Permit (129) CITY OF TIGARD MECHANICAL PERMIT
1111 � COMMUNITY DEVELOPMENT Permit#: MEC2019-00655
Date Issued: 09/16/2019
T I t;A It f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S102DA00401
Jurisdiction: Tigard
Site address: 13125 SW HALL BLVD
Project: City of Tigard-Permit Center Subdivision: None Lot: None
Project Description: Replacing(1)DF room NC unit,like for like.
Contractor: REITMEIER MECHANICAL Owner: TIGARD, CITY OF
19570 SW 90TH CT 13125 SW HALL
TUALATIN, OR 97062 TIGARD, OR 97223
PHONE: 503-603-0205 PHONE: 971-808-8897
FAX: 503-603-0150
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/16/2019 $127.39
Plan Review 09/16/2019 $31.85
Class of Work: ALT Type of Const.
yp 12%State Surcharge-Mechanical 09/16/2019 $15.29
Occupancy Grp: Occupancy Load:
Stories: Info Process/Archiving-Sm$0.50(up to 09/16/2019 $2.50
11x17)
Project Valuation: $2,350.00
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: 1
Appliances
Vent Fans: Vent Systems: Total $177.03
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are se forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC b callin. 03.23 or:.,8•0•0;0„.2344.
r.
Issued By: "of. / Permittee Signature. �o
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applications FOR OFFICE USE ONLI'
,- -. ReceivedDate/By: /' /� I ie _/,�4�
City of Tigard L lC l P (/
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review )
I Phone: 503.718.2439 Fax: 503.598.1960 Date/By: fr� q/h,/ s Other Permit:
I 1 l A K ) Inspection Line: 503.639.4175 Date Ready/By: Juris: VI See Page 2 for
Internet: www.tigard-or.gov Noti -./Method. Supplemental Information
4411-
_ _._ .. .fousiiwnt"M..ar7fft'r "•'IJLC s rt-tirc . 6(ik
r:_ 1 x pit 1W V6l,RK . . .. /: .,-
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ l -0-'-
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ,
❑ 1-and 2-family dwelling El,Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75
Job site address: I'a1 d Stl-ikt.4.,, (a v Na 1) Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -\-%Lt A,/ j t) t"�'""1'° .7,"" Furnace 100,000+BTU(ducts/vents) 54.91
`.
`� Heat pump / 61.06 it
-
Suite/bldg./apt.no.: - Project name: 11 c,1 I} /y V', 1,0,„,:`"r Duct work 23.32
Q Cross street/directions to job site: -1,i t' Q 064,,, Hydronic hot water system 23.32
/ Residential boiler(radiator or
1 EC_ KA(..*c 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
z DESCRIPTION OFA Gas fireplace/insert 33.39
Flue vent for water heater or gas
FLA c€ k t/- Q.00 1,. f fireplace 23.32
k.r I...0Mwt C 14%./ N ri t o Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
„ - , Other:„.,,!„_, 23.32
P1OR '2�111 R 1.x i, '' iTM
r � Environmental exhaust and ventilation:
Name: (1rRange hood/other kitchen
Li'*1 "' 14.-4i4,4*- equipment 33.39
W Address: ! I, 1. L. t44 64,1, 1$ /kta,K4.... rkJ ,, b Clothes dryer exhaust 33.39
City/State/ZIP: /� -1-
Single-duct exhaust(bathrooms,
ty `► "'" i.„.y ' toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
27: rs R ',,,,,,,.,:,,,m,..,:, 23.32
'*17144C...°11. : . ' an: PE
.,,, ::.J SON � Other:
K. Business name: 1T^�(y`, Fuel piping:
.`� $14.15 for first four;$4.03 for each additional
Q Contact name: „ , �h Furnace,etc.
Il....
'� ,
- 1Address: f1 Qt t Gas heat pumpt -r �� ®1/4“2.-r- Wall/suspended/unit heater
CitylStatelZIPL .1,4441i‘41547114--_-t,_'Q-14. _ -...__ . ., Wates:sesta_ __ _
Phone:(SDI) (etzra., 0 Se) Fax::(502.) e.p ext Cut Fireplace
A Range
E-mail: -„„,"rr"�"1(1 N t l„Qrt Barbecue
CONTRACTOR Clothes dryer(g as)
Business name: cin �� � Other:
MECHANICAL PERMIT FEES* ;
Address: \ CPS-1CIe5 tr., C40-1'^'- 0 ao Q.T Subtotal
City/State/ZIP:°MALA.-r:1r.4 1 0 ji, Crlt(I, Minimum permit fee($90.00) I a3.34
Plan review(25%of permit fee) 31,g)
Phone:(gQ'2a) fg, 07 0 Fax:('•c:'Ia) (007, e,t 0 State surcharge(12%of permit fee) a,;
CCB lie.: 1 C 3"'t"", 0 TOTAL PERMIT FEE /7yy 5
This permit application expires if a permit is not obtained i411;in 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: ' 4j.-.f 3-4,...15,40. 1 Date: q_ (1- ( I
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: ' Permit Fee:
$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\Perniits\MEC_PermitApp_040113.doc 2
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #:
Site Address: 1312S Ad 11111 L). Suite/Bldg#:
Project Name: Ci (r �9
(Name o commercial business occupying the space. If vacant,enter Spec Space.)
Planning Re ev'�
Proposal: Req
tpLa /OF KAA, A/C Jai
Existing Business Activity: 01'F-at
Proposed Business Activity: r �`
CP"erify site address/suite# exists and active in permit syste
a,� River Terrace Neighborhood. 1:1 Yes L(No
LY/Zo ng: F'lti C61)
fitted Use: Pr Yes ❑ No ❑ Spec Space
[I Confirm no land use required.
Business License:
Exists:rr I=1Yes LI No,applicant notifiedtoobtain business license
1.
Notes: .4� du MLr qui COL lg. 6So.Ot&(,.I +3
Approved by Planning: COk— Date:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: El Approved ❑ Not Approved
Revision 3: ❑ Approved El Not Approved
Building Permit Submittal
Original Submittal Date: ((( 4,
Site Plans: # _
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: ►. Planning ❑ Pe ' oordtnator ,Building
Workflow Sign-off: ign-off for Planning(include notes from planning review)
Route Application Documents: ei tuiiding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ,
By Permit Technician: /' It i ��idDate: (l 7e-
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060116.docx
Permit Coordinator Review
E Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic. .
Revision Notice 2: Date Sent to A. cant:
Revision Notice 3: Date Sent .`Applicant:
❑ SDC Fees Entered: W.:' Co Trans Dev Tax: ❑ Yes ❑ N/A
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue P- it
Approved ► ' Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoL.andUse 070915.docx
A