Permit kII .� CITY OF TIGARD MECHANICAL PERMIT
' "` COMMUNITY DEVELOPMENT Permit#: MEC2021-0102I7
Date Issued: 1/14/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S103BB03300
Jurisdiction: Tigard
Site address: 12500 SW KAREN ST 1
Project: Brookside Apartments Subdivision: BROOKWAY Lot: 33
Project Description: Install(1)ductless heat pump in(4)apartments: Units 1-4.
Contractor: SPECIALTY HEATING &COOLING Owner: DANIEL GRANT LLC
7500 SW TECH CENTER DR, STE 130 BY YOZAMP, KIMBERLYN A
PORTLAND, OR 97223 PO BOX 699
YAMHILL, OR 97148
PHONE: 503-620-5643 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Heat Pump 01/14/2022 $244.24
Class of Work: ALT Type of Const: VB 12%State Surcharge-Mechanical 01/14/2022 $29.31
Occupancy Grp: B Occupancy Load:
Stories: 1
Project Valuation: $12,500.00
I
Fuel Air Handlers
Fuel Types: Electricity 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: 1
Appliances
Vent Fans: Vent Systems: Total $273.55
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 Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
/ c
Issued By: A
� Permittee Signature: ^�5 —Lry'
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.
E CEIVE O
Mechanical Permit Appliconhn t,its 10 I 'Li t s,I f itil I
City of Tigard DEC 2 3 ZOZI Received
ese/Z 23 t �'��� pertttit No.:
13125 SW Hall Blvd.,Tigard,OR 97223
y M6cZo2i-a/027
ti ,TY OF TIGARD lig
Plan Review
Phone; 503.716.2439 Fax: 503 598.1 Daresy- f.. .......4Otbtt permit;
r i, Inspection Line- 503.639.4175
Internet www.tigard tx guv 3UILDING DIVISION Date rtxed,MeBhod ii Page foe
/ 13J� 'Tier Sappleaitatet lemmatise
1 TYPE OF WORK CIAL FEE' SCHEDULE- USE CHECKLIST
,__ _ ----- Mechanical permit fees*are based on the value of the work
0 New construction Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all
mechanical materials, i menu,labor,ovetttead,andnail.El Demolition 0 Other: f 'P
value:i �i
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMB TT/SYSTEMS FEES* '
. ..-..._.....,_
l-and 2-family _ ,.
® dwelling 0 Commercial/industrial 0 Accessory building For sprcla>lJpfoemethm sae chedasr
_
❑Multi-family 0 Master builder 0 Other: Description Qty. Ile. Total
JOS SITE INFORMATION AND LOCATION Head os' . _
---— Aircondnionin
Job site address:12500 SW Karen St. - __..
' Furnace 100.0(10 BTU(duets/vents) 46.75
City/State/ZIP:Tigard,Or.97223 1 Furnace 100.000+BTU(thmwents) + _,,_ 54.91 MI
Heat , 4 61.06 IMEII
Cross street/dircctions tojob site: __
SuitcJbldg.lapt.no.:N l 4 Project Warne:Brookside .
.a. ..Apt ... .., . Auer work _
H drone hot waters tem MEER __.
_
Residential boiler(radiator or
hydnonic) 23.32
fuel.t Unit heaters( ype,not electric),
_...-- ....... ... ... . m.watl in duct sus Wed etc.— 46J5
Flue/vent for Fly above 23.32
_ _.n Other: 23.32
Subdivision: Lot no.: - ..._ ..
_,_._ Other fuel fiances:
Tax map/parcel no.: Water heater i
DESCRIPTION OF WORK Gas fi lace/insert __ 33.39
Flue vent for water healer or gas
Install(1)18K Ductless Heat pump in(4)apartments. a 23.32
Log lighter(gas,) _ 23.32
_ __ Wuodfptfiet stove r 33.39
Wood flteplacelinsen 23.32 +
Chi liner/flue/vent 23.32
® PROPERTY OWNER D ❑ TENANT Other: 23,32
�.__.__...__ -.---_.-----_ i.Envlroamental eshaost and v endlatloa:
Name:Reliable Home ins Range hood/other kitchen
e�uent III 33.39
Address:12500 SW Karen St r m
Clothes drier exhaust 111111111111M11111111111111111
City/State/ZIP:Tigard,Or.97223 Single-duct exhaust(bathrooms,
-- ______ -- toikt compartments,utility rooms) 23.32
Phone:(503)858.4392 I Fax.( ) Attidcrawtspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: i 23.32
Fad piping:
Business name:Specialty Heating&Cooling LLC ...---"_
.t 314.15 roe first four;$4.03 for each additional
Contact name:Jeff Schwab i Furnace,etc. .
o Gas heat +
Address:7580 SW Tech Center Dr.W130 pump
Wall/sus•ended/unit heater
_, j
City/State/ZIP:Tigard Or.97223 Water heater ____
Phone:(503)616-0773 t.Fax::( ) F -•lace
E-mail:jeffs( specialtyheating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Specialty Heating&Cooling LLC Other:_ j
__. _. 1 MECHANICAL PERMIT FEEBa
Address:7500 SW Tech Center Dr,SI30 """' `
__-___ Subtotal_ 244 24
City/Statc/ZIP•Tigard,Or.97223 - i,-__ Minimum permit fee(590.00)
Plan review(25%of permit fee)
1 Phone:(503)616.0773 T Fax:L. ) -- _
, ______ ____ f - Sratt surcharge(12•/a of permtl fee) `,
CCB lie.:224977 TOTAL PERMIT FEE`.
__ --- - This permit application eapirei If a permit is not oMainrd arlhirn ISO
/ days after it has beta accepted as complete.
Authorized signature: L . I re methodology set by Tri-County building industry Service Board
Print name:Jeff Schwab I Date.12/21/20211 1
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