Permit CITY OF TIGARD MECHANICAL PERMIT
I y' COMMUNITY DEVELOPMENT Permit#: MEC2017-00735
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018
T t t 3 Ft.f g Parcel: 2S1136000600
Jurisdiction: Tigard
Site address: 16620 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Sodium Hypochlorite&Caustic Improvements-Installation of concrete slabs for new chemical storage&use
tanks.
Contractor: RL REIMERS CO Owner: CLEAN WATER SERVICES
3939 OLD SALEM RD STE 200 2550 SW HILLSBORO HWY
ALBANY, OR 97321 HILLSBORO, OR 97123
PHONE: 541-926-7766 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/28/2017 $2,608.71
Class of Work: ALT Type of Const: VB Plan Review 09/28/2017 $652.18
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 09/28/2017 $313.05
Stories: Info Process/Archiving-Sm$0.50(up to 09/28/2017 $150.00
11x17)
Project Valuation: $100,000.00
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 $3,723.94
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: new pumps,
Duct Work: piping,
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 95 Q.10- 90. ou may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. !�
Issued By: %f" A/�j, Permittee Signature: �
Call 503.639.4175 by 7:00 a.m.for the next available ins ection da •
This permit card shall be kept in a conspicuous place on the job site unti pletiQ .roject.
Approved plans are required on the job site at the time of each inspection.
4-,,„v, c`
Cf,fitif E,
Commercial FOR OF II( I i. O\1.1
111 City of Tigard G 2017
Reeeivea
Date/By: p /� / h'r'-� Permit No.: / .7106070i 7' •
•
13125 SW Hall Blvd.,9 Tigard, 0 97223
� Plan R -- �-�
Phone: 503-718-2439 Fax: 50 y Related Permit:
Inspection Line: 503-639-4175 ' ` T� a" Date/B : 7( ® See Pae 2 for
T I G A R DDate Re y: b Juris:
Internet: www.tigard-or.gov 1N( �' 7 o NNotified/Method:1,...., t g�;�. ;jSd;@k_� $;,g������Aq; (y �7 Supplemental Information
c k'T aet‘t:a)ls.1 (rua f (ea it+6.1
TYPE OF WORK _ ,. REQUIRED ATA:1 -2-FAMILY DWELLING
0 New construction 0 Demolition 'hit d Permit fees*are based on the value of the work performed.
(� A/.;r 5`` 1z''' '1 Indicate the value(rounded to the nearest dollar)of all
1`�'Addition/alteration/replacement 0 Other: ,7 1 equipment,materials,labor,overhead,and the profit for the
/h/ PP
work indicated on this application.
CATEGORY OF CONSTRUCTION
❑ 1-and 2-family dwelling 0 Commercial/industrial Valuation: $
ElAccessory building ❑Multi-family Number of bedrooms:
boV1/4
❑Master builder `t(it s
0 Other:tn1,i\--51 ,,,,,,4-/-41_,_r rt./ ,1/44—j4Number of bathrooms:
/64 go JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:_.( v..1 8 54-c-, A.z-5__ New dwelling area: square feet
City/State/ZIP: Ti C-7 4i, f U 7e-z- 4. Garage/carport area: square feet
Suite/bldg./apt.#: Project name:)A .%(1-w) (1.t~1 v1/411?j 54,23,tN,vvk Covered porch area: square feet
Cross street/directions to job site:j.1`j('alCJf(i. t 4-.,As-4 lC L►1,,oa �,,,t
t) '� is Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Of�'L t 'alb A) 6-f- Cy.-t sit t iG/ t7 ,Pt °%`z4t't"'i 7- 04Valuation: $ t 00,0 a
(t�1 e':P 1&tc 19e(.7".11--13, /ts . S k 'mac rAc.L -10 Existing building area: square feet
0 f z,NI 6'i cwlt t 4,L S i D 2:'w4 S k&S 111,-11G New building area: square feet
.PROPERTY OWNER 0 TENANT Number of stories:
Name: G l,-i.: t i 1ni 4454-- '5 t tii Chi 5 Type of construction:
Address: 1 G 0 6 o S w
es- I1.‘1z2 Occupancy groups:
City/State/ZIP: i�ô+.1\_6 £9i Z z�
`7 - Existing:
Phone:(c�) 4 7 60 4_3 Fax:( )
New:
APPLICANT
0 CONTACT PERSON BUILDING PERMIT FEES*
Business name: (Please refer to fee schedule.)
Structural plan review fee(or deposit):
Contact name: pt`i G 4-(2.45(...i.
Address: . )
FLS plan review fee(if applicable):
City/State/ZIP: Total fees due upon application:c. �J
Phone:(st,) ) SA 7 t 04-� FA:-.1 -4--o C s� Amount received: n'1/ g,�7
E-mail: iti v c� t- 'Civ , PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
( �it' hViCeS , Z)s ci
y,4, el CONTRACTOR J Commercial and residential prescriptive installation of
✓� /� roof-to.mounted Photo Voltaic Solar Panel System.
Business name: eco Submit . (2)sets of roof plan with conn ' etails
Address: �/ and fire dep.. . ent access,along ' e 2010 Oregon
�, old (,l 1 S AA) Solar Installatio Iecial achecklist.
o
City/State/ZIP: A'hr fti -- / c!� 3,21
/ $180.00
Permit fee(in s plan review
/� / a•: administr. ' - fees):
Phone:4.. /)Y — Fax:( )
7�s'CtT State .charge(12%of permit fee): $21.60
CCB Lic.: 60 KG/I 7/0'11 61
.tal fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
J within 180 days after it has been accepted as complete.
Print name: {2L4,. 1 .(1:�.,—\�i� Date: 8 I i 61 zt, j '-7 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440 4613T(11/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111
11 Accessibility: Barrier Removal Improvement Plan
" _
Commercial & Multi-Family Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitAPP.doc Rev.12/18/2014