'I G A R I) Inspection Line: 503.639.4175 1 4 2.0'\ ®Date Ready/B . Jur.:
See Page 2 for
Internet: www.tigard-or.gov JU L 1 Notified/Method: ' '/c /1 -j 7 I Supplemental Information
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COMMERCIAL FEE*
❑New construction ®Addition/alteration/replacement .r
Mechanical permit fees*are based on the value of the work
❑Demolition ❑ Other: performed.Indicate the value(rounded to the nearest dollar)of all
- ONSTRUCTION mechanical materials,equipment,labor,overhead,and profit.
r ®F C
Value:$22,689
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑Multi-family ❑Master builder 0 Other: For special information use checklist.
SITE INFORMATION AND s . Description Qty. Ea. Total
Job site address:8720 SW Burnham St Heating/cooling:
Air conditioning 46.75
City/State/ZIP:Tigard OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Suite/bldg./apt.no.: Project name:Tigard Niche Ductless Furnace 100,000+BTU(ducts/vents) 54.91
((( Heat pump 61.06
Cross street/directions to job site: 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.: Flue/vent for any of above 23.32
Other: 23.32
Tax map/parcel no.:
Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
Replacing two.(2)2-ton ductless split systems with two(2)3-ton ductless split Gas fireplace/insert 33.39
Flue vent for water heater or gas
systems. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
❑ PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
Name: Environmental exhaust and ventilation:
Address: Range hood/other kitchen
equipment 33.39
City/State/ZIP: Clothes dryer exhaust 33.39
Phone:( ) Fax:( ) Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
® CONTACT PERSON Attic/crawlspace fans 23.32
Business name:Reitmeier Other: 23.32
Fuel piping:
Contact name:Ryan Campbell
$14.15 for first four;$4.03 for each additional
Address:19570 sw 90th ct Furnace,etc.
City/State/ZIP:Tualatin OR 97062 Gas heat pump
Wall/suspended/unit heater
Phone:(503)603-0205 Fax::(503)603-0150 Water heater
E-mail:ryan.c@reitmeiernw.com Fireplace
Range
111 CONTRACTOR Barbecue
Business name:Reitmeier Clothes dryer(gas)
Other:
Address:19570 sw 90th ct
MECHANICAL PERMIT
City/State/ZIP:Tualatin OR 97062 Subtotal
Phone:(503)603-0205 Fax:(503)603-0150 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lie.:153770 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
Authorized Signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)