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Permit (72) CITY OF TIGARD MECHANICAL PERMIT 1111 , COMMUNITY DEVELOPMENT Permit#: MEC2016-00505 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/03/2016 Parcel: 1S 136C804400 Jurisdiction: TIGARD Site address: 8500 SW SPRUCE ST Project: Japanese International Baptist Church Subdivision: WEST PORTLAND HEIGHTS Lot: M Project Description: (3)heating and cooling systems,(3)exhaust fans,and(2)fire smoke dampers. Contractor: SPECIALTY HEATING&COOLING INC Owner: JAPANESE INTERNATIONAL BAPTIST C 7500 SW TECH CENTER DR STE 130 8500 SW SPRUCE ST TIGARD, OR 97223 PORTLAND, OR 97223 PHONE: 503-620-5643 PHONE: FAX: 503-681-0793 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/03/2016 $1,135.11 Class of Work: ALT Type of Const: VB Plan Review 08/03/2016 $283.78 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 08/03/2016 $136.21 Stories: 2 Info Process/Archiving-Lg$2.00(over 08/03/2016 $2.00 Project Valuation: $41,000.00 11x17) Fuel Air Handlers Fuel Types: Natural Gas Units<10000 cfm: 2 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: 2 Heat Pump: Appliances Vent Fans: 3 Vent Systems: Total $1,557.10 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 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 obtai a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: ,- r Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspec on 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 OFFICE USE ONLY City of Tigardi ED x r ,� Received 7 /1y 13125 SW Hall Blvd.,Tigard,OR 97223 Plan R v III u ��aj��, /� PermitNo.: g 1"14 R a„� Plan Revt= I^ Mr.-C./all -1,,,C6-0'5. 4 07 t�• Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ®”' Other Permit: / T I G A R D Inspection Line: 503.639.4175 i ' 1 1 Z0 16 Date Reade �' ��""I��� ,�� Internet: www.tigard-or.gov U y y ,r� /, 1ar� See age 2 for t Notified/Metho 5��(„ t� Z" Supplemental information "+ / S le 1#�.� u a ,„ rW (7ti+ 117 elt„ p !I k € kt. ." t t & 'I " Mechanical permit fees*are based on the value of the work pz New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value: $ /GZ'C,f� W�"i�j.„ 'm ` 4 �r: r i t: �:a�t T ivt.) � � u :a`” � �" ,��' "Y.'..,.,a, .3 4 G w lr . xi. ❑ 1-and 2-family dwelling .1 Commercial/industrial 0 AccessorybuildingFor special information use checklist. 0 Multi-family 0 Master builder ❑Other: Description I Qty. I Ea. I Total 4., '�^ x14_..t* a e iit t,, / ?t t t,;40 t ^ o? Heating/cooling: � 00 C f 1 j IA� Air conditioning 46.75 Job site address: `J (� C Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: / CIZ. Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: 'V; o��e / / Heat pump 61.06 i it...,ce/gt/3 f�/Weli.- Duct work 23.32 Cross street/directions to job site: 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 Flue/vent for any of above 23.32 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 aLt)'''"'"'" t f Gas fireplace/insert 33.39 // / ) / ' /" ) - /''"' N' "- Flue vent for water heater or gas Zel5 Q G( t tJ (y@ 5/g/e' /�az/r i i�( l ,J/7 .7y 5? A<Oly� fireplace 23.32 / //yei, (3) 4 X%Ob'971 4ti/✓`' 71O (07J Fsie, Log lighter(gas) 23.32 Wood pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 . 'r Other: 23.32 ' /' ° ma'`` '' "/� Environmental exhaust and ventilation: Name: 1TA/C1�e-Se' .7.(///v,e/e2 /d...,,C 234/4-1A/ LGtI/f� Range hood/other kitchen Address: 05 2c9 s/, / 5 `i✓C P .--< - equipment 33.39 (/" Clothes dryer exhaust 33.39 City/State/ZIP: 77,yQ Ogf . Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(3) 7d5---502 3 Fax ( ) Attic/crawlspace fans 23.32 .,. .r.,= x Other: 23.32 Business name: ��CG4 j i j/ Fuel piping: Contact name: �_., / / $14.15 for first four;$4.03 for each additional S/ e d u/Ceh Furnace,etc. Address: 75-,c,0 SW -4;4 (-,,,,,,A, y/�� . Gas heat pump w �t/ Wall/suspended/unit heater City/State/ZIP: 74ye, 4, 9 ) 3 Water heater Phone:( )6/,,,.....6277 3 I Fax::( ) Fireplace E-mail: i e cr5 0 5/,CCr[ , / fo ARange t 1� t Barbecue _ .. ,. 3 ` .. t ..�!I, ,z , �d , - Clothes dryer(gas) Business name: of-/x4.-..9 Other: s/PG, y //At, t C©Q Address: � ���_�',` ",° ������ � '�`�r:. 7 0 .5kv %," Ceo.„4.-- -A -�''� Subtotal City/State/ZIP: ./i;4Y� e12f/ Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)6/6 — 7773 Fax:( ) State surcharge(12%of permit fee) CCB lic.: G' 5 78 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 /' days after it has been accepted as complete. Authorized signature: "2/ * Fee methodology set by Tri-County Building Industry Service Board Print name: / '/ CL1 lc, !/✓ Date: 7/8/r‘ 1:\Building\PermitsPermits MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Famil Fee Schedule: $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 City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT INi 1 A R D Building Permit Review — Commercial - No Land Use Building Permit #: Site Address: .q,i5ou SLJ Sp ic=e-. S • Suite/Bldg#: Project Name: Japan C5 e-- -Trt 4e,n affl trvt ex.( J4 C h 4 i (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Acta- el GLS/t 1�ck -ri c.._ rYlec1.1 r; cc-( LA-,-Ce"E-4,,.1 d. SC a ow n;,.\2 . Existing Business Activity: r Oji ustis 4 eA c`-1' Proposed Business Activity: 5 0...-y--e...- Verify r-t�Verify site address/suite# exists and active in permit system. i . River Terrace Neighborhood: ❑ Yes ❑ No I;c1-Zoning: -a5 a'Permitted Use: ar Yes ❑ No ❑ Spec Space Confirm no land use required. Business License: IJ/A Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: SC rLe.,v,si,mol Lv',L i '1rt..s 9(€d b,-) pw Pc,--1-z-) v LApat',e- . Approved by Planning: 0,f/Likd - ,,A0...-- Date: i- (1-1 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: Site Plans: # Building Plans: # Building Permit#: ❑ Enter building permit#above. Workflow Routing: ❑ Planning ❑ Permit Coordinator ❑ Building Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review) Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: Date: I:\Building\Forms\BldgPennitRvw_COM_NoLandUse 060116.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Parks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Permit Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx