Permit (103) CITY OF TIGARD MECHANICAL PERMIT
71COMMUNITY DEVELOPMENT Permit#: MEC2016-00774
13125 SW Hall Blvd.,Ti Date Issued: 02/02/2017
TEGA ft. and OR 97223 503.718.2439 9
Parcel: 1 S 134AA01800
Jurisdiction: Tigard
Site address: 10120 SW NIMBUS AVE Cl
Project: Ikoll Business Center Subdivision: (KOLL BUSINESS CENTER,TIGARD Lot: 2
Project Description: Replacing(1)2-ton RTU.
Contractor: REITMEIER MECHANICAL Owner: ROBINSON, JERRY CHRISTOPHER TRUS
19570 SW 90TH CT ROBINSON, MICHAEL WILLIAM
TUALATIN, OR 97062 HANSON, RONALD D 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 Misc Administration Fee 02/02/2017 $7.00
Class of Work: ALT Type of Const: IIIB Permit Fee 02/02/2017 $69.06
Occupancy Grp: B Occupancy Load: Plan Review 02/02/2017 $17.27
Stories: 1 12%State Surcharge-Mechanical 02/02/2017 $8.29
Project Valuation: $0.00 Info Process/Archiving-Sm$0.50(up to 02/02/2017 $10.00
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Fumaces>= 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 $111.62
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 direc • OUNC -• —fling 503.232.1987 or 1.800.332.2344.
I sued By:
/-, GAG Permittee Signature:
A 4 I• —--'/
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 of Tigard Received J
g Date/By: h ' Permit No.: �,-r co- 7ii
IIII ® .1 13125 SW Hall Blvd.,Tigard,OR 9 C � Plan Ret , i` G W
Phone: 503.718.2439 Fax: 503.598 ( ID Date/By:
: ,r \C Other Permit:
l 1 G A R D Inspection Line: 503.639.4175 Date Rea / , loris: ® See Page 2 for
Internet: www.tigard-or.gov 0 2�1b Notified/Method:�2i�'/i� 4 " ,--r7•_� Supplemental Information
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I Mechanical permit fees*are based on the value of the work
0 New construction ®Addition/altera ro r�Gi 1� performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: ?Pt I mechanical materials,equipment,labor,overhead,and profit.
a t Value:$9,000
, „,,,,,,,„,„,.,,,c;. .,,, x, �, N a� •<, e.�l.... :w''” ff , ''i`' #:t, . '",r1� `i,�54 - "* ;a.:g
❑ 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
t,a "" - ;
t t' t , e * `Yaws� -;, r)• �.,` Heating/cooling:
. • 'l ; r� su 'd Air conditioning 46.75
Job site address:10120 SW Nimbus Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.:bdg C Project name:Scholl bldg C RTU-6 jj Heat pump 61.06
� � Duct work 23.32
1 Cross street/directions to job site: .f 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 t teN e` t—"Itk ''')"..,'''''' ''',.'',"75%44.••••'•.1,!"e' Gas fireplace/insert 33.39
`s5 Flue vent for water heater or gas
Replacing one(1)2-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
pi s,,, Other: 23.32
t 5' "" i i��� 4c7‘;'''4'''''''' : '7, Environmental exhaust and ventilation:
S- 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
• l ,,
tet'-"ry tf-r§ e . e Other: 23.32
eat .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/ZIP:Tualatin OR 97062 Water heater
Phone:(503)603-0205 I Fax::(503)603-0150 Fireplace
Range
E-mail:brad.d@reitmeiernw.com Barbecue
iirlielr u :. ,: ,),7,';',w•-,t, t-° z —, ,, ,- 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: fe..2&';;)‘,.._,Th * Fee methodology set by Tri-County Building Industry Service Board
Print name:Brad Davis Date: 11/8/16
I:\Building\Permits\MEC_PermitApp_0401 13.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 Supplemental Information
Commercial& Multi-Family Fee Schedule:
e�
$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.
I:\Building\Pennits\MEC_PermitApp_040113.doc 2
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 _ Transmittal ransmittal Letter
cJ n E: n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: DATE littf= f :VE p
..
DEPT: ILDING DIVISION
n 1 NOV 152016
FROM: (-f-5‘ cII` 'o t`i( ARj
COMPANY: BUILDINGDIVISION
PHONE: 663. o 3 — 0 a-p
RE: /O/ a-ct) )0104_ H ea_gor CD 77
(Site Address) (Permit Number)
�P\
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: J Description: Copies: } Description:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: C t c6L
sago 0 � 7
FOR O ICE SE ONLY
Routed to Permit Technician: ate: s:FDA
Fees Due: D Yes o Fee Descripti n: Amount Due:
Special
Instructions:
Reprint Permit(per PE): D Yes D No 0 Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions o61316.doc
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10120 SW NIMBUS AVE Cl , TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2016-00774
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor