Permit ts
CITY TIGARD MECHANICAL PERMIT
I DEVELOPMENT SERVICES PERMIT #: MEC2004 - 00109
L �;�I! DE
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/12/04
PARCEL: 2S102CB -00100
SITE ADDRESS: 12850 SW GRANT ST
SUBDIVISION: NORTH TIGARDVILLE ADDITION ZONING: R -12
BLOCK: LOT: 041 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: El VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: 38,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: 2 OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Remarks: Install refrigeration equipment - Valuation = $6500
Owner: FEES
TIGARD - TUALATIN SCHOOL DISTRICT #23 Description Date Amount
6960 SW SANDBURG RD
TIGARD, OR 97223 [MECH] Permit Fee 4/12/04 $168.50
[MECPLN] Plan Rev 4/12/04 $42.13
[TAX] 8% State Surchart 4/12/04 $13.48
Phone: Total $224.11
Contractor:
COMMERCIAL REFRIGERATION INC •
5920 SE GLISAN STREET
PORTLAND, OR 972133790 REQUIRED INSPECTIONS
Phone: Cooling Unt Insp
hone: 234 - 6445
Final Inspection
Reg #: LIC 65271
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -00
Issued By: B Y '/ / %� Permittee Signature: . / �
— —
V
Call (503) 639 -4175 by 7:00 P.M. for inspections nee. •d the next bu •ay
'I28$ SeN GiW'r A
C. FT , pp(L!7t_69 it -Z° 35, 5ra063- BOD/
Mechanical Permit Application u
A a Date receiv ago ` �etmit no. , , _ , 4 ,� /0
ilk1 City of Tigard ��` B
g i Project /appl.no.: Expire date:
s: 13125 SW Hall B v
City of Tigard
Address: , � , Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 MAR 10 2004 Case file no.: Payment type:
Land use approval: CITY OF T1faARD Building permit no.: Q„
:.." ,- r � �� , �. • ., ..• TYPE OF PERMIT ,,,.
❑ 1 & 2 family dwelling or accessory Jul .Commercial /industrial ❑ Multi- family ❑ Tenant improvement
eplacement ❑ Other:
x
❑ New construction ❑ Addition/alteration/replacement COMMERCIAL VALUATION SCHEDULE. . . •.;JOB SITE INFORMATI ''•
Job address: I o2� sd 5,c.lt A Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materiA, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ G / ✓`rte
Lot: (Block: I Subdivision: *Sec checklist for important application information and
Project name: C . F. 1 i FI net, , LQlcteOen jurisdiction's fee schedule for residential permit fee.
City /county: —1 t q ovtG ZIP: 9 72, 2-3 1 & 2 FAMILY DWELLING PERMIT FEE SCHEDULE
Description and l of work on premises: w1S;174G L_ AND COMMERICAf/INDUSTRIAL EQUIPMENTSCHEDULE
fr62. / it -- t-f 6,13 Q, iLU6 6,frie Tt'' Fee (ea.) : at
Est. date of completion/inspection: Description Qty. Res. only ' es. only ,
Tenant improvement or change of use: HVAC:
•
Is existing space heated or conditioned? El Yes ❑ No Air handling unit CFM
space insulated? U Yes ❑ No Air conditioning (site plan required)
Is existing Alteration of existing HVAC system P _
• MECHANICAL CONTRACTOR Boiler /compressors
I
Business name: p' l 0/Lc,,�.. L I2 Vt ICI .07/. 7 tl State boiler permit no.:
HP Tons BTU/H
Address: 59 9 &J 0 [.,,,'SA 4) Fire /smoke dampers /duct smoke detectors
City:M L {— - State:®,, ZIP:9 7,2 / ? _ Heat pump (site plan required) .
