Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2020 00267
T1CGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/08/2020
Parcel: 2S109ACO2100
Jurisdiction: Tigard
Site address: 14850 SW 132ND TER
Project: Alberta Rider Elementary Subdivision: None Lot: None
Project Description: Mechanical for new vestibule:Relocating(2)ceiling diffusers, (1)fire/smoke damper,and(1)linear slot diffuser in
existing grid; Install(3)electric radiant ceiling panels,(1)thermostat,and zone temperature sensor.
Contractor: AMERICAN HEATING INC Owner: TIGARD-TUALATIN SCHOOL DIST 23J
5035 SE 24TH AVE ATTN: BUSINESS MANAGER
PORTLAND, OR 97202-4765 6960 SW SANDBURG ST
TIGARD,OR 97223
PHONE: 503-239-4600 PHONE:
FAX: 503-239-7038
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/04/2020 $416.29
Class of Work: ALT Type of Const: VB Plan Review 06/04/2020 $104.07
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 06/04/2020 $49.95
Info Process/Archiving-Lg$2.00(over 06/0412020 $2.00
Stories:
11x17)
Project Valuation: $12,630.00
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 $572.31
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
Fire/Smoke Dampers: 1
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 503.2 r 1.800.332.2344.
Issued By: Permittee Signature:
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
Cityof Tigard .-7 / — Permit No.: _
g s tr/By: / �'91-G ��Mf 7
III m 13125 SW Hall Blvd.,Tigard,OR 97223 p�Review
■ Phone: 503.718.2439 Fax: 503.598.1960 APR 2 8 20Z0 DaterBy. 41a) other Pemdt: /��e j�j_a ?
1 1,; ,k3 D Inspection Line: 503.639.4175 Date Ready/By: limns. See age 2 for
Internet www.ti -or-go gard Notified/Method:(//j�/L.(/ /a"V
, 7�i Supplemental Information
v 'ITYUF I(UHf G !
AIMING DIVISION F21e.. 'id
° Mechanical itfees*arebasedonthevalueoftheworkperformed.ha
TYPE OF WORK AIMING l 1 DIVISION aJ V, �N the nearest dollar)of all mechanical materials,equipment,labor,overhead
IllNew construction ®Addition/alteration/replacement Value:$$12,630.00
RESIDENTIAL EQUIPMENT I SYSTEMS FEE
❑Demolition 0 Other. For special information ate checklist.
CATEGORY OF CONSTRUCTION Description I Qty. I Fa. I
Heating/cooling:
❑I-and 2-family dwelling CI Commercial/industrial ❑Accessory building Air conditioning 46.75
❑Multi-family ❑Master builder ❑Other: Furnace 100,000 BTU(ducts/vents) 46.75
JOB SITE INFORMATION AND LOCATION Furnace 100,000+BTU(ducts/ve m) 54.91
Heat pump 61.06
lob site address:14850 SW 132"Ave Ductwork 23.32
City/State/ZIP:Tigard,OR 97224 Hydronic hot water system 23.32
ResSuite/bldgJapt.no.: Project name:Alberta Rider Elementary hydroni) boiler(radiator or 2332
hydronic)
Cross street/directions to job site: Unit heaters(fuel-type,not electric), 46.75
in-wall,induct,suspended,etc.
Hue/vent for any of above 2332
Other 23.32
Other fuel appliances:
Water heater 2332
Subdivision: Lot no.: Gas fireplace/insert 33.39
Flue vent for water heater or gas 23.32
Tax map/parcel no.: fireplace
DESCRIPTION OF WORK Log lighter(gas) 23.32
Wood/pellet stove 33.39
Relocate(2)ceiling diffusers,(1)fire/smoke damper and(1)linear slot Wood fireplace/insert 23.32
diffuser in existin grid.Provide and install(3)new electric radiant ceiling Chimney/liner/flue/vent 2332
Other. 23.32
panels,(I)thermostat and zone temp sensor Environmental exhaust and ventilation:
Range hood/other kitchen 33.39
equipment
02 PROPERTY OWNER ❑ TENANT Clothes dryer exhaust 33.39
Name:Tigard-Tualatin School District Single-duct exhaust(bathrooms, 23.32
toilet compartments,utility rooms)
Address:6960 SW Sandberg St Attic/crawlspace fans 2332
City/State/ZIP:Tigard,OR 97223 Other: 23.32
Fuel piping:
Phone:( ) Fax:( ) S14.15 for first four,S4.03 for each additional
® APPLICANT ® CONTACT PERSON Furnace,etc.
Business name:American Heating Inc. Gas heat pump
Wall/suspended/unit heater
Contact name:Amanda Bostic Water heater
Fireplace
Address:5035 SE 24th Ave Range
City/State/ZIP:Portland,OR.,97202 Barbecue
Phone:(503)239.4600 Fax::(503)239-7038 Clothes dryer(gas)
Other.
E-mail:a.bostic@americanbeating.net MECHANICAL PERMIT FEES°
CONTRACTOR Subtotal
Business name:American Heating Inc. Minimum permit fee($90.00)
Plan review(25%of permit fee)
Address:5035 SE 24th Ave State surcharge(12%of permit fee)
City/State/ZIP:Portland,OR.,97202 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 189 days at
Phone:(503)239-4600 Fax:(503)239-7038 complete
* Fee methodology set by Tri-County Building Industry Service Board
CCB lie.:33135 �i
/Bostic Authorized signature:('l y\• `��E/ E 1 /` )
Print name:Amanda Bose f Da_te�4/28/20
COMMERCIAL FEE° SCHEDULE —USE CHECKLIST
L\Th.ilding\PennilslMEC_Pem,itApp o90113.doc 440-4617T(I I/02ICOM/WEB)