Permit n CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2022-00106
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 3/3/2022
Parcel: 2S 113AB00300
Jurisdiction: Tigard
Site address: 16037 SW UPPER BOONES FERRY RD 375
Project: Edward Jones Subdivision: FANNO CREEK ACRE TRACTS Lot: 38
Project Description: Install new diffuser from existing terminal unit(interior zone VAV box)Relocate(2)plenum return grills and add
(1)new.
Contractor: LATIMER HVAC LLC Owner: OREGON STATE BAR, THE
11230 SW MORGEN CT 16037 SW UPPER BOONES FERRY RD
TIGARD, OR 97223 PO BOX 231935
TIGARD, OR 97224
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/02/2022 $201.07
Class of Work: ALT Type of Const: VB Plan Review 03/02/2022 $50.27
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/02/2022 $24.13
Stories: Info Process/Archiving-Sm$0.50(up to 03/02/2022 $0.50
11x17)
Project Valuation: $4,750.00
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: Vent Systems: Total $275.97
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
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: Ectgardo-Ma.(.oto-Ka.ato- Permittee Signature: g-e-
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.
Ll
Er.
Mechanical Permit Applicaf EC I V FOR OFFICE I SE ONLY
City of Tigard 2022
'
FEB Date/Bya� 1Li Z0� ' ' Permit No GC2 2Z WICJ�
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review m III
Phone: 503.718.2439 Fax: 503.598.1960. Date/By: ,,j'a �2Z Other Permit:
Inspection Line: 503.639.4175 VI r�OF r�UAHL'p "`���+++"'
T I G A R D l�IILDING DIVISIO Datey bins. Supplemental e Pent fnr
Internet: www.tigard-or.gov Nohfied/ od: � Pge2 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:$$4,750.00
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling tEl Commercial/industrial ❑Accessory building For special infornwtion 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: 16037 SW Upper Boones Ferry Rd 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.:4366 3-1C1 Project name:Edward Jones Durham 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
Install new supply diffuser from existing termal unit(interior zone VAV Box). fireplace 23.32
Relocate(2)plenum return grills,add(1)new. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER 0 TENANT 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 LLC
$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)2901085 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:(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: C__: ------____/— • Fee methodology set by TO-County Building Industry Service Board
Print name: Carlie Latimer Date: 2/2/2022
I:\Building\Permits\MEC_PermitApp_04o113.doc 440-46t 7T(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.doe 2
`'s