Permit CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: MEC2015 00547
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/17/2015
T iGARi? Parcel: 1 S134AB03300
Jurisdiction: Tigard
Site address: 10330 SW SCHOLLS FERRY RD
Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88
Project Description: Install walk-in cooler& refrigeration.
Contractor: GLOBAL CONSTRUCTION Owner: MUSLIM EDUCATIONAL TRUST INC
30350 SW REBEKAH,#9 PO BOX 283
WILSONVILLE, OR 97070 PORTLAND, OR 97223
PHONE: 503-781-2827 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/17/2015 $185.72
Class of Work: ALT Type of Const: Plan Review 08/17/2015 $46.43
Occupancy Grp: E Occupancy Load: ' 12%State Surcharge-Mechanical 08/17/2015 $22.29
Stories: Info Process/Archiving-Sm$0.50(up to 08/17/2015 $1.50
11x17)
Project Valuation: $4,300.00
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 $255.94
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Walk in
Duct Work: cooler
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuanc- • I v. is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utili • Notification Cente T.'se rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or.irect questions to OUNC ^g 503.232.1987 or 1.800.332.2344.
_���
Issued By: �� ,
Perm Signature: '
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. •
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicati ECEIVED FOR OFFICE USE ONLY Received City of Tigard AUG 1 Y 2015 Date/By: ,�� '40 Permit No.: Hze A_ + Y 5
IIII
• 13125 SW Hall Blvd.,Tigard,OR 97223
Plan Review
g. Phone: 503.718.2439 Fax: 503.598.14grry Date/By: .••�I e i� I '00ther Permit:
Inspection Line: 503.639.4175 OF IG�iRD ` :uric See Page 2 for
TICARD BUILDING D Date g
Internet: www.tigard-or.gov IVISION Notified/Method: r/3 , r Supplemental Information
L(/ g- -
Mechanical permit fees*are based on the value of the work
❑New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 3 GU D
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder El Other: Description I Qty. I Ea. I Total
Heating/cooling:
��(� Air conditioning 46.75
Job site address: /O c3.O . /'► L7 L.L.S e-fe ! Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: '7/6 19 t"41 ar Furnace 100,000+BTU(ducts/vents) 54.91
�/ (' Heat pump 61.06
Suite/bldg./apt.no.: I Project name:44 K m J 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
s ` s V L J J2 �� L)dl c fireplace 23.32
��� "` �y? /^� Log lighter(gas)
23.32
7?"--- V-./'/`�' `' - ` Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
equipment 33.39
Address: 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 _
Other: 23.32 _
Business name: Fuel piping:
r i ide, S14.15 for first four;$4.03 for each additional
Contact name: 27 ,4/ ç j .0?1 k_ r ' .1 S'�� � Furnace,etc.
Address: 36 3- t' 5 w iezi a ' Gas heat pump _
Wall/suspended/unit heater _
City/State/ZIP: ; lSan 4/1,0,, aV 9� 7 Water heater
Phone: ) 96/ 2g,?,--1 Fax::( ) Fireplace
Brge
E-mail: - �d 6 i 4, P ® / /G , Z...-/Net."'-
Barbecue
Clothes dryer(gas)
• Other:
Business name: ;5,t,,'+P �.t5 a(,XAJ'�
Address: 04/o 2)6v ez o/'iyt7✓T //vC 68,9- Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Phone:( ) Poz c 7' Fax:( ) State
Plan review(25%
12%of permit fee)
g ( permit fee)
"''�"��� 7/ TOTAL PERMIT FEE
CCB lic. If kdialk��/ / /�
/ This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: 44A $ Fee methodology set by Tri-County Building Industry Service Board
Print name: /914C Ze i S P Date: !i
I:\Building\pmnitsmac_permitApp_o4o113.doc 440-4617r(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
$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_040113.doc 2