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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permitlf: MEC2015-00714 13125 SW Hall Blvd.,Tigard OR 97223 503.716.2439 Date Issued: 10/21/2015 Parcel: 2S102CC03300 Jurisdiction: Tigard Site address: 10375 SW MCDONALD ST Project: Muhammad Subdivision; FRELEON HEIGHTS Lot: 1 Project Description: Replacing oil furnace to gas furnace and gas piping. 1/12/16,REPRINTED to add duct work,(3)exhaust fans&(1) range hood. Contractor: BUDGET HEATING Owner: MOHAMMAD, KELLY S & HARRIS H 13885 SE 177TH CT 7225 SW 160TH AVE DAMASCUS, OR 97089 BEAVERTON, OR 97007 PHONE. 503-233-3133 PHONE. FAX 503-558-9050 FEES Specifics: Description Dale Amount Furnaces< 100K BTU 10/21/2015 $46.75 Type of Use: SF Duct Work 10/21/2015 $23.32 Class of Work: ALT Type of Const: Range Hood/Other Kitchen 01/12/2016 $33.39 Occupancy Grp: Single Duct Exhaust(Bathrooms,Toilet, 01/12/2016 $69.96 Stories: Utility Rooms) Fuel Piping 01/12/2016 $14.15 12%State Surcharge-Mechanical 01/12/2016 $22.51 Misc Administration Fee 01/12/2016 $45.00 Fuel Fuel Types: Natural Gas Gas Pressure: Total $255.08 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specially 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 W malion er. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules ordi ct questions to OU b ing . . . Y 503232.1987 or 1.800.3322344 /l Is ued C By: ( Permittee Signa 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 thejob site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit AaalicACE1VEP Received G^�/5- -6D}/ City of Tigard Dale/B Permit No. L l J 13125 SW Hall Blvd.,Tigard,OR 9722�¢A 7 y" Phone: 503.718.2439 Fax: 503.598.1460 N l 2 Plan Review Other Permit: Dale!By: Inspection Line: 503.639.4175 11 `/,1f, Dale ReadyiBy: JUTM I See Page 2 for MR Internet: www.ligard-or.gov O 1 Ot IIUAKL/ NolifictlNelhml: Supplemental lnformallon 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 ❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profa. Value S CA I-and 2-family dwelling ❑ Commercial/industrial ❑Accessory building For special information use checklist. ❑ Multi-family ❑ Master builder ❑Other: Description Qty. Ea. Total Heating/cooling: RMA AND LOCATION- ' - _ ,� 'I Air conditioning46.75 Job site address: ,L J /'�� • /_,1 Furnace 100.000 BTU(ducts'rents) 46.75 City/State/ZIP: 17� C2il- cj Furnace 100,000+BTU truer,rent,) 54.91 Heat purnp 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hvdronic hot waters stem 23.32 Residential boiler(radiator of h drank) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 2332 Subdivision: Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 qRSCRIIPTION OF WORK Gas fireplace insert 33.39 Flue vent for water heater of gas Ol �✓� fireplace 23.32 Log lighter( as) 23.32 Wood/ elle[stove 33.39 ell 60 t Wood fire lace/insert 23.32 Chitnn /liner/Bue/vent 23.32 Other: 23.32 PROPERTY OWNER- 0 TENANT Environmental exhaust and ventilation: Name: Q ry� Range hood'other kitchen ^ ) 1 equipment 33.39 Address: �-,� SW G ,✓/[f) Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(hathrooms, Z�qtoilet compartments.utilityr«ems) 2332 Phone:( ) Fax:( ) Attic/crawls ace fans 23.32 []". CAST (] CONTACT PERSON. Other: 23.32 Fuel piping: Business name: $14.15 for firs)four;$4.03 for each additional Contact name: Furnace,Lie. Address: Gas heat pump Wall sus endedunit heater City/Slate/ZIP: Water heater Phone:( ) Fax: :( ) Fireplace Range E-mail: Barbecue Clothes dryer((gas) a, s Business name: O Q, Other Address: S Subt 1, l • otal City/Stale/ZIP: 1A'L(e`cQ Minimum permit fee(S90.00) Z Plan review(25%of permit fee) Phone:( ) Fax: ) St-ate surcharge(12%of permit fee) CCB tic.: TOTAL PERMIT FEE _ "Phis 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 I n4 ounly Building Industry Service Board Print name: ((� r, Date: I Building Permits MEC_PeemhApp 0401 13 Ane 440-461-T(1 10-'COM N 113) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & Multi-F mily Fee Schedule: Total Valuation. ' " ermlk`liee: $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. 