Phone: ~ Faxage I , E -mail: Install/replacefurnace/burner BTU /H
Including ductwork/vent liner ❑ Yes ❑ No
CCB no.: �.' f 'y/ `j � Install /replace /relocate heaters- suspended,
City /metro lic. no.: wall, or floor mounted '1
Name (please print): ITe ap�% ,. C_ 40 ('G Vent for appliance other than furnace
CONTACT PERSON Refrigeration: I11.,
Absorption units BTU/H
Name: 3 A4 i916 Chillers HP
Address: Compressors HP
Environmental exhaust and ventilation:
City: I State: I ZIP: Appliance vent
Phone: Fax: E -mail: Dryer exhaust
OWNER Hoods, Type l/ II/res. kitchen/hazmat
hood fire suppression system
Name: Exhaust fan with single duct (bath fans)
Mailing address: Exhaust system apart from heating or AC
City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets)
Type: LPG NG Oil
Phone: Fax: E -mail: Fuel piping each additional over 4 outlets
ENGINEER Process piping (schematic required)
Name: Number of outlets
Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type
Phone: ,Fax: E -mail: Woodstove /pellet stove
Other:
Applicant's signature: L,j ,4 . Date: Other:
Name (print): � et'C/t.:
'Not all jurisdictions accept credit cards, please call junsdiction for more information Permit fee $ I' ro
❑ Visa 0 MasterCard Notice: This permit application Minimum fee $
Credit card number / / expires if a permit is not obtained Plan review (at 2-5 $ ( 12_ /3
Expires within 180 days after it has been State surcharge (8 %) .... $ 1 "
Name of cardholder as shown on credit card accepted as complete. TOTAL $ z
Cardholder signature Amount , 440 -4617 (6 /00 /COM)
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: FEE: Description: Price Total
$1.00 to $5,000.00 Minimum fee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for the first $5,000.00 and 1) Furnace to 100,000 BTU
including ducts & vents 14 00
$1.52 for each additional $100.00 or 2) Furnace 100,000 BTU+
fraction thereof, to and including 17.40
$10,000.00. including ducts & vents
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace
$1.54 for each additional $100.00 or including vent 14.00
fraction thereof, to and including 4) Suspended heater, wall heater ,
$25,000.00 or floor mounted heater 14.00
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit
$1.45 for each additional $100.00 or 6.80
fraction thereof, to and including 6) Repair units
$50,000.00 12.15
$50,001.00 and up $742.00 for the first $50,000 00 and Clieck'alhthat apply: ° "Boiler_; -: "Heat : "- Airy ,
$1.20 for each additional $100.00 or For items 7, ti1, "segt :,_or_ •`Pump _ -Cond
fraction thereof. - footnoteslbelo Corp ' :, -' *,"', _
7) <3HP;absorb unit
to 100K BTU 14 00
ASSUMED VALUATIONS PER APPLIANCE: 8) 3 -15 HP; absorb
Value Total unit 100k to 500k BTU 25.60
Description: Qty (Ea) Amount 9) 15 -30 HP; absorb
Furnace to 100,000 BTU, including 955 unit .5 -1 mil BTU 35 00
ducts & vents 10) 30 -50 HP; absorb
Furnace > 100,000 BTU including 1,170 unit 1 -1.75 mil BTU 52.20
ducts & vents 11) >50HP: absorb
Floor furnace including vent 955 unit >1.75 mil BTU 87.20
Suspended heater, wall heater or 955 12) Air handling unit to 10,000 CFM
floor mounted heater 10 00
Vent not included in applicance 445 13) Air handling unit 10,000 CFM+
permit 17.20
Repair units ,_ 805 14) Non - portable evaporate cooler
< 3 hp; absorb. unit, 955 10 00
to 100k BTU ..
15) Vent fan connected to a single duct
3 -15 hp; absorb. unit, 1,700 6.80
101k to.500k BTU ' -
16) Ventilation system not included in
15 -30 hp, absorb. unit, 501k to 1 2,310 appliance permit 10.00
mil. BTU .
