Permit n CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012 -00491
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/26!2012
Parcel: 2S 114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: 1993 -078 PARTITION PLAT Lot: 2
Project Description: Repiping to replacement boilers.
Contractor: JRT MECHANICAL INC Owner: TIGARD - TUALATIN SCHOOL DISTRICT
PO BOX 1450 6960 SW SANDBURG ST
BATTLE GROUND, WA 98604 TIGARD, OR 97223
PHONE: 360 - 666 -0330 PHONE: 503 - 819 -7505
FAX: 360 - 666 -0830
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/26/2012 $2,813.11
Class of Work: ALT Type of Const: VB Plan Review 09/26/2012 $703.28
Occupancy Grp: E Occupancy Load: 12% State Surcharge - Mechanical 09/26/2012 $337.57
Stories: 2 Info Process /Archiving - Lg $2.00 (over 09/26/2012 $6.00
11x17)
Project Valuation: $107,000.00 Info Process /Archiving - Sm $0.50 (up to 09/26/2012 $15.50
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: Vent Systems: Total $3,875.46
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: hydronic
Duct Work: piping
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 ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N cation Ce r. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0090. You may obtain a copy of the rules
or dir t questions to OU \ b ling 503.232.1987 or 1.800.332.2344
Issu d By: k. Permittee Signature: IC
` � 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.
Mechanical Permit Application lull OF1 1(1; uSh; ()NIA
City of Tigard
Received / ,
- Date/By: OPCr
Permit No.: I a 9
13125 SW Hall Blvd., Tigard, O' '� Plan Review` i7
Phone: 503.718.2439 Fax: 50 r \:t "6tE IVED Date/By: ® I Other Permit:
Ti G A R D Inspection Line: 503.639 Date ReadyBy: Juric: ® See Page 2 for
Internet: www.tigard -or.gov S r 2 6 2 12 Notified/Method: Supplemental Information
TYPE „yyne.� tGARD COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
4 �ty�y� Mechanical permit fees* are based on the value of the work
❑ New construction ®AdditiBt tJ �aC8iti0>�N performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ $107,000.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder . ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating,/cooling:
Air conditioning
Job site address: Tigard High School, 9000 SW Durham Rd. (requires site plan showing placement) 46.75
Furnace 100,000 BTU (ducts /vents) 46.75
City / State/ZIP: Tigard, OR 97224 Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldgJapt. no.: I Project name: Tigard HS Boiler System R Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: see below Duct work 23.32
located on south side of SW Durham Rd in between SW 92 Ave & SW 85 Ave 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 OF WORK Water heater 23.32
Piping re -work to boilers Gas fireplace/insert 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
0 PROPERTY OWNER I ❑ TENANT Chimney/liner /flue/vent 23.32
Other: _ 23.32
Name: Tigard Tualatin School District 23J Environmental exhaust and ventilation:
Address: 6960 SW Sandburg St Range hood/other kitchen
equipment 33.39
City / State/ZIP: Tigard, OR 97223 -8039 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)819 -7505 Fax: (un)known toilet compartments, utility rooms) 23.32
0 APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 23.32
Business name: JRT Mechanical Other: 23.32
Fuel piping:
Contact name: Sven Johnson $14.15 for first four; $4.03 for each additional
Address: PO Box 1450 Furnace, etc.
Gas heat pump
City / State/ZIP: Battle Ground, WA 98604 Wall/suspended/unit heater
Phone: (360) 666 -0330 Fax: : (360) 666 -0830 Water heater
Fireplace
E -mail: sjohnson @jrtmechanical.com Range
CONTRACTOR Barbecue
Business name: same as applicant - JRT MECHANICAL Clothes dryer (gas)
Other:
Address: PO Box 1450 MECHANICAL PERMIT FEES*
City /State/ZIP: Battle Ground, WA 98604 Subtotal 219/S
Minimum permit fee ($90.00)
Phone: (360) 666 -0330 Fax: (360) 666 -0830 Plan review (25% of permit fee) 1 p 3 - Z,7
CCB tic.: 98808 6/4 // State surcharge (12% of permit fee) 3 31.51
TOTAL PERMIT FEE
Authorized signature: This per a pplication expires if a permit is not obtained within 180
g �� days after it has been accepted as complete.
I Print name: Sven Johnson eA2y SZtt I Date: 9/14/2012 • Fee methodology set by Tri- County Building Industry Service Board
1:kBuildinx\Permits \NEC- PermitApp.doc 03 /07/12 440- 4617T(I1 /02/COM/WEB)