Permit (171) CITY OF TIGARD MECHANICAL PERMIT
7111 ' . COMMUNITY DEVELOPMENT Permit#: MEC2019-00149
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued:
Parcel: 1 S 134D D00102
Jurisdiction: Tigard
Site address: 10505 SW TIGARD ST
Project: Coast Sweeping Services Subdivision: 114TH PLACE Lot: 2
Project Description: 140 ft.of gas line to supply a pressure washer at a car wash station.
Contractor: PIPELINE PLUMBING Owner: SCHAEFER, DONALD M
333 S STATE ST SUITE V-108 SCHAEFER, MILYNN P
LAKE OSWEGO, OR 97034 PO BOX 23697
TIGARD, OR 97281
PHONE: 503-624-1906 PHONE:
FAX: 503-624-1926
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/13/2019 $207.21
Class of Work: ALT Type of Const: Plan Review 03/13/2019 $51.80
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/13/2019 $24.87
Stories: Info Process/Archiving-Sm$0.50(up to 03/13/2019 $0.50
11x17)
Project Valuation: $5,000.00
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 $284.38
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or I.:0.332.23—.
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Issued By: ` ,- -- Signature: /
c... , 11111111111111111.— I
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
City of Tigard i'�`iEcEiv Received / 3/1 �yq
`J g �+�t(t l��a. j DateBy: rf J L,1 Permit No.: .7 i! `�)()l • l
13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
• Phone: 503.718.2439 Fax: 503.598.1960 ? Other Permit:�� //�tX7
TIGARD
Inspection Line: 503.639.4175 MAR 13 2019 Date R adyB�� i ,. loris: ® g Page 2 f����l'}�Ll
Internet: www.tigard-or.gov Notified/Method) SupplementalInformation
CITY OFTIGARD;i, ' 7-"�r�
TYPE OF ` IP' a9 1 • .>f i N OMMERCIAL FEE* SCHEDULE —USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$'j,() .1"
CATEGORY OF CONSTRUCTION RESWE ITIAL EQUI'ME1V�1'f SYSTEMS FEES*
0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Jfl13 SITE INFORMATION AND LOCATION; Heating/cooling:
Air conditioning 46.75
Job site address:10505 SW Tigard Street Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 9723 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name: r
�-(�e„,1 S T —k /w� c..) -v'l/4f 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
Other: 23.32
Subdivision: 1 Lot no.: Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
SCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install 2psi steel gas piping from the meter in the back of the building to the fireplace 23.32
car wash area in the front. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
►e PROPERTY O% ER 0 TENANT Environmental exhaust and ventilation:
Name:Coast Pavement Services Range hood/other kitchen
equipment 33.39
Address:10505 SW Tigard Street Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( )N/A Fax:( )N/A Attic/crawlspace fans 23.32
t4 APPLICANT'" 0 CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Pipeline Plumbing
$14.15 for first four;$4.03 for each additional
Contact name:Samantha Hill Furnace,etc.
Address:333 S State Street V-108 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Lake Oswego,OR 97034 Water heater
Phone:(503)624-1906 Fax::(503)624-1926 Fireplace
Range
E-mail:sam@pipelineplumbing.net Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Pipeline Plumbing Other: p rS"1,re (A/0& i `
MECHANICAL PiF3E1 FEES*
Address:333 S State Street V-108 Subtotal
City/State/ZIP:Lake Oswego,OR 97034 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)624-1906 Fax:(503)624-1926
State surcharge(12%of permit fee)
CCB lic.:158260 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:Samantha Hill Date:03-12-2019
I:\Building\Permits\ME.C_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)