17) Hood served by mechanical exhaust
30 -50 hp; absorb. unit, 3,400 10.00
1 -1.75 mil. BTU _
18) Domestic incinerators
>50 hp; absorb. unit, 5,725 17 40
>1.75 mil. BTU 19) Commercial or industrial type, incinerator
Air handling unit to 10,000 cfm 656 - 69.95
Air handling unit >10,000 cfm 1,170 20) Other units, including wood stoves
Non - portable evaporate cooler 656 10.00
_ Vent fan connected to a single duct 446 21) Gas piping one to four outlets
Vent system not included in 656 5.40
_ appliance permit 22) More than 4 -per outlet (each)
Hood served by mechanical exhaust 656 1.00
Domestic incinerator 1,170 Minimum Permit Fee $72.50 SUBTOTAL: <: ; ,' "''`f $
_ Commercial or industrial incinerator 4,590
Other unit, including wood stoves, 656 8% State Surcharge ' "'` --; '. '. $
inserts, etc. ,,', .-
Gas piping 1 - outlets 360 25% Plan Review Fee (of subtotal) �' `- $
_ Each additional outlet 63 Required for ALL commercial permits only ' ; ,
TOTAL COMMERCIAL $ TOTAL RESIDENTIAL PERMIT FEE: : $
VALUATION: .
Other Inspections and Fees:
1 Inspections outside of normal business hours (minimum charge -two hours)
$72.50 per hour
2 Inspections,for which no fee is specifically indicated (minimum charge -half hour)
$72 50 per hour
3 Additional plan review required by changes, additions or revisions to plans (minimum
charge -one -half hour) $72 50 per hour
* State Contractor Boiler Certification required for units >200k BTU.
* * Residential NC requires site plan showing placement of unit.
is \dsts \forms\mech- fees.doc 10/11/00
OFFICE COPY
April 2, 2004 CITY OF TIG �'. ,
OREGON
Jerry McCormick
Commercial Refrigeration
5920 NE Glisan
Portland, OR 97213
RE: REFRIGRATION EQUIPMENT
Building Permit: MEC2004 -00109 Construction Type: II-1HR
Tenant Name: C.F. Tigard Occupancy Type: E -1
Address: 12850 SW Grant Avenue Occupant Load: NA
Equipment: Rooftop & Coolers
The plan review was performed under the State of Oregon Mechanical Specialty Code
(OMSC) 2002 edition; and the Tualatin Valley Fire & Rescue Ordinance 99 -01 (TVFR99-
.ht
01) 1999 edition. The submitted plans are approved subject to the following.
1. Guards shall be provided where appliances are located within 10 feet of the roof edge.
The guard shall be 42 inches above the elevated surface on which the equipment is
located and shall have intermediate rails so as not to allow the passage of a sphere, 21
inches in diameter. 304.9 OMSC
2. Equipment and appliances regulated by this code requiring electrical connections
shall have a positive means of disconnect in accordance with the Electrical Code.
301.7 OMSC
3. Appliances shall be accessible for inspection, service, repair or replacement without
removal of permanent construction. 306.1 OMSC
4. Manufacturer's installation instructions shall be available on the jobsite at the time of
inspection. 304.1 OMSC
5. Condensate from cooling coils or evaporators shall be collected and discharged to an
approved plumbing fixture or disposal area. 307.1 OMSC
Approved Plans: 1 set of approved plans, bearing the City of Tigard approval stamp, shall
be maintained on the jobsite. The plans shall be available to the Building Division inspectors
throughout all phases of construction. 106.4.2 OSSC
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
cmgastromarmasosmanaramearporesao
Comma -K IP L REF--RJGERxioN INC.
5920 NE GLISA( 7213 • (503) 234 -6445 • FAX (503) 234 -0668
MAR 10 2004
CITY OF TIGARD
Smith & Greene Co BUILDING DIVISI® February 26, 2004
c/o Baugh / Skanska Construction %b: C.F. Tigard Elementary School
Attn: Jerry Bunn 12850 SW Grant Ave
Ph: 503- 258 -0858 Tigard, OR 97223
Fx: 503- 258 -0855
The air - cooled condensing units to set outdoors on a roof pad above the walk -ins. Roof pad
layout for the refrigeration for the new walk -ins as follows:
Item# R1 Walk -in Cooler +35° Volt/Ph D x W x H Wgt
MOH - 010 -X63 Heatcraft condensing unit 208/30 29" 24" 18" 138
Item# R2 Walk -in Freezer -10°
MOH - 031 -L63 Heatcraft condensing unit 208/30 29" 38" 20" 223
Condensing units to set on an approx 36" deep x 84" wide (min 30" deep x 74" wide) x 8" high
roof pad with a metal cover over pad flashed to the roof. Height subject to snow requirements.
