Permit q CITY OF TIGARD MECHANICAL PERMIT
111/11 c COMMUNITY DEVELOPMENT Permit#: MEC2013-00671
T f GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/07/2013
Parcel: 1 S134DC12700
Jurisdiction: Tigard
Site address: 11365 SW TIGARD ST
Project: BAPS Temple Subdivision: 2004-050 PARTITION PLAT Lot: 2
Project Description: Relocate(1)grille,add(1)exhaust fan in new 2nd floor bathroom.
Contractor: ARJAE SHEET METAL CO, INC. Owner: BAPS PORTLAND LLC
5510 SE MCLOUGHLIN BLVD. ATTN CORPORATE AFFAIRS DEPT
PORTLAND,OR 97202 81 SUTTONS LN
PISCATAWAY, NJ 08854
PHONE: 503-231-7717 PHONE: 503-597-3030
FAX: 503-230-4888
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/07/2013 $69.06
Class of Work: ALT Type of Const: Plan Review 11/07/2013 $17.27
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/07/2013 $8.29
Stories:
Project Valuation: $500.00
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: 1 Vent Systems: Total $94.62
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, ork is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utilit otification Ce t r. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or irect questions to OU .• .:lin. 503.232.1987 or 1.800.332.2344.
I sued By: ' _`JP ' `1�� Permittee Signature:
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 FOR OFFICE USE ONLY
Received
City of Tigard Date/13y: l ATM/ Permit No.: , 3�Co7
q 13125 SW Hall Blvd.,Tigard,OR � R 7 ww
1 : p� J Plan RthriCW
Phone: 503.718 2439 Fax: 503.5 !1..0 Date/13y: Other Permit: •
T 1 GARD Inspection Line: 503.639.4175 O Date Ready/13}': Sec Page 2 for
lnos:
Internet: www.tigard-or.gov �O 0( %('‘‘\%6\i
Notified/Method: Supplemental Information
Qv` %G�\ COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
TYPE OF WORM\�
V� Mechanical permit fees*are based on the value of the work
❑ New construction Addition/alteratio eplacemcnt performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,andprofitto
Value:S 2 t tJ lj�J_
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIP�7 _NT/SYSTEMS FEES*
❑ I-and 2-family dwelling &Commercial/industrial ❑Accessory building For special infi,rn,arion use checklist.
❑ Multi-family ❑ Master builder ❑Other: Description Qty. I Ea. Total
113625 JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: - "r-5IA -rI GA-izi) Sr Furnace 100,000 BTU(ducts/vents) ,
City/State/ZIP: 1-1 G n r-0 D I? 91 it 3 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump
Suite/bldg./apt.no.: Project name: SAL s M�PLE 2
I Duct work 33.36
.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
IOC6X1- ore. If LI e - fireplace _ 23.32
AAl' �-` Log lighter(gas) 23.32
lVQ� �� °vus � (� �� A Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
EL PROPERTY OWNER TENANT
Other: 23.32
Environmental exhaust and ventilation:
Name: ‘314.f5 %1\0•E l,E Range hood/other kitchen
I l y 3 5 S� equipment 33.39
Address: 'rI(j fr S T Clothes dryer exhaust 33.39
City/State/ZIP: 11(94.12D ()V- GI'7223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
11 APPLICANT , ug CONTACT PERSON Other: 23.32
n Fuel piping:
Business name: lk J�,-t , r T Me,1k(�
$14.15 for first four;$4.03 for each additional
Contact name: Dooc, e.aNio E..11- Furnace.etc.
` Gas heat pump
Address: Q1,,S(45- 3i r L 0061-FLIN t�1V13
(/ "r`M Wall/suspended/unit heater
City/State/ZIP: M(LAJ A-V hI` Oa- (47222 Water heater
Phone:(Si.5 ) 2'5 1_-1111 Fax: :(- 513 .2 6 Lea 16 Fireplace -- -
Range
E-mail:
Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: P(1-34E S-EET An e'T -L Other *
�J u I"` MECHANICAL PERMIT R�II'1'FEES
Address: L)S I S SE Mao()6141-IN M V 0
Subtotal (pg.ccp
City/State/ZIP: MIEN (CI E ow_ oritzt. Minimum permit fee(S90.00) —
Plan review(25%of permit fee) /7. 2 7
Phone:( 5-0;) Fax:( CD3 ) 15k,) �I Q)O 2
23( � 1 17 Slate surcharge(12%of permit fee) 0`19
CCB lie.: 6063 S TOTAL PERMIT FEE QL 6;9,,
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: C pia& ( -0McSJ3J Date: R( / 13
1\tui Id in_\I'ermils\MFC_Pcrm itApp 040113.doc 440-4617T(I Ii02/(110M1W111m)
Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11365 SW TIGARD ST, TIGARD, OR, 97223
Commercial - Mechanical
699 Mechanical final
2013-12-17 00:00:00
MEC2013-00671
PASS - No C of O
Violation Summary:
Inspector Contractor