Permit (118) IrL CITY OF TIGARD MECHANICAL PERMIT
iiCOMMUNITY DEVELOPMENT Permit#: MEC2018-00628
TR ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/13/2018
Parcel: 2S102CC00500
Jurisdiction: Tigard
Site address: 13560 SW PACIFIC HWY
Project: Starbucks Subdivision: None Lot: None
Project Description: Relocating and adding duct work.
Contractor: LATIMER HVAC LLC Owner: ROIC OREGON LLC
11230 SW MORGEN CT 8905 TOWNE CENTRE DR, STE 108
TIGARD, OR 97223 SAN DIEGO, CA 92122
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 08/13/2018 $99.76
Class of Work: ALT Type of Const: Plan Review 08/13/2018 $24.94
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 08/13/2018 $11.97
Stories: Info Process/Archiving-Lg$2.00(over 08/13/2018 $4.00
11x17)
Project Valuation: $1,500.00
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 $140.67
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
or direct questions to OUNC by calling 503.232.1987 or 1.80jL . '-�
Issued By: A50,1_,/.e...._ cPermittee Sign. Ire: A
Call 503.639.4175 by 7:00 a.m.for the next availab e 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 USE ONLY
Cityof Tigard ii Received
g '' t Permit No.: _
114 . 13125 SW Hall Blvd.,Tigard,OR 97223 4 -, ... 7—s'( , Date/By: ; ���
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: P.. _��
-1 1 6,A R D Inspection Line: 503.639.4175AUG /(� S Date Ready/By: ®ee Page 2 for
Internet: www.tigard-or.gov Notified/Method: II Supplemental Information
t rl e Y 'kr d..:i.Y; ,i
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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
D Demolition ❑ Other: mechanical materials,equipment,labor,overhead,and profit.
r . Value $ ) 5''Q ca n
w,,„' . ,. , . CO.(`' . 1!D - v
7 RESID, ,1 iIIJP , Yn,,.x '& *r-c8
❑ 1-and 2-family dwelling 151 Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
;To, i[N+i�Rt� 'i(;fN i403L'A� , ,
Heating/cooling:
"' Air conditioning 46.75
Job site address: S k,„-, , ?p L L '‘...\_44-) Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: ;( ,, y.. ('� b C l Z Z,'1 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: "�f +a__-,6_.__��4
Duct work 23.32
Cross street/directions to job site: .s.4,2„v c.''f 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
` -1,..,- "iON OFr' R ' ,, Gas fireplace/inset/ 33.39
Flue vent for water heater or gas
Q . r....---\• e-t_a cb v c_i` fireplace 23.32
L� P\,� \ Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
' , =tn.„ r- ® ' Other: 23.32
`y ` .�...R:_� , ', - ...` � --, , .• ,1 . ,' Environmental exhaust and ventilation:
Name: ��,m r rJ tiJ c - CSC Lc7 Range hood/other kitchen
CA
equipment 33.39
y
Address: 2 LI b ` U I'A P \f �o v\ Clothes dryer exhaust 33.39
City/State/ZIP: .5 -2\'\L s-V 8 l-3 LI Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
", Other:
�� "O 'l,. �; ,� �� �,.x.., � �'co, -� PE) 23.32
1 i4 yt, e,— Fuel piping:
Business name:
L1A�;M�r
i $14.15 for first four;$4.03 for each additional
Contact name: CL,=,A L n-},(w.,,.,,-- Furnace,etc.
Address: I 1 Z 3 O S vni 1N\ 0,r �} �,� aGas heat pump
J Wall/suspended/unit heater
City/State/ZIP: i 3,{., \ p f ci 7 2 Z 3 Water heater
Phone:( d3) 2_9 O - (0 Q, 5 Fax::( ) Fireplace
Range
E-mail: -).-A4t. �N$ i n— 's(t•L 7-1 C Barbecue
f yam k� Clothes dryer(gas)
Business name:4___N\(vti. l (- \-...N11> (_ Other:
Address: E.,s..'.: i,
l2.. �.' dJ�� �� Subtotal
City/State/ZIP: 7 r 5y,f „i- 9 - z 3 Minimum pennit fee($90.00)
Plan review(25%of pennit fee)
Phone:(603) -21„... b eiFax:( ) State surcharge(12%of permit fee)
CCB lie.: 2 2 p 'g 3 qo TOTAL PERMIT FEE /Ito,( 7
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: ,`z.>a s.7 1' 13 o pts, Date:C2 — 13 — I e3
1:ABuilding\Permits\MEC_PennimApp_0401 13.doc 440-4617T(11,02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Family Fee Schedule:
Ti Valuation: , ',ermit.. a .
$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:A Building\Permits\MEC_PennitApp_040113.doc 2