Permit CITY OF TIGARD MECHANICAL PERMIT
11111
COMMUNITY DEVELOPMENT Permit#: MEC2021-01026
Date Issued: 2/17/2022
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S103BB03301
Jurisdiction: Tigard
Site address: 12504 SW KAREN ST 5
Project: Brookside Apartments Subdivision: BROOKWAY Lot: 33
Project Description: Heat pump installations in(6)apartments: Units 5-10.
Contractor: SPECIALTY HEATING &COOLING Owner: YANDLE FAMILY REVOCABLE TRUST
7500 SW TECH CENTER DR, STE 130 BY YANDLE,JOHN C& HEATHER A TRS
PORTLAND, OR 97223 3055 OLIN AVE STE 2200
SAN JOSE, CA 95128
PHONE: 503-620-5643 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Heat Pump 01/19/2022 $366.36
Class of Work: ALT Type of Const: VB 12%State Surcharge-Mechanical 01/19/2022 $43.96
Occupancy Grp: R-3 Occupancy Load:
Stories:
Project Valuation: $23,100.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $410.32
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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 rulesIssued By: 53e.
Permittee Signature:
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.
RECEIVE P a
Mechanical Permit Application II tit i it 1 It 1. I NI. 1005
DEC 2 3 20Zi q�
Per"'"'
City of Tigard o;t� /%{ 'rJ v ✓ v' e 02/4/0.26
• 13125 SW Hall Blvd.,Tigard,OR 97223 pI I I OF Tie,A Plan Rev •
' ., ' Phone: 503.718.2439 Fax: 503 598.1960 ./ /'jts oa+rtuy- 7 a 30-� Other Perron
t+,-.,,.l t Inspection Line: 503 639 4175 BUILDING DIVISION` Dale Reedy By Jura ID See Page 2 far
Internet: www.tigasd•or.gov HoritinnMettod.,�(I/''1 �'� -Tier Supplemental Information
TYPE OF WORK o^'wit - V 6 i RCIAL FEE* SCHEDULE . USE CHECKLIST
Mechanical peril kW are based on the value of the work
❑New construction it Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other. mechanical materials.equipment,labor.overhydkand profit
Value 5 2a, to tJ
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
El I trod 2 family dwelling rcial'industnal ❑Accessory building For special leformanon use checklist
0 Multi-family ❑Master builder ❑Other. Descnplion Qty I Ea Total
JOB SITE INFORMATION AND LOCATION Headng/caoling.
•
Air conditioning 46 75
Job site address: 12504 SW Karen St. Furnace 100.000 BTU(doers Knit l 46 75
City/Stale'ZIP:Tigard,Or.97223 Furnace 100 000+BTU(dueu,vmts) 54.91
-- Heat pump 6 61.06 366.36
Suite/bldg./apt no.:145-t0 Project name:Brookside Apt. Duct work 23.32
Cross street/directions to Job site: Hydronic hot water system 23.32
Residential boiler(radiatoi of
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
Other fuel appliances:
Tax map/parcel no,: Water healer I3.32
DESCRIPTION OF WORK Gas fireplace/insen 33.39
Flue vent for water healer or gas
Install(11 18K Ductless Heat pump In(6)apartments. fireplace 23 32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace insert 23.32
Chimney/liner/flue/yen' 23.32
0_ PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Reliable Home Ins Range hood/other kitchen
equipment 33.39
Address: 12504 SW Karen Si Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,Or.97223 Single-duct exhaust(bathrooms.
toilet companments,utility rooms) 23.32
• Phone:(503)858-4392 Fax:( ) Alticicrawlspacc fans 23.32
0 APPLICANT 123 CONTACT PERSON Other: , 23.32
Fuel piping:
Business name:Specially Healing&Cooling LLC
$14.15 for first four;54.03 for each additional
Contact name:Jett Schwab Furnace,etc.
Address:7500 SW Tech Center Dr,I/1)0 Gas heat pump
—. Wall/suspended/unit heater
City/State/ZIP:Tigard Or.97223 Water heater
Phone:(503)616-0773 I Fax: :( ) Fireplace
Range
E-mail:jeffsQapeclsltybeating.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Specialty Heating atCooling 1.LC Other.
MECHANICAL PERMIT FEES*
Address:7500 SW Tech Center Dr,8130 Subtotal 336 36
City/State/ZIP:Tigard,Or.97223 Minimum permit fee(590.00)
Plan review(25%of permit fee)Phone:(503)616.0773 Fax:( ) State surcharge(12%of permit fee) - pi)
!rile
CCHtic.:224977 TOTAL PERMIT FEE Hjv 1,1
This permit appticatioa unites If a permit is nog obisi ed 4ialsiti lax
daps after it has been accepted es romptete.
Authorized signature: ��iaZ- ' Fee rnethodobgy set by Tei-County Building Industry Server Board
Print name:Jeff Schw Date: 12/21/2021