Permit i
CITY OF TIGARD MECHANICAL PERMIT
�-d 1. _ COMMUNITY DEVELOPMENT Permit#: MEC2013-00579
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/17/2013
T[G AR g Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: AWWTF turbo blower installation.
Contractor: MCCLURE&SONS INC Owner: CLEAN WATER SERVICES
15714 COUNTRY CLUB DR 2550 SW HILLSBORO HWY
MILL CREEK,WA 98012 HILLSBORO,OR 97123
PHONE: 425-316-6999 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/17/2013 $2,603.73
Class of Work: ALT Type of Const: IIB Plan Review 10/17/2013 $650.93
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/17/2013 $312.45
Stories: Info Process/Archiving-Sm$0.50(up to 10/17/2013 $75.00
11x17)
Project Valuation: $99,787.00
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: 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 $3,642.11
Hoods: Comm Incinerators: - -
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: turbow
Duct Work: blower
Fire/Smoke Dampers: .
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-009' Y. may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By i___.../' Permittee Si nature: '—_/
Call 503.639.4175 by 7:00 a.m.for the next available in-J.ction date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
o ..
Mechanical Permit A lication -012 OFFICIO USE ONLY
14 MI City of Tigard �_� Received t (3 -e-,•c
q `J b y Date/By: 1)0 3 r Permit No.: /�! _005-71
Ari
13125 SW Hall Blvd.,Tigard,OR 97223 S i ECEIVES
Phone: 503.718.2439 Fax: 503.598.1960 Plan Review 1 DateB � (o I Other Permit:
InspecticinLine: 503.639.4175 OCT I 1 2013 y.
I'I G n R D Date Ready/By: 3uris: PI See Page 2 for
Internet: www.tigard-or.gov Notified/Method*3 Supplemental Information
CITY OF TI9GA�RD�,{ Vrl4n-
TYPE OF WO> ILDII�1G DIVISION • COMMERCIAL FEE*'SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ e4 t - -7
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
•
❑ 1-and 2-family dwelling rk Commercial/industrial ❑Accessory building 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 address: G s co $ �/ z`7 �z Air conditioning 46.75
g� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: /` 9 r� /� 9 a y Furnace 100,000+BTU(ducts/vents) 54.91
S Heat pump 61.06
h Suite/bldg./apt.no.: Project name:D ti Y y 4 w w.p 7r/o awe,'Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Cr) 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 _
t Subdivision: Lot no.: Other: 23.32
• Other fuel appliances:
Tax map/parcel no Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
k ---=— / J Flue vent for water heater or gas
-ZHSt9// OW4' Syl0p/,'r/ t4rio ®O 4w{/r ei TiotirfPrlgalrs• fireplace 23.32
.ZySf 6 b q n•/ rr]�orM o to Log lighter(gas) 23.32
7 q ��✓ c,rr,. r re, r'II /�r p.,,..se.. Wood/pellet stove 33.39
,,� O/ 1-'011 Mery,,.'r/I qm e/rrfrrrJ/ yAIiri {/S • 5rC. Wood fireplace/insert 23.32
5 e c. S e c f,"- 0 c1 o 3 0-- / c o r c1- fd�t,I-n r 4.S/r, t,o'7 Chimney/liner/flue/vent 23.32
• ` , at PROPERTY.OWNER ❑ TENANT Other: 23.32
Z --__ • Environmental exhaust and ventilation:
-0 Name: C 1.4,1 We) f.,.r Sr r V i'C P_5 Range hood/other kitchen
equipment 33.39
1 t/
7_ Address: , 0 G D S 1 t/ 1-y 4e Clothes dryer exhaust 33.39
6 City/State/ZIP: '-• a rn/ 0/0 7 2p7GI L/ Single-duct exhaust(bathrooms,
j toilet compartments,utility rooms) 23.32
Phone:(S)3)3-117 - .s,/ 7 "7 Fax:( ) Attic/crawlspace fans 23.32
❑ APPLICANT 120 CONTACT PERSON Other: 23.32
Fuel piping:
Business name: C/r y 1 k/4 f q r Ye r v I'r e
,` / dFurnace, $14.15 for first four;$4.03 for each additional
Z
` Contact name: o e T a r e /I P ' Furnace,etc.
�j Gas heat pump
`'' Address: j 6 0 (c p � W �sf� .4 v e-
� c� Wall/suspended/unit heater
49 City/State/ZIP: / 'S. 5 re,/ 0 7( 1 / a a 11 Water heater -
Phone:(,co 3) S-11 7- s / .7 7 Fax::( ) Fireplace
A Range
E-mail: Lorc.A PrSJ E C-�r4,1 wvfrrStrv,ceS, aCS Barbecue
CONTRACTOR Clothes dryer(gas)
Other: _
Business name: C/t rG o N•, S o h /S� MECHANICAL PERMIT,FEES*.
Address: ) C o, .,1.,./ t J1 1, /J r , use_ Subtotal '
City/State/ZIP: r'' ) C r r e 1 14/4 7 PO / Z— Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( y2.S) 3 /‘- b 97 7 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 7/ / 2 7 TOTAL PERMIT FEE
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: Te/ • &re A19rs Date: 1010 2/ad
I:\Building\PermitsU�C_PennitApp_0401 13.doc 440-46171'(I I/02JCOM/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 $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_040113.doc 2
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
16580 SW 85TH AVE, TIGARD, OR, 97224
Commercial - Mechanical
699 Mechanical final
2014-01-21 00:00:00
MEC2013-00579
PASS - No C of O
Violation Summary:
Inspector Contractor