Permit CITY OF TIGARD MECHANICAL PERMIT
'PI _ , COMMUNITY DEVELOPMENT MECHANICAL
MEC2022-00001
Date Issued: 1/27/2022
T t G A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101AA09100
Jurisdiction: Tigard
Site address: 12447 SW 69TH AVE
Project: Consumer Cellular Subdivision: WEST PORTLAND HEIGHTS Lot: A
Project Description: Provide and install new supply diffuser and(6) new plenum for provider offices.
Contractor: LATIMER HVAC LLC Owner: MERIWETHER TIGARD LLC
11230 SW MORGEN CT BY BRISCOE, ROBERT
TIGARD, OR 97223 1136 NW HOYT ST STE 220
PORTLAND, OR 97209
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/25/2022 $280.27
Class of Work: ALT Type of Const: Plan Review 01/25/2022 $70.07
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/25/2022 $33.63
Stories: Info Process/Archiving-Sm$0.50(up to 01/25/2022 $0.50
11x17)
Project Valuation: $7,600.00
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: Vent Systems: Total $384.47
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
Issued By: HoLLy Vo-w De.We.ge, Permittee Signature: Qv App-Lizzotizm,
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
CEIVEDla
Mechanical Permit Applicat o FOR OFFICE USE ONLY.
Cityof TigardDECateRece/ y: D/ 0 4. Permit No.:MEC2022,OV(JOl
- g Q�te 2 s 2aP� Plan Rev
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
Phone: 503.718.2439 Fax: 503.598.196U-1-y OF TIGAAD Date/By: I- I .2.1 Other Permit.
•
T I G A R D Inspection Line: 503.639.4175 ate Ready/By: lures ® See Page 2 for
Internet: www.tigard-or.gov Ri IILDING DIVISION otiSed/M : (, �, � -- Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE— USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 7600
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMEs,a,a a a x e.nxa FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 11 Accessory building For special information use checklist.
O Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 12447 SW 69th Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: I Project name:Consumer Cellular 2nd flr Ductwork 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: I 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
provide and install 2 new supply diffusers and 6 new plenum return grills for fireplace , 23.32
private offices 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:Meriwether Tigard LLC Range hood/other kitchen
equipment 33.39
Address:1136 NW Hoyt St#220 Clothes dryer exhaust 33.39
City/State/ZIP:Portland,OR 97209 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
® APPLICANT ❑ CONTACT PERSON Other: 23.32
Business name:Latimer HVAC LLC Fuel piping:
514.15 for first four;$4.03 for each additional
Contact name:Carlie Latimer Furnace,etc.
Address:11230 SW Merges Ct Gas heat pump
•
Wall/suspended/unit heater •
City/State/ZIP:Tigard,OR 97223 Water heater •
Phone:(503)2901085 Fax: :( )
Fireplace
Range
E-mail:carlie@latimerhvac.colm 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:(503)2901085 Fax:( ) State surcharge(12%of permit fee)
CCB lie.:220839 TOTAL PERMIT FEE
This 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 Tri-County Building Industry Service Board
Print name:Carlie Latimer Date: 12/23/2021
11BuildinglPemtits\MEC_PermitApp_040113.doc 4404617T(II/02/COM/WEB)
,f.
efhanical 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.
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