Permit (68) CITY OF TIGARD MECHANICAL PERMIT
f COMMUNITY DEVELOPMENT Permit#: MEC2017-00721
T[GAkt D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/20/2017
Parcel: 2S 104C B03900
Jurisdiction: Tigard
Site address: 13300 SW ASCENSION DR
Project: Afra Subdivision: HILLSHIRE WOODS Lot: 85
Project Description: (2)water heaters and gas piping for outside water heater.
Contractor: OWNER Owner: RAHAL-ARABI, TAWIFIK&
TAWFIK RAHAL-ARABI AFRA, SOUHARIR
13300 SW ASCENSION DR 13300 SW ASCENSION DR
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503-358-6627 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Water Heater 09/20/2017 $46.64
Type of Use: SF Fuel Piping 09/20/2017 $14.15
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 09/20/2017 $10.80
Occupancy Grp: Minimum Fee Adjustment-Mechanical 09/20/2017 $29.21
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-0! .690. You may o tgin a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: _ Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection dat6
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONI.1
ICity of Tigard ,_,
/ 7
Received -
, 13125 SW Hall Blvd.,Tigard,OR 97223r%r.'...,Aitt_4- .4 ''''' 'el-
II Plan Review i e 41 "I V
Date/By: w
Phone: 503.718.2439 Fax: 503.598.1960 Pennit No.: Al:-.7c • .1 _,-,
' I Other Permit: 1
4 / -
T 1 GA RD Inspection Line: 503.639.4175
Date Ready/By: INI IZI See Page 2 for
`, it ..01-'
Internet: www.tigard-or.gov A.1- ;
Notified/Method: Supplemental Information
ITY t fiGAk. i
TYPE OF WOC0 COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
0 New construction
ritalePPIIV DIV/SION Mechanical permit fees*are based on the value of the work
V.Addition/alte emerd performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition El Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
El-1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
I=1 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION
Air conditioning 46.75
Job site address: i 3304, ...s-,,,,, A s-t•e-?/7 5 i z,0 dr/,:;- 7,74-,r 4/, 4 i' i 77771 Furnace 100,000 BTU(ducts/vents) 46.75
J ,if
City/State/ZIP: .7-7$a rd /e ,.Z 1 el'7273 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:.44.1,4i e?,, 6..,, I r dwe). ,,„--
Duct work 23.32
Cross street/directions to job site: to hut. 7;)-12 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: Lot no.:
Other fuel affliances:
Tax map/parcel no.: CWater heater-) ,,, 23.32 44,11i
DESCRIPTION OF voik 1, *.„ ,,,, t:, ,, Gas fireplace/insert 33.39
Flue vent for water heater or gas
4ç44 fireplace 23.32
Log lighter(gas) 23.32
4giggingi -417-irIFI<421 Add Wood/pellet stove 33.39
A /0 st le'if j 4-1,1,c.A-CAC- a /id 00(.--,,i ci/:;-- L,'rn e Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
4: ' 'Piai'Etift tiEri .-'::, 4,7-' ,, ' ,aittAftr,K:k, tv::: Other: 23.32
4 ''''''' ' Environmental exhaust and ventilation:
Name:
Range hood/other kitchen
--; pi IL I .....,...4 .,--et. b ,
equipment 33.39
Address: /3 3 at.) .5 e...,..., /4 ,,,i,),,.i c,...‘ Dr: ..,.ii?
Clothes dryer exhaust 33.39
Single-duct exhaust(bathrooms,
City/State/ZIP: 7-1.9...i re,/ /0,4Z/ 72'2 3
toilet compartments,utility rooms) 23.32
Phone:(S02) 3g . 5-1: 3- Fax:( ) Attic/crawlspace fans 23.32
`'.• • in APP46i4T40:4 .... ''''' WE' ..,,ca"..:,-PE12S4N '4-4,, Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name: ST,,.)'he-Li r- A f t Furnace,etc.
Gas heat pump
Address: i--5-20 s,.....„) A -se&ric,,,,,v1 0 ,,,.: u c....
Wall/suspended/unit heater
City/State/ZIP: ; tre /,-,ii z) Az., 9,- .7...2 73 Water heater i
Phone:(ç ) 3 pg, _ 4'4 2'.- Fax::( ) Fireplace
Range
E-mail: i.: ...t VV-x i:bi-__ -r6-5 he t lirr-t ( • tscetT1 Barbecue
tOlsrTRA Pail -'.-. ''A 2,irtk. ' - „ - Clothes dryer(gas)
Other
Business name: 0 .4)
"V" ,,V IVIECHANICAL PE ,,, -- 'FEES* '''-.,!., •"•,''''
Address:
Subtotal 6 0,7 1
City/State/ZIP: Minimum permit fee($90.00) e
Plan review(25%of permit fee)
Phone:( ) Fax:( )
State surcharge(12%of permit fee) '10.ic)
CCB lie.: TOTAL PERMIT FEE /al.zirr)
This permit application expires if a permit is not obt ined withinv180
°°.'''''''. days after it has been accepted as complete.
_,_.,.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: 7y-,‘,4,1,_ 12e.k. b.,4/.... A.,-.kb: Date: t,?-ii-243,3
I.IluildingTermits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Family Fee Schedule:
Total Valuation: Permit Fee:
$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
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13300 SW ASCENSION DR, TIGARD, OR, 97223 October 19, 2017 at
8:00:34 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00721
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
See previous failed inspection.
Expose and disconnect gas line for inspection of material and depth. Pressurize for code
compliance test and inspection. G2417.1 -G2418.4
Schedule gas line Inspection when corrections are complete.
Note: no email contact information left with inspection request.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13300 SW ASCENSION DR, TIGARD, OR, 97223 November 2, 2017 at
10:17:00 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00721
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
FA I L
Comments:
Provide approved gas line pressure test. G2417
Violation Summary:
Inspector Contractor