Condensing Condensing Zy 5 (-'5 /7O
unit unit
Plan view
V
Air flow I - -3" x 8" id pitch pocket (for refrigeration and electrical)
In front, between A& B
C/U c/LJ Front elevation
I - (pad)
Roof
Tubing thru pitch pocket
Condensing
unit
0 —► Air flow Side elevation
J C rh CITY OF TIGARD
Tubing thru pitch pocket
Approved n Ec NAN /a9L (
Conditionally Approved (
Electrical could also go thru same 3" x 8" id pitch pocket For only the work as described in:
PERMIT NO. nE4200't - as / 0 9
See Letter to: Follow ( �'
Job Address: Attach S O S W 4440 AVM
B . , e0� Date: 2 -0
SINCE 1949 '''
r tti 11%1 CFJ04 b7 44 51 '11 I h 25, UKttNt. 1 I LHNU UJ LSti 31d ) F".02/0(
I
'emote on Roof��{ i ( PI Go Above Walk -ins C t
DS
iggATNT liialllitii?L!hilli — = == -- `' i _ _ , s . I it ; ;!� i i " —_.. -_ __ — !'1 F1 h Y`. , ' u• � �--� uSk {!1 :'' i l' i!li lll;lllllli - _ -- — - h : I illita�ih! N! ___ _ _ _ ' ' ' 1'l I 11-."--=-77-='::-.
t = = — I;i'::!fil , it1 hi!if ��- -- ► 111t h ''.
'r.: t 3 IlI'11lIi ►1 11111 = ° _ __ ,,, ' � r , l + t n illilklt 11E !,I
I't;;li t l 1 - - -_— _, NMI 1rd,l ;iii iila i,ri. ,
r ?►1411 � l lfiil --- — ill ldi ' iith,il • -- � •t i ; �•r 1sliltill ;11!!1111
i I tall ;1;11!!! )51,1 11 ,
Isiilf All I11111 IIlllll t ,, tl ,1'; ,,; gift lii!i.illllil:
, gr ll ' 11111 t ►!1111!11' 11,,1111; ;il 111 I,lhi: !iiiiTi
E.: r! ti r Q R A � 1F:iiailill ?ll!11G
111%11 i:t;i� 1311114111 i;i;1l li!itll l liiltaillh ! : ;i(lli: l'.r j
c� i h 1l
: t � i s t,u� aslf ci I3
1:1NE;1'RE!1ifli1; ;. ?1.1'I ?I'Ii';l:I}ItEit chi tiEllliltlill ?i ?111 �II,1': �i�tl1 ll'i
IHI h� I;hE . '� 2 si 1111 „�
1111 Etti lllii 1 : IMI NE1311i ! • `� fir ti I Eu
fidil!li!ia1” +Il;llllil 1i!' 1 11.511:,41;4:' ' ND, 11i1�1'' Ifi
} N i 1 + 11 it;1llilli!!1#lii!!; lil!lf:fa111!I! , ; i,�i'; 31;11, t ,
1 I;f lI 1 ; A ll h
i ill i to 1 � 6>a it • , :
I Il�tJlG! i:!!!il!r ,,., t �' , 11
!'!I;l. I!Ill i1 ! 11:1111!! a +1111aiit'1'!'t' t' 0 i 1It IiIIii'
, liillll rli;il 1`Illi 111!111! . _ lltti►! - '111111 �: +; +'':. ! °111;1 � 1;111 ;':
I (1 ; !llhl! iiiifhi tIIltliltil,GA1:1: .11-
t;Iliiil ;fill L. 111'1111 11111.1: .....„41- , 1181 ?1111111111':!1:
,i tl'l' I!i Li'
ti !t it - 111111lI Ii1O N ilt•,1 : Ail;01 Iltc• ;, ,I 1111 tii1111i 0 1i,
:: ti!- il. !I r 1 I. -1111 klll {; i:I �•
f 'r' t 1!Pl'11l!llil'I!{It' I m Iti:,Ill:,:L till! , E I •
e1!'I 0 i h m !itltulililli ?111 Ili{ ►I!1!;hlil.! I. .Il'1J1BIIitlu.li
�!illl ?111ilil.illJli. JJ. EUIIIH ?111 ?!I; n:r • • :;
t V '1111111?1i11111111I! i . I i . I ''I I'i'1.0.; •i 'llillINlililll l !
