Permit CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2023-00789
Date Issued: 10/23/2023
T I G A A f7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Replace a make-up air unit and add ducting.
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
Permit Fee 10/23/2023 $2,352.24
Type of Use: COM Plan Review 10/23/2023 $588.06
Class of Work: ALT Type of Const: VB 12%State Surcharge-Mechanical 10/23/2023 $282.27
Occupancy Grp: F-1 Occupancy Load: Info Process/Archiving-Lg$2.00(over 10/23/2023 $8.00
Stories: 1 11x17)
Project Valuation: $89,700.00 Info Process/Archiving-Sm$0.50(up to 10/23/2023 $6.00
11x17)
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:
Appliances
Vent Fans: Vent Systems: Total $3,236.57
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
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 Ce ter. Those rules are set f h in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
•
Issued By: f /77/1 Permittee Signature: 4 G Zv {� i r a-El C)
ti
Call 503.639.4175 by 7. 0 a.m.for the next available inspection date.
This permit card shall be kept in a onspicuous 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 2 5 2023
City of Tigard SF.� Received 'I c 5 3? U' Permit 111b!1 E Cc-Oc-3 —co 787
13125 SW Hall Blvd.,Tigard,OR 97223 ��
Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD Plan Review O
�+ ate/By: Other Permit:
T 1 G A R D Inspection Line: 503.639.4175 R UILDI G DI��ISIOI�ate Ready/By: taxis- ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
1„t i * cldria ors .
A
- 5 i) C;. TYPE iD � j tthe value of
l�. 3 . ,
�� � — Mechanical permit fees*are based on v 1 the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
C ONS
Value $ 700 • 00
. TucT1r4N x. :: ..r. -
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
i :.r� Heating/cooling:
#''i,"°Y'� JOB 51TE�INFORMAT � �1��CATION �� ' :,
Air conditioning 46.75
Job site address: 16580 SW 85th Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name: 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
f ' '� '. .'-, Gas fireplace/insert 33.39
_ ., Flue vent for water heater or gas
Replacing a Make Up Air Unit and adding small amount of ducting fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
raver Other: 23.32
Environmental exhaust and ventilation:
Name: Clean Water Services Range hood/other kitchen
equipment 33.39
Address:2550 SW Hillsboro Clothes dryer exhaust 33.39
City/State/ZIP: Hillsboro OR 97213 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax ( ) Attic/crawlspace fans 23.32
. APl' r Q TAcT Other: 23.32
Business name: Hydro Temp Mechanical Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Amy Wood Furnace,etc.
Address: 28465 SW Boberg Rd Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Wilsonville OR 97070 Water heater
Phone:( ) Fax: :( ) Fireplace
Range
E-mail: amyw@hydrotempmech.com Barbecue
f, . ': Ni<'c:,9,,ft. ?. ?i ;,; �.` Clothes dryer(gas)
Other:
Business name: Hydro Temp Mechanical MEC , T ' FS'
Address: 28465 SW Boberg RD Subtotal
City/State/ZIP: Wilsonville,OR 97070 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) 503-901-0241 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 63907 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized sign re: * Fee methodology set by Tri-County Building Industry Service Board
Print name: /// Date: 9/22/23
l:\Building\Perm's\M PennitApp_040113.doc 440-4617T(I I/02/COM/WEB)
City of Tigard RECEIVED
III = w COMMUNITY DEVELOPMENT DEPARTMENT ) 2 5 2023
T 1 G A R n Building Permit Review — Commercial - No titlyaOtarit
Rl►I DIP1Q DIVISION
Building Permit #: !"` F( 0-Od- - O 0 2 8
Site Address: t b S g 0 w . Suite/Bldg#:
vd s�
•�
Project Name: C( v, tom-( -+ 5�'�` / 2i r un ,-}- tat -
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review • t
Proposal: Ct4�. 2 U)v� ' a V u ; ` q4. Pt-v($ .Vv
�
Existing Business Activity: ��L C Ul -S
Proposed Business Activity: t‘
27;Verify site address/suite#exists and active in permit sy�st�.
id River Terrace Neighborhood: ❑ Yes Ltd" No
Zoning: J
Permitted Use: P: Yes ❑ No ❑ Spec Space
5 Confirm no land use required.
Business Liu.cirac.
Exists: ❑ Yes ❑ No,applicant was provided a business license application
j
Notes: .1 -Fr- I Y1"��nfC D\Etces-e - p•tfxl ve+ L 1 I( a Lt i,L y ejc,'I5• C,14 1e
Approved by Planning: 4 712''(.� ate: I /Is/'I.c)'Z-1
Revisions (after Building Submittal only) I Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal /
Original Submittal Date: cr 'S ta-3
Site Plans: # l ,
Building Plans: #
Building Permit#: I Enter building permit#above.
Workflow Routing: Planning ❑ Pc it Coordinator yi. Building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
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: it, Date: I b(i (d--3
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_09072022.docx
Engineering Review
❑ at building pad:
❑ PFI Permi •
❑ Conditions"Met"p • r to issuance of permit
❑ Easements (encroachmen er engineering conditions of approval and plat(not typical on .OR/CUP)
❑ Water Quality/Quantity Facili
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: �`❑ Yes ❑ No
LIDA Facility on lot: ❑ Y- ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: Date:
Revisions (after Buil. g Submittal only) Reviewer Date
Revision 1: P. Approved ❑ Not Approved
Revisio. ": ❑ Approved ❑ Not Approved
' -'ision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
• :s ditions "Met"prior to issuance of permit
❑ Approve., OT Released: Date:
❑ ENG Revisions ' .uired: Date.
Notes:
❑ SDC Exemption ❑ Appli- for ❑ Received ❑ oes not apply
❑ Fees Entered: Wash Co Tran •ev Tax: ❑ Yes • N/A ❑ Deferred
Tigard Trans SDC: ❑ Ye ❑ N/A ❑ Deferred
Parks SDC: • es ❑ N/A ❑ Deferred
LIDA Fee: \ Yes ❑ N/A
❑ OK to Issue/Approved by Permit Coo nator: Date:
Revisions (after Building Submittal o ) Rev .,er Date
Revision 1: ❑ Approve• ❑ Not Approved
Revision 2: ❑ A.. eyed ❑ Not Approved
Revision 3: ■ 'pproved ❑ Not Approved
I:\Building\Forms\B1dgPermitRvw COM NoLandUse_08162022.docx