Permit (179) CITY OF TIGARD MECHANICAL PERMIT
IN COMMUNITY DEVELOPMENT Permit#: MEC2018-00740
7"1,-A I n 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2018
Parcel: 1 S 134AD06200
Jurisdiction: Tigard
Site address: 10565 SW NIMBUS AVE 100
Project: Progressive Subdivision: (KOLL BUSINESS CENTER,TIGARD Lot: A
Project Description: Mechanical for TI:Duct work and air distribution modifications.
Contractor: LATIMER HVAC LLC Owner: DIETRICH, NANCY BISHOP
11230 SW MORGEN CT ROBINSON,JERRY CHRISTOPHER TRUST
TIGARD, OR 97223 ROBINSON, LYNN ET AL
9701 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 09/24/2018 $1,986.21
Class of Work: ALT Type of Const: Plan Review 09/24/2018 $496.55
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 09/24/2018 $238.35
Stories: Info Process/Archiving-Lg$2.00(over 09/24/2018 $2.00
11x17)
Project Valuation: $75,000.00 Info Process/Archiving-Sm$0.50(up to 09/24/2018 $0.50
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 $2,723.61
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. 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 . 32.234
Issued By: �f Permittee Signature:
Call 503.63..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 FSI:O\L\
City of Tigard ReceivedDateBy: /r jf Permit No.: ir�uti`(/�G�7sid
° 13125 SW Hall Blvd.,Tigard,OR 97 t Plan Review
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Phone: 503.718.2439 Fax: 503.598. 9 "°���"'""" Date/By: !-1)-1-' Other Permit: /� �� �y-� ,
T 1 G AR D Inspection Line: 503.639.4175 1 Date Ready/By: Jens: See/'Page 2 fo�-
q (j
Internet: www.tigard-or.gov SEP 1�+ " Notified Method: �� Supplemental Information
I�=/i� 4711/
TXl'E OF } 41 niVI5ION. 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:$$75,000.00
CATEGORY OT'CONSTRUCTION RESIDEN'T'IAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family D Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:10565 SW Nimbus Ave Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Portland,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
bid d q S I Heat pump 61.06
Suite/bldg./apt.no.:SIM L 100j10 Project name:Progressive 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: 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
ducting and air distribution modifications fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
0 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
t14 APPI ICANT CONTACT PERSON. Other: 23.32
Fuel piping:
Business name:Latimer HVAC
$14.15 for first four;$4.03 for each additional
Contact name:Clint Latimer Furnace,etc.
Address:11230 SW Morgen Ct Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Tigard,OR 97223 Water heater
Phone:(971)294-0879 Fax::( ) Fireplace
Range
E-mail:clint@latimerhvac.com Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:Latimer HVAC
MECHANICAL PERMIT EEES*
Address:11230 SW Morgen Ct Subtotal
City/State/ZIP:Tigard,OR 97223 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(971)294-0879 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: Q......V"-- * Fee methodology set by Td-County Building Industry Service Board
Print name:Carlie Latimer Date:09/11/18
I:\Building\Permits\MEC_PermitApp 040113.doe 440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
10565 SW NIMBUS AVE 100, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00740
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor