Permit (18) CITY OF TIGARD MECHANICAL PERMIT
1114
I COMMUNITY DEVELOPMENT Permit#: MEC2019-00525
T-i A It 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/31/2019
Parcel: 2S 111 ACO2901
Jurisdiction: Tigard
Site address: 9500 SW MURDOCK ST
Project: Templeton Elementary School Subdivision: None Lot: None
Project Description: Refrigerant piping for(1)condenser and(2)evaporators.
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 07/31/2019 $235.31
Class of Work: ALT Type of Const: VB Plan Review 07/31/2019 $58.83
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 07/31/2019 $28.24
Stories: Info Process/Archiving-Lg$2.00(over 07/31/2019 $6.00
11x17)
Project Valuation: $6,000.00 Info Process/Archiving-Sm$0.50(up to 07/31/2019 $5.00
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:
Appliances
Vent Fans: Vent Systems: Total $333.38
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units: 1 Special Inspection(see plans)
Gas Outlets: Other Desc: walk in
Duct Work: cooler
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 •stain a copy of the rules
or direct questions to OUN by calling 503. .1987 or ,.:00.332.2344.
Issued By: APJ`` / / Permittee Signature: (.911t-i` �- r
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
_ City of Tigard Received
Date/By: Permit No.: �", 41
II II 13125 SW Hall Blvd.,Tigard,OR 97223 y rl�� i�
Phone: 503.718.2439 Fax: 503.598.1960 *� yt + Aan Review
Inspection Line: 503.639.4175 ' -. -, I Date/By: _ Other Permit �� -
TIGARD p "Date Read /B r
Internet www.tigard-or.gov
Ready/By: 8 See Page 2 for
Notified/Method: '7 �•0 , Supplemental Information
JUL / .O1. _ All
`•'-a /di �� r % gJ,ver S a j0
• t ata .; * 1
®New construction �� FihNie �!1/1�` Mechanical permit fees*are based on the value of the work
0 Addition/alterati ab 1t til
r^-s'. �- performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials equipment,labor,overhead,and profit.
y� 4
a to. fio*: , fi �� -'-' y - Value:$6000
.,„ ��F ,
0 1-and 2-family dwelling ®Commercial/industrial � � �'� ����� >�T��`�� �"` -.
0 Accessory building For special information use checklist.
0 Multi family 0 Master builder ❑Other: Description
Qty. I Ea. I Total
,�„ � �� t' 1 ki r Heating/cooling:
'14` Air conditioning 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
Suite/bldg./apt.no.: I Project name:Templeton Elementary Scho Heat pump 61.06
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
Tax map/parcel no.: Other fuel appliances:
Water heater
23.32
' $i rr !' ,, W*S ** Gas fireplace/insert 33.39
” `"' Flue vent for water heater or gas
Installation of refrigerant piping for(1)condenosr&(2)evaporators.
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
` . . ..r Fa , Other:rWR , i. � , � 23.32' ,,,
Environmental exhaust and ventilation:
Name:
Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
Phone:( ) toilet compartments,utility rooms) 23.32
Fax ( )
y Attic/crawlspace fans 23.32
�v � qO Oeiti,, � Other: 23.32
Business name:Caliber Plumbing&Mechanical Inc Fuel piping:
Contact name:Daniel Hannah $14.15 for first four;$4.03 for each additional
Furnace,etc.
Address:6036 N Cutter Circle,Suite 360 Gas heat pump
Cit /State/ • 'i : , t I t 1 Wall/suspended/unit heater
�.� ._._,
Water heater
Phone:(503)206-7591 I Fax::(503)285-5769 Fireplace
E-mail: Dan@calibermechanical.com Range
F `,/� ,"K r "ems " ` ° Barbecue
4 y��„ ,i ,,�. ii * .- Clothes dryer(gas)
Business name:Caliber Plumbing&Mechanical Inc Other:
'fl
Address:6036 N Cutter Circle,Suite 360 ..:` i,:,71 .',' .; _!' I� , � ;ALY`
Subtotal
City/State/ZIP:Portland,OR 97217 Minimum permit fee($90.00)
Phone:(503)206-7591 I Fax:(503)285-5769 Plan review(25%of permit fee)
CCB lic.:208245
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized Signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
Print name:Daniel Hannah I Date:6/17/19
1.\Building\Permits\MEC_PermitApp_0401 13.doe
440-4617T(11/02/COM/WEB)