Permit CITY OF TIGARD MECHANICAL PERMIT
- COMMUNITY DEVELOPMENT Permit#: MEC2015-00201
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/10/2015
TIGARD Parcel: 1 S134AB03300
Jurisdiction: Tigard
Site address: 10330 SW SCHOLLS FERRY RD
Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88
Project Description: Installation of gas piping
Contractor: WESTERN PLUMBING Owner: MUSLIM EDUCATIONAL TRUST INC
9460 SW TIGARD AVE SUITE 101 PO BOX 283
TIGARD, OR 97223 PORTLAND, OR 97223
PHONE: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/10/2015 $235.31
Class of Work: NEW Type of Const: Info Process/Archiving-Lg$2.00(over 11/10/2015 $10.00
Occupancy Grp: E Occupancy Load: 11x17)
Plan Review 11/10/2015 $58.83
Stories:
Project Valuation: $5,954.00
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 $304.14
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 or 1.800.332.2344.
Issued By: llll /CI'O 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 i ECEIVED FOR OFFICE ESE ONI1
Received
II - City of Tigard APR 9 Z015 Date/By. 9 y-/j _ ' ,, Permit No.: /F.e /5 ._C,G O/
• 13125 SW Hall Blvd..Tigard,OR 97223 Plan Reviev,-
Phone: 503.718.2439 Fax: 503.598.1960 DateBy ► I En Other Permit. d.[zP�/s: --zWo7
TI G A K D Inspection Line: 503.639.4175 CITY OF TI GAR D Date Ready/By: lur s la See Page 2 for
Internet. www.tigard-or.gov BUILDING DIVISIO Notified/Method: I 7, `� D- Supplemental Information
TYPE OF WORK /
Mechanical permit fees*are based on the value of the work m
New construction ddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ]Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION °= Value S S5 SU
RESIDENTIAL EQUIPMENT/SYSTEMS FEES'`
❑ 1-and 2-family dwelling IV 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: 1(,) .:.!..,0 S c l2 Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:---v‘cyck, '`„ 0,'"\-,'n Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: MET Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
`4 f5-4'1. 7/47) hydronic) 23.32
Unit heaters(fuel-type,not electric),
/1/07-&'!. "/if.- (if13 /fV -1Z Z GL/PrT5 in-wall,in-duct,suspended,etc. 46.75
D 77-7i372— "C:72-/-i/ / Se-1-/b—Are--6-67- Flue/vent for any of above 23.32
Subdivision: .C,c/ate nl et�� p 1_ry, -TrLot 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
fireplace 23.32 .
�' l Log lighter(gas) 23.32
ON\ c �`� Wood/pellet stove . 33.39 ,
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER ❑ TENANT 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:( ) Fa.:( ) Attic/crawlspace fans 23.32
❑ APPLICANT ❑ CONTACT PERS' Other: 23.32
Business name: Fuel piping:
514.15 for first four;54.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) Fax: :( )
Fireplace
Range
E-mail: Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Western Plumbing,Inc. Other:
Y
Address:9460 SW Tigard Street,Suite 101 Subtotal
City/State/Z1P:Tigard,OR 97223 Minimum permit fee($90.00)
Phone:(503)639-5296 Fax:(503-)684-9015 Plan review(25%of permit fee)
State surcharge(12%of permit fee) _
CCB lic.:2439 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 Thri-County Building Industry Service Board
Print name:' ^ � k. r\✓ Date: cog I I
1\Build,ne\Permits\MEC PermitApo 040113,doe 440-46177(11/02/COM/WEB)
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
10330 SW SCHOLLS FERRY RD, TIGARD, OR,
97223
Commercial - Mechanical
699 Mechanical final
PASS - No C of O
November 12, 2015 at 9:44:11
AM
MEC2015-00201
Chip Barnett
Violation Summary:
Inspector Contractor