Permit CITY OF TIGARD MECHANICAL PERMIT
` COMMUNITY DEVELOPMENT Permit#: MEC2020-00141
Date Issued: 07/07/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S111CA01000
Jurisdiction: Tigard
Site address: 15555 SW 98TH AVE
Project: LDS Church Subdivision: ALDERBROOK FARM Lot: 16
Project Description: Replace and update existing mechanical equipment and add cooling.
Contractor: WILLAMETTE HVAC LLC Owner: CORP OF PRESIDING BISHOP OF
3075 SW 234TH AVE.#206 CHURCH OF JESUS CHRIST LDS
HILLSBORO, OR 97123 50 E NORTH TEMPLE#511-4705
SALT LAKE CITY, UT 84150
PHONE: 503-259-3200 PHONE:
FAX: 503-848-2597
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/07/2020 $1,562.91
Class of Work: ALT Type of Const: VB Plan Review 07/07/2020 $390.73
Occupancy Grp: A-2 Occupancy Load: 12%State Surcharge-Mechanical 07/07/2020 $187.55
Stories: Info Process/Archiving-Lg$2.00(over 07/07/2020 $12.00
11x17)
Project Valuation: $58,000.00 Info Process/Archiving-Sm$0.50(up to 07/07/2020 $22.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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:
Heat Pump: 3
Appliances
Vent Fans: 1 Vent Systems: Total $2,175.69
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
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 tooOOUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: // / �2 _ _b Permittee Signature: �� 7j"�L�( -7 jOti/
t `
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.
T. '
Mechanical Permit ApplicatECE VED POR Oft It L 1 SI ONLY
. City of Tigard Received 3 Date/By: P
e 13125 SW Ball Blvd.,Tigard,OR 97223 MAR 1 2 2020 Plan Review
u �/ !/ C ��i-�D/y/
Phone: 503.718.2439 Fax: 503598.1960 Date/By: 7 - ] _a_o -it) P difLU��rr�Df 2/
TIGARD Inspection Line: 503.6394175 CITY OE -BOARD DateReadyBy: J ism VI See Page 2for
Internet www.tigard-or.gov ,-.,` ni r c+ NohSed/Metho , 2 Supplemental Information
�iN.x DIVISION dImeth a Z ► PP
^.TEST:C FIEC.KLTSF
TYPE OF WO f> ,V - r Al a _ ..,. 1 DULE- =- ez
`" '-" ' Mechanical permit fees*are based on the value of the work
❑New construction gAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value $ I CJJ 0i ° •
CATEGORY OF
❑ I-and 2-family dwelling %Commercial/industrial ❑Accessory building For special information use checklist
❑ Multi-family ❑Master builder ❑Other: Description Qty. Ea. 1 Total
JOB SITE INI ORM �AfION AND I,OCATi ,` Heating cooling:
Air conditioning 46.75
Job site address: CJ 1_ S Siol, cI ii poJx. 1 Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP: l a Al y+rr r2 )( cl i ZZ;r Furnace 100,000+BTU(ducts/vents) 54.91
� 1 Heat pump 61.06
Suite/bldg./apt.no:: Project name: Duct work 23.32
Cross street/directions to job site: -Z/J 64Cee Hydronic hot water system 23.32
' A`� Residential boiler(radiator or
/ Q / 0,90.4)e-f'l►. 1E)CilC-1 cis ei {'-,/�•l�j( Al 4(, hydronic) 23.32 .
// i Unit heaters(fuel-type,not electric),
6 IN•nP.1 lciJSr 1 P4j b {r c) A LAG ez:o $-I ( in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above I 23.32
Subdivision: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
\ " 'DESCRIPTION OF WORK Gas fireplace/insert 33.39
7 Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet strive 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑<TENA\T Other.
gPROPERTY OWNER 23.32
't,'I. G let LTA O .-t'Fa-- U9 �{r1A5`� a -'! Environmental exhaust and ventilation:
Name LL77 �ytT Range hood/other kitchen
Ae--1 Sf¢Nu-T S 'lb rj G 0'"t T R CrSIt O equipment 33.39
Address: 14c ``-'1 ‘NitNI Cot24 12S.-Tb1y t rN 1. Clothes dryer exhaust 33.39
City/State/ZIP: i Qfli#0,, .i x2 C`7t . o Single-duct exhaust(bathrooms,
V toilet compartments.utility rooms) 23.32
Phone:061 ) y 11 f> - i,- . ti i I Fsv ( ) Attic/crawlspace fans 23.32 I
APPLICANT CONTACT PERSON Other: 23.32
Fuel piping:
Business name.�p 4.(� A. Gj'j rat_�, •P..tu,4 tit c-r L.L,L $14.15 for first four;$4.03 for each additional
Contact name: \a,f„ft F' 143r,2-44.._ Furnace,etc. ,
Gas heat pump
Address: 2 (,..-1 Sv1 c J .>/ry--1 '13 Wall/suspended/unit heater
City/State/ZIP: teQ f Lax,--j- O R et •-r Z-,ci Water heater
Phone:(503) S irk .G s..to Fax: :( ) Fireplace l
Range
E-mail: ., f)v_LTA A O e V $ i? YYl sin • CO YYl Barbecue
f a �- CO44,113CT9J2 Clothes dryer(gas)
Business name. 'l kr 1, , i7V* I Other.
- 41EE00W LPERM1'FEES*
Address: :3 D?s S(.e) a gc( /1--V 0�0 Subtotal l
City/State/ZIP: -tf!(,Lc 0 a et"
q--2 I?-2 Minimum permit fee($90.00)
f
Plan review(25"i of permit fee)
Phone:(Co;)v2$L '_.' a.� Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 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: aK S-rA YL/l,� Date: -y •9 • 2Q
I?BuildinglPer PermilApp_ 3.doc 440-4613T(11/02/COM/WEB)
City of Tigard
IIIC 111 COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - With Land Use
Building Permit #: ._ �Q?.C) OI/
Site Address: / 5 5`43 ,�$T wl ? ' 4w e. / Suite/Bldg#:
1
Project Name: i C a.z l 7 � 'A �' 4,'u e �Ge7` as e Z- C e1 1i
(Name of ommercial business occupying the space. If vacan enter Spec Space.)
Planning Review r ( ���C
Proposal: p fqj
Verify site address/suite# exists and active in permit system.
-B1F ver Terrace Neighborhood: 0 Yes lNo
1 -LLand Use Case#: M 441),VO 2 /0
e Plans Match Approved Land Use:
ite Plan 0 Landscape Plan 0 Other:
❑ Urban Forestry Plan 0 Elevation Plan
�, � i�gg etg . Maximum Height Actual Height
e6i --i ons Met: ❑ Prior to Submittal 0 Prior to Permit Issuance
1Q-Brisiiress-imiegnseL
Exists: 0 Yes ❑ No,applicant was provided a business license application
c Facilities Improvement(PFI) Permit: /'
Required: 0 Yes,applicant was notified J�No Applied For: 0 Yes 0 No,stop intake
Notes:
Approved by Planning: Date: '33 /g6
Revisions (after Building Submittal on y) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date: 3 (L
Site Plans: #
Building Plans: #
Building Permit#: "if-Inter building permit#above. _�
Workflow Routing: 1 Planning gineering /LJ Permit Coordinator �-Building
Workflow Sign-off: 21 Sign-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application,site plans,building plans,engineer and
bea alculatio and t details,if applicable,etc.
Notes:
4.
By Permit Techni n: Date: , '/2 7/j d
I:\Building\Forms\B 1dgPermitRvw_COM_W ithLandUse_111819.docx
Engineering Review
a Slope at building pad: 2`7D
{ PFI Permit#: y 14,
CConditions "Met"prior to issuance of building permit !'/h
easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) h A
Q Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Z.---No
Assess Water Quantity Fee in-lieu: 0 Yes D No
LIDA Facility on lot: 0 Yes 2"-No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 7� f _ Date: 34 /2vZo
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Permit Coordinator Review
>S'Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant
%SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes Xf N/A
/ Tigard Trans SDC: ❑ Yes �N/A
Parks SDC: 0 Yes N/A
OK to Issue Permit
Approved by Permit Coordinator: 4PCIV .> u g ` Date: 3 O,"2-43
I:\Building\Forms\BldgPennitRvw_COM_WithIandUse_111819.docx