Permit (24) CITY OF TIGARD MECHANICAL PERMIT
1114 -. • COMMUNITY DEVELOPMENT Permit#: MEC2018-00969
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/02/2019
T"r ;�Ix t� g Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16540 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Installing a new heat exchanger.
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 12/21/2018 $474.71
Class of Work: ALT Type of Const: IIA Plan Review 12/21/2018 $118.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 12/21/2018 $56.97
Stories: Info Process/Archiving-Lg$2.00(over 12/21/2018 $24.00
Project Valuation: $15,000.00 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 $674.36
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: heat
Duct Work: exchanger
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. 2.1987 or 1.800.332.2344.
Issued By: '-.l --rmittee Signature: _do \
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 Applicatio vE FOR OFFICE USE ONLY
IIICity of Tigard eeeived I ] �j
- ,1Plan ReDate/B : /�, !J /F/�N Permit/1\M 1�� F�y ,�
13125 S W Hall Blvd.,Tigard,OR 97223 Plan Review !� Q W
Phone: 503.718.2439 Fax: 503.598.1960 • Date/By: 12,."' 1 9..j g1 Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Read B runs:
Internet: www.tigard-or.gov TIGARD
Ready/By: 0 See Page 2 for
,�`� �`� G� Notified/Method:
CITY"
Il OF �kl.t��� `2/Z0/4f:- Supplemental Information
TYPE OFLDING DIVISION t---/t7/1"i L.- COMMERCIAL FEE*"SCHEDULE -USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 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.
,CATEGORY OF CONSTRUCTION
Value:$$15,000.00
. RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: DescriptionQty Ea. Total
JOB SITE INFORMATION AND LOCATION' Heating/cooling:
Air conditioning 46.75
Job site address:16540 SW 85th Ave
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name:Primary Sludge Heating Heat pump 61.06
Duct work 23.32
Cross street/directions to job site: System Hydronic hot water system 23.32
Durham Road and SW 85th Ave 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK ,:., , ,,,u. ,, ,›- .-_ Gas fireplace/insert 33.39
`FtFlue vent for water heater or gas
Install a new heat exchanger,sludge grinder,primary sludge piping an fireplace 23.32
water piping and valves,including pipe supports,anchorage,concrete equipmentLog lighter(gas) 23.32
Wood/pellet stove 33.39
pads. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
w® PROPERTY OWNER ' 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Clean Water Services Range hood/other kitchen
Address:16060 SW 85th Ave equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)547-8175 Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT'' , CONTACT PERSON" Other:
..,, 23.32
Business name:Clean Water Services Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Michael Idehara Furnace,etc.
Address:16060 SW 851h Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97224 Water heater
Phone:(503)547-8152 Fax::( ) Fireplace
Range
E-mail:ideharam@cleanwaterservices.org Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:RL Reimers Company Other:
Address:3939 Old Salem Road,Suite 200 �'MECRANICALPERMITFEES* 4,;
Subtotal 474.71
City/State/ZIP:Albany,OR 97321 Minimum permit fee($90.00)
Phone:(541)926-7766 Fax: Plan review(25%of permit fee) 118.68
( ) State surcharge(12%of permit fee) 56.96
CCB lic.:60891 TOTAL PERMIT FEE 650.35
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:Michael Idehara Date: 12/11/18
I:ABuildingiPermits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)