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Permit CITY OF TIGARD MECHANICAL PERMIT • COMMUNITY DEVELOPMENT Permit#: MEC2018-00747 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/17/2018 T t G;t R t� 9 Parcel: 2S101 BC00700 Jurisdiction: Tigard Site address: 12280 SW HALL BLVD Project: Just Compassion Center Subdivision: KNOLL ACRES Lot: 2 Project Description: Ductwork for upstairs bath remodel to convert 1/2 bath to ADA compliant. Contractor: OWNER Owner: JUST COMPASSION CENTER ZABI GHAFFARI 12280 SW HALL BLVD 15580 SW SNOWEY OWL LN TIGARD, OR 97223 SHERWOOD, OR 97140 PHONE: 503-476-6206 PHONE: 503-103-4511 FAX: FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 09/17/2018 $69.06 Class of Work: ALT Type of Const: Plan Review 09/17/2018 $17.27 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/17/2018 $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: Vent Systems: Total $94.62 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules -re set forth in OAR 952-001-0010 through OAR 952-001-0090 You =y •stain a copy of the rules or direct questions to OUNC bcalling '3. 6 .1987 or 1. 00.332. 44. Issued By: / "4I Permittee Signature: ,�411.111,► Call 503.639.4175 by 7:00 a.m.for the next available inspection ate. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. %•' Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard Received Date/By: c7 Ar j ..,. I -Penni tr �� ^ ry} ? 13125 SW Hall Blvd.,Tigard,OR 9722 U rj ( }< C Phone: 503.718.2439 Fax: 503.598.1960 Plan Review G Date/By: Other Penni` 1 i a''''-. 41IT I G A R D Inspection Line: 503.639.4175 Date Ready/By: Jure „gi See Page 2 for Internet: www.tigard-or.gov =Notified/Method: Supplemental Information PE'OF WORK 46 ft AL FEE* sunk D LE USE CIl ECXLIST C117, 17 ?018 Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all O De olition 0 Other: mechanical materials,equipment,labor,overheada d profit. ,„..0....v. ,* ,: i4,vt ` Value:$ �t'1�,7 Q a CATEGORY~OF CONS. CTION w -0; sr , _ 4 :. ,,t ...._ .• •r .• :x":, s 3 `IDENTIAL E(jUIPMENT a�STEMS 1-and 2-family dwelling commercial/industrial 0 Accessory building For special information use checklist O Multi-family 0 Master builder D Other: Description Qty. Ea. Total 4,. - = Heating/cooling: � -� JB SITE INFORMATION AND LOCA$f�ON; '74-4 Air conditioning 46.75 Job site address: 17230 5(.3' t—fALL-- Q j,.lu Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: i 6/" b O K , 9-7 t&3 Furnace 100,000+BTU(ducts/vents) 54.91 1 � ^ Heat pump 61.06 Suite/bldg./apt.no.: Project name: .ST tK7 Duct work 23.32 Cross street/directions to job site: tiLfs-r + 2._ Hydronic hot water system 23.32 Residential boiler(radiator or Piritii 631-jri, i<t )d LC.- bK, 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 ,',;k 4: DESCRIP' i ,t,OF WTM[ ..- . .,, .., .r r. Gas fireplace/insert 33.39 Flue vent for water heater or gas uP(SeCITZ-S i - c b -L C O/'V' `' ('01J ' fireplace 23.32 Ytt�frnn rAb,(r1 e k/fY�i_ Log lighter(gas) 23.32 1 �1` Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ' . -'. . .. 23.32 la 9' s' T3O o t ; ,` n Other: k - a - ' I , a w. '' Environmental exhaust and ventilation: Name: 1. 1,a-r-,q r .k Range hood/other kitchen Address: i 5s�0 equipment 33.39 S� SNa ®w L. �� Clothes dryer exhaust 33.39 City/State/ZIP: P e • /j O R p q is r Single-duct exhaust(bathrooms, i n =3'y toilet compartments,utilityrooms) l 23.32 . Phone:(5a3) / 0 -.. -0 ; Fax:( ) Attic/crawlspace fans 23.32 ! APP J 4 Y P r. . x CO /*4 _ +i .`` Other: 23.32 Business name: CIA'EPSGa Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: 1ô LA.,A..ff' E) J Furnace,etc. Address: v-70 f/`2 s,t,J co is6- b„._„, Gas heat pump Wall/suspended/unit heater City/State/ZIP: S1,4vot, ! dYL-_ en (610 Water heater Phone:(503) 4-76_4,2_0 6 Fax::( ) Fireplace �„.,r Range E-mail: P-46L'_� 123 e ti Tt QW Barbecue a' dryer(gas) � *� i`,' �lV7aRACTOR ' :i�'� Clothes ..m" Business name: ©wg Other: Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: 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:/e08 c 1, 9- u Date...7/7/i I:\Building\Permits\MEC_PermitApp_040113.doc 440-46I7TT(111/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: T4tal 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