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Permit (131) CITY OF TIGARD MECHANICAL PERMIT 2:' COMMUNITY DEVELOPMENT Permit#: MEC2018-00026 RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2018 T t "` 9 Parcel: 2S 113B000600 Jurisdiction: Tigard Site address: 16060 SW 85TH AVE Project: Clean Water Services Subdivision: None Lot: None Project Description: TPS Building: New HVAC system for interior remodel. Contractor: ROBERT LLOYD SHEET METAL INC Owner: CLEAN WATER SERVICES PO BOX 307 2550 SW HILLSBORO HWY INDEPENDENCE, OR 97351 HILLSBORO, OR 97123 PHONE: 503-606-5007 PHONE: FAX: 503-838-3964 FEES Specifics:, Description Date Amount Type of Use: COM Permit Fee 01/23/2018 $5,090.71 Class of Work: ALT Type of Const: Plan Review 01/23/2018 $1,272.68 Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 01/23/2018 $610.89 Stories: 1 Info Process/Archiving-Lg$2.00(over 01/23/2018 $24.00 11x17) Project Valuation: $185,000.00 Info Process/Archiving-Sm$0.50(up to 01/23/2018 $1.00 11x17) 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 Fumaces: 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 $6,999.28 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: HVAC Duct Work: system for Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtainca copy of the rules or direct questions to OUNC by calling 50 .232.1987 or 1.800.332.2344. Issued By: / / Permittee Signature: /z eg"1/72 ---,-1"--? i. < < /.ice Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application . FOR OFFICE USE ON Ll City of Tigard _ J ..... 4 4 -,cewea " 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: I r Permit No.: �( ( Phone: 503.718.2439 Fax: 503.598.1960 � ) `� T� i� II Plan Review JAN Date Re Other Permit: �; TI G A R D Inspection Line: 503.639.4175 JAN 9 21118 i - pane. Internet: www.tigard-or.gov Date Ready : 7ur s: See age 2 for V .-.No Method: � CITY i T) 1 ��� /4,-.c. I SupplementalInformation TYPE OF WO JILP1N( DIVISIONcc:mi ERCIAL FEE*. SCHEDULE -blJSE CHECKLIST El New constructionddition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ \� c;t�iv CATEGORY OF CONSTRUCTION ' _ �j f 1:11-and 2-family dwelling ommercial/industrialRESIDENTIAL EQUIPMENT/SYSTEMS FEES* 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Job site address: 1(w G 0 � o S'C " NV Air conditioning 46.75 Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: -1-1-_,c,rAtal D , ©( �.�.2,Z� Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: 1 Project name: Heat pump 61.06 �' �� �"� (� T_}„k(-` Duct work Cross street/directions to job site: 23.32 Hydronic hot water system 23.32 �'ir1 di �� Residential boiler(radiator or �i 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 Subdivision: I Lot no.: Other: 23.32 Tax map/parcel no.: Other fuel appliances: Water heater 23.32 'DESRIPTIONOF WORK} " 'p ''x''n, 4" � C " '° Gas fireplace/insert 33.39 (--k t JN� Sy S TE L C Flue vent for water heater or gas ` O VZ-- fireplace 23.32 .1.ay 1�-5-i l L 1Z-€ OA 01)V� Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 PROPEItTI OWNER <, 1 ;- .. r. ''• 0 'TENANT Other: 23.32 `"" "" Environmental exhaust and ventilation: Name: C Ll. �llJvt3T&� S,.._TU yL✓.S Range hood/other kitchen Address: l C,()C,C, S.,v,j RI-1'i AOC, equipment 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: `r-r , 1p..V t C::� c/9-1L-2_3 Single-duct exhaust(bathrooms, Phone:( ) toilet compartments,utility rooms) 23.32 Fax ( ) Attic/crawlspace fans 23.32 , ,'- -0 APPLICANT (JCONTAAT PERSON` Other: 23.32 Business name: Se.,....-1- �.W ,D Sr Fuel piping: t -F VIA T L_ Contact name: p ++ $14.15 for first four;$4.03 for each additional L F 1'�'G� 0 �7 cJ v( l Furnace,etc. Address: i70 ` ti x ' - Gas heat pump � Wall/suspended/unit heater City/State/ZIP: - N 1),\7e,(\4)E1�-' LC 1 U 9-1-•;c Water heater Phone:(9.) )6 l j cs,_c Q I Fax::( ) Fireplace r` Range E-mail: G S W‘ e it S i(v) i/\2 1 Barbecue Business name: p�< � tri .,- Clothes dryer(gas) 1�"gef?-1 1.L0-1 0 ��tC,t� livi: t pa Other: Address: MECHANICALPERMIT FEES*' Subtotal 1 City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee` Phone:( ) I Fax:( ) State surcharge(12%ofperm;' CCB lic.: G,--2,L4-1-(2 i//J/, TOTAL PER' This permit application expires if a pe. Ae4tAti days after it has been accep, .Authorized signature: * Fee methodology set by Tri-County Build'. 7:. Print name: �-5- 1(1 C HA L1 t) I Date: /r I:\Budding\Permits\MEC_PermitApp_040113.doc 440JC1 17r(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valnation: Perniit`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. g\Permits\MEC_PermitApp_040113.doc 2 City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 16060 SW 85TH AVE, TIGARD, OR, 97224 Record Type: Record ID: Commercial - Mechanical MEC2018-00026 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor