Permit 71' - h- CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00559
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 10/11/2007
PARCEL: 2S113B0 -00600
SITE ADDRESS: 16580 SW 85TH AVE ZONING: I -P
SUBDIVISION: SEWER TREATMENT PLANT LOT: JURISDICTION: TIG
PROJECT: CLEAN WATER SERVICES
Project Description: 8 Sludge MUA. Replace existing MUA with new MUA. Project Value: $24,915
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: F2 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CLEAN WATER SERVICES Description Date Amount
2550 SW HILLSBORO HWY
HILLSBORO, OR 97123 -9379 [MECH] Permit Fee 10/11/20C $434.00
[TAX] 8% State Surcha 10/11/20C $34.72
[MECPLN] Plan Rev 10/11/20C $108.50
Phone: 503 -681 -3600 Total $577.22
Contractor:
AMERICAN HEATING INC
PORTLAND, OR D, OR 97 7 202 ST
POR TL REQUIRED ITEMS AND REPORTS
POR
Contact #: PRI 503- 239 -4600
FAX 503- 239 -7038
Reg #: LIC 33135
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or . - s g - s to OUNC by calling 503.246.6699 or 1.800.332.2344.
Is uedB g / I1�G'Jts�f� y: � �� / -' Permittee Signature: �
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
1
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Mecbaniciil Permit Application FOR OFFICE l SF Oyl,v
'ma Received
y of Tigard ( I^^ CtVCU Plan R Date/By: o`� , t j) Permit No.: u . _ 0655 dP
r h e SW Hall Blvd., Tigard OR � ( •
it �
Phone: 503.639.4171 Fax: 503.59. �}}II/ Da y,�� 4l t F � _ Permit
Other Peit:
` h Inspection Line: 503.639.4175 S r P Q L� Date R - H See P 2 for
Internet: www.tu;ard- or.gov " r r r v L U / fi d/Meth /0 /O 0 0 0 Supplemental Information
CITYOF „,
T"Ylt,;° ' t = avigm. aor C e MMERCIAL UR SCHEDULE USE CHECK l IST
❑ New construction ® Addition/alteration/replacement Mechanical permit tees' are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION
Value: S $24,915.00
❑ I- and 2- family dwelling E Commercial/industrial ❑ Accessory building R ID I�I,t� IIN'I1 lV IS�t i ,3 *
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION ° Heating/cooling
Job site ad /49580 5W 85 Avenue Air conditioning of heat pum
(requires site plan showing placement)
14.00
City/ State/ZIP: Tigard OR1 972224 Furnace 100,000 BTU (ducts+vents) 14.00
Suite/bldg. /apt. no.: Project name: CWS Durhan &8 Sludge MUA Furnace 100,000+BTU (ducts/veMS) 17.90
Gas heat pump 14.00
Cross street/directions to. job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
tiydronii } 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other: 10.00
Tax map/parcel no.: Other fuel appliances
1 WORK, , Water heater 1000
Gas fireplace 10.00
Replace the existing Reznor MUA with a new Reznor UA
M
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Woodhreplace /insert 10.00
Chimney/liner /flue/vent 10.00
I74111(1 #fi' fl R - ❑ '£11KANT Othca: 10.00
Name: Clean Water Services Environmental exhaust and ventilation
Addrtst - : 2550 SW Hillsboro Hwy . Range hood/other kitchen
equipment 10.00
City/State/ZIP: Hillsboro OR 97124 Clothes dryer exhaust 10.00
Single -duct exhaust {balhYOams,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
11 'Aitll' VC1i9`i'AOr pi Attic/crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: Robert J. Smith $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: American Heating, Inc Clothes dryer (Ras)
Other:
Address: 1339 SE Gideon Street 10E01040SL P .
City / State%ZIP: Portland, OR 97202 Subtotal X y
Phone: (503) 239 -4600 • Fax: (503) 239 -7038 Minimum pennit fee ($72.50)
Plan review (25% of permit fee) / (g. 5 - 0
CCB lie.: 33135 State surcharge (8% of permit fee) 34.1a
/k74,. � � TOTAL PERMIT FEE
kuthorized signature: /.e t. e S e7 This permit application expires it a permit is not obtained within 180
/Y days after it has been accepted as complete.
A
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: tvlf C2f107 ei3559
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/11/2007
Phone: (503) 639 -4171 4,00, , 'Iil h
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12128/200 TIME: 7.00AM PAGE: 5
SITE ADDRESS: 16580 SW 85TH AVE CLASS OF WORK:
SUBDIVISION: SEWER TREATMENT PLANT LOT #: TYPE OF USE:
PROJECT NAME: CLEAN WATER SERVICES
DESCRIPTION: 8 Sludge MUA. Replace existing MUA with new MUA. Project Value: $124,915
OWNER: CLEAN WATER SERVICES, PHONE #: 503.681 -3600
CONTRACTOR: AMERICAN HEATING INC PHONE #:60;239 -4600
Inspection Request Scheduled For: Date: 12/20/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 062297 -01 503-209.9758 0
s rVV
Corrections /Comments /Instructions:
I
gi - •.-) (I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL /CALL FOR INSPECTION ❑ ADDITIsNAL F ES ASSESSED
1 6 Phone #: 503
Inspector: Date: ( ) 718 -