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Permit i A ' CITY OF TIGARD MECHANICAL PERMIT "'I!I DEVELOPMENT SERVICES PERMIT #: MEC2002 -00324 DATE ISSUED: 8/12/02 . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S133AD -02200 SITE ADDRESS: 12930 SW SCHOLLS FERRY RD SUBDIVISION: ZONING: R -7 BLOCK: LOT: JURISDICTION: TIG CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS: TYPE OF USE: COM UNIT HEATERS: VENT FANS: OCCUPANCY GRP:• El VENTS W/O APPL: VENT SYSTEMS: STORIES: 1 BOILERS /COMPRESSORS HOODS: FUEL TYPES 0 - 3 HP: DOMES. INCIN: LPG 3 - 15 HP: COMML. INCIN: MAX INPUT: 100,000 BTU 15 - 30 HP: REPAIR UNITS: FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES: GAS PRESSURE: L 50 + HP: CLO DRYERS: FURN < 100K BTU: 1 AIR HANDLING UNITS OTHER UNITS: FURN > =100K BTU: <= 10000 cfm: 1 GAS OUTLETS: 2 > 10000 cfm: Remarks: HVAC for classroom addition. Owner: FEES WESTGATE BAPTIST CHURCH Type By Date Amount Receipt 12930 SW SCHOLLS FERRY RD PRMT CTR 8/12/02 $72.50 2720020000 TIGARD, OR 97223 5PCT CTR 8/12/02 $5.80 2720020000 PLCK CTR 8/12/02 $13.18 2720020000 Phone: Total $91.48 Contractor: A -OK HEATING & AIR CONDITIONIN 19649 SW COLLINS RD NORTH PLAINS, OR 97133 REQUIRED INSPECTIONS Gas Line Insp Phone: 503 - 647 -5531 Mechanical Insp Reg #: LIC 105729 Heating Unt Insp Cooling Unt Insp Final Inspection 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 lyotifieati ` Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 01 -0080. Youm may obt copies of these rules or direct questions to OUNC b alli r 17dR_Q1 RQ /� y: � /, 4 Permittee Signature: G., Is u e B ,! !i A " CaII ( I .39 -4175 by 7:00 P.M. for inspections needed the next business day 62.--/ �. • Mechanical Permit Application Date received: 2 aim Permit no.: noel oa -oo3ae/ Y. I •s, II City of Tigard Pro ect/a 1 no.: ' e date: CityofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: Receipt no.: Phone: (503) 639 -4171 n y{ Fax: (503) 598 -1960 q p pa -00 ! Case file no.: Payment type: o. Land use approval: Building permit no.: ' TYPE OF PERMIT - ❑ 1 & 2 family dwelling or accessory 0 Commercial /industrial 0 Multi- family 0 Tenant improvement 0 New construction 0 Addition/alteration /replacement 0 Other: . JOB SITE INFORMATION' COMMERCIAL VALUATION SCHEDULE L. Job address: I 2' 3o 'S I,..) 501 c Ra. (z t, Indicate equipment quantities in boxes below. Indicate the dollar Bldg. no.: Suite no.: value of all mechatii951 materys, equipment, labor, overhead, Tax map /tax lot/account no.: profit. Value $ • Lot: (Block: I Subdivision: *See checklist for important application information and Project name: C t,()%Lb► a0t corJ jurisdiction's fee schedule for residential permit fee. i f� - , City /county: ZIP: 1 & 2 FAMILY DWELLING PERMIT' FEE SCHEDULE" Description and location of work on premises: l3'20 SSer AND COMMERICALIINDUSTRLAL EQUIPMENTSCHEDULE rInO11 COIF TOO CLA'SSRoorISS Td C 'exit ,lain)(s Fee(ea.) Total Est. date of completion /inspection: Description Qty. Res. only Res. only Tenant improvement or change of use: HVAC: space heated or conditioned? O Yes ❑ No Air handling unit CFM W Is existing . p' Air conditioning (site plan required) Is existing space insulated? 0 Yes 0 No Alteration of existing HVAC system :`=g *. .lia 'MECHANICAL CONTRACI,OR . Boiler /compressors State boiler permit no.: �} Business name: -D 4 T/ A) p1,Y h4 HP Tons BTU /H Address: 1q6±11 N y eouii) x . Fire/smoke dampers /duct smoke detectors City: /#Q/ - // I State: ZIP: 9 7f 33 Heat pump (site plan required) Phone:50 I E -mail: Install/replace furnace/burner BTU /H 7 _ Including ductwork/vent liner ❑ Yes CI No CCB no.: Q Install/replace/relocate heaters- suspended, City /metro lic. no.: Lt22 wall, or floor mounted Name (please print): Vent for appliance other than furnace .''''' • . . CONTACT PERSON