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Permit (183) CITY OF TIGARD MECHANICAL PERMIT .1111 COMMUNITY DEVELOPMENT Permit#: MEC2018-00761 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2018 TIGARD g Parcel: 2S111ACO2901 Jurisdiction: Tigard Site address: 9500 SW MURDOCK ST Project: Templeton Elementary School Subdivision: None Lot: None Project Description: Radon gas conveyance system. Contractor: CALIBER PLUMBING&MECHANICAL INC Owner: TIGARD-TUALATIN SCHOOL 6036 N CUTTER CIRCLE, SUITE 360 DISTRICT 23J PORTLAND, OR 97217 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: 971-563-1672 PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/20/2018 $1,109.71 Class of Work: ALT Type of Const: Plan Review 09/20/2018 $277.43 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/20/2018 $133.17 Stories: Info Process/Archiving-Lg$2.00(over 09/20/2018 $2.00 11x17) Project Valuation: $40,000.00 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: Vent Systems: Total $1,522.31 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 ma f n a copy of the rules or direct questions to OUNC 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 insp: ion date. This permit card shall be kept in a conspicuous place on the job sit .ntil 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 �" Permit City Of Tigard �— - ! iew .:"IN 13125 SWHall Blvd. Tigard,OR 9722ECEIVE x Ary Phone: 503.718.2439 Fax: 503.598.19 DateBy: Other Permit: .G 0 ,, a TIGARD Inspection Line: 503.639.4175 Date Ready/By: El See Page 2 for Internet: www.tigard-or.gov SEP 2 0 2018 Notified/Method: Mli Supplemental Information 13fPE 101 t u ! 1 t e: R+ )C+F`1+;? IA:1,,it °.I I :r�xwv� l v.. n.�wxww� r , .,�_4 u ,. ,.r v xl 1 .. .. 1` ..,,..,,. ."1"_. . e.v .vC, ...., uv,..,... tl ._......... vi'W ..74M'v wwwv v,v vI V . .... rr� Mechanical permit fees*are based on the value of the work Newconstruction ❑Addition/alt i�l fit`"RI M ISION performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$40000 xxxx xiig rx it i i ,e the HNC igKnxxx x..r. ' xs:..xrr.<x ww:g I 'th °a. , his .�e�.. „ > h �,,.srx R sxxxx�xx xxxxxxxxx xxx�Rmxx �, .. 23..1_,,.. ❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total i r SOE „; . rivI � k . Heating/cooling:g/cooling: ,.. vwwv v .v > Air 46.75 Job site address:9500 SW Murdock St Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:Templeton Elementary 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 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 I e:'SRV 'rGas fireplace/insert 33.39 ww nwnnn xx--xxx xxxxxxxx xsxxxxxx sxxxmmluxxxx-----'1'''"'''''''' xxx xx �I�D0x Flue vent for water heater or gas Underground Radon Piping .� fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 x : t s Other: 23.32 �A���� ='` Environmental exhaust and ventilation: wvwwuvvv . . - Name:Tigard-Tualatin School, District 23J Range hood/other kitchen equipment 33.39 Address:6960 SW Sandburg St Clothes dryer exhaust 33.39 City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 '+`I14c 1 PERSON Other: 23.32 ���...... . � .vv.0 � wva v v,uvuvv ...... ( � ..... �..w v......v. � �x.., Business name:Caliber Plumbing&Mechanical Inc Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Matt Dorn Furnace,etc. Address:6036 N Cutter Circle.suite 360 Gas heat pump Wall/suspended/unit heater City/State/ZIP:Portland,OR 97217 Water heater Phone:(503)206-7591 Fax::(503)285-5769 Fireplace Range E-mail:Accounts@calibermechanical.com Barbecue xxxx ..� r ...x ;O1 1RAc T©R. x .. e : Clothes dryer(gas) Business name:Caliber Plumbing&Mechanical Other Radon 1 " fECHANKALPERMLTFEES* ,'i , ,�xa '.[`: v �x x vr...'.as ..r�: ,.::a ...................... �. Address:6036 N Cutter Circle,suite 360 Subtotal City/State/ZIP:Portland,Or 97217 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:(503)206-7591 Fax:(503)285-5769 State surcharge(12%of permit fee) CCB lic.:208245 TOTAL PERMIT FEE • This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signatur G i * Fee methodology set by Tri-County Building Industry Service Board Print name: �/44G�c .004,.5 ...._ ////�����'���' Date:9/19/18 I:\Building\Permits\MEC PermitApp_040113.doc 440-46I7T(I 1/02/COM/WEB)