Permit CITY OF TIGARD MECHANICAL PERMIT
` ' COMMUNITY DEVELOPMENT Permit#: MEC2015-00043
T R ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/09/2015
Parcel: 1S134BC00300
Jurisdiction: Tigard
Site address: 12268 SW SCHOLLS FERRY RD
Project: OrangeTheory Fitness Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Install(1)exhaust fan,GRD's&controls.
Contractor: GREY WOLF HVAC INC. Owner: FW OR-GREENWAY TOWN CENTER LLC
7306 NE 37TH AVE PO BOX 790830
VANCOUVER,WA 98665 SAN ANTONIO,TX 78279
PHONE: 360-635-6117 PHONE:
FAX: 360-326-8506
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/06/2015 $500.11
Class of Work: ALT Type of Const: Plan Review 02/06/2015 $125.03
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/06/2015 $60.01
Stories:
Project Valuation: $16,000.00
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: 1 Vent Systems: Total $685.15
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct qu- - • OUNC by calling 503.232.1987 or 1.800.332.2344.
Iss :d By: / / Permittee Si nature
Call 503.639.4175 by 7:00 a.m.for the next available insp: ion date.
This permit card shall be kept in a conspicuous place on the job site-Until completion of the project.
Approved plans are required on the job site at the time of each inspection.
01122/2015 15:48 Grey Wolf fA)03603268506 P.0021002
Mechanical Permit Appl4E%V if` 1 OR t 1I F R I- I "Sl U\L1
Raxivcd ma�� A,
City of Tigard DatcBy. PamitNo.: /6"----0#I
111 2- "• 13125 SW Hall Blvd.,Tigard,OR 97223 .y 0103 Plan Review
Phone: 503.718.2439 Fax: 503.598, & 2 2 L Date/By. Otlw Permit:
T I t;A R r) Inspection Line; 503.639.4175 late ReadyBy: )ans. FZI Sec Page 2 for
Internet: www.Iigard-or.gov u .T1UN�� Notified/Method Supplemental Information
?..._ I_
"-??� 1•" ,...- y.- .--- - (F-(:)),'PUl KI,t�1L i rtp'gis`O +,4,i' ,T0 `'J x 1 b ( I
Mechanical permit fees*are based on the value of the work
❑Ncw construction ►4 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value'$ pe
�q1.1);,k1.1 1!io ,0.1,,13 11l .i c`iTCa)7 _
? ....... .. .._... "' ,, prr i Pit 109.017),0 ,,,'t, Cu ,, r3,,p1D)� � . •
❑3-and 2-family dwelling ®Commercial/industrial ❑Accessory building LL For special informarlon use check&
❑Multi-family ❑Master builder ❑Other: Description J Qty. I Ea. I Total
ti.. i air i to 11,.J\rl l,G i.it (1J%F , Iieating/cooling:
7r �.
_,_.__ -__._.-__..__-,_—____- __ _ ._... . Air conditioning 46.75
lob site address:12268 SW Scholls Ferry Rd Furnace 100,000 BTU(ducts/vents) _ 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(duets/vents) 54.91
Fleet pump 61.06
Suite/bldg./apt.no.: Project name:Orangetheory Fitness Duct work 23.32
Cross street/directions to job site: 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
Subdivision: Lot no.: Other: — 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater ___
r,� Gas frcplace/insert _ 33.39
..__.- .. . _ .... .. . ' Flue vent for water heater or gas
install an exhaust fan,GRD's,controls fireplace 23.32
Log lighter(gas) _ 23.32
Wood/pellet stove 33.39
Wood fireplace./insert 23.32
Chimncy/liner/Hue/vent - 23.32
l' L ^a at i• ,i c>-s:l° - ✓�' :13.i� i,. Other: 23.32—
Environmental exhaust and ventilation:
Name; Range hood/other kitchen
equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZTP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawispace fans 23.32
; , �■. ,,;ic r' ll d ci0 TO, .�,1. 2.11Ypl, Other: 23.32
Business name:Grey Wolf HVAC,Inc. Fuel piping:
514.15 for first four;$4.03 for each additional
■
Contact name:Darrell Osborne Furnace,etc.
Address:7306 NE 37th Ave. Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98665-0642 Water heater _
Phone:(360)635-6117 Fax::(360-)326-8506 Fireplace
- Range
E-mail:dosborne®a greywolthvac,com Barbecue
Q ).A tl; cr1,:, Clothes dryer(gas)
Business name:Grey Wolf HVAC,Inc- Other.
.i 1,i r:i i'.C,c,v L,,??)1/.I t 'i )iY^w
Address:7306 NE 376 Ave. Subtotal 50D,I
City/State/ZIP:Vancouver,WA 98665 Minimum permit fec($90.00) ------
- Plan review(25%of permit fee) f
Phone:(360)635-6117 Fax:(360)326-8506 �'.j.c 3
State surcharge(12%of permit fee) 42,e/
CCB lie.:165139 + TOTAL PERMIT FEE T69 . 15
��' This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized sign / 4 1 tree methodology set by Tri-County Building Industry Service Board
Print name:Darrell Osborne -1.- Date: p/f Zr 2 Ito'5'
-
I:113uilding\PermitsNMiC PeimitApp 040113.dos 440-4617T(i 1/02,COHUWEE)
01/2212015 15:48 Grey Wolf (FAX)3603268506 P.001/002
Grey Wolf HVAC,INC.certified MBE contractor
7306 N.E.37'"Avenue,Vancouver,WA 98665
E-mail: nancyw@greywolfhvac.com
Office'360-635-6117
Fax 360-32 6-8506 111(11
Fax •
To: City of Tigard Building Dept. From: Nancy Wilde
Fax: 503-598-1960 Pages: 2 pages including cover
Phone: Date: 1/22/2015
Re: Mechanical permit application CC: file
El Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
• Comments:
Here is the mechanical permit application for this project. The general contractor permit is BUP2014-
00307 if that helps. Let me know if you need anything else. I did pay online this morning for a low
voltage permit so know how to do that now when you let us know the fees for the permit.
Thank you for your help.