Permit (45) CITY OF TIGARD MECHANICAL PERMIT
' '! '' COMMUNITY DEVELOPMENT Permit#: MEC2016 00365
Tt<3ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/29/2016
Parcel: 2S113B000600
Jurisdiction: Tigard
Site address: 16580 SW 85TH AVE
Project: Clean Water Services-Durham Treatment Plant Subdivision: None Lot: None
Project Description: 8.5-ton RTU installation for electrical room of Solids building.
Contractor: ALLIANT SYSTEMS LLC Owner: CLEAN WATER SERVICES
1600 NW 167TH PL#330 2550 SW HILLSBORO HWY
BEAVERTON, OR 97006 HILLSBORO, OR 97123
PHONE: 503-619-4066 PHONE:
FAX: 503-230-9238
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/29/2016 $1,124.95
Class of Work: ALT Type of Const: VB Plan Review 06/29/2016 $281.24
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 06/29/2016 $134.99
Stories: 1 Info Process/Archiving-Sm$0.50(up to 06/29/2016 $10.00
11x17)
Project Valuation: $40,558.00
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 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 $1,551.18
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 . . .2344.
Issued By: 47.t...„),
�'P Permittee Signature: .....4
r
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Ca 03.639.4175 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.
chanical Permit Application FOR OFFICE USE ONLY
Cityof Tigard and Received
gDate/By �/1 �� Permit No.:
13125 SW Hall Blvd.,Tigard,OR 97223 1, �C 3�`�
Plan R
Phone: 503.718.2439 Fax: 503.598.1 Date/ 87
By `" i Other Permit: t
Inspection Line: 503.639.4175L�. ��'
TIGARD 2�1� Date Rea: / Juris: ® See Page 2 for
Internet: www.tigard-or.gov NN(
n 1 Notified/Method: ]`jv^ f ftr ��y�_ Supplemental Information
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Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alters + t�e'� performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
/ ,
Value:$$40,558.00ftf R#
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❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑ Multi-family ❑ Master builder 0 Other: Description
Qty. I Ea. I Total
fr W rf trrNfirer S '�Jfrr f / N,.rn ; i' rnp zs fir rs r'r .�/,�f-.r/7fff rf'/'"flr/:'r/� z,/f Heating/coolin :
>'„ 45 i ,r�,tfr�afiVi�Y,`l'�„�,I' /'„ ia ed#/ ,../„r,r#1,.4; ®,P lir , rr,,. :, f,r' fir %r'it/{ * 1 b' g
Air conditioning 46.75
Job site address:16060 SW 85th Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name:CWS Durham Solids MCC 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: I Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.:
,+ 3
Water
ater heater 23.32
' ' %ff f , r.o1 ! '..f; . t r ol i f rrrFas fireplace/insert 33.39` ' a-figiAr1Rrr ',1 .�/ ',', Z:ee:,,,,, fese rk Am* uevent orwaer
heater or gas
Install new 8.5 ton A/C unit and duct for Electrical Room, fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
t 9$9 # �, / r l {frrfl/ rr Other: 23.32
,.:r, .,, :,, ,. `”f.,G ,,/ 44. e/'''x'''i f/''F,r,`�f" 'f''''�;n''''' 'I'A`'�
%�° ' Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP: Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax ( )
Attic/crawlspace
fans 23.32
ri'` a / 4t . Otherr/ 1/�{ r� i #: rgffyr / 001ra ,. , � r “, r 23.32� aPf.oz�, „ : rlrdi� NGher,5 ;+` fu.;r , r� , �l6„ 'n
eee
Business name:Alliant Systems Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:David Russell Furnace,etc.
Address:351 NW 12th Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Portland,OR 97209 Water heater
Phone:(503)572-7761 Fax: :(503)230-9238 Fireplace
Range
E-mail:d.russell@alliant-systems.com Barbecue
rr f / IrAP/ii 1,5,f1Sr / 1,e� r»: ..,: rlA� ff;� rf % fgfrSm
At Clothes dryer(gas
).,.' r f/ �� i r4r- ,.�f ...c', , ; igf,�r � fJeg,/e,'rfr�rzNe
Business name:Alliant Systems Other:
th '1rr�,.�i,/�„ E''/t r/,,r,`111 $p: '1 td IA r,: :;: r rrr%%'ff'�,r f"'�r�rr
Address:351 NW 12 Ave Subtotal
City/State/ZIP:Portland,OR 97209 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)572-7761 Fax:(503)230-9238 State surcharge(12%of permit fee)
CCB lie.:153420 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: * Fee methodology set by Tri-County Building Industry Service Board
Print name:David Russell Date: Tit 8lr 6
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)