The URL can be used to link to this page

Permit CITY OF TIGARD MECHANICAL PERMIT �. COMMUNITY DEVELOPMENT Permit#: MEC2014-00031 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/28/2014 Parcel: 2S102BD00100 Jurisdiction: Tigard Site address: 12520 SW GRANT AVE Project: St Anthony Subdivision:RTH TIGARDVILLE ADDITION,AMENC Lot: 52 Project Description: Installation of(2)remote refrigeration systems. Contractor: ROYAL COMMERCIAL EQUIPMENT LTD Owner: ST ANTHONY CATHOLIC CHURCH TIGAR 2134 SE 9TH AVE 9905 SW MCKENZIE ST PORTLAND, OR 97214 TIGARD, OR 97223 PHONE: 503-236-1370 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/28/2014 $393.43 Class of Work: ALT Type of Const: VB Plan Review 01/28/2014 $98.36 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/28/2014 $47.21 Stories: Info Process/Archiving-Lg$2.00(over 01/28/2014 $2.00 11x17) Project Valuation: $11,770.00 Info Process/Archiving-Sm$0.50(up to 01/28/2014 $17.00 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: Vent Systems: Total $558.00 Hoods: Comm Incinerators: - Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Walk in Duct Work: cooler ansd Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to f•low t e rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. X11, Issued By: . Permittee Signature: • dvil Call 51/.• •y 7:00 a.m.for the next available inspection d This permit card shall be kept in a conspicuous place on the job site until comp! ti' •f the project. Approved plans are required on the job site at the time of each inspe ' n. Mechanical Permit Application FOR Mil( I 1 Sf. 0 N1.1 Received City of Tigard Date/By: l I S l ,y Permit No. s . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review � Phone: 503.718.2439 Fax: 503.598.1960 Date/By: �� IP fit a J ' Inspection Line: 503.639.4175 Date Ready/By: Sufis: % See Page 2 for I I c. 1 R l) g g Notified/Method: Supplemental Information Internet: www.ti ardor. ov 1 jam. iff�JJ0J67) �� TYPE OF WOW * LYI .Lt:/ OMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition Other: mechanical materials,equipment,labor,overhead,and profit CATEGORY OF CONSTRUCTION Value:$ f , -77vj 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. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning Job site address: ?97S S.l.J_ j7)C4c G!UZI K — (requires site plan showing placement) 46.75 / _ Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: `Ti 1,.A4J, Irh!`L t"X1 7 7 223 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name 6T--a,f+ (a 4 7/ 7r Hemp (req at uires pu site plan showing placement) 61.06 Cross street/directions to job site: 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: �1 DESCRIPTION OF WORK Water heater 23.32 I ?S-791-1-Pin o 1 o Two i<Eirit E Gas fireplace/insert vent ale 33.39 Flue vent for water heater or gas fireplace 23.32 KEF/46F oil SY 7-C-Pis Log lighter(gas) 23.32 Wood/pellet stove 33.39 tit I t , (as-77114-63 n Wood fireplace/insert 23.32 V✓It 0c-Irk S 5t)f �/�/fif, i Ny dri-i 5 Chimney/liner/flue/vent 23.32 ~❑ PROPERTY OWNER ❑ TENANT Other: 23.32 Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment , 33.39 • City/State/ZIP: Clothes dryer exhaust 33.39 Phone:( ) Fax: Single-duct exhaust(bathrooms, ( ) toilet compartments,utility rooms) . 23.32 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans . 23.32 Business name: Other: 23.32 Fuel piping: Contact name: $14.15 for first four;$4.03 for each additional Address: Furnace,etc. Gas heat pump City/State/ZIP: Wall/suspended/unit heater Phone:( ) Fax: :( ) Water heater Fireplace E-mail: Range CONTRACTOR Barbecue Business name: j Clothes dryer(gas) iCDyii, 6,4,16 ,-,flL �fi�U/pew,i/IT � Other: Address: J 5 q1 s tj at/*r/ ) Lie G l-.7 t TE: 0 MECHANICAL PERMIT FEES* City/State/ZIP: C ext c Subtotal Phone: ] ) ;,236-/3 7"p Fax:(5-C-5) Minimum(25% fee permit fee) /�3�i vy Plan review(25%of permit fee) 1 CCB lic.: ('7 E3 S- State surcharge(12%of permit fee) TOTAL PERMIT FEE Authorized signature: This permit application expires if a permit is not obtained within 180 A--- days after it has been accepted as complete. Print name: 4l4/L J sFrFc Date: 1/5/20/4. * Fee methodology set by Tri-County Building Industry Service Board J/ L I:\Building\Permits\MEC-PermitApp.doe 03/07/12 440-4617T(Il/02/COA1/WEB) - Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC-PermitApp.doc 03/07/12 2 I - l Building Permit Number: ivwc_gGIi _ oon N • " Building Permit Review Commercial Projects with Approved Land Use TIGARD Site Address: 1 ei W5 Su) /176 Wen)" I'L St- ❑Verify site address is valid. Project Name : St iylhavy (o 7il/ (pA/-kr- Planning Review ,E, Land Use Case Number: CU?2002— j i MMD2Q01—00031 Plans Match Approved Land Use: Site Plan 'g Landscape Plan ❑ Urban Forestry Plan ❑ Elevation Plan ❑ Building Height: Maximum Height Actual Height Conditions Met: 11-Prior to Permit Submittal CI Prior to Permit Issuance Approved by: Ti m 1�'nr\xt do Date: 1 1 271141 Notes: D i rQ,c*OY preyi oA,sly o prove2 ai+erntive, screeni n3 using shrubs cts shown on elevation and plan. Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved El Revision 2 Approved El Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ Building Permit Submittal Original Plan Submittal: Date: V/S//11 By: /j'- 4e4J Site Plans: # 3 1P-7/Pi Building Plans: # 'j Create Case Record#: B"Eater T— case# above for Building Permit Number. Workflow Routing: Plianning El Engineering ❑ Permit Coordinator ding Workflow Sign-off: 2'S' -off for Planning staff,including notes from planning review(page 1) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and onal plan review routing form. [ ' Building: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Reviewed By: el-AAreleA/ Date: 0'7�}' Notes: (:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_1230 13.docx k. • - Engineering Review— reviewed by: k t I k(. "-' • .Actual Slope: ❑ PFI Permit# ❑ Conditions Met Notes: 61 15444.5 Approved by: At.... --, Date: / 2-7 1 Revisions (after Building Submittal only) Reviewer Date Revision 1 Approved ❑ Not Approved ❑ Revision 2 Approved ❑ Not Approved ❑ Revision 3 Approved ❑ Not Approved ❑ Pe it Coordinator Review onditions Met-Prior to Issuance of Building Permit Notes: Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant Revision Notice 3: Date Sent to Ap. • ant Okay to Issue Permit- dir Date: /A V- /7 • I:\Building\Forms\B ldgPermitRvw_COM_W ithLandUse_123013.docx Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 12520 SW GRANT AVE, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical ﬁnal 2014-03-14 00:00:00 MEC2014-00031 PASS - No C of O Violation Summary: Inspector Contractor