Permit (21) CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT
Permit#: MEC2017-00333
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/13/2017
Tf } Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16060 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Compressed air system for shop building remodel into office space.
Contractor: YORK CUSTOM MECHANICAL Owner: CLEAN WATER SERVICES
PO BOX 21474 2550 SW HILLSBORO HWY
KEIZER, OR 97307 HILLSBORO, OR 97123
PHONE: 503-554-1771 PHONE:
FAX: 971-273-0647
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/25/2017 $423.91
Class of Work: ALT Type of Const: VB Plan Review 05/25/2017 $105.98
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 05/25/2017 $50.87
Stories: Info Process/Archiving-Sm$0.50(up to 05/25/2017 $2.50
11x17)
Project Valuation: $13,000.00
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: 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 $583.26
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: new
Duct Work: compressor
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 direct questions to OUNC by calling 503.232. `; or .:$0.332.2344.
Issued By: /� Permittee Signature: �_ G� -de ,
is9Fi2�
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.
'A O5/04/2O17 THU 16t06 FAX U001/002
•.•
Mechanical Permit Annlica
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City of Tigard itemivei
TheilBY: 5-it, 7 07-1 Pell2tiCt.2143. -
Phone:S7.11;1,!,,41 re.a-5 0°3R.5:8.1960MAY 4 2017
Dato/By: 107 I' ,-- ri it 'Niethaah'6i4p.3t)i 4,--oct),C)
, ,,.,-.,,.,, 'ovation Line. 503.639.4175 CITY Of TIGARD DE. -' .. .' ' Jude 0Sea Page 2 fur
Internet: www.tisard-or.gov Notified/Method: Supplemental Information
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Mechanical permit fees*are based on the value of the work
O New construction KAddition/dteration/replacement pertbrmed.Indicate the value(rounded to the nearest dollar)of all
O Demolition 0 Other mechanical materials,equMment,labor,ovC h ,M4 profit
Valise:S 15 --
:-',..'< :„',,,'"; :','•::ftilte.iiiitOr."6*.iiituttekr4"''' ....,':' '::''';';':• '1.::;-, • - ' ' • - • ' "..'' ''' - . ' . ''400''''' ' '''
01-and 2-family dwelling gCotrimercialiindustrial D Accessory building FOr special Worn:diem we checklist
0 Multi-nunily Master builder 0 Other: Description LOtY• I.. Es. 1 Total
*':itEAti. 104,3,00/001#1.6t4:::: .1.. .:-;?1;•:i?''";;; ',;'/;‘!:.; Airlimtingl.end. InV
conditioning 46 75
Job site address: I kp0/00 nS LA) qcStb Ascvsa Furnace 100,900 BTU(duets/vents) 46.75
-- - -
City/State/ZIP: --T-411:14. 0.,,a_ 7.2:7,4 Furnace 100,000+BTU(duotahreats) 54.91
' Heat Nunn 61.06
Suite/bldg./apt.no.: I Project name: Duct work 23.32
_ -
Cross sneer/directions to job site: (,ieetisi. _La, 4.--Snell,(v. $ dronic hot water system 23.32 ,
Residential boileir(radiator or
hydronic) 2332
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: Lot no.:
._.. Other fuel apPliances:
Tax map/parcel no.: Water heater 23.32
,;P,:.; . :".?40*-0,10k0$0;017,V;i**4:-. !;:1:?.'2,‘'..`.: ..::::.•:‘:'1'.2..::::•:7',:q . TaF:efirePventlaw/thr insewateltr heater or gas 3339
1 1\)ev.) CovArci-AtQ rk514,-40- , 'lace
Log lighter(gas) .........„23 32
23.32
E _ Wood/pellet stove 33.39
Wood firedaeclinsert 23.32
Chimney/liner/flue/vent 23.32
apii0040-0*iiraf;;:;...:,..•• ....:.:- ..,,, ,.:.,:,.,,: ,.0.4.0,4,0t.,::::,,,,,:,. .,:...;,,,,,,,,,., 23.32
Name: Range hood/other kitdien
- - equipment 33.39
Address: Clothes dryer exhaust 33.39
City/State/ZIP: Single-duet exhaust(bathrooms,
• • toilet compartmenekutrlityrooms) , . ,. 23,32
Phone:( ) Fax:( ) Attic/crawlspece that 23.32
,:; '..,•,.;:'(1,:..;ic';:,,,'.!..61:•:i'i, tii*W10".t ,:.' ' ;:'::.;:‘..::;::..i';'• 0 Oritit*Ot,11:$6il::. :'''a...';, :3 Other 23.32
Business came: \ 0,(14._ Vika PIPIng!
10 " !'.e'llat S14.15 for Out four;$4.03 for each ddltIonal
Contact name: flimace,etc. .
Address: '70 T2,,g. V1111 Li Gas heat pump
Wan/suspended/unit heater -
,,...
City/StatetZ1P: C.,k _De_4_LI42-- 41 SO1 Water beater
Phone:(03) C2.,-si&A( Pax::(aril) 7:73.-0(01-4 P7 Fire.lace -
Range
E-mail: --TTAN/1-%lpegk a 41,ry....c )v , EDAM:V'...i BerbeCut
4'.;/".!4'-',?•XV',.:'(::., ,444.:*":41,00:',.".:;::: ;4';': '..,'':' , Y;:.,,::;:. ::.:::;,: c4'1; Clothes dryer(gas)
Other:
Business name: 4 4t44
..(14*01.6040:40:E0igtAES!:!''''
Address: Subtotal •Yrig-5 1
City/State/ZIP: __
Minimum peimit fee(190.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee) 111A1
CCB lic.: 2.1,f2,314 TOTAL FEI1XSUT F7EE '11 Lt.33
This permit application expires Ira permit is not obtained within 180
days after It bat been accepted as complete.
Authorized signature: • Fee methodology sat by Tn.Couoty Building ladusaY Service Board
Print name: ---riailtOle.7 00.,,,,lc_ Date: „Tip 7
...
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