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Permit CITY OF TIGARD MECHANICAL PERMIT • 1111 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00585 Date Issued: 12/11/2012 T f G ARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 parcel: 1 S 133AD02200 Jurisdiction: Tigard Site address: 10730 SW 130TH AVE Project: Westgate Baptist Church Subdivision: HAWKS BEARD TOWNHOMES Lot: 62 Project Description: Add duct work to the existing system and install a 1 1/2 ton heat pump in the office area Contractor: INTERIOR COMFORT SYSTEMS Owner: WESTGATE BAPTIST CHURCH 17200 SE HEMRICK RD 12930 SW SCHOLLS FERRY RD DAMASCUS, OR 97089 TIGARD, OR 97223 PHONE: 503 - 558 -9224 PHONE: FAX: 503 - 558 -9124 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/11/2012 $482.33 Class of Work: ALT Type of Const: IIIB Plan Review 12/11/2012 $120.58 Occupancy Grp: A -3 Occupancy Load: 12% State Surcharge - Mechanical 12/11/2012 $57 88 Stories: 2 Info Process /Archiving - Sm $0.50 (up to 12/11/2012 $6.50 11x17) Project Valuation: $15,250 00 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: 1 Heat Pump Appliances Vent Fans. 2 Vent Systems: Total $667.29 Hoods Comm Incinerators Woodstoves Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers Other Mech Units Gas Outlets Other Desc: Duct Work 1 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 • Ilow 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: /fj j j / � '/� y Permittee Signature: ea I � " Call "` 503.6399.4175 by 7:00 a.m. for the next available insp =ction 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 FOR OFFICE USE ONLY City of Tigard RECEIVE Pemni tNo.:µ G ( ° �e,(a..— ov.SFs6 1114 • 13125 SW Hall Blvd., Tigard, OR 97223 FEW (� _ . Phone: 503.639.4171 Fax: 503.598.1960 Plan Review' +� Date/By: /.�`� (D I Other Permit: TI G A R D Inspection Line: 503.639 NOV 0 2 Date Read /B 0 See Page 2 for Internet: www.ti ard -or. ov Ready /By: g g Notified/Method: /D � �) � � Supplemental Information CITY OFT • ! s > - : / E OF WO' ,VI I'. 'r IF C 1 MMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New 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. CATEGO Y OF CONSTRUCTION Value: $ c) JS . ZS RESIDENTIAL EQUIPMENT/ SYSTEMS FEES* ❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other Description Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION / • �� 4 - Heating/cooling Air conditioning or heat pump Job site address: 4? I> ,� - rr (requires site plan showing placement) 14.00 City /State /ZIP: J l G j 0 r ' Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bld /a t. no.: 1 Project name: �f _ Furnace 100,000+ BTU (ducts/vents) 17.90 g p W e.,../ cj 4 (UQ J J Gas heat pump 14.00 Cross streetldir ctions to job site: cJ U Duct work 10.00 S2- !!�� Q 1 1J �� �� / 3o 7rC t hot water system Residential 14.00 d y Residenti al boiler (radiator or / hydronic) 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 14.00 Subdivision: Lot no.: Flue /vent for any of above 6.80 Other: 10.00 Tax map /parcel no.: Other fuel appliances _ DESCRIPTION OF WORK Water heater 10.00 a of / Gas fireplace 10.00 � (IT, d u C ) 0 r ( F d - e X/J �J Flue vent for water heater or gas e fireplace 10.00 • ` 4 Q �^ / • /1 ` `t ' l ` I i / e9 '`� Log lighter (gas) 10.00 P at 7' u ..� i - l� t � . o S`I c Q rr-�' Wood/pellet stove 10.00 Wood fireplace /insert 10.00 ❑ PROPERTY WNER IN . Chimney /liner /flue /vent 10.00 Other: 10.00 Pe) Name: P a � 4 , ( u Environmental exhaust and ventilation / � Range hood/other kitchen Address: Q C ai i ∎e equipment 10.00 City /State /ZIP: Clothes dryer exhaust 10.00 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 12 PPLIC ❑ CONTACT PERSON Attic /crawlspace fans 10.00 P Other: I 10.00 Business name: T pi er /O T 65, 11-0 J T }�f l� piping / Fuel PP� g Contact name: a r �„- o ea r „ K $5.40 for first four; $1.00 for each additional Address: / © J S. D Furnace, etc. / 7 d 1_ Nei, Y (C ��I Gas heat pump City /State /ZIP: RE h'1 a J e u f Q , 7 70 0C / Wall /suspended/unit heater Phone: 6`03) S 5-- 8--- 22 &( Fax: : (('0J) s's 9/ 2I Water heater / C°J ® � Fireplace E -mail: A Q r r yR `j a r i1 .is1Cr i ( f • ( - Range e / / CONTRACTOR' Barbecue Clothes dryer (gas) Business name: •4 P Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Minimum permit fee ($72.50) Phone: ( ) Fax: ( ) Plan review (25% of permit fee) CCB lic.: / 15-7 ( s/310 State surcharge (12% of permit fee) TOTAL PERMIT FEE Authorized site, . re: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: �l `� a � Date: A .2012 * Fee methodology set by Tri- County Building Industry Service Board I:\Building\is its\MEC -Pe ' • pp.doc 01/19/07 t 6 / 2 ` ' e q - 440 -461TT (112/COM/WEB)9.. Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information 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 $100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC- PermitApp.doc 01/19/07 2 Iliq . " Building Division Development Code Provision Review T I G A R D Commercial Projects - No Associated Land Use Case Building Permit No: 1 (E k( 2 — 60 5 ❑ Expedited Review Plan Submittal Date: !( 4' j t 7' To the Applicant: If the proposed use is not permitted within the zone, please contact the Building Division to cancel the permit application. Building Permit Technicians (503) 718 -2439. If a land use is required and for all other questions, please contact the staff person listed above the Planning Review section. Staff: please check items along left only if approved. Planning Review (contact - , t _. at 503 -718- 2ii 3y or Ot.t @tigard- or.gov) Proposal: I_ r. ► rev v.y. I • Zoning R7 Permitted Use Yes No ❑ C (v w 01 Tiv 4. ) Land Use Required: Yes ❑ No.- Notes: aut "nee 4 3 v '0 t 4✓t f t 4.$ j4.4.7 . e-to sr ... - V .. I I I d II /,A, k'_ 1 / / 4 / . 1 " L /' I 'i WNW I v- 4 ._ IP A proved I? , . A .. • - . Date: / — i .. 1 Z /21/ 0/0 1 REVISED 10/4/12