Permit (26) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2023-00828
T r c;A R p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/19/2023
Parcel: 1 S135AB00100
Jurisdiction: Tigard
Site address: 10350 SW LINCOLN ST
Project: Metzger Elementary Subdivision: METZGER,TOWN OF Lot: 9
Project Description: Replace condensation unit and coil like-for-like.
Contractor: Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/19/2023 $492.49
Class of Work: ALT Type of Const: VB Plan Review 10/19/2023 $123.12
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 10/19/2023 $59.10
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/19/2023 $3.00
11x17)
Project Valuation: $15,640.00
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 Fumaces: 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 $677.71
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: compressor
Duct Work: and
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 folio the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo ay o n a c p oft es
7/Issued By: Permittee Signature:
Call 503.639.41 y 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 R EC E I VE
City of Tigard eceived C ,�
r Date/By: 1 U )7 Perm)Q , .� 3J, L$3
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 n r T 2023Other Permit:
Date/By:
0
Flu A it 0 Inspection Line: 503.639.4175 Date Ready/By: Juris: See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method:(b/(7/a Supplemental Information
ii V ec1DIVISION 1111 11 [ ✓'l
BUILDING _
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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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
: . r Value:$7.5, 640.00
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
," b , t P 1 Heating/cooling:
ra '` Air conditioning 46.75
Job site address: 10.350 SW Lincoln 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.: 1 Project name:Metzger Elementary 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: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
°; ' 'sue )i iF it M = "; . Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace existing refrigeration equipment for Walk-in Cooler fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
s, Other: 23.32
`• ' m" "X,•--7-';)' Environmental exhaust and ventilation:
Name: heard Tualatin School District Range hood/other kitchen
equipment 33.39
Address: 6960 SW Sandburg 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
t', e, 11 0,' : Other: 23.32
Fuel piping:
Business name: Comn7ercial Refrigeration Inc
$14.15 for first four;$4.03 for each additional
Contact name:LB. Osterud Furnace,etc.
Address: 5920 NE Glisan Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland OR 97213 Water heater
Phone:(503)2_34-6445 I Fax: :(503)234-0668 Fireplace
E-mail:
h Range
�� 'aBarbecue
*t . '''' 1 ' • Clothes dryer(gas)
Business name: Commercial Refrigeration Inc Other:
7 1
Address: 5920 NE Glisan Subtotal
City/State/ZIP: Portland OR 97213 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)234-6445 Fax:(503)234-06 68 State surcharge(12%of permit fee)
CCB lic.: 65271 Metro 1993 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: /F/4 y/,' * Fee methodology set by Tri-County Building Industry Service Board
Print name: z 9 </�S ,. J2 Date: h i .jZ3
1\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)