Permit (22) CITY OF TIGARD MECHANICAL PERMIT
' ' COMMUNITY DEVELOPMENT Permit#: MEC2023-00796
T i ;A I:I) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/2/2023
Parcel: 2S110DB01300
Jurisdiction: Tigard
Site address: 15298 SW ROYALTY PKWY
Project: EyeHealth Northwest Subdivision: 1996-010 PARTITION PLAT Lot: 2
Project Description: Ducting and air distribution.Air balance for new floor plan.
Contractor: LATIMER HVAC LLC Owner: TIGARD INVESTMENT PROPERTIES LLC
11230 SW MORGEN CT 11086 SE OAK ST
TIGARD,OR 97223 MILWAUKIE, OR 97222
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/01/2023 $901.43
Class of Work: ALT Type of Const: VB Plan Review 11/01/2023 $225.36
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 11/01/2023 $108.17
Stories: 1 Misc Administration Fee 11/01/2023 $6.50
Project Valuation: $31,750.00 Info Process/Archiving-Sm$0.50(up to 11/01/2023 $1.00
11x17)
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 $1,242.46
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
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. T 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:
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 Application FOR OFFICE. ['SF Oyl.l"
City of Tigard Received
1,1 . 13125 SW Hall Blvd.,Tigard,OR RECEIVED Date/By: 10 f tt i� �v
3 ) rj Permit No.: 4 f—C., <3 ..t 0 '�
Plan Review 1 7�
C Phone: 503.718.2439 Fax: 503.598.1960 Date/By: 1 2• '.-.2, Other Permit:
TIGARD
Inspection Line: 503.639.4175 JCT 0 4 202
3
Date Ready/By: 10174: I ® See Page 2 for
Internet: www.tigard-or.gov i Notified/Method:l 1/i/i? Supplemental Information
CITY OFTIGARD 1
TYPE OF BINDING DIVISION t . COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction in.Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$31,750
CATEGORY OF CONSTRUCTION
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:15298 SW Royalty Parkway Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: TIGARD,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project na r4 T„ Heat pump 61.06
me
iykRB
AA 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
DUCTING AND AIR DISTRIBUTION AS DRAWN frup vent for water heater or gas
fireplace 23.32
AIR BALANCE FOR NEW FLOOR PLAN Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
je PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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
VAPPLICANT 0 CONTACT PERSON Other: 23.32
Business nameLATIMER 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 �L901085 Fax: :( ) Fireplace
Range
E-mail: CARLIE@LATIMERHVAC.COM
Barbecue
CONTRACTOR Clothes dryer(gas)
Business nameLATIMER HVAC LLC Other:
MECHANICAL PERMIT FEES*
Address: 11230 SW MORGEN CT Subtotal
City/State/ZIP:TIGARD, OR 97223 Minimum permit fee($90.00)
Phone: Plan review(25%of permit fee)
(503 ) 2901085 Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 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:10/3/2023
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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.
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