Permit (158) CITY OF TIGARD MECHANICAL PERMIT
1111 8 COMMUNITY DEVELOPMENT Permit#: MEC2018-00051
13125 SW Hall Blvd.,Ti Date Issued: 01/31/2018
Tttaa�It.L and OR 97223 503.718.2439 9
Parcel: 2S109AC06300
Jurisdiction: Tigard
Site address: 13319 SW MADDIE LN
Project: Madeline Heights,Lot 1 Subdivision: MADELINE HEIGHTS Lot: 1
Project Description: Ductless mini split system for sales office in model home.
Contractor: WOLCOTT PLUMBING Owner: LENNAR NW INC
1075 W HISTORIC COLUMBIA RIVER HWY 11807 NE 99TH ST#1170
TROUTDALE, OR 97060 VANCOUVER,WA 98682
PHONE: 503-667-1781 PHONE: 360-258-7900
FAX: 503-667-9891
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/30/2018 $115.11
Class of Work: ALT Type of Const: VB Plan Review 01/30/2018 $28.78
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/30/2018 $13.81
Stories: Info Process/Archiving-Sm$0.50(up to 01/30/2018 $1.00
11x17)
Project Valuation: $2,000.00
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 $158.70
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 is. a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. „egI
Issued By:
�' ee Signature: NIL ♦�
Call 503.639.4175 by 7:00 a.m.for the next available inspection da.-.
This permit card shall be kept in a conspicuous place on the job site until completion • the project.
Approved plans are required on the job site at the time of each inspection.
a lit
Mechanical Permit Application �.�. . f : ,��.'.
City of Tigard FOR OFFICE USE ONLY
a 13125 SW Hall Blvd.,Tigard,OR 97223 n s.I ) 'Q Received
'71 11-\
f�i'� �b �7 DateBy: Permit No.: M �. ' _
4 Phone: 503.718.2439 Fax: 503.598.1960 y r � �� s — t c'
Plan Revie
f r�
[WARD
Inspection Line: 503.639.4175 ' i I i Date/By: - �7l _J Other Permit: i
Internet www.ti and-or. ov J
g g i i c;° slate Ready/By. f
Notified/Method: ( 311 See Page 2 for
L . 1 _ Supplemental Information
TYPE OF WORK :.t ,91""
COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
WZNew construction ❑Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
performed-Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other:
mechanical materials,e.ui'mem,l ,overhead and profit.
CATEGORY OF CONSTRUCTION IIIIIIIIIIIIIIIEBMEKFWIII
1-and 2-family dwelling 0 Commercial/industrial RESIDENTIAL EQTJ NT SYSTEMS FEES*
Iy�
❑ and amily ❑Accessory building
❑Master builderFor special information use checklist.
0 Other: Description
JOB SITE INFORMATION AND LOCATION Heatin_coolin_: Qty' Ea. Total
Job site address: 13319 SW Maddie Lane Air conditioning _
Ell
46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
Furnace 100,000+BTU(ducts/vents) _ 54.91
Suite/bldg./apt.no.: Project name: (jolt,
Ai . . 1 61.06 • 1•
Cross street/directions to job site: Duct work _
23.32
H dronic hot water system 23 32 _
IAna / Residential boiler(radiator or -
-, h dronic)
ctric),
[L Unit heaters fuel- • 23.32
a. ( type,not ele
�i�A- I ,:r
-' in-wall,in-duct,sus ended,etc. 46 75
Flue/vent for any of above 23.32 _
Subdivision: Madeline Heights
Lot no.: i Other: 23.32
Tax map/parcel no.: Other fuel a liances:
IEMZIIIIIIIIIIIIIIIDESCRIPTION OF WORK 23.32
'j�,, Gas fireplace/insert 33.39 _
' n .I l i 1 Sr`i't S', L Flue vent for water heater or gas
t C' fire lace •
■t � 23.32
r t.` ,,-' Lo:1i: ter(:as) 23.32 _
_ Wood/pellet stove 33.39
- � . ,L 4 Wood fire.lace/insert _
_ 23.32
PROPERTY OWNER 0'TENANT • Other: 23.32
Name: 23.32
Lennar NW Inc. Environmental exhaust and ventilation:
Address: 11807 NE 99th St.#1170 Range hood other kitchen
e.ui.ment . 33.39
City/State/ZIP: Vnacouver, WA 98682 Clothes d er exhanst 33.39
Single-duct exhaust(bathrooms, -
Phone:(360) 258-7900 pax; toilet com.artments,utili rooms)
(360)258-7901 Attic/crawlspace fans
)�APPLICANT o CONTACT PERSON - Other: 23.32
Business name: SAME AS ABOVE 23.32
Fuel �i�in�:
Contact name: JuIS Call $14.15 for first four;$4.03 for each additional_
Address:
City/State/ZIP:
WalUsuspended/unitheoter ==_
Phone:(360)258-7906
E-mail: 'UIS.CaII • Iennar.Com '
CONTRACTOR Barbecue ==_
Business name: Development Northwest Inc. dba Wolcott PI clothes
umbing other:
Address: 1075 W Historic Columbia River Hwy MEGAN cAL PERMTTFEEs*
City/state/ZIP: Troutdale, OR 97060 subtotal
Phone:( 503) 667 1781 Ext. 3007 Fax: Minimum permit fee($90.00) 90.00
(503 ) 667-9891 Plan review(25%ofpermit fee)
CCB lic.: 1 12220 State surcharge(12%ofpermit fee) ,
TOTAL PE 10.80
This permit application expires if a per s of b ained thin 1800
L r
AUthOrlZed SlgnatUre: - days after it has been accepted as complete.
Print name: Dennis L. Dunning * Fee methodo]ogy set by Tri-County Bu lding Industry Sery ce Board
Date: 10/19/17
I:\BuildinglPermitsth C_PermitApp_040113.doc
440-4617T(11/OyCOM/WEB)
a
Mechanical Permit Application - City of Tigard
Page 2 -Supplemental Information
Commercial & Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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.
I:\Building\Permits\ivlEC_PermitApp_040113.doc
2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13319 SW MADDIE LN, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2018-00051
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor