Permit ,� CITY OF TIGARD MECHANICAL PERMIT
'`11 d • COMMUNITY DEVELOPMENT Permit#: MEC2015-00580
Date Issued: 09/08/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1S134AB03300
Jurisdiction: Tigard
Site address: 10330 SW SCHOLLS FERRY RD
Project: Muslim Educational Trust Subdivision: ENGLEWOOD Lot: 88
Project Description: Class I and Class II Type hoods
Contractor: DAN CO CONSTRUCTION Owner: MUSLIM EDUCATIONAL TRUST INC
55695 VIEWCREST PL PO BOX 283
WARREN, OR 97053 PORTLAND, OR 97223
PHONE: 503-997-3744 PHONE:
FAX: 503-366-0405
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/08/2015 $627.11
Class of Work: ALT Type of Const: IIB Plan Review 09/08/2015 $156.78
Occupancy Grp: E Occupancy Load: 12%State Surcharge-Mechanical 09/08/2015 $75.25
Stories: 2 Info Process/Archiving-Sm$0.50(up to 09/08/2015 $5.00
Project Valuation: $21,000.00 11x17)
Project
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 $864.14
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Make up air
Duct Work: unit
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility N ' ation : ter. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of e ru
or dire questions to O k NC •, .Iling 503.232.1987 or 1.800.332.2344. /
Issu d By: —=/✓ Permittee Signature:
z %i
Call 503.639.4175 by 7:00 a.m.for the next available inspection e. ��
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applic I it IV E) 1 FOR OFFICE USE ONLY
City of Tigard Received Date/By: d a J/t3 ( A . - Permit No.: ►e fr e +7 5-i�5$Q 4. . 13125 SW Hall Blvd.,Tigard,OR 972 1 Plan Review i1 ` re
p Date/By: ,` 1r Other Permit:
Phone: 503.718.2439 Fax: 503.598. 2 5 2 0,5 j f bu 0f90 t o_Obi G?
I'I G A R n Inspection Line: 503.639.4175 Date Ready/By: kris. See Page 2 for
Internet: www.tigard-or.gov C1' i /iF JI q 1 t t, Notified/Method:�� Supplemental Information
I V lJtli�l/ 15-
I ,T ' ^ (I , `'l
Mechanical permit fees'are based on the value of the work
Ai New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and prof
Value:$ 'G
❑ 1-and 2-family dwelling AS Commercial/industrial ❑Accessory building For special information use checklist
❑Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. I Total
Heating/cooling:
Air conditioning 46.75
Job site address: /0 3,10 S 4.2 sC �O// /1/z y / Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Q Furnace 100,000+BTU(ducts/vents) 54.91
Q / '� Heat pump 61.06
Suite/bldg./apt.no.: Project name: ./ /,f //2') Duct work 23.32
Cross street/directions to job site: Lj4 ce,{x f i Hydronic hot water system 23.32
Residential boiler(radiator or
77z-a 7 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
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
C/�-el qe — /Y °c2 C g f tm fireplace 23.32
u -- Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER 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:( ) Fax:( ) Attic/crawlspace fans 23.32
Other: 23.32
Fuel piping:
Business name: / /7/ZJ i Z. a $14.15 for first four;$4.03 for each additional
Contact name C �/ Furnace,etc.
7 Gas heat pump
Address: _�f'/ f.• �j `'�Cie e jl -- /
J Wall/suspended/unit heater
City/State/ZIP:'A.}�,('/LJ,/ Water heater
Phone:(J� 96 7� 2)C7 I Fax: :( ) Fireplace
Range
E-mail �pI pU e - 1 , /if , / / ,Ar7 Barbecue
Clothes dryer(gas)
Other:
Business name:.,, ;210 _,,,..?N G o
Address: c� I C-- ///z�1 c/'e j'� 7� Subtotal
City/State/ZIP: `,J_x„ Q!/e"..) OA- 9 7/Q,f-,_7
Minimum permit fee($90.00)
Phone:( 3 i7,517 ,77 SA../ Fax:( ) Plsn review(22/0 of permit fee)
/ State surcharge(12%of permit fee)
CCB lic.: // 2 C"y S TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has beef accepted as complete.
Authorized signature: • Fee methodology set by Tri-County Building Industry Service Board
Print name: ��'jP_/ic, C J _G PJ/� t,/ Date: ft'��1j//S
I:t Building\Pamits�C_PemtitApp_040113.doe ✓ 440.%+617r(1 /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial& Multi-Famil Fee Schedule:
1 r , ' 4.;:C . .
$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:\BuildinglPennits MEC_PermitApp_040113.doc 2