Permit (20) CITY OF TIGARD MECHANICAL PERMIT
F ��
a COMMUNITY DEVELOPMENT Permit#: MEC2017-00307
13125 SW Hall Blvd.,Ti Date Issued: 05/03/2017
T aiki. and OR 97223 503.718.2439 9
Parcel: 25111 AA00401
Jurisdiction: Tigard
Site address: 14145 SW HALL BLVD
Project: Hall Baptist Church Subdivision: None Lot: None
Project Description: Replacing(2)gas furnaces and adding(2)exterior A/C units.
Contractor: SPECIALTY HEATING&COOLING INC Owner: HALL BOULEVARD BAPTIST
7500 SW TECH CENTER DR STE 130 CHURCH
TIGARD, OR 97223 PO BOX 230130
TIGARD, OR 97223
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/03/2017 $403.59
Class of Work: ALT Type of Const: Plan Review 05/03/2017 $100.90
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 05/03/2017 $48.43
Stories: Info Process/Archiving-Sm$0.50(up to 05/03/2017 $7.50
11x17)
Project Valuation: $12,200.00
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: 2
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $560.42
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987. .:00.332. -4.
Issued By: Allr / Permittee Signature: , I//
I 55 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard Received
5 g Date/By: Yaw Permit No.: _ ` i / 4
13125 SW Hall Blvd.,Tigard,OR 97223 '
Phone: 503.718.2439 Fax: 503.598.1960 RECEIVE Mill11.11.1 Other Permit.Ins ection Line: 503.639.4175 r�� + t 7'/ _
T 1 G A R D p •ate Ready/By: Jur s: ® See Page 2 for `
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
MAY 3'2017
TYPE OF WORKCOMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑New construction dition/alterati CITY or ED
Mechanical permit fees*are based on the value of the work
lEDDIVISION performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ /2/A
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE`INFORMATION AND LOCATION Heating/cooling:
/L//�� 5� `4 A �� Air conditioning 46.75
Job site address: n ` 4�/ u d,
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: (,, // Oi A 97 i,u Furnace 100,000+BTU(ducts/vents) 54.91
«<rrr r Heat pump 61.06
Suite/bldg./apt.no.: Project name: 23.32
Duct work
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: Other: 23.32
Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Hue vent for water heater or gas
4/(aCe /��,.07 V aS cuir, rej., ,11 cp/L fireplace 23.32
Log lighter(gas) 23.32
C�..e.ir 4/ _/ y id ho/A 677`574erw' Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
eZaROPERTY OWNER 0 TENANT Other: 23,32
�o /� a Environmental exhaust and ventilation:
Name: 2[.C- N G ±45 Uv Range hood/other kitchen
/ I aid
equipment 33.39
Address: in C, /
`` v �N) ! /� Clothes dryer exhaust 33.39
City/State/ZIP: 77� //Q 9 7,R 4" Single-duct exhaust(bathrooms,
JV toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
APPLICANT / '°'CONTACT PERSON Other: 23.32
Business name: 5/erkeg¢/1 Accji _ - )1- .'..047i,`":9
Fuel piping:
/` t"/y J $14.15 for first four;$4.03 for each additional
Contact name: J e c �'��ah Furnace,etc.
Address: 7500 S() i (;-:..?„„/„.-„,4 Gas heat pump
�.../ Wall/suspended/unit heater
City/State/ZIP: if geed 7�(.3 Water heater
(2j
Phone: 'p_3) 6g "0773 0,,,, '/ Fax::( ) Fireplace
� ��J / Range
E-mail:J$ S1sc o-yr, /4,,,, `J f EL'S
Barbecue
CO)\i1�RACTOR / Clothes dryer(gas)
Business name:,9":70 {Y If et:1° ' - Other:
/ ✓ MECHANICAL PERMIT FEES*
Address: 7Jc D0 ,%) -F,(p,/,r,4.--6-
C� 4f iif' Subtotal
City/State/ZIP: 7,, -.,/,a 6/ 9 ,23 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(.5O3),e / 77_3 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 6678 TOTAL PERMIT FEE
7 ,/,‘47/1 This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: \Telcif4,44Date:�//Lgff 7
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(I I/02/COM/WEB)
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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
14145 SW HALL BLVD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00307
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor