Permit (91) � aE
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2017-00852
(GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/30/2017
Parcel: 2S 114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Caring Closet Subdivision: None Lot: None
Project Description: Bathroom exhaust fan for expansion of existing annex building at Tigard High School to add a laundry room,
bathroom,and dressing area.
Contractor: RIVER CITY NW MECHANICAL LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
5200 MEADOWS RD SUITE 54 6960 SW SANDBURG ST
LAKE OSWEGO, OR 97035 TIGARD, OR 97223
PHONE: 503-591-9950 PHONE:
FAX: 503-536-6615
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/30/2017 $78.27
Class of Work: ALT Type of Const: Plan Review 10/30/2017 $19.57
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/30/2017 $9.39
Stories: Info Process/Archiving-Sm$0.50(up to 10/30/2017 $1.00
11x17)
Project Valuation: $750.00
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
Vent Fans: 1 Vent Systems: Total $108.23
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.;.. 332.2344. '1
Issued By %�� '�— - Permi ure: n I(/4
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLI'
Received
City of Tigard �r'� J Permit No.: _ �-
d �, _ ,
Date/By: )f1- AI
13125 SW Hall Blvd.,Tigard,OR 97223 t c Plan Review P
s Phone: 503.718.2439 Fax: 503.598.196 Date/By: other Permit:IP t>i f, 1
T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Ii1 See Page 2 for
Internet: www.tigard-or.gov 0(T 3 0y 201' Notified/Method: IfflSupplemental Information
TYPE OF W. ry1 OF. i I ,. . COMMERCIAL FEE* SCHEDULE- USE CHECKLIST.
�i l 1 s, Mechanical permit fees*are based on the value of the work
❑New construction Addition/alte { jkl performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ SO
CATEGORY'OF CONSTRUCTIONv
RESIDENTIAL EQUIPMENT/SYSTEMS FEES* _'
❑ 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder IN Other: S&L.e 1 Description Qty. Ea. Total
; i" JOB SITE INFORMATION AND'LOCATION „<' Heating/cooling:
Air conditioning 46.75
Job site address: 9000 scA) V %%corp._ c't,0Kwt Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: I O E.,6 Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
T.aokre l t a‘, $c.it.00 l S ckeitv...t LAr ikz 1 hydronic) 23.32
Unit heaters(fuel-type,not electric),
ICI#AN AR'o0ip++-- 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
IDES I ON OF WORK , Gas fireplace/insert 33.39
Flue vent for water heater or gas
TIN5 iVab&NeZd,lw Ott Q*Nwpl► oils• ccw` tr fireplace 23.32
Log lighter(gas) 23.32
10.5'tti.7 U'agskike >r'OOlv--... JAI oz.' LA/IPJ4,,.e)c'Cr1424- Wood/pellet stove 33.39
‘,5-774,d,.?..4,e-% ��"... erj. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0:TR 'OP ' 'R al ❑ TENANT x Other: 23.32
.m..4,.¢W E' _`'' -- Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 1 23.32
NPhone:( ) Fax:( ) Attic/crawlspace fans 23.32
✓ (p,APPLICANT' " 0 CONTACT,PERSON Other: 23.32
Business name: ttalr C t.L� co �t G��eA�tGta� Fuel piping:
$14.15 for first four;$4.03 for each additional
INP▪ Contact name: �Gh 1,...eSqk\t_ Furnace,etc.
▪ Address: Gas heat pump
O 5 ZO ��«"���� �� Wall/suspended/unit heater
not City/State/ZIP: Lalmit. Cpsw t-`10 t OcZ 9:70115.. Water heater
• Phone:(SbIl) 5 t 1.9 9SO Fax::( ) Fireplace
Range
I E-mail:r4.44:14%)tltt kr,ti N",..e yAX CAa.GD N% Barbecue
CONTRACTOR . „ Clothes dryer(gas)
,x��. . Other:
Business name: S`��,..c. a� A�vt MECHANICAL PERMIT FEES*
U Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) 4
CCB lic.: t ctg 6 11 TOTAL PERMIT FEE 0/.,
i-ta4P This permit application expires if a permit is not obta ed within 1g0
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: /.-.4..%s1,hit_ Date: 101 SOI Zot7
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:
TOW 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