Permit 11111 CI TY OF TIGARD COMMUNITY DEVELOPMENT %` f a }< MECHANICAL PERMIT
Y
(
6 ; Permit #: MEC2011 -00236
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2011
Parcel: 1S 136CD00401
Jurisdiction: TIGARD
Site address: 8020 SW PFAFFLE ST, STE# 100
Project: H & S Holdings Subdivision: CITY BIBLE CHURCH Lot:
Project Description: TI. 7/5/11, reprint permit to add suites 100 & 200.
Contractor: ROTH HEATING & COOLING Owner: PFAFFLE OFFICE, LLC
6990 S ANDERSON RD PCCC LLC
CANBY, OR 97013 915 NW TORREYVIEW LN
PORTLAND, OR 97228
PHONE: 503 - 266 -1249 PHONE:
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/14/2011 $1,361.17
Class of Work: ALT Type of Const: VB Plan Review 06/14/2011 $340.29
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/14/2011 $163.34
Stories: 1 Info Process /Archiving - Lg Sheet (over 06/14/2011 $2.00
11x17)
Project Valuation: $49,850.00 Info Process /Archiving - Sm Sheet (up to 06/14/2011 $7.00
11x17)
Fuel Air Handlers
Fuel Types: 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:
Heat Pump:
Appliances
Vent Fans: 4 Vent Systems: Total $1,873.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: diffusers and
Duct Work: 3 grills
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
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 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.
_ CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2011 -00236
•
TIG•ARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2011
Parcel: 1S136CD00401
Jurisdiction: TIGARD
Site address: 8020 SW PFAFFLE ST
Project: H & S Holdings Subdivision: CITY BIBLE CHURCH Lot:
Project Description: TI
Contractor: ROTH HEATING & COOLING Owner: PFAFFLE OFFICE, LLC
6990 S ANDERSON RD PCCC LLC
CANBY, OR 97013 915 NW TORREYVIEW LN
PORTLAND, OR 97228
PHONE: 503 - 266 -1249 PHONE:
FAX: 503 - 266 -3478
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/14/2011 $1,361.17
Class of Work: ALT Type of Const: Vg Plan Review 06/14/2011 $340.29
Occupancy Grp: B Occupancy Load: 12% State Surcharge - Mechanical 06/14/2011 $163.34
Stories: 1 Info Process /Archiving - Lg Sheet (over 06/14/2011 $2.00
11x17)
Project Valuation: $49,850.00 Info Process /Archiving - Sm Sheet (up to 06/14/2011 $7.00
11x17)
Fuel Air Handlers
Fuel Types: 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:
Heat Pump:
Appliances
Vent Fans: 4 Vent Systems: Total $1,873.80
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: diffusers and
Duct Work: 3 grills
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 e rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. •u m- obtain a copy of the rules
or direct qu-- '• : •UNC b calling 503.232.1987 or 1.800.332.2344. '
g
Issued B / ,. / Permittee Signature: V►
Call 503.639.4175 by 7:00 a.m. for the next available inspec ion d e.
This permit card shall be kept in a conspicuous place on the job site until .. mpl •tion of the project.
Approved plans are required on the job site at the time of each • ,.ection.
•
Mechanical Permit Application , FOR OFFICE USE O NLY ,
City of Tigard Received � Permit No.: f�> f ! c 3
l �
Date /By: /1 ( �p ./"
M il
.i 13125 SW Hall Blvd., Tigard, OR 97223
g Plan Revie
Phone: 503.718.2439 Fax: 503 598.1960 1 . y Date /By r ( Other Permit.
T1lGAR t= Internet: www.tigard- or.gov Notified D' Inspection Line: 503.639.4175 MAY 1 Date Rea y y Jut is' See Page 2 for
' /t■ethod:� //O// Supplemental Information
.. s :��: >,��..:,,._;.... in,.�, - 111
CITY OF
_...�.: � _- ;::�,�� „tN�. �•�„ �.� 4 ®, . t � �, OI
� � i'n 'I � AL'; E ' pSGl - 'I U '�:
-T.YPE OF: r ;� ^:
Mechanical permit fe 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 ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
,, -_” ?, m: , . 3 , L , r. . ,. . Value: $ 849,850.00
��� _ TCGOR, : .O ONS U ON' ". "="'
�- � �� - -,�- � � "" Tt °E QUIPM E NT I> J� S YSTEn 'iS "FEES • ```
❑ I - and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use check list.
❑ Multi - family ❑ Master builder ❑ Other: Description Qty. Ea. Total
Heating /cooling:
? : ' :: „° 'r „: ` °(
- , . , =3� �,,,' JOB- ,SITEt�[N ORMATION - AND =LQCATION`��;_ � v, ' '
� . ........ ... ...... <�.�F ,....,.,:......,.ry,..a;,...... -.. _. ':?::.....,'. #,,. ,. Atr conditioning
fob site address: 8020 SW Pfaffle (requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts /vents) 46.75
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite /bldg. /apt. no.: Project name: Pteifirercrssroaus tiia. Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: 141 Y !tl ocb /1 J6 Duct work 23.32
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
Subdivision: Lot no.: Flue /vent for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
;;; ,,. ,..:.:_ ;DESCRIPTION OT`�WORh��- ,.;��,�' "�«
_
°• � - _ Water heater 23.32
HVAC as per mechanical print including: (3) new gas RTUs, (4) bathroom exhaust Gas fireplace 33.39
Flue vent for water heater or gas
fans, (2) new gas lines, duct work, grilles and diffuser to accomadate floor fireplace 23.32
• Log lighter (gas) 23.32
plan. Wood /pellet stove 33.39
Wood fireplace /insert 23.32
t _; _,,,,. �.::; � ; ; r ; Chimne /liner /flue /vent 23.32
" r � �'.® I.( 20PE R T.1 OJT NCR ❑E'TENi1NT , ;,,,� 3,
* � •> <: :: .
Other: 3.32
r
Name: Pacific Crossroads Environmental exhaust and ventilation:
Address: 8020 SW Pfaflle Range hood /other kitchen
equipment 33.39
City /State /ZIP: Tigard, OR 97032 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 .
APPC1CiNT"
,.•�:..a; > -= �:-- ���- ::.;: 1 ® ONT O1'" Attic/crawlspace fans 23.32.
�i1ri ? -
Business name: Roth Heating & Cooling Other: 23.32
Fuel piping:
Contact name: Jesse Manselle 814.15 for first four; 84.03 for each additional
Address: 699(1 S. Anderson Rd. Furnace, etc.
Gas heat pump
City /State /ZIP: Canby, OR 97013 Wall /suspended /unit heater
Phone: (503) 266 -1249 Fax: : (503) 266 -3478 Water heater
Fireplace
E -mail: jessem@roth-heat.com
roth- hcat.cont
Range
;,,,,,. " - : =tea, °::�3,31t;
i ,;, a.: ;: ;o;,,,° ,CONTRACTOR i ° . .
�'a �r, .�"" Barbecue
Business name: Roth Heating & Cooling Clothes dryer (gas)
Other:
Address: 6990 S. Anticrson Rd. �,;� ; .
:� • N[ECII8NICAL�P,ERItiIIT FEES *' "° I-F °° "
City /State /ZIP: Canby, OR 97013 Subtotal
Phone: (503) 266 -1249 Fax: (503) 266 -3478 Minimum permit fee ($90.00)
Plan review (25% of permit tee)
CCB lie.: 14008 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized slg This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name:
i 4 D ate: 5 2 / * Fee methodology set by Tn- County Building Industry Service Board
I/ / —
I: \Building \Permit 1EC- ermitr pp doc 09/09/10 ∎40 -461 (II /02 /COM /WEB)