Permit CITY OF TIGARD MECHANICAL PERMIT
,111 a ' COMMUNITY DEVELOPMENT Permit#: MEC2020-00768
Date Issued: 12/7/2020
T I G A R T.) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S 136CB04400
Jurisdiction: Tigard
Site address: 8500 SW SPRUCE ST
Project: Japanese International Baptist Church Subdivision: METZGER ACRE TRACTS Lot: M
Project Description: 4-ton ductless mini-split heat pump installation.
Contractor: HILLTOP REFRIGERATION INC Owner: JAPANESE INTERNATIONAL BAPTIST C
39011 NE 4TH AVE 8500 SW SPRUCE ST
WOODLAND, WA 98674 TIGARD, OR 97223
PHONE: 775-771-4004 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/05/2020 $347.71
Class of Work: ALT Type of Const: VB Plan Review 12/05/2020 $86.93
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 12/05/2020 $41.73
Stories: Info Process/Archiving-Lg$2.00(over 12/05/2020 $4.00
11x17)
Project Valuation: $10,000.00 Info Process/Archiving-Sm$0.50(up to 12/05/2020 $3.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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 $483.37
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: { , —\\ ` V G Y \ e W ea „ Permittee Signature: Ors% A ,i CO-
�3 Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
13-11 - 20
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard R C E I V E r II 23/2-020 t Permit No.:h'( CZ02a-UO 7b S
;I 13125 SW Hall Blvd.,Tigard,OR 97223 Date/B w i
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review
�7 Date/By. e � „AC)
Permit:
I-I t 1},.i� Inspection Line: 503.639.4175 N O V A IJ LULU Date Ready/By: .hen
Internet: W Ww.tl ard-or. ov y y' Supplemental See Page 2 for
E g ,_. J. _, R Notified Me hod: I/� �+ Information
l 3 Y(1r t(a on! 7 t`iF
r-- TYPE Q$ Ve0RK.. _ LOtl1MERt.1A1. Fl.ts"• SCHEDU ,. .,. „ .x `
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.
r �, Value:5 10,000.00
2-{,.u-¢; ,,,I�t �' di," 4i to
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION HeaGm cooling:
-- �' Air conditioning 46.75
Job site address: 8500 SW Spruce St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump
Suite/bldg./apt.no.: Project name: Hea . . ns all vet 4 . d �z. &tit work
23.32
Cross street/directions to job site: / 31—( yy. Hydronic hot water system 23.32
Residential boiler(radiator or
SW Hall Blvd.8 SW Spruce St. h drone) 23.32
Unit heatersd(fuel-type,not electric), 5
in-wall,in-duct,suspended,etc.
Flue/vent for an of above
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
.Etscicip,rioN o>r` ® K '*� s ear Gas fireplace/insert 3339
i"`-`-` -- '" e t '-� fireplace
for water heater or gas ®
4 ton,two zone 20 SEER Daikin ductless mini-split heat-pump installation fireplace
Lot lithter(gas)
Wood/.ellet stove 3339 _
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
" Other: 23.32
0 PROPERTY ( CI TENA ',," >'90*41":":01,
Environmental exhaust and ventilation: _
Name JAPANESE INTERNATIONAL BAPTIST CHURCH I Kenji Yoko! Range hood/other kitchen ®
Address: 8500 SW Spruce St equipment
Clothes d er exhaust
City/State/ZIP: Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
1'llOrt" ` ) 503-705-5213 Fax:I I Attic/crawlspace fans 23.32
APPLICANT • ': .'' ,O Other: 23.32
CICONTACTPERSON
Fuel piping:
tic nc ,,tattle: Hilltop Refrigeration,Inc.
$14.15 for first four;$4.03 for each additional
Contact name: Markus Dehm
Furnace,etc.
Address: 39011 NE 4th Ave Gas heat ulm.
Wall/suspended/unit heater
City/State/ZIP: Woodland,WA 98674 Water heater _
Phone:( ) 775-771-4004 Fax: :( ) Fireplace
Markus hillto ro Range
E-mail' @ pp
Barbecue
CONT,T1ACTOR Clothes drver(gas)
-
Business name: Hilltop Refrigeration,Inc. Other,
L
MECHANIC AL a I a
Address: 39011 NE 4th Ave " x,
Subtotal
City/State/Z1P: Woodland,WA 98674 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) 775-7714004 Fax:( )
State surcharge(12%of permit fee)
CCB lic.: 219017 2Il3/7)....-
TOTAL PERMIT FEE
J
This permit application expires if a permit is not obtained within 180
days after it bits been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: Markus Dehm Date: 11-19-2020
I:1Building1PenniiOMEC_PenniiApp_040113.doe 440-4617T(I1/02/COM/WEB)
City of Tigard
IIIICOMMUNITY DEVELOPMENT DEPARTMENT
41
TIGARD Building Permit Review — Commercial - No Land Use
6
Building Permit #: M E-C 202.0-Wo762s
Site Address: 8500 SW Spruce St Suite/Bldg#:
Project Name: Japanese International Baptist Church
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Mechanical work - interior and exterior
Existing Business Activity: Religious Institution
Proposed Business Activity: Religious Institution
Q Verify site address/suite# exists and active in permit system.
Q River Terrace Neighborhood: ❑ Yes El No
❑. Zoning: R-25
❑e Permitted Use: I:.I Yes U No U Spec Space
0 Confirm no land use required.
N _.. •lusiness •License:
Exists: ❑ Yes ❑ No, applicant was provided a business license application
Notes:
.--`_ �2—!7
Approved by Planning: Date: 11/20/20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved 0 Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (//q/2O2O
Site Plans: # 2i
Building Plans: # 2
Building Permit#: Enter buildingRermit# above. �7
Workflow Routing: Planning 1 Permit Coordinator �I Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: a Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: ,
By Permit Technician: - 2;17 Date: /(03/2QZD
I:1Building\Forms1BldgPerm itRvw_COM_NoLandUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NO 'eleased: Date:
Notes:
Revisions (after Building Submittal on
Revision Notice 1: Date Sen o ...licant:
Revision Notice 2: Date -nt to App.. ant:
Revision Notice 3: D e Sent to Applica :
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: 1 es ❑ N/A
❑ OK to Iss Permit
Appr: • -d by Permit Coordinator: Date:
I:1Bui I ding\Forms\B IdgPermi tRvw_COM_NoLandUse_111819.docx
Branden Taggart
From: Branden Taggart
Sent: Friday, December 4, 2020 6:10 PM
To: markus@hilltop.pro
Subject: Japanese International Baptist Church: MEC2020-00768 - 8500 SW Spruce St.
Attachments: Invoice.pdf
Hi Markus,
The Mechanical permit for Japanese International Baptist Church is ready to issue now. The balance due is $483.37, and
I have attached an invoice above for you to reference. The permit fees can be paid online through our
website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number
(MEC2020-00768) in the Record Number field, and click Search. Once paid, please notify us at
TigardBuildingPermits@tigard-or.gov, and we will place this permit in our open Permit Center conference room for you
to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays.
Thanks,
Branden Taggart
City of Tigard
Senior Permit Technician
Community Development
'TIC ARO
13125 SW Flall Blvd
Tigard,OR 97223
(503)718-2449'
b rande nt@tigard-or gov
1