Refrigeration: . Absorption units BTU /H Name: Chillers HP Address: Compressors HP Environmental exhaust and ventilation: City: 'State: 'ZIP: Appliance vent Phone: Fax: E -mail: Dryer exhaust OWNER Hoods, Type U lUres. kitchen/hazmat , \ hood fire suppression system Name: leJ CS T G si✓ r6 aP v C au ec i }- Exhaust fan with single duct (bath fans) Mailin g address: 1 _ o LL Exhaust system apart from heating or AC S S c�2t2 Cit State0 ZIP: ZZ3 Fuel p ping an dist button (up to 4 outlets) Y TI& f� Type: LPG NG Oil Phone: 503 Szq db Fax: E - mail: Fuel piping each additional over 4 outlets rocess piping (schematic required) Number of outlets Name: Other listed appliance or equipment: Address: Decorative fireplace City: 'State: 'ZIP: Insert - type Phone: I ax: 1E ', : il: Woodstove/pelletstove 1 Applicant's signature:. , / / 1 , f' Date: --02, Other: — Name (print): m/1 IV ,1 Not all jurisdictions accept credit cards, please call j r sdiction for more information. Permit fee $ `9A - cti 0 Visa 0 MasterCard / Notice: This permit application Minimum fee $ Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $ /3 . 11 Expires within 180 days after it has been State surcharge (8 %) .... $ ___+5,E1... ,/ Name of cardholder as shown on credit card accepted as complete. . $ TOTAL $ 9 7 / • R ` Cardholder signature Amount . 440 -4617 (6/00/COM) MECHANICAL PERMIT FEES y COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE: TOTAL VALUATION: PERMIT 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 $1.52 for each additional $100.00 or including ducts & vents 14.00 fraction thereof, to and including 2) Furnace 100,000 BTU+ $10,000.00. including ducts & vents 17.40 $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 Check all that apply: Boiler Heat Air $1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond fraction thereof. footnotes below. Comp •• Minimum Permit Fee $72.50 SUBTOTAL: 7) <3HP; absorb unit $ to 100K BTU 14.00 8% State Surcharge $ 8) 3-15 HP; absorb 25.60 unit 100k to 500k BTU 25% Plan Review Fee (of subtotal) $ 9) 15 -30 HP; absorb 35.00 Required for ALL commercial permits only unit .5 -1 mil BTU TOTAL COMMERCIAL PERMIT FEE: $ 10) 30 -50 HP; absorb 52.20 unit 1 -1.75 mil BTU 11) >50HP; absorb unit >1.75 mil BTU 87.20 ASSUMED VALUATIONS PER APPLIANCE: 12) Air handling unit to 10,000 CFM 10.00 Value Total 13) Air handling unit 10,000 CFM+ Description: Qty (Ea) Amount 17.20 Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler ducts & vents 10.00 Furnace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct , ducts & vents 6.80 Floor furnace including vent 955 16) Ventilation system not included in - Suspended heater, wall heater or 955 appliance permit 10.00 floor mounted heater 17) Hood served by mechanical exhaust Vent not included in appliance 445 10.00 permit 18) Domestic incinerators Repair units 805 17.40 < 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator to 100k BTU 69.95 3 -15 hp; absorb. unit, 1,700 20) Other units, including wood stoves 101k to 500k BTU 10.00 15 -30 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets mil. BTU 5.40 30 -50 hp; absorb. unit, 3,400 22) More than 4 -per outlet (each) 1 -1.75 mil. BTU 1.00 >50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: $ >1.75 mil. BTU Air handling unit to 10,000 cfm 656 8% State Surcharge $ Air handling unit >10,000 cfm 1,170 Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $ Vent fan connected to a single duct 446 Vent system not included in 656 appliance permit Hood served by mechanical exhaust 656 Other Inspections and Fees: Domestic incinerator 1,170 1. Inspections outside of normal business hours (minimum charge -two hours) $62.50 per hour. Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge -half hour) Other unit, including wood stoves, 656 $62.50 per hour inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum Gas piping 1 - 4 outlets 360 charge -one -half hour) $62.50 per hour Each additional outlet 63 * State Contractor Boiler Certification required for units >200k BTU. • TOTAL COMMERCIAL $ ** Residential NC requires site plan showing placement of unit. VALUATION: All New Commercial Buildings require 2 sets of plans. i:\dsts\forms\mech- fees.doc 02/11/02 CENTERLINE OF OPERABLE ' ' q, NEW EXT. 4" THICK CONC. WALK, w 10'-0" i PARTITION, WALL POCKET, AND E�(TEND FROM QCISTG. AT SAME ` \ 41 argIr rR414[3: • hS IBLE ROUTE 5 , -0 INT ERIOR WALL BEYOND —� C�f:TP?dYEL•70 ••• raC1 hlENbcT. DOOR EQUAL 7 ' 4 EQUAL ..... •• . 5'-O" i 5' -2 1/2" 2' -8" r 2' -8" , 5' -2 1/2" 5'-O" D�NST s rsa 4 • • I • ••• _ r • ....... .00. P , . . I, :.:.:......... :.:.: c.t.P ©X 4/0 x 3/0 SL 4/0 x 3/0 3 • :- _ 4/0 x 3/0 5L 4 /0 x 3/0 SL. • • �. - -.. .......... .........:. ::...:. .......... ° T « pi VERIFY WALL POCKET / 1 ' y A (c CbNO S 1 MINI ■ DIMS. WITH OPERABLE `1 i v i s I � PARTITION SHOP DRAWINGS i ll PROVIDE A.D.A COMPLIANT / V � � 6 WALL SECT. THRESHOLD AT EACH NEW . 0 , ,e .i T. DOOR (3 LOCATIONS) / ► 4 17 X / � NEW AND EXISTING EXTERIOR WALLS S G �-L. 12.)e a �� ,; ,/ 1 ►� REQ'D. TO BE 1-1-1R RATED DUF TO cy C..ye,4cr. �p ZO • PROXIMITY TO ASSUMED PROP. LINE C -. A.tu- ; A BLDG. : TO U.B.0 TABLE 5-A, OPENINGS REQ' D. � - �� . / I SECT. TO BE PROTECTED (NOTE: DOES NOT i s v et LY 1 A /tic C / 4 APPLY TO WALLS PERPENDICULAR TO 1 0 5 i.)(111.%.1 0 ►� ASSUMED PROP. LINE 11.5.0 5032.1) ' �� r-- V `r N •�• •••• I Z G c / .4\ 70 X t /�■ WALL © WaLL ° - -- •••• ••• • • •••• SECT. ►� SECT. G et. •••••• ••• •• 1 V' 1111111 $0 1 V - a> • • w* / TI-PURPOSE A 0 1 ••• � •• . ... <<• •�•• / T1-115 SPACE, ORIG • • • su / 1 , � / - A RESIDENTIAL c HEW CLASSROOM 'A' • .. I 1V�1�1 Cl$ROOI"(B 0 GENERALLY P • . • 542 5.1 ■ 660 3.1= ... .•�..� • • .. • •.... / !� R ‘'tvf�� 1 4 OCCUPANCY = 33 c , Soil � " � I .. +. • OCCUF 4 CY = 21 � / Lilo R % rZ . if I' • 5oPPLI 1 4 • - it Y a 1 j ./ I CSK(LC 1 ►� - - -- t2 6Z I — 04 • I f - I/ . /4 - - - - - - ---.1 P d x 1, h .4 —_ i 1- — t 1 ■ in 1 I H.1,6 't > .. _ �i � l r I ►� D - \ I .. 1 - . I 4 3/0 x 6/8 .\ i 0 4 . 4 / .... - ( .�P1 - 1 / .. . • • • • • • •• • • • • • r • • • • • • • • • • • • • • ••• • • . t r • • • • • • • • • • • . • • • • •• •• • • ••• ••• • • • • • • ••• • • i 1 • I ••.• •I• •••• - •••• i - • • • •• • • • • 1 •••• ••• • • •• • • •• • • • • • • •• • I • •• • • • • • • • •••• • •••• • • • •••• 5555 • • • •• • 5555.• ••I• •5555• • •• • • • • 5555 • • • • 5555.• • I • • . • • I • • • • S. 55 •• •• ••55 5•• •••• • • • I • • ••••• 5555 •••• • • • 5••• • • • ••••• • • • • •• • I • •• • ••• / ` 1 • CITY OF TI('GARL . • . Approved Conditionally Approved F only the For only the work as described in: , ({4S)----../ PERMIT NO. 'r^ Z - oen 2- I See Letter to: ( ) Attach ( ) . Job Add /2 Sch .-- By:, fate: gni/ . CITY OF TIGARD 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST c� BUP Received Date Requested / // AM PM BUP Location l aZ9,36 Lesli e- � , . � Q , 41 /// ' Suite MEC ADD 3 -* / - Contact Person C Ph ( ) PLM — Od a-3 Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ft g Drain � e5 q 7 QQ ,� ELR U) s Crawl Drain // Slab Inspection No s: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ■ Firewall �� �' Fire Sprinkler Fire Alarm - A Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING ' Post & Beam 6� z yreel Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan 001 Ot PART FAIL HANICAL Post & Beam Rough -In Gas Line Smoke Dampers PART FAIL �' CTRICAL Service Rough -In UG/Slab Low Voltage 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 r� ADA Date D) I S Inspector 7 /' '/v Ext Approach/Sidewalk Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL