Permit IL CITY OF TIGARD MECHANICAL PERMIT
' 1 COMMUNITY DEVELOPMENT Permit #: MEC2011 -00326
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/21 /2011
Parcel: 2S 109ACO2100
Jurisdiction: Tigard
Site address: 14850 SW 132ND TER
Project: Alberta Rider Elementary School Subdivision: ALBERTA RIDER ELEM. SCHOOL Lot:
Project Description: Replace ductless heat pump (east unit).
Contractor: HYBRID HEATING & AIR CONDITIONING CO. Owner: TIGARD - TUALATIN SCHOOL DIST 23J
PO BOX 329 ATTN: BUSINESS MANAGER
CORNELIUS, OR 97113 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503 - 357 -5663 PHONE:
FAX: 503 - 357 -0668
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/21/2011 $204.14
Class of Work: ALT Type of Const: IIB Plan Review 07/21/2011 $51.04
Occupancy Grp: El Occupancy Load: 12% State Surcharge - Mechanical 07/21/2011 $24.50
Stories: 2 Info Process /Archiving - Sm Sheet (up to 07/21/2011 $1.00
11x17)
Project Valuation: $4,847.00
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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $280.68
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 O C by calling 503.232.1987 or 1.800.332.2344.
Issued By: -- Permittee Signature:
_ +
4'01
0 3.639.4175 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 e • I.Ol:OI iIc list: ON I
City of Tigard - t` .R. 1 . A . , Dat 7 / 3 (/ f Pennit Ny fC . r —6-1-2 -
13125 SW Hall Blvd., Tigard, OR 97223 ! • : - Plan Review ► r , . A, 7 Other perm , � di) 5 ` ' Phone: 503,639.4171 Fax: 503.59 60 qq i Date/By: ' p y for
a /IF rin 0 Ins ection line: 503.639.417 G Q 1 Dare Ready /By:
I I t.: A R Li p I 4otit,ed/Mcthod: „ p tai Information
Intern et www.t or.gov r su teme
CITY OF TIGARD .. i WI.:
Mechanical permit fees'' are based on the value of the work
❑ New construction :i Addition/alteration/replacement performed. Indic the value (rounded to the nearest dollar) of all
0 Demolition ❑ Other: mechanical materials c•ui•ment, labor overhead and •rofit.
Value: $ i .. r?i
` . CATECO;Ri' OF CONSIIIEOTION E�
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist. .
❑ Multi- family ❑ Master builder ❑ Other: Description Qty UM Total
Lleatln cooling
gas sue I ozzor,. Win;: >ia�cArlor =
( ,, " X Air conditioning
Job siu address: / / `�
r site •iaa showio_ •lacerncm 1111 46.75
Furnace 100,000 BTU (ch./vents) r 46.75
• r " I / r Furnace 100,000+ BTU (ducts/vents r 54,91 MI
Suite/bldg. /apt. no.: Project name: 41,e, , t a _• , P IIMEMIIMIIIIMI 61.06
Duct work , 23.32 EMI
Cross streetldirecdons to job site: H dronic hot waters stern 23,32 EMI
Residential boiler (radiator or
- h dronie ill 23,32 -
Unit heaters (fuel -type, not cicetric),
in - wall in - duct sus •ended etc. ���
Flue/vent for an of above �
Subdivision: Lot no.: Other:
Tax map /parcel no.: Other fuel a..11ances
23.32
r
bCRII'fZk`F �DF yt?U;:. 33,39
• ,+ r r . ..I ` , LA e L • Flue vent for water heater or gas MIMI�
6r •]ace
1,0.-.1i- to as 111111 23.32
Wood/.clletstove r 33.39 Mill
Wood fireplace/insert liNE�
- Chimne /liner/flue/vent
' RrgQPERT'Y OV'l i 3':'* 11: Other: r 23.32
Name: ; k e t ,` !. r t + t J c, , _ 0 S ` • ' r Environmental exhaust and ventilation
Y�ta Range hood/other kitchen
Address: , , t) .. t. fi, A_' i c•ui• meat 33.39 33.39
•
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City /State /ZIP: let 04 � CR Single -duct exhaust (bathrooms, -
Phone: ( ) J i Fax: ( ) toilet corn •artments utili rooms 73.32
3 32
r !s ace fans
0 API'I:ICANT. ... .
Att C Craw
athet:
Business name: fuel pipio '
514.15 for first four 54.03 for each additional
Contact name:
Address:
IMENE
rr■
City/State/ZIP: Wali/sus • ended/unit heater
r MI
Photo: ( ) Fax: : ( )
rini MIMI�
E -mail: Range
COl\"I'RA,�I',QR
Barbecue
Clothes es es as MI
� r s � '� athcr
4 C " r '' ,
Address: ?. 6 • Q , �oz a Fz;>i>
Subtotal �
City /State /Z1P: y Y ((,� j e.- p r 3 Minimum permit fee ($90.00) Millil
Phone: (,513) — • r , inIK1V ' Plan review (25% of permit fee) IMMT
State surcharge (12% of permit fee) 7
CCB lie,: / TOTAL PERMIIT FEE _ '7' .1
. This perm application expires if a permit is not obtain.... ,_.a 180
AuthOrized signature:
• ,�1 m C days after it has been accepted as complete.
Print name: i ; , 4. , C.a.Q,f1ik . Date: ' (a. ' Fee methodology set by Tri- County Building Industry Service Board
... a.,. i nmrrrn 0 440.4611T (I li021COM»'E8) C. C ri /AI , -
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ybriCL nearing OC "lrr" L itUsiL(UtiLIi.5
McClenny / RISC DECEIVED
Refrigeration ! Heating !Cooling
P. U. Box 339 -330 Basel ne-Cornelius, Oregon 97113 Office 503 -357 -5663 Fax 503 X57 CITY -0668 JUL 1'3 2011
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1 OF TIGARD
csc_ se \ Toot, f / p 9. BUILDING DIVISION
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CITY OF TI .
Approved - -- • APP :: l [ t..1
Conditionally Approved Approved plan Atto pli
See Letter to: F hed e [ , Shalt be on job site.
ta
Permit Nu �rcC`' -r _ `
Add - . • .tea• % L
By:
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OFFICE COPY
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– :2c5 snow the oliow!n on i'2 site pic3r :
of 17:docr UHt Outdoor Unit –41111111
- -� HO .. 1L.e r"■..; (;nru the roof Out the SiCewaii – ,. :C, •
and
now e CCr C :Sc%c \}Jnl be run •
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07/13/2011 07:07 5033570668 HYBRID HEATING PAGE 05/06
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