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CITY OF TIGARD MECHANICAL PERMIT
°�1 a' ' COMMUNITY DEVELOPMENT Permit#: MEC2021-00675
Date Issued: 10/26/2021
T1GAR.O 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S110DCO2300
Jurisdiction: Tigard
Site address: 11545 SW DURHAM RD B-1
Project: Spec Space Subdivision: 1998-128 PARTITION PLAT Lot: 1
Project Description: Mechanical for TI: (1)ceiling mount exhaust fan with duct work and air distribution modifications.
Contractor: LATIMER HVAC LLC Owner: HIP WILLOWBROOK LLC
11230 SW MORGEN CT BY HARSCH INVESTMENT CORP
TIGARD, OR 97223 PO BOX 2708
PORTLAND, OR 97208
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/01/2021 $330.85
Class of Work: ALT Type of Const: Plan Review 09/01/2021 $82.71
12%State Surcharge-Mechanical 09/01/2021 $39.70
Occupancy Grp: Occupancy Load:
Info Process/Archiving-Sm$0.50(up to 09/01/2021 $1.50
Stories:
11x17)
Project Valuation: $9,350.00
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: 1 Vent Systems: Total $454.76
Hoods: Comm Incinerators: Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
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
Issued By: Permittee Signature:
Ca 1503.639.4175 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.
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Mechanical Permit Applica C I
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City of Tigard Date/By: f4 / Permit No.: _ �,p�"'��
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review W�
i Phone: 503.718.2439 Fax: 503.598.1960 AUG 19 2OZ1j Other Permit: _awl)
Date/By: /r �il '
l 1 c \K I 1 Inspection Line: 503.639.4175 �, Date Ready/By: / Jam: See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: ierh/02l 47.1.., 22 Supplemental Information
TYPE OF WORK COM RCIAL FEE* SCHEDULE — USE CHECKLIST
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
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$9,350.00
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:11545 SW Durham Ste Bl Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project❑am Rl ff?WiioTr lrl S/ �, � 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
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
Provide(1)ceiling mount exhaust fan for restroom fireplace 23.32
Ducting and air distribution modifications as drawn. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY OWNER I 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 0 CONTACT PERSON Other: 23.32
Business name:Latimer HVAC LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Carlie Latimer Furnace,etc.
Address:11230 SW Morgen Ct Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97223 Water heater
Phone:(503)290-1085 Fax::( ) Fireplace
Range
E-mail:carlie@latimerhvac.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Latimer HVAC LLC Other:
MECHANICAL PERMIT FEES*
Address:11230 SW Morgen Ct Subtotal
City/State/ZIP:Tigard,OR 97223 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971)294-0879 Fax:( ) State surcharge(12%of permit fee)I�
CCB lie.:220839 TOTAL PERMIT FEE it,PLI. 'k
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: C..): --..,_______./" * Fee methodology set by Tri-County Building Industry Service Board
Print name:Carlie Latimer Date:8/19/2021
I:\Building\Permits\MEC_PermitApp_04u113.doc 440-46I7T(1 I/02/COM/WEB)