Permit CITY OF TIGARD MECHANICAL PERMIT
1 COMMUNITY DEVELOPMENT Permit#: MEC2020-00668
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/15/2020
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16060 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Install rooftop make-up air unit(MAU)and connect to existing duct work
Contractor: HYDRO TEMP MECHANICAL INC Owner: CLEAN WATER SERVICES
28465 SW BOBERG RD 2550 SW HILLSBORO HWY
WILSONVILLE, OR 97070 HILLSBORO, OR 97123
PHONE: 503-582-8525 PHONE:
FAX: 503-582-1914
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 12/14/2020 $1,821.87
Class of Work: ALT Type of Const: IB Plan Review 12/14/2020 $455.47
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 12/14/2020 $218.62
Stories: Info Process/Archiving-Lg$2.00(over 12/14/2020 $14.00
11x17)
Project Valuation: $68,400.00 Info Process/Archiving-Sm$0.50(up to 12/14/2020 $6.00
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas Units< 10000 cfm:
Gas Pressure: Units>10000 cfm: 1
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 $2,515.96
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units: 1 Bolts in Concrete
Gas Outlets: Other Desc:
Duct Work: 10
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 questionso to OUNC by calling 5/0�3.232.11987 or 1.800.332.2344.
Issued By: IF1ti1 I rt.A 9 I)r?,.Q ,Ti-, Permittee Signature: On !, `l;t!� >�
`��!!/M/�AA ii..tftt JJ 1yJ110.1't� U�4,�Y1 1►`IC�`lv'V
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.
. s -13
Mechanical Permit Application FOR OFFICE USE ONLY
City of 0 eC
TigardRECEIVEC eceived at e �D����2 ' PenntNo. y�
20 0066 g
• 13125 SW Hall Blvd.,Tigard,OR 97223
Ian Review
II Phone: 503.718.2439 Fax: 503.598.1960 41 Other Permit:
- Date/By: ���a � �a0
Tic;A RD Inspection Line: 503.639.4175 S E P 3 0 2020 Date Ready/By: lurir 65 See Page 2 for
Internet: www.tigard-or.gov Notified/Method:t 0/2.q/2o , 1(� 11G Supplemental Information
CITY OF TIGARD t c.t//i, cc.. �I
TYPE OF WORKEIUILDINLi UIVlb1UN ^, COMMERCIAL FEE* SCHEDULE USE CHECKLIST
Mechanical permit fees*are based on the value of the work
O New construction %Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$ 6)8 tivO SE 4I
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building Far.special infbrrnation use checklist.
❑Multi-family Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
A(0O(00 sub 05 - u 1g 46.75
Job site address: Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: reisurt 97Z'Ly Furnace 100,000+BTU(ducts/vents) if 54.91 54.91
,.3 L / ,�f ' Heat pump 61.06
Suite/bldg./apt.no.: I Project name: Cues t31sU l fi k- 1 f +t) 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
�7" Flue vent for water heater or gas
{rt, tAA71f1L iirkdill ��1.P1M1iskiii --Ifu.1-0�6)tvio-i-G`IP�, and- fireplace 23.32
LL-- Y Log lighter(gas) 23.32
I,, 11 IV ls�Q O\ALE J �� Wood/'pellet stove 33.39
Vit. ., 141. - '--41 , Y vivo* OI.YI-coArv.CT. +O Wood fireplace/insert 23.32
i5flI Chimney/liner/flue/vent 23.32
I Other: 23.32
El PROPERTY OWNER ❑ TENANT
Environmental exhaust and ventilation:
Name: ( I /I,r �od� /N(eS Range hood/other kitchen
�/"� equipment 33.39
Address: 2_55 D 5 u) Hills bcro ]0 Clothes dryer exhaust 33.39
City/State/ZIP: Hi Itsboy° 1 O ,. 971 23 Single-duct exhaust(bathrooms,toilet compartments,utility rooms) 23.32
Phone: (4563) ON -36....co Fax:( ) Attic/crawl space fans 23.32
❑ APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: git knit,.,, r � FtiN piping:
f`w a�•' $14.15 for first four;$4.03 for each additional
Contact name: riti 4-rjuaj A Furnace,etc.