;,�: 1 , t rt i .
'AI l!t't.1111ii!i' 1 1, Et '11!111 III iii1llllit 1{111111
i1i {1l1111i41;;`h1;1 i11a11111;111!.lihil sv, Ihfl , ::: ; .. ; •,
;M1,1111;14 , 11;1111$1 uIiiii. 11 '411 lllal:
1 111 1111 11i41I1 I11iil11; 3131,111!I t.
i ? 11 ! ; 11'111'1! ilChlh t ?i':IilG 4:: , ' Ira " ' iild.{ih! ilil►�:i. 111(1. lielii� �•—
I l I .1111 I!!llkilii`.i� I` 111111;1,:
Mill ' iliil;! 111111 : i11� fi ® 111!1 '
� 1I1!!l illlii!! 11111.1i111111$11 lill!!li!!!1!!(1111`:
1'8;1111 ill'Ill I I1111 11111. - I 1;111t'i'ITIII ;llilllllli■!IIlIIE!F .
i;i�;lt!,IIII!1! 1'::11111:IIIiilli i I iilili l':1 111!1111 ICI
• I; • tit + ll:P111i lilihlil �' i 1!! I " liit I?i ?l!EII:I a' 111! li 11111!1 1r
i;.11'l:l,Ii.l;ii R , ! i1 !
s : I`l'lilU b lhItli!I? n l il!' ''' ',III 11111111' 11 litil?I',liilililll!ir
is {11;811 ;
gnomon. ilild ? l l 1,1 +1 , 1!al 1 11 1111 }wail ;111'1!Fil I 11111tiill'I1II1i1
l!:II:11!I!!1 1119 ?hi;lt • 31111, 1`t i 1111i ' !Ill
T Milli iliGT
!Milt t ? +•i ''
1:1111.0311:11.1* 31!11111, 811111•.!:
1111`. !11f;1;IlA 1.4ii lll!1111!1lf;l;
/ ` .jut?liiNl:ntil �!1!ilitlltiaimiii_
.,,___ . [
•
1t 0 [..
0
ib413 — ! � ` 1 l
j a 411 41:1 .
. 0 o e 41> 1 I
36
1 1
Desk ----. . == L s 44e — = - = 244 �
r
S E.-7C.
07/06/2004 15:00 FAX o 5032340668 Commercial Refrigeration U002/002
r7MIE CDI IMERCIAL FRjGER 11DN INC.
5920 NE GLISAN • PORTLAND, OREGON 97213 • (503) 234 -6445 • FAX (503) E lI V E Lj
EXiimmosonalliMmesdal
OMENE
?JUL 6 2ilo
CITY OF TIGARD
BUILDING DIVISION
City Of Tigard Job: CF Tigard School
13125 SW Hall Blvd. k 3 - 2850 SW Grant
Tigard, Or. 97223 • , .
Attn: Dan Nelson Permit # MEC2004 -0010
FX 503 -598 -1960
The following is the information you requested:
On 04/12/04 the mechanical permit was issued
On 04/15/04 we completed our rough of the refrigeration lines and pressurized the lines to
4501bs. When we returned on 06/08/04 the line pressure was still at the 4501bs and our install
technician must have thought that the line pressure test had been completed. He then proceeded
to complete the install for the final stat up as requested by the general contractor.
This was not an attempt to bypass the inspection process.
Jerry McCormick
Commercial Refrigeration
CCB 065271
SINCE 1949
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
po BUP
Received / 2 1453 Date Requested 7 9 AM PM BUP /
Location „ Suite // MEC .Q.6)(3 `T - / 7
Contact Person ji77:1 ---�- Ph ( ) �� l 7 7 }° PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner / ELC.
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof dlo,
Other � -
P SS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
•
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
ASS! PART FAIL
EL RICAL _
ervice
Rough -In I I \
/
Low Voltage
41111#01/Niffite____Wor i'w
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL