Permit (2) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00674
Date Issued: 10/02/2019
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16060 SW 85TH AVE
Project: Clean Water Services Subdivision: None Lot: None
Project Description: Expanding the hot water supply and return piping in the tunnels at the Durham AWWTF. Consists of 1800 If of
insulated steel pipe and supports. Installing(2)owner provided recirculation pumps.
Contractor: DSL BUILDERS LLC Owner:
195 PINE ST NE
SALEM, OR 97321
PHONE: 503-363-0202 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/01/2019 $11,800.87
Class of Work: ALT Type of Const: IIA Plan Review 10/01/2019 $2,950.22
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 10/01/2019 $1,416.10
Stories: Info Process/Archiving-Lg$2.00(over 10/01/2019 $48.00
11x17)
Project Valuation: $414,800.00 Info Process/Archiving-Sm$0.50(up to 10/01/2019 $25.50
11x17)
Fuel Air Handlers
Fuel Types: Natural Gas 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 $16,240.69
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 direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: !i' 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 Application FOR OFFICE USE ONLY
City of Tigard ,- - '=: bate/By , /- .111
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II - a 13125 SW Hall Blvd.,Tigard,OR 97223 ME Plan Revie
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 9 -ac - 19 e �'
TIGARD Inspection Line: 503.639.4175 Date Ready/By: 111.. J i H See Pagel fo'r '
SEP 1 8 2 019
Internet: www.tigard-or.gov
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i t(,� 4 [ t .Pliotified/Method:/clip 7 �/1 Supplemental Information
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TYPE OF WORK -
l �d��""" COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
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 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$414,800
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:16060 SW 85th Avenue Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Durham Heating Loop Expan Duct work 23.32
Cross street/directions to job site:SW Durham Rd 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
Subdivision:
Lot no.:16580 Other: 23.32
Other fuel appliances:
Tax map/parcel no.:16580 Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Expand the hot water supply and return piping in the tunnels at the Durham fireplace 23.32
AWWTF.Consists of 1800lf of 6"insulated steel pipe and supports,Installing 2 Log lighter(gas) 23.32
Wood/pellet stove 33.39
owner provided recirculation pumps. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
® PROPERTY OWNER 0 TENANT Environmental exhaust and ventilation:
Name:Clean Water Services Range hood/other kitchen
equipment 33.39
Address:2550 SW Hillsboro HWY Clothes dryer exhaust 33.39
City/State/ZIP:Hillsboro,OR 97123 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)681-3600 Fax:(503)547-8196 Attic/crawlspace fans 23.32
®APPLICANT 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:DSL Builders LLC
$14.15 for first four;$4.03 for each additional
Contact name:Rick Blankenship Furnace,etc.
Address:195 Pine St.NE Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Salem,OR 97321 Water heater
Phone:(503)363-0202 Fax::(503)371-5337 Fireplace
Range
E-mail:rickb@dsl-builders.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:DSL Builders LLC
MECHANICAL PERMIT FEES*
Address:195 Pine St.NE Subtotal
City/State/ZIP:Salem,OR 97321 Minimum permit fee($90.00) 11801.
Plan review(25%of permit fee) 2950
Phone:(503)363-0202 Fax:(503)371-5337 State surcharge(12%of permit fee) 1416
CCB lic.:192282 /t'/1/7-11 TOTAL PERMIT FEE 16167
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: �i e 'j9 V (() 4r :'vik i1/ * Fee methodology set by Tri-County Building Industry Service Board
Print name: ,,,e9_✓" Date: 9 i 1�9
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