Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2009 -00080
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/03/2009
Parcel: 2S 113B000600
Jurisdiction: TIG
Site address: 16580 SW 85TH AVE
Subdivision: Lot:
Project: CLEAN WATER SERVICES
Project Description: Install heater and gas piping.
Owner: FEES
CLEAN WATER SERVICES Description Date Amount
2550 SW HILLSBORO HWY
HILLSBORO. OR 97123 - 9379 Permit Fee 03/03/2009 $139.20
Plan Review 03/03/2009 $34.80
PHONE: 503- 681 -3600 12% State Surcharge 03/03/2009 $16.70
Contractor:
REITMEIER MECHANICAL INC
19570 SW 90TH CT
TUALATIN, OR 97062
PHONE: 503 - 603 -0205
FAX: 503 - 603 -0150
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp: Occupancy Load:
Stories:
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressue: 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: 1 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $190.70
Hoods: Comm Incinerators.
Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: I Permittee Signature: / /r , i ' � `/
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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. F'SF ONE)
City of Tigard Date /By: , �Q Permit No.: I i
• 13125 SW Hall Blvd., Tigard, OR 97223 FEB Received
ill Plan Rev r�• '
= Phone: 503.639.4171 Fax: 503.598.1960 2 6 200 , , � Other Permit•.
• • �r
Date /By: ,�1
Ins Line: 503
T I G A R D C� OF p,„ e Date Ready /By: Ea See Page 2 for
Internet: www.tigard- or.gov ! ill � ^ TA rt ' Notified/Method 3'3•� T Supplemental Information
at • t. TYPE OF WORK COMMERCIAL PEE* SCHEDULE — USE CHECKLIST;'
❑ New construction ® Addition/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 El Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ $4,836.00
RESIDENTIAL EQUIPMENT! SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building
❑ Multi- family ❑ Master builder ❑ Other: For special information use checklist.
Description I Qty. I E. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling _
Job site address: 16580 SW 85 Ave. Air conditioning or heat pump
(requires site plan showing placement) 14.00
City/State/ZIP: Tigard, OR 97224 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: I Project name: Clean Water Services Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue/vent for any of above 6.80
Other. 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Install one (1) radiant heater and gas piping.
Flue vent for r water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
El PROPERTY OWNER ❑ TENANT Chimney/liner /flue/vent 10.00
Other. 10.00
Name: Clean Water Services Environmental exhaust and ventilation
Address: 2550 SW Hillsboro Highway Range hood /other kitchen
equipment 10.00
City/State /ZIP: Hillsboro, OR 97123 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility moms) 6.80
El APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Reitmeier Mechanical
Fuel piping
Contact name: Matt Rogers $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: (503) 686 -4462 Fax: : (503) 603 -0150 Water heater
Fireplace
E - mail: matt .rogers @reitmeirmechanical.com Range
CONTRACTOR,,. Barbecue
Business name: Reitmeier Mechanical Clothes dryer (gas)
Other.
Address: 19570 SW 90 Court MEC�V « «ALFE
City/State /ZIP: Tualatin, OR 97062 Subtotal
Minimum permit fee ($72.50) 11:•S CI ,
Phone: (503) 603 -0205 Fax: (503) 603 -0150 Plan review (25% of permit fee) ?
CCB lic.: 153770 State surcharge (12% of permit fee) (Q. .. 0
TOTAL PERMIT FEE O • '7 Authorized signature: This permit application expires if a permit is not obtained within 180
d ays after it has been accepted as complete.
Print name: Matthew Rogers Date: 2/26/09 * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PemitApp.doc 01/19/07 440- 4617T(ii /02/COM/WEB)