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Permit (156) CITY OF TIGARD MECHANICAL PERMIT a COMMUNITY DEVELOPMENT Permit#: MEC2017-00545 TT GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2017 Parcel: 2S112CC01100 Site address: 15800 SW HALL BLVD Jurisdiction: Tigard Project: Tigard Community Friends Church Project Description: Replace existing gas furnace with new gas furnace. Subdivision: None Lot: None Contractor: JACOBS HEATING&AIR CONDITIONING 4474 SE MILWAUKIE Owner: TIGARD FRIENDS CHURCH PORTLAND, OR 97202 7130 SW BEVELAND TIGARD, OR 97223 PHONE: 503-234-7331 PHONE: FAX: 503-296-5351 Specifics: FEES Description Date Type of Use: COM Permit Fee Amount Class of Work: ALT 07/31/2017 $176.51 Type of Const: Plan Review 07/31/2017 Occupancy Grp: A-3 Occupancy 12%State Surcharge-Mechanical $44.13 Occu anc Load: 07/31/2017 $21.18 Stories: Info Process/Archiving-Sm$0.50(up to 07/31/2017 Project Valuation: $4,000.00 11x17) $20.00 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: 1 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: Hoods: Comm Incinerators: Total $261.82 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 issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law equires youir toiffolot low the ork isnrules a optedthby 10 days of the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a cop of the rules or direct questions to NC by calling 503.232.1987 or 1.800.332.2344. Issued By: /' � Permittee 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 oft e project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit A licat' EIVD FOR OFFICE USE ONLY City Of Tlgal'CI Received 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: Eire1 Permit No.: Phone: 503.718.2439 Fax: 503.598.19601111 t 7 405 5— II J U L 2 6 Plan Review TIGARD Inspection Line: 503.639.4175 2��T DateBy: -� _ Other Permit. Internet: www.tigard-or.gov r , Date Ready/By: , CITY OF 6 IGMRD Notified/Method: 7uris: Spee Page 2l for c, BUILDIN VL I Supplemental Information el • > TL'P1� � � � i ��' W ORTC ¢�� Su le ❑New construction ..., �� r>� ------,-••-••,k *;. t C IST .' ®Addition/alteration/replacement sr / Mechanical permit fees*are based on the value of the work 0 Demolition ❑Other: performed.Indicate the value(rounded to the nearest dollar)of all t of cOR O 6o-iq ittf ::O mechanical materials, Value:$$4,000,„,—,. Ise overhead,and Irofit .00 „� ,,.. x, o 1-and 2-family dwelling ®Commercial/industrial D spec' ? on use checklist.t. ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total , :'t SI`E LNFURMA1'IUN AND LOCA'T'ION Hea�in. coolin.: Job site address:15800 SW Hall Blvd Air conditionin_ 46.75 City/State/ZIP:Tigard OR 97224 Furnace 100,000 BTU(ducts/vents) 46.75 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: Project name:Tigard Community Church _ 61.06 Cross street/directions to job site: Duct work 23.32 H dronic hot water s stem 23.32 Residential boiler(radiator or h dronic . Unit heaters(fuel-type,not electric), 23.32 in-wall,in-duct,sus'ended,etc. . 46.75 Flue/vent for an of above 23.32 Subdivision: Other: Lot no.: 23.32 Tax map/parcel no.: Other fuel a•.liances: ;> Water heater ,S" * x 7�7^ �`;. 23.32 EEMIIIMIIIIII Remove and depose of the existing Trane 90%Gas Furnace.Install new Carrier Flue vent for water heater or gas 33.39 95%Gas Furnace.Connect the new furnace to the existingfireplace 23.32 gas piping,electrical Lo_li:hter :as 23.32 power wiring,control wiring and flue piping. Wood/pellet stove 33.39 Wood fireplace/insert 23.32 INEIME r ►�'i PRi©I'ER:TY OWNER Other: 23 32 `. 23.32 Environmental exhaust and ventilation: Range hood/other kitchen Address: a•ui,ment 33.39 City/State/ZIP: Clothes d er exhaust _ 33.39 Single-duct exhaust(bathrooms, Phone:( ) toilet com.artments,utili rooms . 23.32 Fax ( ) ,. APPLICA)Y1 23.32 CONAC FEItSON Other: 23.32 Business name:Jacobs Heating and Air Conditioning Fuel ,i.in:: Contact name:Andrea Bowlds $14.15 for first four;$4.03 for each additional ItelMit Address:4474 SE Milwaukee Ave Furnace,etc. =- Wall/susCity/State/ZIP:Portland,OR 97202 • heater /unit heater == Phone:(503)234-7331 EX+ Z.4Water heater Fax :(503)296-5351 11=1111111111111. E-mail:Andreab@jacobsheating.com Ran:e ", r:.,`.CONTRAC'T'OR Barbecue Business name:Jacobs Heating and Air Conditioning Clothes d er :as Other: Address:4474 SE Milwaukee Ave MECHAIYIG'. L,T' 12MI`Su blot l City/State/ZIP:Portland,OR 97202 Subtotal Minimum permit fee($90.00) - Phone:(503)234-7331 Plan review(25%of permit fee) Fax:(503)296-5351 CCB tic.:1441 State surcharge(12%of permit fee) TOTAL PERMIT FEE r ,9. This permit application expires if a permit is not obtained within 180 Authorized signature:)e jr, `-1 * daysafter it has been accepted as complete. iaa Fee methodology set by Tri-County Building Industry Service Board Print name:ANDREA BOWLDS Date:7/25/17 I:\Bui Idi ng\Permits4yC_Perm itApp_0401 13.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi Family Fee Schedule: Tota . uat>ln Prmit.: o . :..' . .u. $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. 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