Permit CITY OF TIGARD MECHANICAL PERMIT
11 1 COMMUNITY DEVELOPMENT Permit#: MEC2020-00351
Date Issued: 7/23/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S135AB00100
Jurisdiction: Tigard
Site address: 10350 SW LINCOLN ST
Project: Metzger Elementary School Subdivision: METZGER,TOWN OF Lot: None
Project Description: (4)new custom transfer grilles.
Contractor: AMERICAN HEATING INC Owner: TIGARD-TUALATIN SCHOOL DIST 23J
5035 SE 24TH AVE 6960 SW SANDBURG ST
PORTLAND, OR 97202-4765 TIGARD, OR 97223
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/22/2020 $99.76
Class of Work: ALT Type of Const: VB Plan Review 07/22/2020 $24.94
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 07/22/2020 $11.97
Stories: Info Process/Archiving-Lg$2.00(over 07/22/2020 $2.00
11x17)
Project Valuation: $1,485.00
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 $138.67
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 t .QUNC by calling 503.232.1987 or 1.800.332.2344.
y �
Issued By: r%1 �'�j/jyu.. Permittee Signature: el'f
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 ON I.\
Received City of Tigard Reteiv � 4 / _ Permit No.: L iz i �i
11,1
13125 SW Hall Blvd.,Tigard,OR 97223 (�C I"� y r�/� , I (�f7Jt/ C
_ R C V P Review
Phone: 503.718.2439 Fax: 503.598.1960 / 1� Other Permit: 7� Q
ate/By: - —/6'1A`� i ptk9� coo L /
T I G A It U Inspection Line: 503.639.4175 8 q q Date Ready/By: Smis: See Page 2 for
Internet: www.tigard-or.gov J U N 2020 Notified/Method: 7 1.I i o Supplemental information
�■ i� s_a, 4 . . .
,.. . - bg� r"�s d to r' FEE' SCHEDULE USE CHECKLIST
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
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$1,485.00
3_ NSTRI3CTION RESt UEN it.AL EQUIPMENT/SYSTF.SIS_ t
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
' c f Heating/cooling: _
* •- --�3;-r*sratrxa Air conditioning 46.75
Job site address:10350 Lincoln St.
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91 ,
Suite/bldg./apt.no.: I Project name:Metzger Elementary School Heat pump 61.06 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
Other: 23.32
Subdivision: I Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
LA Gas fireplace/insert 33.39
'' --` Flue vent for water heater or gas
Provide and install four(4)new custom transfer grilles, fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
y r. ,. 1'' -n - r a. .- ;�f - . Other: 23.32
,4',, t 'ERTY O'Wl ---- ,1'LI� li, s,, ,
Environmental exhaust and ventilation:
Name:Tigard-Tualatin School District Range hood/other kitchen
Address:6960 SW Sandburg St equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICJW„r if. CI C ,n.� --. Other: 23.32
Fuel piping:
Business name:American Heating Inc.
$14.15 for first four;S4.03 for each additional
Contact name:Amanda Bostic Furnace,etc.
Address:5035 SE 24th Ave Gas heat pump
Wall/suspended/unit heater _
City/State/ZIP:Portland,OR.,97202 Water heater
Phone:(503)239-4600 Fax::(503)239-7038 Fireplace -
Range
E-mail:a.bostic@americanheating.net Barbecue
t " RACTOft s" ` ' Clothes dryer(gas)
Business name:American Heating Inc. '
te :=:=,-,.-,
Address:5035 SE 24th Ave Subtotal
City/State/ZIP:Portland,OR.,97202 Minimum permit fee($90.00)
Phone:(503)239 600 Fax:(503)239-7038 Plan review(25%of permit fee)
4
State surcharge(12%of permit fee)
CCB lic.:33135 TOTAL PERMIT FEE
t This permit application expires if a permit is not obtained within 180
Amanda BC IICz"'�"n HeiB`9�'"`',a''Anada days after it has been accepted as complete.
Authorized signature: r, ""'"""""""'"'""°°°'"""
g =::m6646 saasossoxono. * Fee methodology set by in-County Building Industry Service Board
Print name:Amanda Bostic Date:6/5/20
1:\Buildiag\Pemtits\MBC_PermitApp 040113.d« 440-4617T(I 1/02/COM/WEB)
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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 tp$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.
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