Permit (116) CITY OF TIGARD MECHANICAL PERMIT
44 111
Permit#: MEC2017 00631
" ' COMMUNITY DEVELOPMENT Date Issued: 08/22/2017
Tf C a1;R,D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD Lot: None
Project: Caring Closet Subdivision: None
Project Description: Add exhaust fan in new restroom.
Contractor: CATALYST PARTNERSHIPS Owner: TIGARD-TUALATIN SCHOOL DISTRICT
PO BOX 1922 6960 SW SANDBURG ST
BEAVERTON, OR 97075 TIGARD, OR 97223
PHONE: 503-705-2847 PHONE:
FAX:
FEES
tion Date Amount
Description p
Permit Fee 08/22/2017 $69.06
Type of Use: COM Plan Review 08/22/2017 $17.27
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 08/22/2017 $8.29
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $300.00
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: 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
Total $94.62
Vent Fans: 1 Vent Systems:
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. Speci Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not .Red within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow e I: Idopptedby the
theruleon
s
Utility ''cation -nter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. $ I copy
or di ct questions to O. . .-fling 503.232.1987 or 1.800.332.2344.
AO Iss ed By: Permittee Signature: ,){ . law-14,
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 l'SE O\Ll
City of Tl andReceivedDate/By: P��O Permit No.: 11�C /7_6v63
13125 SW Hall Blvd.,Tigard,OR 97 EGEIVET) Plan Review Other Permit:
■ Phone: 503.718.2439 Fax: 503.598.196 Date/By: U 31-417
T I G A R D Inspection Line: 503.639.4175 /q U G 2 2 Date Ready/By: IurisH See Page 2 for
Internet: www.tigard-or.gov2017 Notified/Method: Supplemental Information
C-1Y OF t l - COMMERCIAL >EE* SCHEDULE - USE CHLCKLI[ST
TYP 'oB #1N(. DI `It_
�' 1l,1 Mechanical permit fees*are based on the value of the work
❑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:$ .300. DO
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT 1 SYSTEMS FEES*
❑ 1-and 2-family dwelling 0 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:
Air conditioning 46.75
Job site address: 92e0 )i 0-1-71-7,1 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 77‘-14,(/-::://� 'Q Z- 2,3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: 64/24 k 1(; C Le)45 g" 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
Other: 23.32
Subdivision: Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
,. ,- „4 f: • 4 Gas fireplace/insert 33.39
* j ' '/_ 5 ON�OF . RK
' A, e.<`; Flue vent for water heater or gas
//J6%✓l L.--i- i-,,)-1-Y-4. /1O Ai Lc� 74, ..-5/il-i20 -/ 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
$, -' 0 ,,} OPT�R1 Y OWNER - N .., - Environmental exhaust and ventilation:
Name: —1-;--a.R-4 1--1-L). Range hood/other kitchen 33.39
equipment
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
n toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
' Other: 23.32
0 AppCANTy, 0 CONTACT PERSON
_. Fuel piping:
Business name: $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Gas heat pump
Address: Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax::( ) Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
C "1"�,(e-J-5-1--- �J � /� j4'7� Other:
Business name: l� / �' -��; , MECHANICAi.PERMIT FEES*
Address: ` Subtotal
City/State/ZIP: e lair. '7'— q 762 7 f---- Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:07716 e21.-(5-- - 6 5 s .s---1--Fax:( ) State surcharge(12%of permit fee) 9 /
CCB lit..: / TOTAL PERMIT FEE (O
9 C/' This permit application expires if a permit is not obtained within 180
I
,���, days after it has been accepted as complete.
Authorized signature: dill
* Fee methodology set by Tri-County Building Industry Service Board
Print name: 9G 4 Air' i GUl e I( Date: e.-ZZ 1 7
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/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:
9000 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2017-00631
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor