Permit CITY OF TIGARD MECHANICAL PERMIT
it COMMUNITY DEVELOPMENT Permit#: MEC2021-00436
Date Issued: 8/3/2021
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 1 S134CC01700
Jurisdiction: Tigard
Site address: 12325 SW KATHERINE ST
Project: Mary Woodward Elementary Subdivision: None Lot: None
Project Description: Replace select dx coil in specific air handlers w/new matching roof condensing units.
Contractor: APOLLO SHEET METAL INC Owner: TIGARD-TUALATIN SCHOOL DISTRICT 23J
7555 SW TECH CENTER DR 6960 SW SANDBURG ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-222-6343 PHONE:
FAX: 503-222-2935
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/19/2021 $1,886.61
Class of Work: ALT Type of Const: VB Plan Review 07/19/2021 $471.65
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 07/19/2021 $226.39
Stories: Info Process/Archiving-Lg$2.00(over 07/19/2021 $16.00
11x17)
Project Valuation: $71,000.00 Info Process/Archiving-Sm$0.50(up to 07/19/2021 $27.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm: 6
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 $2,628.15
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Centee7y
r.�'T"hose rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: t(ow Vti'1e/wecje Permittee Signature: Ow�y�y� �n
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. ! I
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
City of Tigard RECEIVE I" Received ,
Date/By: 04/2 202/ r Permit No.:1-f 21,_0QL2j
13125 SW Hall Blvd.,Tigard,OR 97223
II Phone: 503.718.2439Plan Review 8 �)JUN 17 2Q21 Date/By: 7^ Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 Date Ready/By: Jutis: See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGAR ) Notified/Method: //a j/ JV Supplemental Information
BUILDING DIVISION mtle- C. t y.is
TYPE OF WORK COMMERCIAL FEE*SCHEDULE—USE CHECKLIST
❑New construction ® Addition/alteration/replacement Mechanical permit fees*arc based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ 71,000
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ® Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi-family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Job site address: 12325 SW Katherine St. Air conditioning 46.75
��1J� ( Fumace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard/OR/97223 /1�g. t(.00O.6 ti Furnace 100,000+BTU(ducts/vents) _ 54.91
Suite/bldg./apt.no.: Project name: ttryvvenKi_gs„` Heat pump 61.06
Duct work 23.32
Cross street/directions to job site:
Hydronic hot water system 23.32
SW 124th and SW Katherine St. 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
Subdivision: Lot no.: Other: 23.32
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Replace select dx coils in specific air handlers Flue vent for water heater or gas
p p fireplace 23.32
with new matching roof condensing units. Log lighter(gas) 23.32
Wood/pellet stove , 33.39
Wood fireplace/insert 23.32
�^ Chimney/liner/flue/vent 23.32
® PROPERTY OWNER t'l y ())I, 5J 4746 4}l TENANT Other: 23.32
Name: ‘Mciel-Elementary School Environmental exhaust and ventilation:
Range hood/other kitchen
Address: 12325 SW Katherine St. equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard/OR/97223 Single-duct exhaust(bathrooms,
Phone:(503)431 L}700 Fax:( ) toilet compartments,utility rooms) 23.32
Attic/crawlspace fans 23.32
ll APPLICANT ® CONTACT PERSON Other: 23.32
Business name: Apollo Mechanical Fuel piping:
Contact name: Clyde Trapp $14.15 for first four;$4.03 for each additional
v Furnace,etc.
Address: 7555 SW Tech Center Dr. Gas heat pump
City/State/ZIP: Portland/OR/97223 Wall/suspended/unit heater
Water heater
Phone:(503)713.3267 Fax: :( ) Fireplace
E-mail: clyde.trapp@apollomech.com Range
Barbecue
CONTRACTOR
Clothes dryer(gas)
Business name: Apollo Mechanical Other:
Address: 7555 SW Tech Center Dr. MECHANICAL PERMIT FEES*
Subtotal
City/State/ZIP:Portland/OR/97223 Minimum permit fee($90.00) 886.61
Phone:(503).713.3267 Fax:( )
Plan review(25%of permit fee) ' 1.65-
56241 State surcharge(12%of permit fee) 2 .-S9
CCB lie.: TOTAL PERMIT FEE 2. ,:4.••
This permit application expires if a permit is not obtained ithin 180 t.
Authorized signature: days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Ind sty Service Board
Print name: clyd rapp�jd,t� (,,)at It ( Date:�f(�/IA 2r f2J- /� f pI:iBuildingiPermitsiMEC PemthApp082520_doc 440-a617T(I ICCOM/WEB) Y
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial Submittal Requirements:
• (2) sets of plans, drawn to scale.
• (2) sets of equipment cut sheets.
• (2) copies of site plan for ground and roof top equipment
location and screening per Tigard development code.
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.
I:\Building\Permits\MEC_PermitApp_082520.doc 2
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
PMelytA0fi9S}384 a . t. ., -Preq ,e,.'IMPliZiG'f€ .:L >. .<.,fattbitittiftelgt a,, ,.:a.4,-., 0, . =,.,:f r IlantinntfalfielaMW.
Building Permit #: ti-t e G 2 D.a.P-4 O 5(---P'
Site Address: 12325" S kS keivi\UA1SZ- cc. Suite/Bldg#:
Project Name: MpRy U3 2p Gleklb Ill lal scoot,_
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: jECttnftC,P•L U D8S
Existing Business Activity: latitveinrPt2Y Sc-kol.
Proposed Business Activity: C1..kj C-it'Drthoe
ify site address/suite#exists and active in permit system.
'fiver Terrace Neighborhood: El Yes [To
V ning: R - t.I .s
rmitted Use: 61 Yes ❑ No ❑ Spec Space
Al Confirm no land use required.
iusiness License:
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: A-----
Date: Cv/t/2
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: dt//1/202J
Site Plans: # 2
Building Plans: # 2
Building Permit#: I-Enter building permit# above.
Workflow Routing: Er-Planning ❑ Permit Coordinator 1'Building
Workflow Sign-off: re-Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: i!i/G�1," Date: "G/22Aa�1
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
ermit Coordinator Review
❑ .•..tions "Met"prior to issuance of building permit
❑ Approved, S T Released: :ate:
Notes:
Revisions (after Building Submittal only
Revision Notice 1: Date Sent to App; . •
Revision Notice 2: Date Sent to A.•;can .
Revision Notice 3: Date Sent 'pplicant:
❑ SDC Fees Entered: W Co Trans Dev Tax: ❑ Ye ❑ N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes ❑ N
❑ OK to Iss - ermit
Ap. : ed by Permit Coordinator: Date:
I:\Building\Forms\B1dgPermitRvw_COM NoLandUse_111819.docx