Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 -00480
T [ G A R O 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/06/2010
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Subdivision: Lot: 0
Project: Tigard High School
Project Description: Remove and replace existing chiller on rooftop of main building.
Owner: FEES
TIGARD - TUALATIN SCHOOL Description Date Amount
DISTRICT #23J, 6960 SW SANDBURG ST Permit Fee 10/06/2010 $881.11
TIGARD, OR 97223 Plan Review 10/06/2010 $220.28
PHONE: 12% State Surcharge - Mechanical 10/06/2010 $105.73
Contractor:
APEX REFRIGERATION
2870 NE HOGAN RD STE E#413
GRESHAM, OR 97030
PHONE: 503 - 492 -0940
FAX: 503 - 492 -7973
Type of Use: COM
Class of Work: ALT Type of Const: IIA
Occupancy Grp: E Occupancy Load:
Stories: 2
Fuel Air Handlers
Fuel Types: Units < 10000 cfm:
Gas Pressue: 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:
Appliances
Vent Fans: Vent Systems: Total $1,207.12
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Replace
Duct Work: Chiller
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 Not ion Cen - . Those ru - are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules
or direc questions to OUN • allin• 503.246.6699 or 1.800.332.2344.
Issue By: 0 1 � , J` Permittee Signature: ( 1Clx___
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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 AnnlicatioRE (;'EIVED Received I O Il (I r r (l : I r: O .
�
City of Tigard Date/By: / // a de • Permit No.: /7 J Ee ,,D - 2,d4/g4,
° 13125 SW Hall Blvd., Tigard, OR 97223
0 C r 1 GARD Plan Review �/
C . Phone: 503.639.4171 Fax: 503.598.1960 2 9 20 d Other Permit:
Inspection Line: 503.639.4175 eady r i c I CITY O TI e • ` �CY T see Page for
Internet: www.tigard or.gov BUIL DINGDIVISIO► ' ' ;l le) ' Supplemental Information
TYPE OF WORK CO oiV IAL FEE* SCHEDULE – USE CHECKLLST
['New construction ddition/alteration/replacement Mechem.. permit fees' are b: o I e w.
performed. Indicate 1 - . ue rounded to the nearest dollar) I f all
❑ Demolition ❑ Other: mechanical materi . s, equipment, labor overhead, and profit.
Value: $ . 91 5
CATEGORY OF CONSTRUCTION l
RESIDENTIAL ::• • • • • • ' • "' i►. *
❑ 1 and 2 family dwelling . 0.Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling _
Air conditioning
Job site address: 9000 SW Durham Rd
(requires site plan showing placement) 46.75
City/ State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: 19ZP'd. h91 4-7, ` Heat pump 61.06
Cross street/directions to job site: / Duct work 23.32
1 (� I H dronic hot water s stem 23.32
0 M 6..e .�i.. Y.�/ .0 –crO c .t t l ✓ ' r U Residential boiler (radiator or -
J hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in-duct, suspended, etc. 46.75
Subdivision: I Lot no.: Flue/vent for any of above 23.32
Other: 23.32 _
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
' ,, Gas fire . lace 33.39
460V �/ n i , j9 fA )4i-/ /�, Flue vent for water heater or gas
//
fire 'lace 23.32
Zed .1 ii'� . ✓d iii .• Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
$I PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32
` / / Other 2 3.32
Name: I / ;, 5 �,e gg) / �// L, Environmental exhaust and ventilation Address: , I l . 1 Range hood/other kitchen
0 , /,L �..1.' + equipment 33.39
City/State/ZIP: 7 9 7 o 4_ q 7 2 Z-44- Clothes dryer exhaust 33.39
� � 1 7
Single-duct exhaust (bathrooms,
Phone: (_ ) 0I Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Atticicrawlspace fans 23.32
Other: 23.32
Business name: Apex Refrigeration
Fuel piping
Contact name: Chris Furman 814.15 for first four; $4.03 for each additional
Address: 2870 NE Hogan Rd, Ste E #413 Furnace, etc.
Gas heat pump
City/ State/ZIP: Gresham, OR 97030 Wall/suspended/unit heater
Phone: (503) 492 -9940 I Fax: : (503) 492 -7973 Water heater
Fireplace
E -mail: apexrefrigeration @comcast.net Range
CONTRACTOR Barbecue
Business name: Apex Refrigeration Clothes dryer (gas)
Other:
Address: 2870 NE Hogan Rd, Ste E #413 MECHANICAL PERMIT FEES*
City/State/ZIP: Gresham, OR 97030 Subtotal 1/$( -1,
Phone: (503) 492 -9940 Fax: (503) 492 -7973 Minimum permit fee (890.00) —'
Plan review (25% of permit fee) ,/)„0.A8
CCB lic.: 190602 0
(1
fi State surcharge (12% of permit fee) Mc; 73
TOTAL PERMIT FEE /,,Rod. 12..
Authorized si afore: This permit application expires if a permit is not obtained within 180
!'� / days after it has been accepted as complete
Print name: Chris Fu an I Date: 9 /21/10 • F ee methodology set by Tri-County Building Industry Service Board
1:\Building\ Permits \MEC -P- ....doc ' 1 /09 440.4617r(l1/02/COM/WEB)