Permit CITY OF TIGARD MECHANICAL PERMIT
iiis COMMUNITY DEVELOPMENT MECHANICAL
MEC2022-01002
Date Issued: 11/16/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S126DC009D1
Jurisdiction: Tigard
Site address: 9660 SW GREENBURG RD
Project: Terrace Glen Aptartments-East 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 PORTLAND, 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&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:
Heal Pump:
Appliances
Vent Fans: Vent Systems: Total $235.29
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 3 Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those ru s are set forth ' OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
i
Issued By: / t ___ Ci�;/�
Permittee Signature: 1��
vvcc
Call 3.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Application FOR OFFICE CS1':ON IA
Cityof Tigard Received AD
. g Dan
D ,-''� OZ. Permit No.: MR' L�r — D t?.
13125 SW Hall Blvd.,Tigard,OR 97223 �.__
PlPhone: 503.718.2439 Fax: 503.598.1960 an Review •�
Date/By: �"1-) Is Other Pemut
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Eris: FaSee Pa e 2 for
Internet: www.tigard-or.gov ( I1, g
Notified/Method: 1‘ --1.
/��\ Supplemental Information
„,;tnga�sfl.a„) TYPE OF WORK COMMERCIAL FEE" SCHEDULE --USE CHECKLIST
Mechanical permit fees*are based on the value of the work
lgl New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 3.500.00
CATEGORY OF CONSTRUCTION - RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ®Commercial/industrial El Accessory building For special information use checklist.
0 Multi-family ❑Master builder ❑Other: Description I Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 9660 SW Greenbur Rd -
q __ Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Terrace Glen Apts- East Bldg Ductwork _ -
23.32
Cross street/directions to job site: Hydronic hot water system 23 32 Residential boiler(radiator or
—Unit
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 # CU 2 21-_00188 p3..p_2c -oc t ec Water heater — 3 ' — —
DESCRIPTION OE WORK Gas fireplace/insert 33.'9 I
Flue vent for water heater or gas
Gas piping to 2 water heaters, 1 RTU"s 1 _tit lass __L_. 23.32 -^—
---------- `og hter(gas) -- '�.� 73-32
.1 ood/pellet stove 3.39
I Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ TENANT Other:� PROPERTY OWNER - 1—-_.y..23.3'1.
►'. 3.32 —.—
Environmental exhaust and ventilation:
Name: Gethsemane Evangelical Lutheran Church Range hood/otherkitchen
�— —
Address: 9640 SW Greenberg 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/crawlspace fans 23.32
23 APPLICANT [I CONTACT PERSON Other: i 2332
Business name: Fuel piping:
Tapani Plumbing. Inc —
- - $t4.75 for first four;$4.03 for each additional _
Contact name: Jacqui Cockerill Furnace,etc.
Address: 2103 SE 12th Avenue Gas heat pump
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-mail: jacquic@tapaniplumbing.com Barbecue
. ..CONTRACTOR 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)
-
Phone:(360)687-3983 Fax:(360)687-4494 Plan review(25%of permit fee)
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
I:\Building\PermitslMEC PermitApp 0401 I3.doc 440-4617r(I I/O2JCOMR9F.P1
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
G ..
rcAlzD Building Permit Review - Commercial - No Land Use
6;
Building Permit #: M E C 7-O a-,1- pi 00 a-
Site Address: C&46 S t-i C - 4 uite/Bldg#:
Project Name: reP-l7,ACC G. Ge/U ..wz 1 e -r1S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: ill eZth9/9/CAL / (XcnL/z-Cs //V 1/a L(
Existing Business Activity:
A11114-
Proposed usiness Activity:
Verify site address/suite#exists and active in permit system.
❑ r Terrace Neighborhood: ❑ Yes 0 No
■ .`mitred Use: Yes ❑ No ❑ Spec Space
M Confirm no land use required.
❑ Business License:
litr
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: jam. Date: g�S�
Revisions (after Building Submittal only Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: ❑ Approved 0 Not Approved
Revision 3: 0 Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 9 (J-9,(a--e-
Site Plans: # .)—
Building Plans: # a
Building Permit#: 4 Enter building permit#above.
Workflow Routing: lg. Planning P .tia 'r oC Building
Workflow Sign-off: Lk. Sign-off for Planning(include notes from planning review)
Route Application Documents: V Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: `i -7 Date: 1 0(0-1
I:\Building)Forms\B IdgPermitRvw_COM_NoLandUse_1 I I819.docx
• - 't Coordinator Review
❑ Con.':ens "Met"prior to issuance of building permit
❑ Approved, ► Released: Date:
Notes:
Revisions (after Building Submittal only
Revision Notice 1: Date Sent to Ape ant:
Revision Notice 2: Date Sent to Applican
Revision Notice 3: Date Sent to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ .s ❑ N/A
Tigard Trans SDC: 0 Yes ❑ N/A
Parks SDC: ❑ Yes ER N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: I ate:
I:\BuildingTonns\B IdgPemvtRvw_COM_NoLandUse_I 1 1819.docx