Permit (17) CITY OF TIGARD MECHANICAL PERMIT
14
Permit#: MEC2023-00240
' COMMUNITY DEVELOPMENT Date Issued: 11/7/2023
Tic;A li r) 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: (1)Gas furnace.
Contractor: SPECIALTY HEATING&COOLING Owner: CORPORATION OF THE PRESIDING BISHOP OF
7500 SW TECH CENTER DR,STE 130 THE CHURCH OF JESUS CHRIST OF LDS
PORTLAND,OR 97223 50 E NORTH TEMPLE#511-4705
SALT LAKE CITY, UT 84150
PHONE: 503-620-5643 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Permit Fee 04/13/2023 $271.84
Type of Use: COM Plan Review 04/13/2023 $67.96
Class of Work: ALT Type of Const: VB 12%State Surcharge-Mechanical 04/13/2023 $32.62
Occupancy Grp: A-3 Occupancy Load: Info Process/Archiving-Sm$0.50(up to 04/13/2023 $2.50
Stories: 1 11x17)
Project Valuation: $7,235.00
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 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 Total $374.92
Vent Fans: Vent Systems:
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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
j�e \ Permittee Signature: 4C`e' 1 f t' C-- c c '-)
Issued By: j _ [,,
Call 503.639.4175 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.
ECIV '
Mechanical Permit Application
1,-012 01,1 1('l: l tit OBI l
2 2023 'f
Received Permit No.:Ma2b 52.4b
City of Tigard FEB Date By'
• 13125 SW Hall Blvd,Tigard,OR 97223 Plan Review Other Permit:
e Phone. 503.7182439 Fax: 503.598.1960 CITY OF TIGARD Date:'By U - 13-2� .
BUILDING DIVISIUI*ate Ready luris: 65 See Page 2 for
i Apt, Inspection Line 503.6 r gov 5 Supplemental Information
Internet www tigard-or gov Notified:Method iJ ,, }�
1 r� !!/ )0 RCIAL FEE* SCHEDULE -USE CHECKLIST
xYP> br WbRK -,-" ' 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
mechanical materials,equipment,labor,overhead,and profit.
0 Demolition CI Other: Value:$7,235.0
CATEGORY OF GTION, ,; ` . s , x,,_. I f1 Fes"
❑ I-and 2-family dwelling 0 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description I Qty. I Ea. I Total
HeatinWcooling:
INFORMA�1lON':Att11d,� '' '' ''', h Air conditioning 46.75 —
b
Job site address: 15555 SW 98`"Ave. Furnace 100,000 BTU(ducts(vents) 46.75
Furnace 100,000+BTU(ducts+veins) 54.91
City/State..+'Z1P:Tigard Or.97224 — - Heat pump 61.06
Suitelbldg.rapt.no.: 1 Project name.LDS-Tigard F6 i._0 Duct work 23.32 -IHydrunic hot water system 23.32
Cross street directions to job site. Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
23.32
Fhtclvcnt for any of above —
Other: I 23.32 _
Subdivision. I Lot no.: Other fuel appliances:
-"-' —-------- Water heater 23.32
Tax map parcel no.: 33.39
lircplaccimscrt
DESCRIPTION OF WORK Gas Flue vent for water heater or gas
lire lace 23.32 1
Replace gas furnace —� 23.32
Log lighter(gas) -a
Wood/pellet stove 33.39 _
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER I ❑ TENANT Environmental exhaust and ventilation: T —_
r - Range hoodiother kitchen
Name:LDS Church - equipment 33.39
Address. 15555 SW 98"Ave.
Clothes dryer exhaust 33.39
, _ _. Single duct exhaust(bathrooms,
Gty+Stoic Z(P Tigard Or.97224 toilet compartments.utility rooms) 23.32
._ __ _ �3.32
Fax I 1 Attic crawl nee fans -..__ __---
Phone:(9711334-0446 -
I Other: _ 23.32
® APPLICANT -��___ ® CONTACT (PERSON
Fuel piping:
Business name:Specialty Heating and Cooling LLC —_ ______514.15 for first four;S4.03 for each additional
Furnace,etc.
Contact name:Jeff Schwab Gas heat pump
Address:7500 SW Tech Center Dr. Wall/suspended/unit heater _—
City/State/ZIP:Tigard Or.97223 Water heater—
Fire etc..-._
Phone:(503)616 0773 Fax::( ) Range —_---- ---
E-mad:jeffs@specialtyheating.com Barbecue_—
_._.
CONTRACTOR Clothes dryer(gas)
Other. -
Business name:Specialty Healing and Cooling LLC MECHANICALPE1ttIMT1*EES`
_----_----.__._._____.---_._---_----- -- Subtotal
Address:7500 SW Tech Center Dr.#130 -
Minimum'permit fee( 4
C'itylState?Z1P:Tigard Or.97224 -._..-____ Plan review(25%of permit fee)
Phone:(503)616 0773 Fax:( ) State surcharge(12°o of pernut Ice)T
TOTAL PERMIT FEE
CCB lie 224977 �.— ------- This permit application expires if a permit is nut obtained within 1
--"-- 80
days after it has beets accepted as complete.
• I'ce methodology se'by Tri-County Building Industry See ice Board
Authon7cd signature _--. ,.. --
[Print name:JeffSchwa Date: 12/1/22