Permit (56) CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MEC2019-00490
T-1 t A Ii f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/17/2019
Parcel: 2S 103DC01000
Jurisdiction: Tigard
Site address: 11265 SW GAARDE ST
Project: Gaarde Christian School Subdivision: None Lot: None
Project Description: Removing and replacing(2)Bard 2.5 ton packaged HP wall units.
Contractor: HUNTER DAVISSON INC Owner: TIGARD ASSEMBLY OF GOD
1800 SE PERSHING ST 11265 SW GAARDE ST
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 07/17/2019 $601.71
Class of Work: ALT Type of Const: VB Plan Review 07/17/2019 $150.43
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 07/17/2019 $72.21
Stories: Info Process/Archiving-Lg$2.00(over 07/17/2019 $4.00
11x17)
Project Valuation: $20,000.00 Info Process/Archiving-Sm$0.50(up to 07/17/2019 $2.00
11x17)
Fuel Air Handlers
Fuel Types: Electricity Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Fumaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump: 2
Appliances
Vent Fans: Vent Systems: Total $830.35
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 y calling 503.4:2.1987 or 1.800.332.234
1
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Issued By: lIl / / Permittee Signature: P,41
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 ONLY
sa"`�F'',A S 7 Received a� int ) �j..e2:5-y,/-
.
C,
City of Tigard Date/By: 7 1 /7„,* pe -vzc0�'C/t / '�y L/ .
1111
a 13125 SW Hall Blvd.,Tigard,OR 7 23
Phone: 503.718.2439 Fax: 503.598.199 Plan Reviewy�
! �{�I� DateBy: �� �'- �� �l Other Permit:
T 1 GARD Inspection Line: 503.639.4175 L Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov r Notified -thod: Gi� Supplemental Information
C /
1 II nt /7"P fti'?M.
YPI F '--ii �'i '1? ,r 4 i RCIAL ,' IIEDULE 0141+ 'ITEtW:I .�:T '
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Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$oZ O O t>
:.
CATEGORY OF CONSTRUCTION 4 ci RESIDENTIAL TIAL EQtI MENT f SYSTI S FEEi*
❑ I-and 2-family dwelling 14 Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: /1a CS SIA/ 6q a t`a2 J 7 rt��' Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: 't-/q,ei of 7) Furnace 100,000+BTU(ducts/vents) 54.91
J / Heat pump 61.06
Suite/bldg./apt.no.: Project name: Goi c -c/e, c(c4-T. 5-,_44,01 Duct work 23.32
Cross street/directions to job site:e(2,/I4 e . f'f ,5/C/ry - Hydronic hot water system 23.32
JResidential 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: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DDC1UPTION OF WORK Gas fireplace/insert 33.39
L Flue vent for water heater or gas
ee.oloVe. aNd rt.�olgce. AI0 e -ci a?iS TONI fireplace _ . 23.32
. -C G/yl-G _/ RP (Air(
/ PIT
y Log lighter(gas) 23.32
PJB T V`� ( [JJ Wood/pellet stove 33.39 -
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
A '1,7 I'IOPEIITY- WNEI 1 = T NT E �; Other: 23.32
�/ Environmental exhaust and ventilation:
Name: G c ar CJ s G 4 T l.J i l a N Si A oU Range hood/other kitchen
—� equipment 33.39
Address: f/d(j5 SUJ (tear o1II S1I2. 1 rfz. !* Clothes dryer exhaust 33.39
City/State/ZIP: 1;1/4/' r+S cl 0R q.7.2 off.ti Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
' PI..IANT w NTA PEII 'I t ' Other: 23.32
�� � .� .. J, ria °� � Fuel piping:
Business name: / P p g:
l7(A if f e r-At/J'sO NiG GAJ L• $14.15 for first four;$4.03 for each additional _
Contact name: kv /-t '// Furnace,etc.
Address: /go() jLc AcSh 1,,,/ ..r11-02,1- Gas heat pump
el
Wall/suspended/unit heater
Gity/StatetZIP:_ o .. ,, . 0 TT) Wat..nceatc[ ! f ._- l
Phone:is-- ) s-,/,2 --36, Fax::( ) Fireplace
Range
E-mail: C ��1' ntAN Q rCAV/SScAJ *GOA Barbecue
ti
oNTR OR Clothes dryer(gas)
Business name: S Z AS ,4 tj e Other:
---- r 1 _' (JIAN, PgRI F may_
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.: /6/R TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
daysogy aftersetby it has
Tri-County been accepted as complete.
Sery
Authorized signature: :�. * Fee methodolBuilding Industry ice Board
Print name: RycAAi 0/ee Date: 7-0k-/9
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(1 l/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total" al W!on. Permit`
$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
IIIN COMMUNITY DEVELOPMENT DEPARTMENT
T1cnRD Building Permit Review — Commercial - No Land Use
Building Permit #: /kg-C-07. - 4e 4(
Site Address: / 2&�' �'/) qaarrif Suite/Bldg#:
Project Name: c
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: f PniO / rep/0 GL Nyle t l/ uvi
Existing Business Activity: c7C'_J ) T
Proposed Business Activity: i/
Verify site address/suite# exists and active in permit syste
'ver Terrace Neighborhood: ❑ Yes YNo
V ning: '—S-
IIa 1' tted Use: 2 Yes ❑ No ❑ Spec Space
Confirm no land use required.
usiness License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: ://9
//9
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: Enter building permit#above.
Workflow Routing: /I >Planning CI PIt Coordinator $uilding
Workflow Sign-off: /(sign-off for Planning(include notes from planning review)
Route Application Documents: uilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes: / / i
ilp
By Permit Technician: /Or, Art,, Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
O Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent topplicant:
Revision Notice 2: Date Se o Applicant:
Revision Notice 3: Date .-nt to Applicant:
❑ SDC Fees Entered: ash Co Trans Dev Tax: 0 Yes 0 N/A
Tigard Trans SDC: 0 Yes 0 N/A
Parks SDC: 0 Yes 0 N/A
❑ OK to Issue Pe -it
Approved by ~rmit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 07091 5.docx