Permit CITY OF TIGARD MECHANICAL PERMIT
•. COMMUNITY DEVELOPMENT Permit#: MEC2014-00227
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/15/2014
Parcel: 1 S136CB04400
Jurisdiction: Tigard
Site address: 8500 SW SPRUCE ST
Project: Japanese International Baptist Church Subdivision: METZGER ACRE TRACTS Lot: M
Project Description: Replacing existing NC unit on side of structure.
Contractor: L&J HEATING&COOLING Owner: JAPANESE INTERNATIONAL BAPTIST CHURCH
898 N BIRCH ST 8500 SW SPRUCE ST
CANBY, OR 97013 TIGARD,OR 97223
PHONE: 503-263-4663 PHONE:
FAX: 503-263-1896
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/15/2014 $182.65
Class of Work: ALT Type of Const: VB Plan Review 05/15/2014 $45.66
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 05/15/2014 $21.92
Stories: Info Process/Archiving-Sm$0.50(up to 05/15/2014 $3.50
11x17)
Project Valuation: $4,200.00
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: Vent Systems: Total $253.73
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
- - L_-.1111
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application �� l ik Ol•l It I I til: 0\l.1
City of Tigard y Date/By:
i Permit No.:
IN •
Y J fy� LA i L .�.7
13125 SW Hall Blvd.,Tigard,OR 972 Plan Review
Phone: 503.718.2439 Fax: 503.598.1 Date/By: a.�6 r) I'15 - = erPermit:
Inspection Line: 503.639.4175 {{Qt
I I t \I:I �O\ Date Ready/By: F �J/ Jum ® See Page 2 for
Internet: www.tigard-or.gov ��`' Notified/Method:, /5/4� "prep Supplemental Information
TYPE OF WORT( OT , 1011 •I MMERCIAL FEE* SCHEDULE - USE CHECKLIST
�1` �1�I`` 1 Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteratior>ra performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: A` mechanical materials,equipment,labor,overhead,and profit.
Value:$ y/ qy__0�
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT SYSTEMS FEES"
❑ I-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 46.75
Job site address: f..---0 0 $f4J ' ,OY L.(.L Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 1----i 9 et,,1 ,(L,_ C1 7 2 2 3 Furnace 100,000+BTU(ducts/vents) , 54.91
Suite/bldg./apt.no.: Project name: ►' 7
/ Heat pump 61.06
JQ - iwiAi Duct work 23.32
Cross street/directions to job site: \� rtO Hydronic hot water system 23.32
a. Residential boiler(radiator or
`r. hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Mj V Flue/vent for any of above 23.32
`�/ �t� VJ'4 / Other: 23.32
Subdivision: t o.: y
V' �` Other fuel appliances:
Tax map/parcel no.: Q Lib. IA Water heater 23.32
DESCRIPTION OF WORK CJ is, ‘ `vas fireplace/insert 33.39
A �% Flue vent for water heater or gas
Or���.t,e f j,l -? �r C _ y , fireplace 23.32
9 Log lighter(gas) _ 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
T it I Range hood/other kitchen
Name: I .All l , A . • 1 h M i .i ; I G tit/ equipment 33.39•Address: T on L.) S ut tom- Clothes dryer exhaust 33.39
City/State/ZIP: ngle-duct exhaust(bathrooms,
Cr.,-`i t ? C 7 toilet compartments,utility rooms) 23.32
Phone:(t�b3 ) ��� �( c{(� Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name: Fuel piping:
514.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: 4 ( Other:
`r `l �g (/ MECHANICAL PERMIT FEES*
Address: 0 1 0 N t Nazi ._ Subtotal
`
City/State/ZIP: (�I!ii14 b /' 7 G2 ,L1 /3 Minimum permit fee($90.00)
Phone:(5-03) /r .- 6/ 63 V r Fax:(503 )0(a F71 !_1(39 ‘,
Plan review(25%of permit fee)
�!D "77 l0 vl 3 State surcharge(12%of permit fee)
CCB lic.: 1 S 7 0 c 0 y/23:0S TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signal e: * Fee methodology set by Tri-County Building Industry Service Board
Print name: ,{ / 1/� Date: ft(- /g
1:\Building\Permits\MEC PermiittAppp`_'O. Jf 13.doc 440-4617T(I1/02/COM/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\'ermits\MEC_PermitApp_040113.doc 2
w
City of Tigard
r COMMUNITY DEVELOPMENT DEPARTMENT
III ■
T 1 c A k n Building Permit Review — Commercial - No Land Use
Building Permit #: / C / _j7
Site Address: '5"5 tic, SLc) SPYu-(-A-R.,.. Suite/Bldg#:
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
•
Proposal: • (C.-,ez_ f((//9-C cJi•J (T G-7SAw4 e
'Verify site address/suite #exists and active in permit system.
. 0. Zoning. IZ
eri Permitted Use: s ❑ No ❑ Spec Space
in Land Use Required: ❑ Yes ._— —No Type Required
Notes: , (---) r
Approved by Planning: 6... - (V_ , Ici. Date: 5--7 72
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: S//1/l,
Site Plans: # .__ _
Building Plans: #
Building Permit#: n builg permit#above.
Workflow Routing: Rt-lanning ❑ Engineering ❑ Permit Coordinator f'l ding
Workflow Sign-off: GY i
lff for Planning(include notes from planning review)
Route Application Documents: uilding. original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: ��
� _ Date: S11411/4,
l:\Building\Forms\BldgPermitRvw_COM_NoLandUse_042914.docx
L
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
8500 SW SPRUCE ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00227
George Heimos
ELS394862 for AC unit
Violation Summary:
Inspector Contractor