Permit CITY OF TIGARD MECHANICAL PERMIT111111 COMMUNITY DEVELOPMENT Permit#: MEC2016-00199
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/24/2016
TIGARD Parcel: 2S102AB02401
Jurisdiction: Tigard
Site address: 12511 SW MAIN ST
Project: Kepler Upholstery Subdivision:ELECTRIC ADDITION TO TIGARDVILLE Lot: 15
Project Description: Replace existing heat pump with new gas furnace,a/c and duct modifications.
Contractor: SPECIALTY HEATING&COOLING INC Owner: ANKELE, BRIAN
7500 SW TECH CENTER DR STE 130 3570 SW RIVER PKWY UNIT 1703
TIGARD, OR 97223 PORTLAND, OR 97239
PHONE: 503-620-5643
PHONE: 503-639-7012
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/24/2016 $342.09
Class of Work: ALT Type of Const: Plan Review 03/24/2016 $85.52
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/24/2016 $41.05
Stories: Info Process/Archiving-Lg$2.00(over 03/24/2016 $2.00
11x17)
Project Valuation: $9,760.00
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 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: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $470.66
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 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 questions to OUNC by calling 503.232.1987 or 1.8I:. - 44.
244_Issued By: Per ature:
Call 503.639.4175 by 7:00 a.m.for the next available insp ction 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 Applica FOR OFFICE l': l SF,011.1
City of Tigard Recei�y,� Date/ d of / Permit No.: /f
13125 SW Hall Blvd.,Tigard,OR 9722mJIAR y ® tCd ����
�O c Plan Review
8 Phone: 503.718.2439 Fax: 503.5p4M0 1U Date/By: Other Permit:
Inspection Line: 503.639.4175 ��' OF
I � ��/�
I
I(i A}Z[) � ���-+-5� Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard-or.gov ci,LDIA/P, t ) Notified/Method: Supplemental Information
_ z l�#te L -g
71,., x,-� ,v. ,.,.. -,. ' av -'''- '... . '.,'- Mechanical permit fees*are based on the value of the work
❑New construction X.-Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
�i Value $ e 760,G'1''
❑ I-and 2-family dwelling 3 Commercial/industrial 0 Accessory building For special information use checklist.
❑ Multi-family 11 Master builder ❑Other: Description I Qty. I Ea. I Total
t t,, ;p t .. T .7.,',.:}:4,,::.-..,,,,:, Heating/cooling:
'" �':ty"� '' ° ,, 1 '� Air conditioning 46.75
Job site address: 5W Ma IA) 5j, Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP: r I e.,„„: 17. : .:: 7,,,.,A.; ,J Furnace 100,000+BTU(ducts/vents) 54.91
/ Heat pump 61.06
Suite/bldg./apt.no.: Project name:��/A(teys /1F4i /�/ot y 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
Other: 23.32
Subdivision: I Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
D RIiiiiii 4* WORii :_ " `1.. Gas fireplace/insert 33.39
"# ' Flue vent for water heater or gas
il
letd ( t✓k..4/o l t,} /7/c
/( !� ��.�
---,/,,,,,:( -,,' - ' fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
tti f „ A
•• itk � , 1 y
A E ig Other:
23.32
� � � '-'# "-.•[---•,.--,‘,••,,,•''.44,0.'••••,g � - � � A ^4, , , �• M 'n41,,- " Environmental exhaust and ventilation:
Name: ek,DN4 /v /e
Range hood/other kitchen
lt '-/ equipment 33.39
Address:
�d s // ' t ' //''N/ ✓' ' Clothes dryer exhaust 33.39
City/State/ZIP: j t Single-duct exhaust(bathrooms,
` toilet compartments,utility rooms) 23.32
Phone:( 23 ) 6.39- 76)4,7 Fax:(:::,f,;-.'%)6...37/-. 7:7 t,''1 Attic/crawlspace fans 23.32
¢ ; �' 'A� r"0 �.`+e'J 6t� �'t'v. ` ^r f° a ti�`'B mp y. ..
,,K#� � 0� �� ) 'a �',�1 P)�111 „ Other: 23.32
Business name: Fuel piping:
f $14.15 for first four;$4.03 for each additional
Contact name: )�,.. ,.�; Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:
(SOS)6/6-0773 I Fax: :( ) Fireplace
Range
t
E-mail: c?, .S:OP5ie'r,:a(71y/,4 7 'r„-;, r'4' ',
Barbecue
3 g .3 iP o z - s
�: sa u to p li� , Clothes dryer(gas)
t�"�...:,n�: ,��4:.,ted r"�1 .��,., # z. .. .,i..4 .P�..:� ... ,.,��wv,.. ..�F...r. ,
Business name: ( / Other:
S,OPC/ �j� `/�Q)��f..1 4j CvO . --f : """ 41,r ry #%-,, eye y
Address: 76-67(9 1/45 142 /e Ktoi,_/ ". IP-, Subtotal
(;)//, (77,12 -. Minimum permit fee($90.00)
City/State/ZIP: �,!'Guc�, J
Plan review(25%of permit fee)
Phone:CO) )64170--5,6 ZO Fax:( ) State surcharge(12%of permit fee) '/
CCB lie.: 6 6 y 70 TOTAL PERMIT FEE f Y 70. �d
, /' / This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: / , //1-- ta"' * Fee methodology set by Tri-County Building Industry Service Board
Print name: j"&-(.. .._:)(-11?<✓c' Date:3r,?.3//6
I:,Building.Permits',MEC_PermitApp 040113.doc 440-4617T(I1'02 COM WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
:tea � M h '�� .,
$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\Pennits\MEC_PermitApp_040I I 3.doc 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
12511 SW MAIN ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
MEC2016-00199
Jeff Grove
Violation Summary:
Inspector Contractor