Permit •
`' r ,04 CITY OF TIGA ® MECHANICAL PERMIT
COMMUNITY DEVELOPMENT MEC2011 -0000 •
s " D, 13125 S W Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/08/2011
T'I i i %AR L7� Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: SEWER TREATMENT PLANT Lot: 0
Project Description: Removal, rehabilitation and reinstallation of (3) centrifugal pimps. Installing (3) VFD's. Install 300 gal tank.
Contractor: STETTLER SUPPLY CO INC Owner: CLEAN WATER SERVICES
1810 LANA AVE NE 2550 SW HILLSBORO HWY
SALEM, OR 97303 -3198 HILLSBORO, OR 97123
•
PHONE: 503- 585 -5550 PHONE:
FAX: 503 - 581 -6799
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/08/2011 $5,528.71
• Class of Work: ALT Type of Const: Plan Review 02/08/2011 $1,382:18
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 02/08/2011 $663.45
Stories:
Project Valuation: $200,000.00
Fuel Air Handlers
Fuel Types: 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:
Unit Heaters: 15 -30 HP:
HP:
Vents w/o Appliances: 50 or Greater HP:
' Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $7,574.34
Hoods: Comm Incinerators:
Required Items and. Reports (Conditions)
• Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Tanks and
Duct Work: Pumps
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
Utilit 'cation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001 -0090. Yo may obtain a copy of the rules
or frectquestions to OUN . • c- ' g 503.232.1987 or 1.800.332.2344.
Iss ed By: 4 01 (19 Permittee Signature:
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.
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Mechanical Permit Applicati Ifi;
City of Tigard Date/By: / , Permit No.: r ee j /�
° 13125 SW Hall Blvd., Tigard, OR 97223 J ®4 7011 Plan R e iew . r
', Phone: 503.718.2439 Fax: 503.598.1960 Date /B v rr� Other Permit:
D ^t' Inspection Line: 503.639.4175
TIGA P ARD Dare Ready/B • : ® See Page 2for
t ? Internet: www.tigard- or.gov CITY OF TI Notified/Method: 4I . / i f Iii Supplemental Information
BUILDING DIVISION / •
Z n'^ + . "'; . ' a °� J : 4 TYPES 50F'tWORK`' - � ' v • TCOMMERCIAL ' FEE* SCHED ULE'; U
Mechanical permit fees* are based on the value of the work -
III 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: $ 0_6,6 ,(S.c7(� Q d
'v. "s. - "z"::' _• e "r,,.^ • : `:'CA GORY''�O ' :�`' . '. - r i - z .,
;RESIDENTIAL EQUIPMENT /SYSTEMS,FEES '
Ell- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. Ea. Total
;.
r ;'. - ;, -„ w ,'' JOB INFORMONATI• A'ND LOCATION ° • ‘ . Heating/cooling: • _ .. , ° -- _ -=- Air conditioning
' Job•siteraddress:' I 6, c �V 5 kit, _ / V t� (requires site plamslrowing placement) 46.75
Furnace 100,000 BTU ( ducts /vents) 46.75
City /State /ZIP: `' I l /� C/ .7 J f ) L/ Fumace 100,000+ BTU ( ducts /vents) 5 4.91
• Suite/bldg. /apt. no.: � Project name: / ^,+
+ L K St tit+t� �t 7�9 }G vPr, , Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job. site: /J Ductwork 23.32
0 Oath 01 . /�, �r 0 -S S )1 / Re sdn entia ichotwateradi a em 23.32
(. i i ,r ;JH ►" /� G /� Residl.boiler (radiator or •„ n �(. Et t- r 1 vewq 0 '"7 Ie - hydronic) 23.32
o et c le Unit heaters (fuel -type, not electric), •
&G c 4 ro �e f i. t h e 4 4 t S in -wall, in duct, suspended, etc.
