Permit CITY OF TIGARD MECHANICAL PERMIT
': s COMMUNITY DEVELOPMENT Permit#: MEC2015 00053
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/04/2015
Parcel: 1 S134BC00300
Jurisdiction: Tigard
Site address: 12268 SW SCHOLLS FERRY RD
Project: Orange Theory Fitness Subdivision: GREENWOOD TERRACE CONDO Lot: 17
Project Description: Add 25'of gas piping for new on demand water heater.
Contractor: WESTERN PLUMBING Owner: FW OR-GREENWAY TOWN CENTER LLC
9460 SW TIGARD AVE SUITE 101 PO BOX 790830
TIGARD, OR 97223 SAN ANTONIO,TX 78279
PHONE: 503-639-5296 PHONE:
FAX: 503-684-9015
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 02/04/2015 $121.25
Class of Work: ALT Type of Const: Plan Review 02/04/2015 $30.31
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 02/04/2015 $14.55
Stories:
Project Valuation: $2,170.00
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 $166.11
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 1 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: Permittee Signature: I �* `` ✓_ '_ilt.....ei......".„..Z_ ` '/
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.
01/29/2015 06:00 5036849015 WESTERN PLUMBING INC PAGE 01/01
Mechanical Permit AppF epFIVED i t 1 f 1l l 1i t t 1i ' '" '
City of Tigard 'y. 0 PermitNo.: rf rGc o/5-0405 '
13125 SW Hall Blvd..Tigard,OR P 2 2015 Men le/By:
Phone: 503.718.2439 Fax: 503.598.1960 may, Other Permit 414 to el(i-Ce
1 ,,., ;,1., Inspection Line: 503.639.417tITY OF TIGARD Dee 'lB: t'a'r 0 See Pagel for
Internet: www.tigard-or.goBUILDING DIVISION Notified/Method: SupplementalIntormadon
a ttgi t•y »k t , I r , n ,
❑New construction Addition/alteration/ lacement Mechanical Indicate the are based on to value of the work
rep performed.Indicate the vdtte(rounded to the nearest dollar)of all
❑Demolition ❑Other mechanical materials,equipment,labor,overhead,and profit
t t .F • •♦„wl►
i 't C,'" 1 r 1 t ∎ 'i}r
l,1.. ,.dr+t1r'...til[4, }.�.:. �.r. .„ .91''•_ i .... .., ..r,.. .tr %,ti2/r .,,:.. . . ‘;r44.1 1 a..i ::.r'1�?'"r
❑ 1-and 2-family dwelling /g Commercial/industrial ❑Accessory building "Foeweddrnfotmationusecheckilst 1�._.
❑Multi-family ❑Master builder ❑Other Description i Qry• [ Ea. I Total -
rr �;, ^�!1.t,Rr "1 .-err 1 `''''.:.:'7".7.7-;',:;7:74;1;',":.;"....1:::,',... ylleati�COnling-
. + r k7.`LCty 1 ..., t „ n F...,. t L.1 �_ 46.75
Air conditionin
Job site address: 0 .� ,} .\, 7:1 4t+ ' ' l♦, ,,,, , Furnace 100,000 BTU(ducts/sews) 46.75 ,
City/State/ZIP: Furnace 100,0004 BTU(ducwvents) 54.91
VT�cx") � � Heat 61.06 _
Suitc/btdg/apt.no.: Project name: Pip
�� si .. 'n 1 Ductwork 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(thel-type,not electric).
in-well,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other: 1 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23,32
+4 t "^` -1 1 � + .:f 1y^t ..,,ran: Gas fireplace/insert 33.39•.
- Flue vent for water heater or gas
fireplace 23.32
! Log Itghter(gas) 23.32
i . A , 0 •- i - 'i —4. Wood/pellet stove 33.39
Wood fireplace/insert 23.32 —
Chimney/liner/flue/vent 23.32
..:...�... z_ ....4.. .c .t Other: 23.32
�r4 r , Y' r ` ` _
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 oampartments,utility rooms) 23.32
Phone:( ) I Fax:( ) Attic/crawispace fans 23.32
nab ro°+F " Other: 23.32
^Y Fuel piping -
Business name:
514.13 for that tour{$4.03 foreach additional
Contact name: Furnace._etc.
Gas heat pusnp
Address:
WaWsuspended/unn heater
City/State/ZIP: Water heater 1
Phone:( ) I Fax::( ) Fireplace ,,-
-Range ,
E-mail' Barbecue•D fikLmi►?r ..d '. -.. ....tc. 1..,,1,.+ ..,.. . Clothes dryer(ttas) ._
L Business name:Western Plumbing,Inc. Other
t! fxA$
Address:9460 SW Tigard Street,Suite 101 Subtotal f i, 5
City/State/ZIP:Tigard,OR 9722.3 Minimum permit fee($90.00) _-
Plan review(25%of permit fee) _Ie. 3/
Phone:(503)639-5296 Fax:(503-)6849015 State surcharge(12%of permit fee) /5/. 5S
~CCB lic.:2439 TOTAL PERMIT FEE /414,.1/
. i Thb permit application expire&if a permit is net obtained within la0
]� � days alley k has been accepted as Complete.
Authorized ' ature: . ; ' Fee methodology sat by 7ti-Cowity Building tndusmy Service Board
Print name: --x . �;\CQ.ic\ — Date: i i Sol IS
...c...1.4:,..■D-,m: ■4,rF1-V.....,A,,040113 doe 440-46177(11N2/COM/WEB)