Permit q CITY OF TIGARD MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT Permit#: MEC2014-00168
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/21/2014
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services Subdivision: ROSEWOOD ACRE TRACTS Lot: D
Project Description: Install(2)tankless water heaters in non-potable water piping system. Includes venting and gas piping.
Contractor: OWNER Owner: CLEAN WATER SERVICES
CLEAN WATER SERVICES 2550 SW HILLSBORO HWY
3235 SW RIVER ROAD HILLSBORO,OR 97123
HILLSBORO, OR 97123
PHONE: 503-547-8014 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/21/2014 $249.36
Class of Work: ALT Type of Const: Plan Review 04/21/2014 $62.34
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 04/21/2014 $29.92
Stories:
Project Valuation: $6,500.00
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 $341.62
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers. Other Mech Units:
Gas Outlets: Other Desc: tankless
Duct Work: water
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
issuan - • ' ..rk is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Uti Notification Ce - . Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a co• of the rules
• direct questions to OUN• • allirlg 5103.232.1987 or 1.800.332.2344.
I Issued By: /� / Permittee Signature: ' G
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 Applicati FOR OFFICE USE ONLY
City of Tigard 'RECEIVED Received ,/ � Permit No.: Hu�l -41/t'K
. g
Date/By: y e�/ �Y "Y .
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
f Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit:
T I G A R[� Inspection Line: 503.639.4175 APR 212014 Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information '
CITY OF TIGA RD
TYPE O1131)IN(f "'VISION COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
'VISION 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 ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$6500.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT I SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION
Heating/cooling:
Air conditioning _ 46.75
Job site address: 16580 SW 85'h Street Furnace 100,000 BTU(duets/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:Heaters for Scum Lines Duct work 23.32
Cross street/directions to job site: 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.: 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
Install]2]tankless water heaters in non-potable plant water piping system fireplace 23.32
Includes venting and gas piping Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER I ❑ TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:Clean Water Services Range hood/other kitchen •
equipment 33.39
Address:3235 SW River Road Clothes dryer exhaust 33.39
City/State/ZIP:Hillsboro,OR 97123 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)547 8014 Fax:( ) Attic/crawlspace fans 23.32
0 APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Clean Water Services
$14.15 for first four;$4.03 for each additional
Contact name:Patrick Orr Furnace,etc.
Address:3235 SW River Road Gas heat pump
Walllsuspended/unit heater
City/State/ZIP:Hillsboro,OR 97123 Water heater
Phone:(503)547 8014 Fax::( ) Fireplace
Range
E-mail:orrp(IJcleanwaterservices.org Barbecue
CONTRACTOR Clothes dryer(gas)
i'0 0 C (2 .-- Other:
Business name: .
MECHANICAL PERMIT FEES*
Address:
Subtotal
City/State/ZIP: Minimum permit fee($90.00) 249.36
Plan review(25%of permit fee) 62.34
Phone:( ) Fax:( ) 29.92
State surcharge(12%of permit fee)
CCB lie.:
TOTAL PERMIT FEE 341.62
// This permit application expires if a permit is not obtained within 180
Authorized signature: ]� ��'��� (v �. days after it has been accepted as complete.
1 ` • Fee methodology set by Tri-County Building Industry Service Board
Print name:Patrick K.Orr Date:04/17/2014
1:\Building\Permits'MEC_PermitApp_0401 13 doe 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_0401 1 3.doc 2