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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2014-00277 T t t',A F D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/05/2014 Parcel: 1 S133AD02200 Jurisdiction: Tigard Site address: 10730 SW 130TH AVE Project: Westgate Baptist Church Subdivision: CHAPARRAL Lot: 1 Project Description: Add duct work to existing south unit;install RTU and duct work to the east area;install gas line in science room for 2nd story TI to complete classrooms,youth room,science lab,office and(2)restrooms. 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: 503-524-3500 FAX: 503-558-9124 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 06/05/2014 $855.71 Class of Work: ALT Type of Const: IIIB Plan Review 06/05/2014 $213.93 Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 06/05/2014 $102.69 Stories: 2 Info Process/Archiving-Lg$2.00(over 06/05/2014 $2.00 11x17) Project Valuation: $30,000.00 Info Process/Archiving-Sm$0.50(up to 06/05/2014 $17.50 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: 5 Vent Systems: Total $1,191.83 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 5 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800. Issued By: Permittee Signature: Call 50 � by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR 01,1.1 .F. I SI: 0'L\ s City ofTi and C1\JE Received °I44M 7 'ertnnNo 25 g Date/By: I I /13125 SW Hall Blvd.,Tigard,OR 97223 . Plan Revi Phone: 503.639.4171 Fax: 503.598.1960 DateBy:� � - O her Permit:.'` I I t i n K 1, Inspection Line: 503.639.4175 _ 4 2014 Date Ready/By: kris: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method-C S / '• 2.- Supplemental Information E OF WO'. in t11htmv jtSinN COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑New construction Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. CATEGORX-OF CONSTRUCTION Value:$ 3 e)/Cx>O ll RESIDENTIAL EQUIPMENT/SYSTEMS FEES* ❑ 1-and 2-family dwelling Q't ommercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total TOR SITE INFORMATION ANn I ru-ATION Heating/cooling Job site address: l!o'7 3o S /3 0 /-'‘-- �� Air conditioning or heat pump _ L equires site plan showing placement) 14.00 City/State/ZIP: I ! r 0 r t / Furnace 100,000 BTU(ducts/vents) 14.00 Suite/bldg./apt.no.: S Project name: $10 0 & r Furnace 100,000+BTU(ducts/vents) 17.90 2 ^ J O tc,) Gas heat pump 14.00 Cross street/directions to job site: ft i�� a jam }. Duct work 10.00 _ ~��O F" �J 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. 14.00 Subdivision: I Lot no.: Flue/vent for any of above 6.80 Other: 10.00 _ Tax map/parcel no.: Other fuel appliances _ DE ON OF WORK Water heater 10.00 ICI1 .� Gas fireplace 10.00 �l 0 e It c 1 work � e e?v/t i-;,....5 Flue vent for water heater or gas S' d �t K n 1 ,S' U fireplace 10.00 �I `', Log lighter(gas) 10.00 14 i-o l Ike P Q J f 4 r cet ` Wood/pellet stove 10.00 C �� Wood fireplace/insert 10.00 - 'nst-4. / 4J I/•∎t ie\ scr ee loo ❑ PROPER OWNER! I TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: t°' 2 1� ��G Environmental exhaust and ventilation Address: l Range hood/other kitchen C ti-; S ihrt equipment 10.00 City/State/ZIP: ^-7�- a r d © f 5 q 7aZ . Clothes dryer exhaust 10.00 ( �( ( Single-duct exhaust(bathrooms, Phone:, ; ) U�9/ - '39 Fax:( ) toilet compartments,utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00 Other: 10.00 Business name: —_44/ or- 601,^• hr Ss h /"vim Fuel piping Contact name: /i ve e-v .f �/s - $5.40 for first four;$1.00 for each additional �J Furnace,etc. Address: /7t 0 $ Ikne,rL C- Rv( Gas heat pump _ City/State/ZIP: eI6Y-A14) ) A Wall/suspended/unit heater Phone:(5(3) s-56, ,9.,1-, Fax::( ) Water heater Fireplace E-mail: Range CONTRACTOR Barbecue Business name: a C Clothes dryer(gas) n ,p r OM r f J l�yit J. Other: Address: i 72 00 L P. Q,,i re C l P J MECHANICAL PERMIT FEES* City/State/ZIP: 0e r/ Q r.-- / 70e ? Subtotal Minimum permit fee($72.50) Phone:(6j)3) s-s�..._ Fax:( RVs- 3--11 Z y- Plan review(25%of permit fee) CCB lic.: /3 S 8 _5/3/ts State surcharge(12%of permit fee) (( / TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. Print name: a r� Date:'J y // * Fee methodology set by Tri-County Building Industry Service Board X11``"""' Q r'\(�.c cf�►� I� I:\Building\Permits\MEC-Permit doc 01/19/07 440-4617T(I I/62/COM/WEB) 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. 1:\Building\Perrnits\MEC-PermitApp.doc 01/19/07 2 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 10730 SW 130TH AVE, TIGARD, OR, 97223 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2014-00277 Chip Barnett Violation Summary: Inspector Contractor