Address: 2E4! 5 Si u) 3 , , .. g Gas heat pump
r r
City/State/ZIP: �i i ll� l.� / Wall/suspended/unit heater
� .70 Water heater
Phone:C5C8)(3Sq. 03(I _ Fax: :( I Fireplace
Range
F-mail:
.E- 9 61luf4)o1 rl�h�fil..CcM Barbecue
l CONTRACTOR Clothes dryer(gas)
Business name: /� '_ I� y� Other:
IW t/ -�U11 bl.!`W' MECHANICAL PERMIT FEES*
Address: `�$U�155 g� Subtotal 54,1/
City/State/ZIP: l CO;IS audit_ q 07D Minimum permit fee($90.00) (Po,CO
Plan review(25%of permit fee) 34,,2r3
Phone.(503)502•BS:46 Fax:( ) State surcharge(12%of pu suit fee) / 39
CCB lic.: 4 t 3907 TOTAL PERMIT FEE /95,53
�Q This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: AmetiejI Ice- Date: 9/281zv2-o
I:\Building\Permits\MEC_PermitApp 040113.doc 4404617T(1 I/02/COM/WEB)
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 S69.06 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\MEC_PennitApp_040113.doc 2
City of Tigard
114 " COMMUNITY DEVELOPMENT DEPARTMENT
I
T c;n R n Building Permit Review — Commercial - No Land Use
Building Permit #: MC 02-d -00 OH
Site Address: 16060 SW 85th Avenue Suite/Bldg#:
Project Name: Clean Water Services
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Install rooftop make-up air unit (MAU) and connect to existing duct work
Existing Business Activity: Wastewater treatment facility
Proposed Business Activity: Wastewater treatment facility
0 Verify site address/suite# exists and active in permit s stem.
O River Terrace Neighborhood: 0 Yes Li No
El Zoning: I-P
0 Permitted Use: L_'J Yes U No U Spec Space
ElConfirm no land use required.
Q Business License: N/A
Exists: ❑ Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: ' Date: 10/6/20
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: ❑ Enter buildin ermit# above.
1 Workflow Routing: 0 Planning . Permit Coordinator ❑ Building
Workflow Sign-off: 0 Sign-off for Planning(include notes from planningreview)
Route Application Documents: ❑ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: Date:
I:\Bu ild ing\Forms\BldgPermitRvw_COM_NoLan dUse_111819.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic. - .
Revision Notice 2: Date Sent toe .p cant:
Revision Notice 3: Date = to Applicant:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Forms\BIdgPermitRvw_COM_NoLandUse_111819.docx
Dianna Ornelas
From: Mitchell Gatzke <mitchellg@hydrotempmech.com>
Sent: Thursday, October 29, 2020 1:14 PM
To: #Building Permit Technicians
Subject: RE: MEC2020-00668 - CWS - 16060 SW 85th Ave
Caution!This message was sent from outside your organization.
Project valuation is$68,400.
Regards,
Mitch Gatzke
Project Engineer
HYDRO-TEMP MECHANICAL,INC.
28465 SW Boberg Road,Wilsonville,OR 97070
Office-(503)582-8525 I Cell-(503)899-0311
CONFIDENTIALITY NOTICE: The information contained in this email message,including any attachments,is for the sole use of the intended recipient(s)and may contain
confidential and privileged information. Any unauthorized review,use,disclosure or distribution is prohibited. If you are not the intended recipient and have received this
communication in error,please contact the sender by reply e-mail and destroy all copies of the original message.
From:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov>
Sent: Thursday, October 29, 2020 12:15 PM
To: Mitchell Gatzke<mitchellg@hydrotempmech.com>
Subject: MEC2020-00668-CWS- 16060 SW 85th Ave
Importance: High
Hello Mitchell,
The mechanical permit application submitted for this project was missing the project valuation which is necessary to
calculate permit fees for commercial projects.
Please email the project valuation amount to TigardBuildin);Permits@tigard-or.gov so that we can complete review and
make this permit ready to issue.
Thank you.
Dianna L. Ornelas
Building Division Services Supervisor
City of Tigard I Community Development
13125 SW Hall Blvd I Tigard, OR 97223
503-718-2430 Direct 1503-718-2439 Permits
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
1