Permit ill CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2022-00233
Date Issued: 4/6/2022
TIGARL3 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 25104B808000
Jurisdiction: Tigard
Site address: 14210 SW BARROWS RD
Project: Hearthstone Veterinary Hospital Subdivision: RUSSELL'S SCHOLLS FERRY Lot: 3
Project Description: New ducting,grill and exhaust fans
Contractor: COOLSYS COMMERCIAL& INDUSTRIAL SOLUTION: Owner: BARROWS PLAZA LLC
8545 SE MCLOUGLIN BLVD PO BOX 8880
MILWAUKIE, OR 97222 KETCHUM, ID 83340
PHONE: 503-231-7717 PHONE:
FAX: 503-652-0449
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/31/2022 $474.71
Class of Work: ALT Type of Const: VB Plan Review 03/31/2022 $118.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/31/2022 $56.97
Stories: 1 Info Process/Archiving-Lg$2.00(over 03/31/2022 $2.00
Project Valuation: $15,000.00 11x17)
Info Process/Archiving-Sm$0.50(up to 03/31/2022 $12.00
11x17)
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:
Appliances
Vent Fans: 4 Vent Systems: Total $664.36
Hoods: Comm Incinerators:
Required Items and Reports (Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo ay obtain a opy of the rules
c
zezIssued By: Permittee Signature:
Call 0 .639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicat' FOR OFFICE USE ONLY
`+ ' CEIVED r
City of Tigard Date/By:GI,/U'f - Permit No.:Ni/t2.022,05'2
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 MAR 2 11022 Date/By: �.3^30 Other PermiN F2( ofajdf..
T I C:A H D Inspection Line: 503.639.4175 ( ,�`\L�r(\ Date Ready/By: orris: p See Page 2 for
Internet: www.tigard-or.gov i I iY OF �17ttllU �l tmnd/Method7 / J jel 1�q Supplemental Information
'LILQIN(; f11��15!(�t` (�- LLL
TYPE OF WORK Cty4�. ,r.f� E* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all •
O Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 15,000
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ® Commercial/industrial ❑ Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 14210 SW Barrows Rd, Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
HEARTHSTONE , / f Heat pump 61.06
Suite bldg.lapt.no.: I Project name: V G /s /I hGf✓Y Duct work 23.32
Cross street/directions to job site: � l/s 1 Hydronic hot water system 23.32
r °d" / 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
NEW ducting,grills and exhaust fans flup vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 PROPERTY OWNER ❑ TENANT Other:
Environmental exhaust and ventilation: 23.32
Name: HEARTHSTONE Range hood/other kitchen
14210 SW BARROWS RD. equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: COOLSYS C&IS
$14.15 for first four;$4.03 for each additional
Contact name: DAVID Furnace,etc.
Gas heat pump
Address:$rj45 SE Mcloughlin Blvd. Wall/suspended/unit heater
City/State/ZIP:Milwaukie, Or 97222 Water heater
Phone:( )5032317717 Fax: :( ) Fireplace
Range
E-mail:427permits@cooIsys.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:**same as above** Other:
MECHANICAL PERMIT FEES*
Address:**same as above** Subtotal
City/State/ZIP:**same as above** Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( )**same as above** Fax: ( ) State surcharge(12%of permit fee)
CCB lie.: 149200 j r f y7 TOTAL PERMIT FEE
6 C / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: David Scheuermann Date: 03-18-22
I:lBuilding\Permits\MEC_PermitApp_040 113.doc 440-4617r(I 1/02/COM/WEB)