Permit 111 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2015-00456
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/22/2015
Parcel: 2S102BC08700
Jurisdiction: Tigard
Site address: 12855 SW GRANT AVE
Project: Charles F Tigard Elementary School Subdivision: YOLO ESTATES Lot: B
Project Description: Replacing existing freezer/cooler.
Contractor: CURTIS RESTAURANT SUPPLY Owner: TIGARD-TUALATIN SCHOOL
7689 SW CIRRUS ST, BLDG 32E DISTRICT 23J
BEAVERTON, OR 97008 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-691-1872 PHONE:
FAX: 503-691-9806
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/22/2015 $1,647.57
Class of Work: ALT Type of Const: VB Plan Review 07/22/2015 $411.89
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 07/22/2015 $197.71
Stories: Info Process/Archiving-Sm$0.50(up to 07/22/2015 $3.00
1 $61,389.00
11 x 17)
Project Valuation:
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 $2,260.17
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: walk in
Duct Work: cooler/freeze
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 No •• enter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You may obtain a copy of the rules
or d questions to 0#'C b calling 503.232.1987 or 1.800.332.2344.
I sued By: / - . , Permittee Signature: 4
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 IS° FOR OFFICE USE ONLY
Cl of Tigard Received �/ Permit No.:/y)
III `J g 0K,IN Date/By: /♦!3/�7 ! ��� �7 �VJ- ■ 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.196 1G Date/By:Review.?) 17((g(!�
.J Date/By: rry(�J l l Other Permit:
T I G A R D Inspection Line: 503.639.4175 1 �o Ready/By: ® See Page 2 for
Internet: www.tigard-or.gov \`\ i Date
atl �Iotified/Method:����� T^�_ Supplemental Information
0.TYPE OF WORK t i N \J t N tI,∎'‘`. COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
4141i Mechanical penult tees*are based on the value of the work
❑ New construction ®Addition/alteration/ Yf�nt performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$61,389
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75 _
Job site address: 12855 SW Grant Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06 _
Suite/bldg./apt.no.: I Project name:freezer/cooler Duct work 23.32
Cross street/directions to job site:Walnut Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision: I Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 2332
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Replace existing freezer/cooler unit with new unit fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER l ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Tigard-Tualatin School Dist Range hood/other kitchen
equipment 33.39
Address:6960 SW Sandburg St Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)431-4017 Fax:(503)431-4020 Attic/crawlspace fans 23.32
❑ APPLICANT ® CONTACT PERSON Other: 23.32
Business name:Tigard-Tualatin School Dist Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Phil Wentz Furnace,etc.
Gas heat pump
Address:6960 SW Sandburg St
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97223 Water heater
Phone:(503)431-4017 Fax: :(503)431-4020 Fireplace
Range
E-mail:pwentz @ttsd.kl2.or.us Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Curtis Restaurant Supply Other:
MECHANICAL PERMIT FEES*
Address:7689 SW Cirrus Sr,Bldg 32E Subtotal
City/State/ZIP:Beaverton,OR 97008 Minimum permit fee($90.00)
Phone:(503)691-1872 Fax:(503)691-9806 Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:70780 /2//7/o2e/S' TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
44,40, days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Philip Wentz Date:6/17/15
1:\Building 1 Permits\MEC_PermitApp_040113.doc 440-46171(11/02/COM/WEB)
Since 1963
U RTI S . . . RECEIVED
RESTAURANT EQUIPMENT
Foodservice Equipment - Design - Supplies JUL 13 2015
5/18/2015
CITY OFTIGARD
Quote BUILDING DIVISION
Project: Charles F. Tigard - Walk-In From: Curtis Restaurant Equip - Beaverton
Diane Wylie, Phil Wentz Tom Veith
7689 SW Cirrus Dr. Bldg 32-E
Beaverton OR 97008-5966
(503) 691-1872 (Phone)
(503) 544-6734 (Cell)
Job Reference Number: ORCPP#3394
Item Qty Description Sell Sell Total
1 1 ea WALK IN $21,158.00 $21,158.00
Imperial Mfg Model No. WALK IN FREEZER/COOLER COMBO Packed:
ea
14'-0" x 16'-0"x 8'-4" Rectangular indoor freezer/cooler combo.CITY OF TIGARD
Freezer(no floor) 13'-6" ID x 7'-4 1/2" ID x 8'-8" ID REVIEWED FOR CODE COMPLIANCE
Cooler(no floor) 13'-6" ID x 7'-4 1/2" ID x 7'-11" ID Approved:
5" high density wall and ceiling panels. OTQ t 3
Two 36" x 78" self closing doors with Right Hinge. Permit il#
LED lights. Addis ss
Pit material for freezer pit.
Combination interior cove base/seismic tie-down at O149 evee n 1(d' ,Dates
Vertical Closures.
Seismic engineering.
Quote based on job 03-PN-29862, with removal of curbs and only the OFFICE COPY
freezer to sit in 9" deep recessed pit. Existing refrigeration equipment
to be reused.
2 1 ea STRIP CURTAIN $154.00 <Optional>
Chase Doors Model No. STRIP CURTAIN Packed: ea
Low temp strip curtain for 36" x 78" opening.
3 1 ea STRIP CURTAIN $139.00 <Optional>
Chase Doors Model No. STRIP CURTAIN Packed: ea
Normal temp Chase Doors strip curtain for 36" x 78" net opening.
4 1 ea CEILING CLOSURE $452.00 <Optional>
Imperial Mfg Model No. CEILING CLOSURE Packed: ea
Stucco White galvalume ceiling closure with braces.
Charles F.Tigard -Walk-In Page 1 of 2
5/18/2015 Curtis Restaurant Equip- Beaverton
Charles F. Tigard - Walk-In
Item Qty Description Sell Sell Total
5 1 ea INSTALLATION $9,936.00 $9,936.00
Cameron's Installations, Inc Model No. INSTALLATION Packed: ea
Pump down the existing walk in refrigeration systems. Disassemble
and dispose of the existing walk ins. This does not include any
electrical work.
Install new walk in freezer/cooler boxes. This does not include any
electrical work.
Install the refrigeration equipment. This does not include the roof
curbs or any electrical work.
6 1 ea FLOOR WORK $30,295.08 $30,295.08
Custom Model No. P&C CONSTRUCTION Packed: ea
To include General Requirements, demolition, carpentry, drywall,
painting and ceramic tile.
NOTE: Excludes permits and cost thereof, if needed will be added to
contract and drop boxes are excluded.
Total $61,389.08
Charles F. Tigard -Walk-In Page 2 of 2