Permit CITY OF TIGARD MECHANICAL PERMIT
11111 i. COMMUNITY DEVELOPMENT Permit#: MEC2014-00237
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/02/2014
T t C'�t R D 9 Parcel: 2S 101 DD00701
Jurisdiction: Tigard
Site address: 6960 SW SANDBURG ST
Project: Tigard Tualatin School District Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Replace existing cooling tower.
Contractor: MPP PIPING INC Owner: TIGARD-TUALATIN SCHOOL
PO BOX 121 DISTRICT 23J
SCIO, OR 97374 6960 SW SANDBURG ST
TIGARD,OR 97223
PHONE: 503-394-3067 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/02/2014 $1.846.77
Class of Work: ALT Type of Const: Vg Plan Review 06/02/2014 $461.69
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 06/02/2014 $221.61
Stories: Info Process/Archiving-Sm$0.50(up to 06/02/2014 $12.50
11x17)
Project Valuation: $69,308.00
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 $2,542.57
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Cooling
Duct Work: Tower
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 • . •.•.
Issued By: •: mittee Signature:
Call 503• =.• 75 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.
r
Mechanical Permit A lie FOR OFFICE USE ONLY
City of Tigard ���'"� FOR
Permit No.: �,/ q� p�/�
11111' • 131257 S W Hall Blvd.,Tigard,OR 97223 Date/By. 5 9 �'7 _ / / O�l W pC 3
Plan Revi
Phone: 503.718.2439 Fax: 503.598.1 d Date/By: 2:4 Other Permit:
Inspection Line: 503.639.4175 Date Ready Juris: ® See Page 2 for
Internet: www.tigard-or.gov Notifted/Mettnd: Su lemental Information
CITY OF TIGARD P I i77- w' -- pp
,
FEE* — USE
Mechanical permit lees*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.
Value:$$69,308.00
w.
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ®Other:School Description I Qty. I Ea. i Total
O, Heating/cooling:
Air conditioning 46.75
Job site address:b965-SW Sandburg St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,Or.97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Tigard MS Cooling Tower Duct work 23.32
Cross street/directions to job site:SW72nd and SW Sandburg St Hydronic hot water system 23.32
Residential boiler(radiator or
From SW 72"",turn onto SW Sandburg St. hydronic) 23.32
Turn right at Y intersection,continuing on SW Sandburg St. Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Arrive at 6965 SW Sandburg St,Tigard MS Admin Bldg. Flue/vent for any of above 23.32
Subdivision: l Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
MillEr DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Demo old cooling tower fireplace 23.32
Cut access hole for removal,replace when work completed Log lighter(gas) 23.32
Wood/pellet stove 33.39
Install new cooling tower Wood fireplace/insert 23.32
Pipe in new cooling tower Chimney/liner/flue/vent 23.32
® PROPERTY OWNER I ❑ TENANT 4, Other: 23.32
i Environmental exhaust and ventilation:
Name:Philip Wentz,Facilities Manager,Tigard SD Range hood/other kitchen
— equipment 33.39
Address:6960 SW Sandburg St Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,Or.97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)431-4017 Fax:(503)431-4020 Attic/crawlspace fans 23.32
MPPONENT ❑ CONTACT PERSON Other: 23.32
Business name:Carrier Commercial Services Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:William R Richard Furnace,etc.
Address:7853 SW Cirrus Dr Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Beaverton,Or.97008 Water heater
Phone:(971)276-0403 Fax::(503)641-7149 Fireplace
Range
E-mail:william.r.richard(dcarrier.utc.com _ Barbecue
CONTRACTOR aim Clothes dryer(gas)
Oth
Business name:M.P.P.Piping,Inc a' - —
Address:39030 West Scio Rd 4� MECHANICAL PERMIT FEES*
Po. c.� i .i Subtotal
City/State/ZIP:Scio,Or.97374 Minimum permit tee($90.00)
Phone:(503)394-3067 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lic.:87935 ,�a1,l� TOTAL PERMIT FEE
I This permit application expires if a permit is not obtained e$ithin 180
days after it has been accepted as complete.
Authorized signature: - —..../!1. " Fee methodology set by Tri-County Building Industry Service Board
Print name:William ' Richard Date:5/7/2014
I:\BuildingTermits\MEC_PmnitApp_040113.doc 440-46171(11/02/COM/WEB)
I •
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_040113.doc 2