Permit N. CITY OF TIGARD MECHANICAL PERMIT
S COMMUNITY DEVELOPMENT Permit #: MEC2013 -00388
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/15/2013
Parcel: 2S114AA00100
Jurisdiction: TIGARD
Site address: 9000 SW DURHAM RD
Project: Tigard High Scholl Subdivision: 1993 -078 PARTITION PLAT Lot: 2
Project Description: Replace existing refrigeration equipment in cafeteria.
Contractor: COMMERCIAL REFRIGERATION INC Owner: TIGARD - TUALATIN SCHOOL DISTRICT
5920 NE GLISAN STREET 6960 SW SANDBURG ST
PORTLAND, OR 97213 -3790 TIGARD, OR 97223
PHONE: 503 - 234 -6445 PHONE:
FAX: 503 - 234 -0668
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/15/2013 $229.69
Class of Work: ALT Type of Const: Plan Review 07/15/2013 $57.42
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 07/15/2013 $27.56
Stories:
Project Valuation: $5,800.00
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:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $314.67
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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 1 -0090. You may obtain a copy of the rules
or direct questions to OUNC b calling 503.232.1987 or 1.800.332.2344. ) r
Issued By: Permittee Signature: / / llli�
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 Per ``, ,., '`a . - , 4M FOR OFFICE USE ONLY • .
Received City of Tigar Date/By: 7/5 /3 Permit Nge(/f`C�''�/S -t3P
13125 SW Hall Blvd., Tigard, OR 97223 / ` ��
Plan Review
Phone: 503.639.4171 Fax: 503.598.19A L 1 5 2 013 �i '�I� tt1 Date/By: Other Permit:
-
Inspection Line: 503.639.4175 - .
Internet: www.ci.tigard.or.us CITY OFTIGARI) " "'' Date e d/ a o: �7 / Supplemental See Page for
Notified/Method: Tl � Supplemental l Information
1 I ►. 11 I►
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Mechanical permit fees* are based on the value of the work
❑ New constructionddition /alteration / replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
�.. 1a * � i �.:0 sy m el Q r 4" ' t Value: .. g �(� Qd n _
"� i�;; ,, v�a. D om: ,�,'^ t ,cs�� ^s.�, �:�.,� d p o , r .
;t, r ,. �' jr : ' ..H ./ $ SM
TE SEES*
El 1 - and 2- family dwelling �CommerciaUindustrial El Accessory building ' '"`�� '"""�""= �'���t"� � _ �� ` °'• ` '
For special information use checklist.
❑ Multi- family ❑Master builder
❑ Other:
_ Description I Qty. I Ea. I Total
f i _ ,, ` .k g ;. ;�.� ';; p ►0 2 0 4j _ 0 I to, 04 t � k vt Heating/cooling
Job site address: ch 5c...0 , Dfit u4Aft4. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: `q ) c. 9.72,/ Furnace 100,000 BTU ( ducts/vents) 14.00
J Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 1 Project name:«gilirici goy 5c/k
'� r/ Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: • Lot no.:
I
Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.:
Other fuel appliances
it f + _ CRiP, o t o F• ; .C'O € , „ 1 Water heater 10.00
q � - Gas fireplace 10.00
`O U Q �
' 3 D i(e, 46.2 X. S! S t ;64 Flue vent for water heater or gas
` l ett kvTiaN IF C cL ortt E2,07 - c rra- - /i�e� fireplace 10.00
/ ,s/ Log lighter (gas) 10.00
/n � �E / —�/ / 9 Wood/pellet stove 10.00
Wood fireplace/insert 10.00
„ , t+ . ,., .. L. n --, ot y/liner/flue/vent 10.00 • Other: 10.00
Name: Environmental exhaust and ventilation
•
Address: Range hood/other kitchen
equipment 10.00
City/ State/ZIP: Clothes dryer exhaust 10.00
• Phone: ( ) Fax: Single -duct exhaust (bathrooms,
( ) toilet compartments, utility rooms) 6.80
x I ; ai 2, ' - # 4-f f;A 8w ;:.; j e 3 Attic /crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: T t f) 4 .y/
t'(, ety1...14iGl $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City / State/ZIP: Wall/suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
E -mail: Fireplace
r a Range
" r , t` 3; , F e. , . 497iz`'A 'm x • T i a � <- Barbecue
Business name :Cn A∎ E � L I� �i � y�e . Clothes dryer (gas)
( n � y °'L o l /t / �j J Other:
Address: 5 � L 0 l _Lis,.. ,- s- r~ q s as AT
City/State/ZIP: PN/\' 0 f 9 77 43 Subtotal
Phone: 3 ) L �S Fax: (�� 2.3� t i . (y� 6 6 g Minimum permit fee ($72.50)
($�
��� i Plan review (25% of permit fee)
CCB lic.: State surcharge (8% of permit fee)
H
TOTAL PERMIT FEE 3 /y, 6 7
Authorized signature: .1 This permit application expires if a permit is not obtained within 180
d ays after it has been accepted as complete.
Print nameigekity 0 `c CD ifzi„,e — Date: °7 — _ _ • Fee methodology set by TT- County Building Industry Service Board
i.\Building'Permit \MEC PernitApp. 12/03 - 440- 46177T (I I /02 /COM/WEII)