Permit y CITY OF TIGARD MECHANICAL PERMIT
' s COMMUNITY DEVELOPMENT Permit#: MEC2015 00236
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/30/2015
Parcel: 1 S 134AB03300
Jurisdiction: Tigard
Site address: 10330 SW SCHOLLS FERRY RD
Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88
Project Description: Gas line for(8)RTU's.
Contractor: ARROW MECHANICAL Owner: MUSLIM EDUCATIONAL TRUST INC
10330 SW TUALATIN RD PO BOX 283
TUALATIN, OR 97062 PORTLAND, OR 97223
PHONE: 503-692-1565 PHONE:
FAX: 503-691-1879
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 04/27/2015 $142.74
Class of Work: ALT Type of Const: VB Plan Review 04/27/2015 $35.69
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 04/27/2015 $17.13
Stories:
Info Process/Archiving-Lg$2.00(over 04/27/2015 $2.00
Project Valuation: $2,900.00 11x17)
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 $197.56
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: 8 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 N. - ••• 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 dire questions t• •UNC b calling 503.232.1987 or 1.800.332.2344.
lss ed By: j Permittee Signature: K. 1i j2
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 Application
City of Tigard dCEINTEll
• 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439 Fax: 503.598.1960
Inspection Line: 503.639.4175
Internet: www.tigard-or.gov
APR 27 2015
'fTVO1 116Alt0
TYPE OF
pOew construction Addition/alteration/replacement
• Demolition • Other.
.., CATEGORY OF CONSTRUCTION
For special information use checklist.
• 1-and 2-family dwelling • Commerciallindustrial • Accessory building
• Multi-family • Master builder • Other:
JOB SITE INWRSIATION AND LOCATIOr'r,-r-7:4r.7.7.17 :6045%.,
Job site address: /el 3 g 6 s a, $- C__64,4 1...Z._5 f 4-A7 It'y m
City/StateJZIP:
e
Suite/bldg./apt.no.: Project name:
44
Cross street/directions to job site:
Furnace 100,000 BTU(duets/vents)
.. 4
46.75
54.91
Subdivision: Lot no.:
Tax map/parcel no.:
DESCRIPTION OF WORK
" •
C.45- i- /ivf al EY/v17:5 Roof
61.06
--e-,- , PROPERTY OWNER 0 TENANT
Name5#/$7/4-.
Address:
City/State/ZIP:
Phone:( ) Fax:( 1
0 APPLICANT 5,,;;:::: ::,,, ii.,::: :i;;.4: :i,, 0 CONTACT PERSON
Business name:/44,le 0 4., i/)
Contact name: ri
Address: /03 3 0 5I ) 7- .1..*/—i Adi If j>
City/State/ZIP: 7-1/A z.,yoty/iy. 72 414°- 7 0 x 2
Phone:(f ) i f...? /5- 4 5- Fax:(5-3) it//g 7,7
E-mail:
CONTRACTOR
Business name:A_if oe'a to ill t-Ck
Address: /h 7 i 0 5 u..) 7 0.4 e-44 7/A/r,co,
City/State/ZIP:
Phone:(fa) 6 9,2 /.6- ‘5- Fax: ,%).3) 6 7/ /877
CCB lic.: 51 q 3 _ZVI,
Authorized signature:
Print name: /-----wit/
1/
L\Building\Permits\MEC jennitApp_040113.doe
Date: —V
440-46171.(11/021COM/WEB)
r
— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
mechanical materials,equipment,labor,overhead,and profit.
Value $ )
RESIDENTLAL EQUIPMENT/SYSTEM. itEB* .,.'.
For special information use checklist.
Description j Qty. _ Ea.
Total
Heating/cooling:
Air conditioning
46.75
Furnace 100,000 BTU(duets/vents)
.. 4
46.75
54.91
Furnace 100,000+BTU(ducts/vents)
___J
Heat pump
61.06
Duct work
23.32
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
Other fuel appliances:
Water heater
23.32
Gas fireplace/insert
33.39
Flue vent for water heater or gas
fireplace
23.32
Log lighter(gas)
23.32
Wood/pellet stove
33.39
Wood fireplace/insert
23.32
Chimney/liner/flue/vent
23.32
Other:
[ '3.32
Environmental exhaust and ventilation:
Range hood/other kitchen
equipment
33.39
Clothes dryer exhaust
33.39
Single-duct exhaust(bathrooms,
toilet compartments,utility rooms)
23.32
Attic/crawlspace fans
23.32
Other:
23.32
Fuel piping:
$14.15 for first four;$4.03 for each additional
Furnace,etc.
Gas heat pump
Wall/suspended/unit heater
Water heater
Fireplace
Range
Barbecue
Clothes dryer(gas)
Other:
, MECJIAINICAE PERMIT PEES*
Subtotal
Minimum permit fee($90.00)
Plan review(25%of permit fee)
State surcharge(12%of permit fee)
TOTAL PERMIT FEE
This permit application expires if a permit is not obtaind within
days after it has been accepted as complete.
* Fee methodology set by Tri-County Building Industry Service Board
r9
r•f--)4)
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
MEC2015-00236
Chip Barnett
Violation Summary:
Inspector Contractor