Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC201500190
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2015
T t 1,A R 0 Parcel: 2S 114AB00200
Jurisdiction: Tigard
Site address: 16055 SW 92ND AVE
Project: Tigard Seminary Subdivision: 1993-078 PARTITION PLAT Lot: 2
Project Description: Replace gas furnace in crawl space,like for like.
Contractor: COMFORT FLOW HEATING Owner: CORPORATION OF THE
1951 DON ST SUITE D PRESIDING BISHOP/CHURCH OF
SPRINGFIELD, OR 97477 JESUS CHRIST OF L D S
50 E NORTH TEMPLE 22ND FL
SALT LAKE CITY, UT 84150
PHONE: 541-726-0100 PHONE:
FAX: 541-988-9954
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/28/2015 $201.07
Class of Work: ALT Type of Const: Vg Plan Review 04/28/2015 $50.27
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 04/28/2015 $24.13
Stories: Info Process/Archiving-Sm$0.50(up to 04/28/2015 $3.50
Project Valuation: $4,760.00 11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 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 $278.97
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 Notifi - -• -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You m-y obtain a copy of the rules
or dire• questions to O •C • -Iling 503.232.1987 or 1.800.332.2344.
Is ued By: I �//t" Permittee Signature: :d •
Call 503.639.4175 by 7:00 a.m.for the next available insp• n 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 Appfaiil-i o'n FOR OFFICE USE ONLY
Received
City of Tigard pp 7 2015 Date/By: '�e t t Nu..ly GCr i 6-CG 1`!D
: 13125 SW Hall Blvd.,Tigard,OR�72133 Plan Revie7'1 1 other Permit:
Phone: 503.718.2439 Fax: 503i521,1,960_ (' Date/By: '`��lya��
i Inspection Line: 503.639.4175I -0 MARL) Date Ready/B : Juris: ® See Page 2 for
Internet: www.tigard-or.govgUILD[NG DiV1S101� Notified/Method: H/1 f5.— Supplemental Information
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.
Value:$$4,760.00
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. I Total
. ir5 e a a n* !1!R Heating/cooling:
" i Air conditioning
Job site address: 16055 SW 92"AVE (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:TIGARD,OREGON 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:LDS TIGARD SEMINARY Heat pump
(requires 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:
DESCRIPTION OF WORK Water heater 23.32
LIKE FOR LIKE REPLACEMENT GAS FURNACE IN CRAWL SPACE Gas fireplace 33.39
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent _ 23.32
Other: 23.32
Name:PORTLAND FM GROUP Environmental exhaust and ventilation:
Address:515 NW SALTZMAN ROAD Range hood/other kitchen
equipment 33.39
City/State/ZIP:PORTLAND,OREGON 97229 Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:(503)646-6493 Fax:( ) toilet compartments,utility rooms) 23.32
® AP 'r,`` ANT I Attic/crawlspace fans 23.32
Business name:COMFORT FLOW HEATING Other: _ 23.32
Fuel piping:
Contact name:MISTY GILL $14.15 for first four;$4.03 for each additional
Address: 1951 DON STREET Furnace,etc.
Gas heat pump
City/State/ZIP:SPRINGFIELD,OREGON 97477 Wall/suspended/unit heater
Phone:(541)726-0100 Fax::(541)726-4799 Water heater
Fireplace
E-mail: mgill @comfortfl ow.com Range
TRACTOR Barbecue
Business name:COMFORT FLOW HEATING Clothes dryer(gas)
Other:
Address:1951 DON STREET
City/State/ZIP:SPRINGFIELD,OREGON 97477 Subtotal 201.07
Minimum permit fee($90.00)
Phone:(541)726-0100 Fax:(541)726-4799 Plan review(25%of permit fee) 50.27
CCB lie.:460 State surcharge(12%of permit fee) 24.13
TOTAL PERMIT FEE 275.47
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
Print name: M 1 1 ( Date: Li— 2— 15 * Fee methodology set b Tyr=County B I ngs ustry Service Board 97
I:\Building\Penults\MEC•PermitA doe 09/09/10 440-4617T(11/02/COM/WEB) *--1dL
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b,.... COMFORT[Lilt HEAT/NO
I AND A/R CONDITIONING ccci L1�,��,
1951 Don Street I Springfield I OR 97477 Va
Phone 541-726-0100 I Fax 541-988-9954 APR
www.comfortflow.com 7 2015
BUIL OF RD
MOAT
D
1'/G,A
DATE: 4/2/15
TO: City of Tigard
ATTN:
FROM: Misty Gill
RE: Mechanical Permit Application
Message:
Hello,
Enclosed is the mechanical permit application and (2) sets of Submittals with
attached picture of unit for the like for like replacements of (1) Gas Furnace at
LDS Tigard Seminary. Could you please give me a call to verify the total permit
fees? Please let me know if you have any questions or need anything else. Thank
you!
Misty Gilt
Comfort Flow Heating
Commercial Department
mgill @comfortflow.com