Permit CITY OF TIGARD MECHANICAL PERMIT
1111 I COMMUNITY DEVELOPMENT Permit#: MEC2014-00576
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2014
Parcel: 251136000600
Jurisdiction: Tigard
Site address: 16060 SW 85TH AVE
Project: Clean Water Services Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: 0&M Building-modification of ducts and grills for TI
Contractor: PORTLAND MECHANICAL CONTRACTORS Owner: CLEAN WATER SERVICES
2000 SE HANNA HARVESTER DR 2550 SW HILLSBORO HWY
MILWAUKIE, OR 97222 HILLSBORO, OR 97123
PHONE: 503-656-7400 PHONE: 503-547-8150
FAX: 503-655-0620
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/21/2014 $305.56
Class of Work: ALT Type of Const: Plan Review 10/21/2014 $76.39
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/21/2014 $36.67
Stories:
Project Valuation: $8,484.00
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 $418.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or dire suestions • •UNC b ailing 503.232.1987 or 1.800.332.2344.
Issue. By: / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applic• i FOR OFFICE USE ONLY
Received `C1�' of Tigard FillEb Date/By: t0/ /��(� PermitNo.: �l�i�� �y� j_- a l h l?e S50 Ha11 Blvd.,Tigard,OR Plan Review III 111 L/ (G
Phone: 503.718.2439 Fax: 503.598.19 Date/By: Other Permit:
TIGARD Inspection Line: 503.639.41757 21 2014 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
cmroF r u
g
� men Mechanical permit fees*are based on the value of the work
❑New construction ® Addition/alteration/replacement performed. Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labooverhead and .rofit
Value:$ to e.
>, CATEGORY O Cq -
❑ l-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑Master builder ❑Other: Description I Qty. Ea. I Total
" Heating/cooling:
Air conditioning
46.75
Job site address: 16060 SW 85te Avenue Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard 0 R97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Durham CWS O&M Bldg HVAC 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
Other: 23.32
Subdivision: I Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK . . '''-1'‘'', Gas fireplace/insert 33.39
Flue vent for water heater or gas
Tie to building permit#BUP2014-00200.HVAC remodel. fireplace 23.32
fit v46 j) V t-Xi-s T iN G /)t.1G--! ✓k k &R.11/-1 Log Wood/pellet t sto) 23.32
'yak stove 33.39
/q- S PEP P—/—A'S. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
,aSKTIERTY OWNER 1 It TENANT
" Environmental exhaust and ventilation:
Name:Durham Clean Water Services Range hood/other kitchen
equipment 33.39
Address: 16060 SW 85'i Avenue Clothes dryer exhaust 33.39
City/State/ZIP:Tigard OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32 _
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
'APPLICANT Et.1 TACT: Other: 23.32
Fuel piping:
Business name:Portland Mechanical Contractors -
, $14.15 for first four$4.03 for each additional
Contact name:Dana Sheets Furnace,etc.
Address:2000 SE Hanna Harvester Drive Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Milwaukie OR 97222 Water heater
Phone:(503)656-7400 Fax: :(503)655-0620 Fireplace
Range
F-mail:dsheetsa pmc-g.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Same as above. Other:
,S4
Address: Subtotal ;may
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee) -Z 4,3rj'
Phone:( ) Fax:( ) State surcharge(12%of permit fee) .(0,
CCB lic.: 151807 TOTAL PERMIT FEE Lfig.4sl
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 0-------.....4.../..--- — * Fee methodology set by Tri-County Building Industry Service Board
Print name:Dana Sheets Date: d r /
I.\Building\Permits\MEC_PermitApp_040113.doc 4-I7T(11/ /C04/WEB)
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