Flue /vent for any of above 46.75
Subdivision; 1 L ot no.: 23.32
Other: 23.32
Tax•map /parcel no.: Other fuel appliances:
i -
Gas p ' " ,' '. : .; < ,, ry „} eDE SCRIPT I ON O F `W _ ORK - , \ Water heater 23.32
pp / fireplace 33.39 •
✓C e - t7 e v i I J l' e 4 Y 6 I /r /'S t it"--1 9 4e1 ^ f f t'•7 S I-71411 a p, Flue vent for water heater or gas
■ ■ fire • lace 23.32
Uri t I r - rte C ht l'' - : : ' ti 4.5.- r�5 / t
;i �
i Log lighter ( 23.32
3 V i si 1 , .1 t15 rt 4 3°0 , cr / t `, / 1 1 • Wood/pellet stove 33.39
.7,--- W ood fireplace/insert S � t'c S ir t 0 3 0 P lace /insert 23.32
-
`?"',APROEER S. OWNERm TEN " NT ':.' , a; r Chimney /liner /flue /vent 23
" ` • . � � ,; . Other: 23'.32
Name: C/e9'1 I4/ *yt St'Fvt'C!S Environmental exhaust and ventilation:
Address: 1 6 C 6 p 5 t,t! / v Range hood /other kitchen
equipment 33.39
:City' /State /ZIP: / t • ' s . S " / / / Q 7 Clothes dryer exhaust 33.39.
" 23.32
Single -duct exhaust (bathrooms,
Phoney (}�t5 ) r j 1�' �•- % Fax: ( ) toilet compartments, utility rooms)
fl Vy., �F y* _ ', t ,,,_ -• ,y•,-,
. ; ; W ; .. 1_ _ , , y"APRL I CAN,T ,''' ' N .: ' . - .,, . .- :CONTACT PER30N. ,z ° Attic /crawls acefans 23.32
Attic/crawlspace
name:. i Other: I 23.32 _
G:, lei , 1- /,t ' fi r s T. f v t e P , Fuel piping:
� P P K:
Contact. name: 1J o e_ ! 13 0 r G A P r s $14.15 for first four; $4.03 for each.additional
' ddress: l 6 C) i (j S 2 �-C 4 Ave_ Furnace, etc.
--/----::„. � n Gas heat .um.
s City /State /ZIP: 3 t , ' C 7 7 1 a / Wall /suspended/unit heater
r Phone: (5 b 3) 3 _- ' / ' 7 7 Fax: : ( ) Water heater
• v
Fireplace •
`z E -mail: Ij 0 !IC- h.er' -S c) 6
ti! / {TS t-)'✓, '‘,.,,•:_ .S O r Range
,
s "a� •� ,1,, ` x _ '' :CONTRACTOR
�� `'� 1 ' •
Afr t % / ' y 7-7::y � - fi;" , Barbecue
---- Business name: 6T _u_ pp y co,-r49()/ Clothes dryer (gas)
' ` /
/ 9/9"»Jtq' A I !t 6' Other:
0 L ..
Address: � �� • ME CHANICAL� PERMITaFEES;` •"14'' •�s'•;,
City /State /ZIP: 4a.� D/Z P ?3o/ -- subtot 5,5x8.71
Minimum permit fee
' Phone: (o3) 6 5-5 Fax: ( ) Plan review (25% of permit fee) / 3g `�„ g
CCB lie.: 33,9,ta g State surcharge. (12% of permit fee).' (
/� TOTAL PERMIT FEE: 77/57424/
S c ^ This permit application expires if a permit'is not obtained wit io I80
Authorized signature: 4 � days after it has been accepted as complete.
' Print name: ,----- c / C; • AO rC h e L' 5 Date: V 1/7/1 cst / I . Fee methodology set y Tri- County Building Industry Senn R^ ° *a —
' I.\ Building \Permits\ME PermitApp.pc 09/09/10 • 440-461 (11 /02 /COM /WEB) P� 55 `K IA - �
IP 77i sq.
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
Total`V'aliiation: Permit F'ee: ','
$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.
1:\ Building \Permits\MEC - PermitApp.doc 09/09/10 2