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Permit
CITY OF TIGARD MECHANICAL PERMIT 1111 I COMMUNITY DEVELOPMENT Permit#: MEC2019-00890 Date Issued: 12/26/2019 T[ ARf 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S1136000600 Jurisdiction: Tigard Site address: 16540 SW 85TH AVE Project: Clean Water Services-Filter Tunnel MCC Subdivision: None Lot: None Project Description: Remove existing split-system NC unit,cut hole in concrete for new packaged rooftop NC unit with curb. Contractor: HYDRO-TEMP MECHANICAL INC Owner: CLEAN WATER SERVICES 28465 SW BOBERG RD 2550 SW HILLSBORO HWY WILSONVILLE, OR 97070 HILLSBORO, OR 97123 PHONE: 503-582-8525 PHONE: FAX: 503-582-1914 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 12/26/2019 $1,254.49 Class of Work: ALT Type of Const: VB Plan Review 12/26/2019 $313.62 Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 12/26/2019 $150.54 Stories: Info Process/Archiving-Lg$2.00(over 12/26/2019 $4.00 11x17) Project Valuation: $45,700.00 Info Process/Archiving-Sm$0.50(up to 12/26/2019 $5.00 11x17) Fuel Air Handlers Fuel Types: Electricity Units<10000 cfm: Gas Pressure: Units>10000 cfm: 1 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 $1,727.65 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 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.: calling 503.2 2.1987 or :00.332.234, Issued By: Permittee Signature: ` f� - 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. w I Mechanical Permit Applicati r" _ ,, ' FOR OFFICE USE ONLY City of Tigard Received Date/By:�v/�t/ /f" 4" Permit l>�7�` J/9— p7,7 13125 SW Hall Blvd.,Tigard,OR 97223 r rs 1 CI j'Q9 Plan Review I Phone: 503.718.2439 Fax: 503.598.1960 C `I Date/By: 12-1, C . 'q Other Pe 4.4 /'Ant •—‘2O35'Fj TI G A R D Inspection Line: 503.639.4175 r,n Date Ready/By: / /// ` h ® See Page 2 for tf Internet: www.tigard-or.gov G ° ° ,„ c. .r^ Notified/ hod: / rt Supplemental Information 14 s a r"'I °A^ I,3�zl� � �� PP TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction IN Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$6-3-,<07c:'� r ii CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEESp ke Ill1-and 2-family dwelling ©Commercial/industrial 111 Accessory building For special information use checklist. F A1/E1 Multi-family /E1Multi-family IllMaster builder ❑Other: Description Qty. Ea. Tot '�( / ({ /0 JOB SITE INFORMATION AND LOCATION Heating/cooling T ''Y Air conditioning 46.75 Job site addressW 85th Ave 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.: N/A I Project name: CWS Filter Tunnel MCC AC Replacement Duct work 23.32 Cross street/directions to job site: Through gates,towards rear of waste water treatment plant Hydronic hot water system 23.32 Residential boiler(radiator or (i(6244 (t.- C2 AI772e L C7177f tZS j 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 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas Demo existing split-system AC unit,cut hole in concrete for new packaged rooftop AC unit with curb fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ❑X PROPERTY OWNER ( ❑ TENANT Other: 23.32 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:( ) Attic/crawlspace fans 23.32 [7] APPLICANT ® CONTACT PERSON g, Other: 23.32 Fuel piping: Business name: Hydro-Temp Mechanical $14.15 for first four;$4.03 for each additional Contact name: Mitch Gatzke Furnace,etc. Address: 28465 SW Boberg Rd Gas heat pump Wall/suspended/unit heater City/State/ZIP: Wilsonville,OR 97070 Water heater Phone:( 503 )582-8525 Fax: :( ) Fireplace Range E-mail: MitchellG/fhydrotempmech.com Barbecue CONTRACTOR Clothes dryer(gas) Business name:Hydro-Temp Mechanical Other: MECHANICAL PERMIT FEES* Address: 28465 SW Boberg Rd Subtotal City/State/ZIP:Wilsonville,OR 97070 Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( 503 )582-8525 Fax:( ) State surcharge(12%of permit fee) CCB lic.: 63907 TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: , 7 * Fee methodology set by Tri-County Building Industry Service Board Print name: Mitchell Gatzke Date: 12/19/2019 I:\Building\Permits\MEC_PermitApp_040 I I3.doc 440-4617T(11/02/COM/WEB) • Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-Family Fee Schedule: Total Valuation: Permit 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. I:\Building\Permits\MEC_PermitApp_040113.doc 2 City of Tigard 1,1 ,.l COMMUNITY DEVELOPMENT DEPARTMENT C , TIGA D Building Permit Review — Commercial - No Land Use Building Permit #: /6e,t./ 0/g -- 003-�C") A7 g(' 0/ - 00 tP 0 Site Address: /((( r '/0 e��4 ,� Suite/Bldg#: Project Name: 00C (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: 1ainiV5/ i epidc ri)0-4p ( L/71l7- Existing Business Activity: C7C 4t 1:2 fit r- ircwpt''f7- l Y%1l Prop sed Business Activity: // // // // LJ Verifysite address suit address/suite# exists and active in permit sy�ste� 0/River Terrace Neighborhood: ❑ Yes l� No li�d'/Zoning: / ll I21>I5ermitted Use: 12 Yes ❑ No ❑ Spec Space 0 Confirm no land use required. II')'Cusiness License: Exists: ❑ Yes IZJ No,applicant was provided a business license application Notes: Approved by Planning: _��— ' ....4,/,0 _,/ � � Date: 1,2/19/ Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: /x2//9/7 Site Plans: # vZ Building Plans: # .,— Building Building Permit#: Enter building permit#abo e. A. Workflow Routing: GO lanning CIPermit P rator uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents:/ Building: original permit application, site plans,building plans, engineer and beam calculations and trust details,if applicable, etc. Notes: By Permit Technician: Cly--'__ Date: / /,may /7. I:\Building\Forms\B1dgPermitRvw_COM_NolandUse 111819.docx Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building ❑ Approved,NOT Released: Date: Notes: r Revisions (after Building Submittal only) - Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to,Applicant: Revision Notice 3: Date Sent to Applicant: ❑ SDC Fees Entered: Washr'Co Trans Dev Tax: ❑ Yes ❑ N/A Tigard Trans SDC: ❑ Yes ❑ N/A Warks SDC: ❑ Yes ❑ N/A ❑ OK to Issue Permit Approved by Per ' Coordinator: Date: I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_l 11819.docx