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Permit II CITY OF TIGARD MECHANICAL PERMIT ��11 v COMMUNITY DEVELOPMENT Pe CITY MEC2022-01003 T f GAR 13 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/16/2022 Parcel: 1 S126DC00901 Jurisdiction: Tigard Site address: 9650 SW GREENBURG RD Project: Terrace Glen Apartments-West Building Subdivision: TERRACE GLEN APARTMENTS Lot: None Project Description: Install gas piping to(2)water heaters and(1)RTU. Contractor: TAPANI PLUMBING Owner: GETHSEMANE EVANGELICAL LUTHERAN CHUF 2103 SE 12TH AVE 9640 SW GREENBURG RD BATTLE GROUND,WA 98604 TIGARD, OR 97223 PHONE: 360-687-3983 PHONE: FAX: 360-687-4494 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 11/16/2022 $161.16 Class of Work: ADD Type of Const: VA Plan Review 11/16/2022 $40.29 Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 11/16/2022 $19.34 Stories: 5 Info Process/Archiving-Lg$2.00(over 11/16/2022 $12.00 11x17) Project Valuation: $3,500.00 Info Process/Archiving-Sm$0.50(up to 11/16/2022 $2.50 Fuel Air Handlers 11x17) Fuel Types: Natural Gas Units< 10000 cfm: Gas Pressure: Units> 10000 cfm: Furnaces Boilers 8 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 $235.29 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: 3 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. Th se rules are s t forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules Issued By: Permittee Signature: YI/� lC A� ��/��/ ill ` 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. as Catw\Mechanical Permit Application FOR OFFICE LSE ON IA City of Tigard Received at 13125 SW Hall Blvd.,Tigard,OR 97223 Date By: /` `>l � ri Permit No.: Mca° '�pa Plan Review Phone: 503.718.2439 Fax: 503.598.1%0 Date illy: i ) . 7 - 7 Other Permit: T I t'A it D Inspection Line: 503.639.4175 Date Read/B tans: y Y ,y BJ See Page 2 for Internet: www.tigard-or.gov Notified/Method: j, "fi ?,?- Supplemental Information ,T ' : , knnLittl (i t - , TYPE OF WORK is COMMERCIAL 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:$3,500.00 CATEGORY OF CONSTRUCTION ,r !:` RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description I Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning 46.75 Job site address: 9650 SW Greenbur Rd a Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ductsivents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: I ProjectnameTerrace Glen Apts- West Bldg Q 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 Subdivision: I Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Bldg Permit# G1zW2021 00100 (3ttPs-03j-eci , Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Gas piping to 2 water heaters, 1 RTU's fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 IN PROPERTY OWNER I -❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name: Gethsemane Evangelical Lutheran Church Range hood/other kitchen Address:9640 SW Greenburg Rd equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: Portland, OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/erawlspace fans 23.32 4 APPLICANT "- Other: 23.32 ID CONTACT PERSON Fuel piping: Business name: Tapani Plumbing, Inc $14.15 for first four;$4.03 for each additional Contact name: Jacqul Cockerill Furnace,etc. Gas heat pump Address: 2103 SE 12th Avenue Wall/suspended/unit heater City/State/ZIP: Battle Ground. WA 98604 Water heater 2 Phone:(360)687-3983 Fax::(360)687-4494 Fireplace Range E-mailjacquic©.tapaniplumbing.com Barbecue CONTRACTOR; y Clothes dryer(gas) Business name: Tapani Plumbing, Inc Other: RTU 1 MECHANICAL PERMIT FEES* Address: 2103 SE 12th Avenue Subtotal City/State/ZIP: Battle Ground, WA 98604 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(360)687-3983 Fax:(360) 687-4494 State surcharge(12%of permit fee) CCB lic.:60958 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: Jacqui Cockerill Date: 08/22/2022 1:04oildineero its 1MEC Permit••. 040113.doc 440-46171' II/01/COMM'ER City of Tigard II ® COMMUNITY DEVELOPMENT DEPARTMENT T[GARD Building Permit Review — Commercial - No Land Use Building Permit #: /(/f FL"a-O<73- —o 1 OO Zj Site Address: 9�5---C' Sw 6..9-. -y,�3t. 'Suite/Bldg#: Project Name: r P-ACe G Ge nJ A.PAR TW,e,c-tiS (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: ivied 9i 'C-. L /7X7 L/z-S //u,ST U . Existing Business Activity: AA- Proposed usiness Activity: Verify site address/suite#exists and active in permit system. ❑ er Terrace Neighborhood: ❑ Yes ❑ No _ mitred Use: LEI Yes D No ❑ Spec Space Confirm no land use required. } ❑ Business License: I Exists: ❑ Yes ❑ No,applicant was provided a business license application Notes: Approved by Planning: Date: g7S-A Revisions (after Building Submittal only Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Building Permit Submittal Original Submittal Date: 8 f $ / - Site Plans: # vZ Building Plans: # ?- Building Permit#: Enter building permit# above. Workflow Routing: Planning Building Workflow Sign-off: Ik Sign-off for Planning(include notes from planning review) Route Application Documents: t Building original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: I 0(a.7!2›. I:\Building\Forms\B ldgPermitRvw_COM_NoLandUse_l 11819.docx Fermi . s ordinator Review ❑ Conditions " e" riot to issuance of building permit ❑ Approved,NOT Rele. .ed: 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 II N/A Tigard Trans SDC: ❑ Yes ❑ A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: • I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_11 l 819.docx