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Permit • ' _' CITY OF TIGARD MECHANICAL PERMIT ' = COMMUNITY DEVELOPM Permit #: MEC2o11 00392 13125 SW H Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/09/2011 TIGARD Parcel: 2S 114AA00100 Jurisdiction: Tigard Site address: 9000 SW DURHAM RD Project: Tigard High School Subdivision: Lot: Project Description: Installing 40 ft. of gas kiln with fuel piping. Contractor: OWNER Owner: TIGARD - TUALATIN SCHOOL DISTRICT 6960 SW SANDBURG ST TIGARD, OR 97223 PHONE: PHONE: FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/09/2011 $145.81 Class of Work: ALT Type of Const: VB Plan Review 09/09/2011 $36.45 Occupancy Grp: E Occupancy Load: 12% State Surcharge - Mechanical 09/09/2011 $17.50 Stories: 1 Info Process /Archiving - Sm Sheet (up to 09/09/2011 $11.00 11x17) Project Valuation: $3,000.00 Fuel Air Handlers Fuel Types: Natural Gas 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 $210.76 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: 1 Other Desc: Gas Kiln 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 by calling 503.232.1987 or 1.800.332.2344. ~' er Issued By: ' d X /�, Permittee Signature: '- � --_ Call 503.639.4175 by 7:00 a.m. for the next available inspect aid te. 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 V ,.. - �� ,` FOR OFFICE USE ONLY City of Tigard i � r Dateived _ r R Permit No.: 11 1114 'I 131 SW Hall Blvd., Tigard, OR 97223 w ? �j Q�\ y Plan Review ' i� a . ii `' a ... Phone: 503.718.2439 Fax: 503.598.1960 `Q r 1 �y D ate /By: Angel ©® Other Permit: T IGARD Inspection Line: 503.639 S` ��� ) Date Ready :y: od: ffAr A ® See Page 2 for � Inte rnet: www.tiga or.gov J � otified/Meth C \11 Supplemental Information r il:�� !t �4 C- Y•01 hL TYPE OF WORK S \ V " .' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees* are based on the value of the work E t • ew 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: $ ,i K) CATE OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling 6 Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total • • JOB SITE INFORMATION AND LOCATION Heatinp,/cooling: Air conditioning Job site address: /0 S/_ / D,_, � H / .. (ou /l rdl f (requires site plan showing placement) 46.75 City /State /ZIP: v" - �J / Furnace 100,000 BTU (ducts/vents) 46.75 i �CrG� 6 � 1 t� I Furnace 100,000+ BTU (ducts /vents) 54.91 Suite/bldg. /apt. no.: E,,, 4 p Project name: t ' fp I , �3 4 ' y, Heat pump 1 (requires site plan showing placement) 61.06 Cross street/directions to job site: y /,,,,./ j- ) t i , ( Le , i4.‘ Duct work 23.32 / A / Hydronic hot water system 23.32 C navy 1 tr�P� / S A of J u (Gn + 7o to om b aO Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Subdivision: Lot no.: Flue /vent for any of above 23.32 _ Other: 23.32 Tax map /parcel no.: Other fuel appliances: . .DESCRIPTION OF WORK Water heater 23.32 / L Gas fireplace 33.39 ,.✓'- / 51 r ( G 1'J'vt 0 40 / E G. ' 9 CO k j lv\ - Flue vent for water heater or gas 3 9 - c0 , jot) (Ii'y e 1 fireplace 23.32 `J Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER 1 ❑ TENANT Chimney /liner /flue / 23.32 Other: 6 F :rte I 23.32 Name: Environmental exhaust and ventilation: Address: Range hood/other kitchen equipment 33.39 City /State /ZIP: Clothes dryer exhaust 33.39 Fax: Single -duct exhaust (bathrooms, Phone: ( ) ( ) toilet compartments, utility rooms) 23.32 ❑ A PPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: I, ai- d - 5t-,,' gt. f I, o o 1 D,'"5-1-- Fuel piping: Contact name: 6�� 0 1fttl.S0� $14.15 for first four; $4.03 for each additional Address: jatie �.1 ,c; j by it p Furnace, etc. �.� 16IAI Gas heat pump City /State /ZIP: akcIONA CC . Wall /suspended/unit heater Phone: (593 ) y31` u� Fax: : ( ) �V A V� i1'} I11 Water heater by Fireplace E -mail: ,3 j 4 L�Sar1 SSA , 'i t12 . • (.k S 6 a / • Range g Ran CONTRACTOR ON 0,(i'arbecue (�> I. / , /f� a }tj(r Clothes dryer (gas) Business name: /c /�/ /� k � r �, ± Other: Kiln Address: V �,n t� {�,e Ur J MECHANICAL PERMIT FEES* ' City /State /ZIP: �, ° ,C �) j ,5. _ (� Phone: ( ) Fax: ( ) Subtotal � , 44 1 Minimum permit fee ($90.00) - Plan review (25% of permit fee) CCB lic.: I� St surcharge (12 %ofpermit fee) 9l TOTAL PERMIT FEE Authorized signature: G J rel Dk KSP t1 This permit application expires if a permit is not obtained within 180 J days after it has been accepted as complete. Print name: Date: 81311 l * Fee methodology set by Tri- County Building Industry Service Board I:\Building\P 1 - PermitApp.doc 09/09/10 440 -4617T 1 /02 /COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi- Family Fee Schedule: Total Valuation: Permit Fee: $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. 1:\ Building \Permits\MEC- PermitApp.doc 09/09/10 2