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Permit CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT MECHANICAL MEC2014-00113 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2014 Parcel: 25111 ACO2700 Jurisdiction: Tigard Site address: 14650 SW 97TH AVE Project: Twality Middle School Subdivision: PINEBROOK TERRACE Lot: 67 Project Description: Replace existing condensing unit with like kind. Contractor: HEINZ MECHANICAL SERVICE Owner: TIGARD TULATIN SCHOOL DISTRICT 2615 NW ST HELENS RD 6960 SW SANDBURG ST PORTLAND, OR 97210 TIGARD, OR 97223 PHONE: 503-220-0855 PHONE: FAX: 503-220-0260 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 03/27/2014 $543.29 Class of Work: ALT Type of Const: VB Plan Review 03/27/2014 $135.82 Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 03/27/2014 $65.19 Stories: Info Process/Archiving-Sm$0.50(up to 03/27/2014 $7.50 11x17) Project Valuation: $17,680.00 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 $751.80 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: condensing Duct Work: unit Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By:___------.-',.. rmittee Signature: WA/I FXv v 61 :13.6 5 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applica 1 n FOR OFFICE USE ONLY R ` City of Tigard ,j'1 46;1 J Received Date/By: /2 Permit No.: le" �Q IN • 13125 SW Hall Blvd.,Tigard,OR 97223 ' 4._ y ' I Phone: 503.718.2439 Fax: 503.598. 9 Plan Revte �� e I�, i r Date/By- Date C.i =� Other Permit: T 1 G A R D Inspection Line: 503.639.4175 2 2 o i�. R:44117.-: : 0 Juris IA See Page 2 for Internet: www.tigard-or.gov CITY OF Notified/Method: 917 /L A: Supplemental Information a e74:I CJAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction -Addition/alteration/r performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,ov rh d,andR ro,ft. Value:$ 1 -7 i ('AV'- -'V CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling D Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION `f Heating/cooling: Air conditioning 46.75 Job site address: �� r° t Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ��C\ 1.2.., Furnace 100,000+BTU(ducts/vents) 54.91 � Heat pump 61.06 Suite/bldg./apt.no.: [ Project nameT)J l' �( c,.d'e cli U(� Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 1 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 c4 Subdivision: l Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 1 Pt!u c r_ / pal \ W r G sy vlej Jt l +- Log lighter(gas) Wood/pellet stove 23.32 33.39 1 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 11-PROPERTY OWNER ., l ❑ TENANT Other: 23.32 Environmental exhaust and ventilation: Name:Ti*Y0( TUea a-+1\4 'x IA(D l D1 h/1 0-- Range hood/other kitchen n _ � equipment 33.39 Address: SI� i�a, (PU liq C, t�,�� i I ' Clothes dryer exhaust 33.39 , City/State/ZIP: Trgt ya ©Z` 91ZZ3 Single-duct exhaust(bathrooms, I toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 PL1C T ❑;CONTACT PERSON Other: 23.32 Fuel piping: Business name: itl/` �tilPlVlw' �� I $14.15 for first four;$4.03 for each additional Contact name:`�v l i iV �'1 i '�(I,j J l l Furnace,etc. z Address: E lCt��l I/N\ C-�, 14.6,eV' S p i� Gas heat pump �,n` Wall/suspended/unit heater City/State/ZIP: PO4-1a..vA, (D� Ot 12 i O Water heater Phone:Cri I 21.Q. - b 2_,i(, Fax::(J 2W - Oita() Fireplace ' Range E-mail: < ' 'Z 1 id ° -WIZ_'w I Ce„ v corn Barbecue Clothes dryer(gas) Other:Business name: Jp i v1Z 1U\�C� vi c� ( w 1 C l �� MECHANICAL PERMIT FEES* Address: \, � Y Subtotal C City/State/ZIP: Ib` -}-/..tc &\ — Qr 7 li D Minimum permit fee($90.00) Phone:( )'L"7 (- UcSS-� Fax:(C>3) 7 2 I)- 0 Plan review(22%of permit fee) ��" � State surcharge(12/o of permit fee) CCB lie.: VI it 2 i(//4Irc- TOTAL PERMIT FEE l This permit application expires if a permit is not obtained within 180 gn `[1 _� �� 1 - days seer it has been accepted as dustryete. Authorized signature: �Jyi)� ,IVnI/,r` (/j'K/—r • Fee methodology set by Tri-Coon Building Indus Service Board Print name: Da Ja LA , 13 G(_,v CAL- I Date: ' •)-2,- l LA 1:\Building\Permits\MEC_PermitApp_040113.doc 440-46171(11/02/COM/WEB) Commercial Application Checklist City of Tigard 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439,Fax: 503.598.1960 T 1 G A R D Internet address: www.tigard-or.gov PROJECT INFORMATION , I Project name: Twat !ill L�G� F� `�G�1 ob 1 I Date: - Address: t LR.ec o 5 u\i crIoi 1 kv e, City:i-I/„ - �,c I State: pc_ ZIP: 4172224 Scope of work: RA4 I PIA,R C'ernde4'15c1l1 U v - "j v Reference no.: / Map and tax-lot no.: Contact person name: ei -, G Company: yl 2 Ma Vlaila l Cal CY-0 V I LE.\n . Phone: 933 22u- Fax: S M 221 02-1■ B Cellular phone: P _ 243-- ga? C E-mail: Cant j ktio j_ eYviC-e .c cwi NOTES AND INSTRUCTIONS • The purpose of this checklist is to help define a complete submittal package for the scope of work. Plan review will not take place until a complete package is submitted. • This checklist can be used for all commercial construction projects, including new construction, additions, alterations and tenant improvements. • For complex projects, applicants should use the "location" space to note the item's location and page number from the plans or the specification book. • It is not necessary to duplicate submittal information, even if it is asked for in multiple sections. • In the checklist, "Required" means that the applicant must provide this information for plan review. • In the checklist, "P"means— • if checked by the applicant—the information is provided for the plan review. • if checked by the plans reviewer—this information is required for the plan review. • In the checklist, "NA" means that the information does not apply. • Choose only those sections of the checklist that apply to your scope of work. Section 1.0, "General Project Data,"must be included with each project submitted. PRE-SUBMITTAL PROCESS An applicant may request a pre-submittal meeting with representatives of the jurisdiction in which the project will be built. The meeting may take place during the conceptual, schematic, or in-progress phase,or when the applicant has completed plans. INDEX OF CHECKLIST SECTIONS 1.0 General project data Page 2 7.0 Mechanical data(Types I and II 2.0 Civil data Page 2 kitchen-hood permits) Page 6 3.0 Architectural data Page 3 8.0 Plumbing data Page 7 4.0 Structural data Page 4 9.0 Electrical data Page 8 5.0 Mechanical data(new construction, tenant 10.0 Fire-suppression data Page 9 improvement, gas-piping permits) Page 5 11.0 Fire-detection and fire-alarm data Page 9 6.0 Mechanical data(additional or replacement 12.0 Re-roof installation data Page 10 rooftop-equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10 This checklist is for building department jurisdictions in Clackamas,Multnomah,and Washington counties. 440-2734(8/01/WEB/COM) 1:\Building\Forms\COM-Checklist.doc 03/10/14 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14650 SW 97TH AVE, TIGARD, OR, 97224 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2014-00113 Jeff Grove Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 14650 SW 97TH AVE, TIGARD, OR, 97224 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2014-00113 Jeff Grove Violation Summary: Inspector Contractor