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Permit (47) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2016-00567 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2016 Parcel: 2S111AA00401 Jurisdiction: Tigard Site address: 14145 SW HALL BLVD Project: Hall Blvd Baptist Church Subdivision: None Lot: None Project Description: Replace(2)gas furnace-like for like Contractor: SPECIALTY HEATING&COOLING INC Owner: HALL BOULEVARD BAPTIST CHURCH 7500 SW TECH CENTER DR STE 130 PO BOX 230130 TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-620-5643 PHONE: 503-590-7686 FAX: 503-681-0793 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 08/08/2016 $229.69 Class of Work: ALT Type of Const: Plan Review 08/08/2016 $57.42 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/08/2016 $27.56 Stories: Info Process/Archiving-Sm$0.50(up to 08/08/2016 $8.50 Project Valuation: $5,800.00 11x17) Fuel Air Handlers Fuel Types: Units< 10000 cfm: Gas Pressure: Units>10000 cfm: Furnaces Boilers&Compressors Furnaces<100K BTU: 2 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 $323.17 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility a • enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to o UN :• ailing 503.232.1987 or 1.800.332.2344. . n Iss ed By: 1/ _taPermittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR OFFICE USE ONLY 1111111 " City of Tigard RECEIVED Received /'/ / 13125 SW Hall Blvd.,Tigard,OR IT Date/By: 1, � Permit No.: �1 �! �� Phone: 503.718.2439 Fax: 503.598.1960 Plan Review Inspection Line: 503.639.4175 Date/By: Other Permit: p T I G A R D 0 Q Date Ready/By: 1ur�s: H See Page 2 for Internet: www.tigard-or.gov A O Notified/Method: Supplemental Information '41 ❑New construction Addltl•*'U� � I ']g g{ i d j Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. v Value:$ 5"'.�'©D,pO _ ❑ 1-and 2-family dwelling 1-2`ommercial/industrial 0 Accessorybuilding . 0 Multifamily 0 Master builder For special information use checklist. ❑Other Description I Qty. I Ea. I Total .,; t ' e ;'st f r' Heating/cooling: Job site address: 1�(�/S �'� _/J/ ]?/v// Air conditioning 46.75 ` �Gr t �V r Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: .��,,,4✓,,, e9/7 9767071/ Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:/-101/ Heat pump 61.06 �`�/)8/1/1/34/7/47LCJ4,1 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 Tax map/parcel no.: Other fuel appliances: 1 , „, Water heater 23.32 s.x .�L ... t 't ys r g i tt p 4.1": r KIM,. Gas fir lace/insert . � 33.39 ie/do l /'�s c �j ` , Flue vent for water heater or gas C ) (� fv7,�art0_9 --4,' ... Co,- G' fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 23.32; : ,: d xVis" . tl d" EOtnhveirr:onmental exhaust and ventilation:Name: / I�/v ,6' ,o1/ 5t• w Range hood/other kitchen Address: l 1/I 4/5 S /3/4/0/ equipment 33.39 GG��// RE'�t'il/ Clothes dryer exhaust 33.39 City/State/ZIP: 77:9,,,, a� 97O � Single-duct exhaust(bathrooms, Phone: 1j i 7 � toilet compartments,utility rooms) 23.32 j) 1} 7Fax ( ) Attic/crawlspace fans 23.32 ". x KGs k• E ._ °I„t Oth _�F :• "":' ter: 23.32 Business name: 41pc� y _ /,+,q -1 C Fuel piping: Contact name: jTetc:= ' Sc/ $14.15 for first four;$4.03 for each additional !!!???(r/4' Furnace,etc. Address: 7.5 Cc, (� 2 /1-.5 / %6.7Z1 Z1 Gas heat pump City/State/ZIP: / Wall/suspended/unit heater Water heater Phone:(5 ,)616•_-/7773 I Fax: :( ) Fireplace E-mail: Range � r Barbecue ;,.«, ,. v ,. i ._cv , ., .: Clothes dryer(gas) Business name: ��y ✓ � �[ ��/Other: Address: zooSC" 7c7-.......-__-"- MINPA:kt Subtotal City/State/ZIP: l.;qa ©fit 7707 3 Minimum pennit fee($90.00) Phone:(Sa3) ',/, —C7-77,..3 I Fax:( ) Plan review(25%of permit fee) .7 State surcharge(12%of permit fee) CCB lie.: ��! TOTAL PERMIT FEE r3,2,3./7 (, �d/d This permit application expires if a permit is not obtained within 180 Authorized signature: days after it has been accepted as complete. /� * Fee methodology set by Tri-County Building Industry Service Board Print name: ✓e,., 5',4,7,6 I Dater ///G I:BuiIdmg Permits MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& MultiFamil Fee Schedule: aw � 401, $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 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 14145 SW HALL BLVD, TIGARD, OR, 97224 Commercial - Mechanical 699 Mechanical ﬁnal PASS - No C of O MEC2016-00567 Chip Barnett Violation Summary: Inspector Contractor