Permit CITY OF TIGARD MECHANICAL PERMIT
1111 ' COMMUNITY DEVELOPMENT Permit#: MEC2014-00127
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2014
Parcel: 2S103AA00101
Jurisdiction: Tigard
Site address: 10865 SW WALNUT ST
Project: Fowler Middle School Subdivision:)0 SUPPLEMENTAL PLAT NO.1:ANNE Lot: 7-6
Project Description: Replacement of centrifugal chiller
Contractor: MCDONALD MILLER FACILITY SOLUTIONS Owner: TIGARD-TUALATIN SCHOOL DISTRICT
12801 NE AIRPORT WAY ATTN: BONITA MAPLETHORPE
PORTLAND, OR 97230 6960 SW SANDBURG ST
TIGARD, OR 97223
PHONE: 971-244-0901 PHONE:
FAX: 971-244-0902
FEES
Specifics:, Description Date Amount
Type of Use: COM Permit Fee 04/28/2014 $5.149.11
Class of Work: ALT Type of Const: VB Plan Review 04/28/2014 $1,287.28
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 04/28/2014 $617.89
Stories: Info Process/Archiving-Sm$0.50(up to 04/28/2014 $17.50
11x17)
Project Valuation: $186,906.00
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:
Appliances
Vent Fans: Vent Systems: Total $7,071.78
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers. Other Mech Units:
Gas Outlets: Other Desc: Replacement
Duct Work: of chiller and
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire uestions . •UNC by calling 503.232.1987 or 1.800.332.2344.
Issu d By: .0° Permittee Signature: (NdYlc
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application l c)It ul•I lc I I .I ()NI l
IN . City of Tigard Received Date/By: _ tij / IL. G Permit No.: ee / ...6:0/�7
• 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review'O ��'e Other Permit:
Inspection Line: 503.639.4175 Date/Re aP���
I I R I p Date Ready :y. runt ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: i�li/ ����.. .. di Supplemental Information
'""T/!air1'rAWAIK /% , . ..
TYPE OF WORK II CO f. t ,V SCHEDULE —USE CHECKLIST
Mechanical permit fees'are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: m'cltap m crisis,equipment,labor,over ead,and profit.
CATEGORY OF CONSTRUCTION o Value:$y76 Q `osk„o )
RESIDENTIAL EQUIPMENT/SYSTEMS '
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling: _
Air conditioning
Job site address:10865 SW Walnut (requires site plan showing placement) 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:Fowler Chiller Rplc Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
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
Subdivision: I it no.: Flue/vent for any of above 23.32
Other: 23.32 _
Tax map/parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater — 23.32
Gas fireplace/insert 33.39
Replacement of Centrifugal Chiller
Flue vent for water heater or gas
fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
IN PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: _ 23.32
Name:Tigard-Tualatin School Disctric Environmental exhaust and ventilation:
Address:6969 SW Sanburg St Range hood/other kitchen
equipment 33.39
City/State/ZIP:Tigard,OR 97223 Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
Phone:(503)431-4000 Fax:( ) toilet compartments,utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic/crawlspace fans _ - 23.32
Business name:MacDonald Miller Facility Solutions Other: 23.32
Fuel piping:
Contact name:Megan Gillory $14.15 for first four;$4.03 for each additional
Address:12911 NE Airport Way Furnace,etc.
Gas heat pump
City/State/ZIP:Portland,OR 97223 Wall/suspended/unit heater
Phone:(503)262-5410 Fax: :(971)244-0902 Water heater
Fireplace
E-mail:megan.gillory @macmiller.com Range
CONTRACTOR Barbecue
Business name:MacDonald Miller Facility Solutions Clothes dryer(gas)
Other:
Address:12911 NE Airport Way MECHANICAL PERMIT FEES*
City/State/ZIP:Portland,OR 97223 Subtotal
Phone:(971)244-0901 Fax:(971)244-0902 Minimum permit fee($90.00)
Plan review(25%of permit fee)
CCB lie.:154368 6/61-64/5 State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name:Megan Gillory Date:3/17/14 * Fee methodology set by Tri-County Building Industry Service Board
I:1Building\Permits\MEC-PermitApp.doc 03/07/12 4404617T(11/02/COM/WEB) ( ,14( .,LI 23
Dan Nelson
From: Gillory, Megan <Megan.Gillory@macmiller.com>
Sent: Thursday, April 17, 2014 12:13 PM
To: Dan Nelson
Subject: RE: Tigard-Tualatin School District
Updated total value is $186,906.00
Thank you!
Megan Gillory/Special Projects Expeditor
12911 NE Airport Way, Portland, Oregon 97230
Direct(503)262-5410 J Cell (503)915-3567 I Fax(971) 244-0902
MacDonald-Miller
FACIUTY SOLUTIONS
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others is strictly prohibited. If you are not the intended recipient please contact the sender by reply e-mail and delete all copies.
PLEASE CONSIDER THE ENVIRONMENT BEFORE PRINTING THIS EMAIL
From: Dan Nelson [mailto:DanN @tigard-or.gov]
Sent: Thursday, April 17, 2014 8:03 AM
To: Gillory, Megan
Subject: RE: Tigard-Tualatin School District
Megan,
All I will need is a total valuation for the complete project.
Dan Nelson
Senior Plans Examiner
City of Tigard
(503) 718-2436
F(503) 624-3681
From: Gillory, Megan [mailto:Megan.Gillory@macmiller.com]
Sent: Wednesday, April 16, 2014 2:51 PM
To: Dan Nelson
Subject: Tigard-Tualatin School District
Hi Dan,
Please see attached structural calculation as requested.The scope to this project has just increased as we
will also be replacing the cooling tower also, do we need to go in for a separate permit or can we amend this current
one?
Megan Gillory I Special Projects Expeditor
12911 N E Airport Way, Portland, Oregon 9723o
Direct(5o3) 262-5410/Cell(5o3)915-3567 I fax (971) 244-0902
MacDonald Miler
FACILITY SOLUTIONS
This e-mail may contain confidential or proprietary materials for the sole use of the intended recipient.Any review, use,distribution or disclosure by
others is strictly prohibited. If you are not the intended recipient,please contact the sender by reply e-mail and delete all copies.
NA PLEASE CONSIDER THE ENVIRONMENT BEFORE PRINTING THIS EMAIL
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2
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10865 SW WALNUT ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2014-00127
Jeff Grove
Violation Summary:
Inspector Contractor