Permit CITY OF TIGARD MECHANICAL PERMIT
11111
_ COMMUNITY DEVELOPMENT Permit#: MEC2020-00596
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/15/2020
Parcel: 2S115AB01900
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY K
Project: Spec Space Subdivision: 1994-028 PARTITION PLAT Lot: 2
Project Description: New fan in restroom
Contractor: LATIMER HVAC LLC Owner: SN PROPERTIES PARTNERSHIP
11230 SW MORGEN CT 1121 SW SALMON ST
TIGARD, OR 97223 PORTLAND, OR 97205
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/15/2020 $75.20
Class of Work: ALT Type of Const: VB Plan Review 10/15/2020 $18.80
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/15/2020 $9.02
Stories: Info Process/Archiving-Sm$0.50(up to 10/15/2020 $0.50
11x17)
Project Valuation: $700.00
Fuel Air Handlers
Fuel Types: Electricity 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: 1 Vent Systems: Total $103.52
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 10
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: y{y�1 Permittee Signature: Q t. Uy�
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Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit App i ipt,, J FOR OFFICE USE ONLY
- City Tigard D -202p Pern [No. 2Dz �Q7p- 5g6
13125 SWW Hall Blvd.,Tigard,OR 97g P ZOZO Date/By:Received (U
3 Phone: 503.718.2439 Fax: 503.598 1960 Plan Review
q. as
Other Permit:
Inspection Line: 503.639.4175 ,.) qFGARD Date/By: .. II
TIGARD Date Ready/By: Allis: 61 See Page 2 for
Internet: www.tigardor.gov UE{ ; tl i\g(,� 171 VI S+0 N Notified/Method:/ rs,/Z 47 c-1
ll� Supplemental Information
F'�M-1 1L L L/__^i_ T.
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
E New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑ Other: mechanical materials,equipment,I t:i , Liar head,and profit.
Valli,.$S700.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIP I I' YSTEMSFEES*
D 1-and 2-family dwelling ®Commercial/industrial E 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:16200 SW PAcific Hwy Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,Or Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.:K Project name:Suite K Landlord work Duct work 23.32
Cross street/directions to job site: 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
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
fireplace 23.32
NEW FAN in Restroom Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER 0 TENANT 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
® APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:Latimer HVAC
$14.15 for first four;S4.03 for each additional
Contact name:Clint L Furnace,etc.
Address:11230 SW Morgen Ct Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,Or 97223 Water heater
Phone:(971)294-0879 Fax::( ) Fireplace
Range
E-mail:Clint(a_,IatimerHVAC.com Barbecue
`CONT CTOR Clothes dryer(gas)
Business name:Latimer HVAC Other:
-.. MECHANICAL PERMIT FEES*
Address:same as contact Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.:220839 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within l80
//�) * days after it has been accepted as complete.
Authorized signature: L/ * Fee methodology set by Td-County Building industry Service Board
Print name:Clint LAtimer Date:09/02/20
I.\B ail ding\Permits'Jv1EC PennitApp_040113.doc 440-4617r(11/02/COM/WEB)