Permit (45) 1 CITY OF TIGARD MECHANICAL PERMIT
!: ' COMMUNITY DEVELOPMENT 14Permit#: MEC2017-00200
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/24/2017
Tf`fr 9 Parcel: 2S101AC01900
Jurisdiction: Tigard
Site address: 12615 SW 72ND AVE
Project: Lowes Subdivision: None Lot: None
Project Description: Replacing mini split heat pump system.
Contractor: WOLFERS HOME SERVICES Owner: WASHINGTON COUNTY SCHOOL
1365 N FRONT STREET DISTRICT NO. 23
WOODBURN, OR 97071 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 503-981-4511 PHONE:
FAX: 503-981-0801
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 04/05/2017 $249.36
Class of Work: ALT Type of Const: IIB Plan Review 04/05/2017 $62.34
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 04/05/2017 $29.92
Stories: 1 Info Process/Archiving-Sm$0.50(up to 04/05/2017 $3.00
11x17)
Project Valuation: $6,475.00
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: Vent Systems: Total $344.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Split system
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
or direct questions to OUNC by callingc503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: sz:P.e•
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.
Mechanical Permit Application V FOR OFFICE USE ONLY
iiih City of Tigard ' t n ' Received eivPermit No.:
' _ y, 1, a' If ��'
13125 SW Hall Blvd.,Tigard,OR 97226 , Plan Revi ��
Phone: 503.718.2439 Fax: 503.598.1960 '+
Inspection Line: 503.639.4175 i;,P', Date/By: ��►'ill
7 I G A R D ,-1 1t a ate Ready:y: WI See Page 2 for
Internet: www.tigard-or.gov i Notified/Method: f, .... EN Supplemental Information
,, : ° E OF WOI}" ., RCIAI 8 r;SCHEDULE— UE
CHECKLIST
_.'rel iy` " `, ' ‘,...,,AL,
" Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteratt{ii/repladement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
",x... Value:$6,475
,,,, , CVEGORY ONSTR ON , ,,.._ ."r= , ENTicL. UIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
'‘7 JOB 'fit INFO TION AND LOCATION r;
Job site address:12615 SW 72nd Ave Air conditioning 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Tigard Lowes 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 23.32
DESCRIPTION OF WORK" Gas fireplace/insert 33.39
" Flue vent for water heater or gas
Replace mini split heat pump system(single zone) fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
�® PRoP.ERTY"6 "
0 TENANTOther: 23.32
. .,y , Environmental exhaust and ventilation:
Name:Lowes Range hood/other kitchen
equipment 33.39
Address: 12615 SW 72nd Ave 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
'`►. APPLICANTOther: 23.32
0 CONTACT PERSON ?..
Fuel piping:
Business name:Wolfer's Home Services
$14.15 for first four;$4.03 for each additional
Contact name:Melissa Tennis Furnace,etc.
Address:1365 N Front ST Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Woodburn,OR 97071 Water heater
Phone:(503)981-4511 Fax: :(503)981-0801 Fireplace
Range
E-mail:permtis@wolfersheating.com Barbecue
n
CONTRA 18 ' Clothes dryer(gas)
Business name:Wolfer's Home Services Other:
MECHANICAL PERMIT FEES*
Address:1365 N Front St Subtotal
City/State/ZIP:Woodburn,OR 97071 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503-)981-4511 Fax:(503)981-0801 State surcharge(12%of permit fee)
CCB lic.:1911 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
e- days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name:Melissa Tennis Date 3)1.41n
\ \ME
I:\BuildingPermitsC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2- Supplemental Information
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Commercial & Multi-Famil Fee Schedule:
all • , � �� t
$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.
Note: All new commercial buildings require 2 sets of plans.
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