1: Building Permits MEC_PennitApp_040l l3.doc 2 CITY OF TIGARD MECHANICAL PERMIT ''1 r COMMUNITY DEVELOPMENT Permit#: MEC2015-00714 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/21/2015 Parcel: 2S102CC03300 Jurisdiction: Tigard Site address: 10375 SW MCDONALD ST Project: Muhammad Subdivision: FRELEON HEIGHTS Lot: 1 Project Description: Replacing oil furnace to gas furnace and gas piping. Contractor: BUDGET HEATING Owner: MOHAMMAD, KELLY S& HARRIS H 13885 SE 177TH CT 7225 SW 160TH AVE DAMASCUS, OR 97089 BEAVERTON, OR 97007 PHONE: 503-233-3133 PHONE: FAX: 503-558-9050 FEES Specifics: Description Date Amount Furnaces< 100K BTU 10/21/2015 $46.75 Type of Use: SF Fuel Piping 10/21/2015 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/21/2015 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 10/21/2015 $29.10 Stories: Fuel Fuel Types: Natural Gas Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-009 may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: 4t4ilawAr`- Permittee Signature: " Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Applicat ECEIVEP FoR OFFIC F: I SF:O\1.1 City of Tigard C 2015 Date/By: 2/ // Permit No 13125 SW Hall Blvd.,Tigard,OR 97223 C C T 1 5 2015 l� /5' ` / �Q 111 . ull Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 ( ,// Q r ro p Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Oft OF d IGARO Notified/Method: Supplemental Information 811ILDING DIVISION OF WORK COMMERCIAL FEE* SCHEDULE – USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction M Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: Air conditioning _ 46.75 Job site address: / `S(� L .1Ctla/ Furnace 100,000 BTU(ducts/vents) 1 46.75 City/State/ZIP: 7 oC // 5/ 7 2Z .. Furnace 100,000+BTU(ducts/vents) 54.91 J t / Heat pump 61.06 Suite/bldg./apt.no.: Project name: ' Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or Ad hydronic) 23.32 l 4— SO ,��2� . 7- 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 appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas fireplace 23.32 627/ );::l - .7?--Ss Log lighter(gas) 23.32 `/ (� Wood/pelletstove 33.39 c /3„/„.., ; Wood fireplace/insert 23.32 ,„,„,-,,. Chimney/liner/flue/vent 23.32 ®"PROPERTY OWNER El TENANT Other: Environmental exhaust and ventilation: 23.32 Name: /77C(//43- ame: /l Sl.3 y'-5 ollf ,i` Range hood/other kitchen Address: /17--3 75 5(j..)"�L ie/ Clothes dryer . 33.39 Clothes dryer exhaust 33.39 City/State/ZIP: �C�CL t��a4 Single-duct exhaust(bathrooms, / �/� toilet compartments,utility rooms) 23.32 Phone:) ,YO//�?.1 Fax:( ) Attic/crawlspace fans 23.32 ❑ APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. I Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range ` E-mail: Barbecue CONTRACTO L Clothes dryer(gas) Business name: �d Other: 1 r, c�,,�� � ���/// / ` �y�j MECHANICAL PERMIT FEES* Address: s �`C/� _ y Subtotal City/State/ZIP: ,rtc�t.SC&& © 7 702? Minimum permit fee($90.00) 7��7-5W:3 ( ) Plan review(25%of permit fee) Phone: 7 L Fax: State surcharge(12%of permit fee) /e r k CCB lic.: / 4 / /7 TOTAL PERMIT FEE /Q),d- This permit application expires if a permit is not obtained within 180 i �� days after it has been accepted as complete. Authorized signature: S? / * Fee methodology set by Tri-County Building Industry Service Board Print name:_i41-,1-r 291 f >, • Date: 6 z` `r \ \ME I:\BuildingPermitsC_PermitApp_040113.doc 440-46I7T(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 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 10375 SW MCDONALD ST, TIGARD, OR, 97224 Residential - Mechanical 699 Mechanical final PASS - No C of O MEC2015-00714 David Young Approved per installation instructions left on site for inspection. Violation Summary: Inspector Contractor