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Permit
CITY TIGARD MECHANICAL PERMIT h ° ` COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00179 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 4/2/2007 PARCEL: 1S133AD-02200 SITE ADDRESS: 10730 SW 130TH AVE MULTI - PURPOSE ZONING: R -7 SUBDIVISION: LOT: JURISDICTION: TIG PROJECT: WESTGATE BAPTIST CHURCH Project Description: Install (2) gas pack rooftop units on existing curbs. Project Value: $46,910 CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP: A2 VENTS W/O APPL: VENT SYSTEMS: STORIES: BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: 3 - 15 HP: COMML. INCIN: MAX INPUT: BTU 15 - 30 HP: FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS: GAS PRESSURE: 50 + HP: WOODSTOVES: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES WESTGATE BAPTIST CHURCH Description Date Amount 12930 SW SCHOLLS FERRY RD TIGARD, OR 97223 [MECH] Permit Fee 4/2/2007 $731.00 [TAX] 8% State Surcha 4/2/2007 $58.48 [MECPLN] Plan Rev 4/2/2007 $182.75 Phone: Total $972.23 Contractor: INTERIOR COMFORT SYSTEMS 17200 SE HEMRICK RD DAMASCUS, OR 97089 REQUIRED ITEMS AND REPORTS Contact #: PRI 503 -558 -9224 FAX 503 -558 -9124 Reg #: LIC 135118 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100, You may obtain copies of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued c ....._ , / /�,/ ` �,A Permittee Signature: A - �. a 2--- Am. >r Call 503.639.4175 by 7:00 a.m. for inspections ' at • usiness da 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 :FOR OFFICE USE.ONE City pf `Tigard /Q Date/By: 7 Permit No.: i E -7_ oat 7 / r 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 /Mi,�i��O Date/By: Other Permit: Inspection Line: 503.639.4175 _si ! Date Read /B tug www.ci.tigard.or.us " Ready /By: Supplemental See Page l for g Notified/Method: �l � Supplemental Informati Internet: www.ci.ti on TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST 1 ew construction ❑ Addition/alteration/replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ 14„ 9 f _ c� RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1 - and 2 family dwelling ornmercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi family ❑ Master builder ❑ Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating /cooling Job site address: / 0 7 0 S t. /M12' 4 f r� Air conditioning or heat pump 1 l I ' v (requires site plan showing placement) 14.00 City/State /ZIP: t G / ' � r t Furnace 100,000 BTU (ducts/vents) 14.00 (� lJ LO� 61A-167 Furnace 100,000+ BTU (ducts /vents) 17.90 t name: �r Suite/bldg. /apt. no.: �J Project Gas heat pump 14.00 Cross street/directions to job site: L Duct work 14.00 S W /c7 d- j / Hydronic hot water system 14.00 .2.‘ / D (� jr y Residential boiler (radiator or / hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue /vent for any of above 10.00 Other: 10.00 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK z Water heater 10.00 ,p .. ,� Gas fireplace 10.00 Se 4 .$ 0 G - ( ! A G" 4 c, 0 , 0 f' ?C/ J / Flue vent for water heater or gas L j n fireplace 10.00 c ‘, c S i h d i _ G W r ti <J( © a cDn nP� Log lighter (gas) 10.00 r/ f/ n a J / / .N e Wood/pellet stove 10.00 Wood fireplace /insert 10.00 Chimney /liner /flue /vent 10.00 114tOPERTY O ER ❑ TENANT Name: Other: 10.00 Environmental exhaust and ventilation • e�f 4 ■ s . r / / / , L Range hood/other kitchen Address: / 0 7 , 0 S 4i / / Q r° equipment 10.00 City/State/ZIP: ( I r ,. r. j O . 9 7.' 2 ? Clothes dryer exhaust 10.00 ` Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT(PERSON Attic /crawlspace fans 10.00 Business name: h mo l9 ..1 / r4_ ' I l J/ . Other: 10.00 � Fuel piping / Contact name: rr a I , e _ ea $5.40 for j first four; $1.00 for each additional Address: 6 I Furnace, etc. 17�-d S r / G' / Gas heat pump City/State /ZIP: b aM q 4. C u J r• 7 , P 7 Wall/suspended /unit heater Phone: ( S A S ? -q 3.2 I Fax:: ($223) ,S ,r - 9 / ay Water heater _ n Fireplace E - mail: 1 , 1 4--p t- -� r � e ( ea .i 1 n e+ Range CONTRACTOR Barbecue Business name: - Clothes dryer (gas) n / 9"e m <n d' . �'t s Other: Address: 17 .26 6 f / e r c 0 - i' 0 MECHANICAL PERMIT FEES* City/State /ZIP: 1 7 () 9 Subtotal 4 .1 e.4 C Phone: (.23 ) ,q - . a c/ Fax: (s't:.3) _.tF -.9 /2 / Minimum permit fee ($72.50) / Plan review (25% of permit fee) CCB lic.: /3 5- / l P State surcharge (8% of permit fee) TOTAL PERMIT FEE Authorized signature. permit application expires if a permit is not obtained within 180 / '¢ . days after it has been accepted as complete. Print name: Q r ` �" 4' . d �� 'l Date: Q , . - arm * Fee methodology set by Tri- County Building Industry Service Board Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information y Commercial Fee Schedule: Total Valuation: Permit Fee: $1.00 to $2,000.00 Minimum fee $72.50 $2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30 for each additional $100.00 or fraction thereof, to and including $5,000.00. $5,001.00 to $10,000:00 $141.50 for the first $5,000.00 and $1.80 for each additional $100.00 or fraction thereof, to and including $10,000.00. $10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and $1.35 for each additional $100.00 or fraction thereof, to and including $50,000.00. $50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and $1.25 for each additional $100.00 or fraction thereof, to and including $100,000.00. $100,000.01 and up $1,396.50 for the first $100,000.00 and $1.10 for each additional $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. i:\ Building \Permits \MEC- PermitApp.doc 12/03 2 . ,.. k.* I CITY OF TIGARD 4 ,, BUILDING DIVISION PE -C2007-00179 13125 SW Hall Blvd., Tigard, OR 97223 . Aff A q< DATE ISSUED: 4 1 2007 Phone: (503) 639-4171 47,14041 lil tj Inspection Requests (24 Hrs.): (503) 639-4175 A41- 'IL 1. INSPECTION WORKSHEET FOR DATE: 11/19/2007 ' TIME: 7:01AM PAGE: 3 SITE ADDRESS: 10730 SW 130TH AVE MULTI CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTGATE BAPTIST CHURCH DESCRIPTION: Sanctuary - Install (2) gas pack rooftop units on existing curbs. Project Vatue: $46,910 OWNER: WESTGATE BAPTIST CHURCH, PHONE #: CONTRACTOR: INTERIOR COMFORT SYSTEMS PHONE #: 503-558-9224 Inspection Request Scheduled For: Date: 11/19/2007 Pour Time: Code # ispection Description Confirm # Contact # Message 699 Mechanical final 05993101 503 N • Corrections/Com ts/Instructions: _.., • J I) / ey kl / • PASS EI PARTIAL APPROVAL 0/CANCEL I NO ACCESS I I FAIL I CALL FOR INSPE ION El ADDITIONAL FEES ASSESSED \ii: Inspector: Date: \ i ‘' I 1i) Phone #: (503) 718- VAllik CITY OF TIGARD ., BUILDING DIVISION 1 ' 13125 SW Hall Blvd., Tigard, OR 97223 , Of - DATE PEISRSMUITEt 4 00 Phone: (503) 639-4171 474141111, Inspection Requests (24 Hrs.): (503) 639-4175 .-44 67 -.L. f . INSPECTION WORKSHEET FOR DATE: 9/7/2007 TIME: 7 : 00 AM PAGE: 8 10730 SW 130TH AVE MULTI-PURPOSE SITE ADDRESS: CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTGATE BAPTIST CHURCH ' DESCRIPTION: Sanctuary - Install (2) gas pack rooftop units on existing curbs. Project Value: $46,910 OWNER: WESTGATE BAPTIST CHURCH, PHONE #: CONTRACTOR: INTERIOR COMFORT SYSTEMS PHONE #: 503-558-9224 Inspection Request Scheduled For: Date: 9/7/2007 Pour Time: , Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 055342-05 503-572-7392 N Correc ion /Comments/Instructions: I F 1 I - A i. _.. iv_ ,,& .■ _ II 'I • , : 1 ,--■ e ..t -„..___ ,LJt--- k,,,,,..,.... ' — — . . •gro.••••• \ . i ) .■ •••■ f r .'‘ CrC, k A t 4, i „c, - 1 „ ...snr , L5F s - -17-1) Q........L..„,-1-,..s q I . , . _ I SS I I PARTIAL APPROVAL I I CANCEL I I NO ACCESS - , Al FAIL I I CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: ‘/11 i( ---' Date: - 7 b 7 Phone #: (503) 718- 7_ 1/4 fZy , .:. r CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2007 -00179 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007 Phone: (503) 639 -4171 V Inspection Requests (24 Hrs.): (503) 639 -4175 l.. INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: 16 SITE ADDRESS: 10730 SW 130TH AVE MULTI-PURPOSE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: t: STGATF' BAPTIST CHURCH DESCRIPTION: Samiva - Install (2) gas pack: rooftop units on existing curbs. Project Value: $46,910 OWNER: VkitS 't, ArE E :, `Ci f' S; E$'s.11 CH, PHONE #: CONTRACTOR: II Z1k.) 0.'Y4; 4 ; 1 7:R PHONE #: 503-5%9224 Inspection Request Scheduled For: Date: t #/22€2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 625 Duc.lx,u! 054475 573 572 - 7392 N Corrections /Comments /Instructions: ❑ PASS ± PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL A CALL FOR1NSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date 2� b Phone #: (503) 718 - "� . CITY OF TIGARD co i 7cif BUILDING DIVISION PERMIT #: MEC20071 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2/2007 Phone: (503) 639 -4171 NN i Inspection Requests (24 Hrs.): (503) 639 -4175 ...._..W ...... INSPECTION WORKSHEET FOR DATE: 9/24/2007 TIME: 7 :00AM PAGE: 62 SITE ADDRESS: 10730 SW 130TH AVE MULTI- PURPOSE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WESTGATE BAPTIST CHURCH DESCRIPTION: Sanctuary - Install (2) gas pack rooftop units on existing curbs. Project Value: $15,910 OWNER: WESTGATE BAPTIST CHURCH, PHONE #: CONTRACTOR: INTERIOR COMFORT SYSTEMS PHONE #: 503 - 558-9224 Al vl4 Inspection Request Scheduled For: Date: 9/24/2007 C` ti Pour Time: 13„_ (fitt_it- Code # Inspection Description Confirm # Contact #�� M sage OA 699 Mechanical final 056105 -01 692-1565" Y ' , d- u „ Corrections /Comments /Instructions: ❑ PASS n PARTIAL APPROVAL )6 CANCEL ❑ NO ACCESS H FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: �� D �� P hone #: (503) 718- 24