Permit (211) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00576
EGA 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/25/2018
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Parcel: 2S113AB00500
Jurisdiction: Tigard
Site address: 16083 SW UPPER BOONES FERRY RD 300
Project: Therapeutic Associates Subdivision: FANNO CREEK ACRE TRACTS Lot: PT 37
Project Description: Dryer vent,restroom exhaust fan,and duct work gills for conference room.
Contractor: LATIMER HVAC LLC Owner: G&S FC LLC
11230 SW MORGEN CT 16083 SW UPPER BOONES FERRY RD,
TIGARD, OR 97223 STE
TIGARD, OR 97224
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/25/2018 $167.30
Class of Work: ALT Type of Const: Plan Review 07/25/2018 $41.83
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 07/25/2018 $20.08
Stories:
Project Valuation: $3,700.00
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 $229.21
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 1 Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 50 1987 or 1.410.332.2
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Mechanical Permit Application '=-,� HFoR 01 FILE (SE ONLv
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City of Tigard `‘tt ReceivedDate/B7 Permit No.: aile. 11 . .
13125 SW Hall Blvd.,Tigard,OR 97223 , 't S,4 Review Other Permit:
Phone: 503.718.2439 Fax: 503.598.1960 „,-1-",./ ti r v ! ' ,i etBy: . ii ! ,t►
T I G A R D Inspection Line: 503.639.4175 ,. 3t ,;;;; Date Ready/By: ® See •age 2 for
Internet: www.tigard-or.gov .1.1 '' .' Notified/Method: Supplemental Information
i
TYPE OF WORK COIC iS3EKCiA1 FEE*"`SCHED 7L"E-"USE CHECKLIST
Mechanical permit fees*are based on the value of the work
k New construction lil Addition/alteration replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGQRY OF CONS1TiUCTTsN RESIDENTIAL EQUIPMENT i SYSTEMS FEES*
❑ 1-and 2-family dwelling ►: Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
II JOB SITE INFORMATION AND L 8 CATION Heating/cooling:
Air conditioning 46.75
Job site address: ,,,e-7�►f t �-?�j�1i �, i Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZII':' G&O • 3 le-✓ U�xj�/��6 �� / � Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: 'j Project name: // t.l L j `� Heat pump 61.06
�v(/ �./I e.J/�ir 1/JG�f A�j Ije,Z� 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
i/ii l fireplace 23.32
/ % ��U 4 6
Log lighter(gas) 23.32
va Wood/pellet stove 33.39
di/ -t 04 Vf Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ PROPERTY-OWNER ❑ 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 NWCONTACT PERSON Other: 23.32
Fuel piping:
Business name:
v/ "�ad
(,
If $14.15 for first four;$4.03 for each additional
Contact name: Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone: 9 7/ ) 1-f ---6 t Fax::( ) Fireplace
Range
E-mail: etypct
g 4,47) -Ht/A (. L,,/ Barbecue
CONIRACTOR Clothes dryer(gas)
Business name: i^�[1 )44"6/2.-- f✓`4� Other:
� MECHANICAL I'ERlt�il'FRES*
Address: //7/3(J �S /7,2.- 1 C7 Subtotal
City/State/ZIP: ,„-„,,,t (/�"'— 2---2---- Minimum permit fee($90.00)
2/) �� o �� 7 Plan review(25%of permit fee)
(
Phone: 6 l/ Fax:( ) State surcharge(12%of permit fee)I J
CCB lic.: 2 C TOTAL PERMIT FEET" )—r
This permit application expires if a permit is not obtainedwithin 180
days after it has been accepted as complete.
Authorized signature: , ; * Fee methodology set by Tri-County Building Industry Service Board
/ ftl ! ) o
Print name: j6-.//4A 21 tA7'j✓tA L Date: fic
{
I:ABuilding\PermitsAMEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)
I
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.doc 2
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16083 SW UPPER BOONES FERRY RD 300,
TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Mechanical MEC2018-00576
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor