Permit CITY OF TIGARD MECHANICAL PERMIT
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11 ' COMMUNITY DEVELOPMENT Permit#: MEC2017-00812
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2017
Parcel: 2S102BD01600
Jurisdiction: Tigard
Site address: 9845 SW WALNUT PL
Project: Tigard United Methodist Church Subdivision: FREWING ORCHARD TRACTS Lot: I
Project Description: Boiler replacement.
Contractor: HUNTER DAVISSON INC Owner: TIGARD UNITED METHODIST CHURCH
1800 SE PERSHING ST 9845 SW WALNUT PL
PORTLAND, OR 97202 TIGARD, OR 97223
PHONE: 503-542-3628 PHONE:
FAX: 503-542-3654
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/24/2017 $804.91
Class of Work: ALT Type of Const: VB Plan Review 10/24/2017 $201.23
Occupancy Grp: A-3 Occupancy Load: 12%State Surcharge-Mechanical 10/24/2017 $96.59
Stories: Info Process/Archiving-Lg$2.00(over 10/24/2017 $6.00
11x17)
Project Valuation: $28,000.00 Info Process/Archiving-Sm$0.50(up to 10/24/2017 $6.00
11x17)
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
Vent Fans: Vent Systems: Total $1,114.73
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: j 1 ./.7 '' ,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
IP
Mechanical Permit Application roll orrlct:Fsi:()NI.)
City of Tigard ReReceived
y. Vit Tit3 Permit No.: r/1,.ft.^'7 � Vi,A
13125 SW Hall Blvd.,Tigard,OR 972' Plan Rev - a/ r1�� ! O
18 Phone: 503.718.2439 Fax: 503.598.16 E I E D Date/By: r.) ` )1. Other Permit
T 1 G A RD Inspection Line: 503.639.4175 Date Ready/ y: ions: H See Page 2 for
Internet: www.tigard-or.gov 11 6 201? Notified/Method: Ld I.4-0 �"ii Supplemental Information
OCTt11 1 1 rpt L 11 I !S/► ` 4�
TTP'El'F - :OF IG C; 4.20
OMMEROIAL E* SCHEDULE',–VSECRECICL.UST
t f�A !0F!1 N Mechanical permit fees*are based on the value of the work
❑New construction X]Addition/aI LtL �-'i 'tf performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ „2,57,0®8,0 d
CATEGORY OF CONSTRUCTION0 ',
RESIDENTIAL EQUIPMENT/S •'tE PEES*
❑ 1-and 2-family dwelling g Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE',INEOICMATION AND LOCATION; Heating/cooling:
Cfe® SW y y A� Air conditioning0046.75
Job site address: ,� a,LAA.,,t of LQ, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:7o 0A2 F7,2a3 � Furnace 100,000+BTU(ducts/vents) 54.91
e ®� !�lut1 Lh Heat pump 61.06
Suite/bldg./apt.no.: Project name:7?,,tre,9 C(N v crAS 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,,„,/......
LTkeis, Alt,• *0.*,_ '; -.- Gas fireplace/insert 33.39
// ® Flue vent for water heater or gas
�GQ. @)<t it j holL Wa.QI'.n�Q0.�oNq hoeter wr'• /lr'1 - fireplace 23.32
(�(` eo c J Log lighter(gas) 23.32
a Nevi a e+/ e , ,'ciG), ZO rN`ii`f e'l'�"f'' Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
PROPERTY o'voi-ER r ,.,' 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:► 61, yl 1�N �� 0„,...10
„, ®Q jos Range hood/other kitchen
eq5 q?yS SIS via gut pn Clothes t 33.39
Address: f 7 �6�,C�'C+ Clothes dryer exhaust 33.39
City/State/ZIP: Gy.eir 02 4 7a,23 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(563) 7o _33 Fax:( ) Attic/crawlspace fans 23.32
AlP?PLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: 1,1`te,r. U ti s-S',A ...z-jkli f� $14.15 for first four;$4.03 for each additional
Furnace,etc.
O
Contact name: 0.r 11 e.„, A �. C
Address:/e00 „STr- i'J1 t,1 Wall/suspended/unit heater
City/State/ZIP:/?)r't�e oGas heat pump
f ���c Water heater
Phone:(5.63,,,,721?—//if 3 Fax::( ) Fireplace
Range
E-mail: rn�,0„.(4-)/V �A gJ ®pi ® Barbecue
CONTRAcroft Clothes dryer(gas)
A
Business name: S–atM2 ®4',S go 0� Other. ME
Ctif4I,IIcAIa I'LII'T FEES*'.
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: /16.,,,R, 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: * Fee methodology set by Tri-County Building Industry Service Board
Print name:C-A art,'e. kq,4 Q, Date, /7
1:ABuddingVPermits\MEC_PermitApp_040113.doc 440-4617T(I 1/02/COM/WEB)
LIR
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
1
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9845 SW WALNUT PL, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2017-00812
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor