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Permit (117) CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit#: MEC2018-00808 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/10/2018 T t i;;�I<.Dg Parcel: 1S134AD06201 Jurisdiction: Tigard Site address: 10450 SW NIMBUS AVE RB1 Project: KRUGER OPTICAL Subdivision: IKOLL BUSINESS CENTER,TIGARD Lot: 3 Project Description: Ducting and air distribution for TI. 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 10/10/2018 $525.51 Class of Work: ALT Type of Const: Plan Review 10/10/2018 $131.38 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/10/2018 $63.06 Stories: Info Process/Archiving-Lg$2.00(over 10/10/2018 $4.00 11x17) Project Valuation: $17,000.00 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 $723.95 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Air Duct Work: 1 distribution Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC bytg 503.232 1987 or 1.800. 2.2344. Issued By: '/ .� � ermittee Signature: Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application �FORROO�FFICE USE ONLY City of Tigard Received .I ejirAd� PeC . , /, ro i . _ 13125 SW Hall Blvd.,Tigard,OR 97223 R � " 'cr. - l' Plan Review Dry,- J., p_ /_ Phone: 503.718.2439 Fax: 503.598.1960 -y Date/By: G `;„` p /_ '(o TI G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: la See Page 2 or Internet: www.tigard-or.gov OCT 10 2018 Notified/Method: Supplemental Information CITY.OF i i(:3Ai- CO IMtRCIA.L FEE* SCHEDULE — USE CHECKLIST 'TYPE SOF WOIjjj DINO ' .: C (�#V� � Mechanical permit fees*are based on the value of the work ❑New constructionAddition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ 11/WO cATEG RY OF CONSTRUCTION :. RESIDENTIAL EQUIPMENT?SYSTEMS FEES* ❑ 1-and 2-family dwelling Commercial/industrial ❑Accessory building For special information use checklist. 0 Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total J©R SITE INFORMATION'$AND LOC,A;. N s ,, Heating/cooling: Air conditioning 46.75 Job site address: i Qq t 7( , iiv (Y VY1};AL1. /hz . Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 0 =L 7���vv3 Furnace 100,000+BTU(ducts/vents) 54.91 ty ���������� Heat pump 61.06 Suite/bldg./apt.no.: Project name: `` Z� �/( � �'►�Uil�� ��G'� Duct work ) 23.32 Cross street/directions to job site: .i 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 Other: 23.32 Subdivision: Lot no.: Other fuel appliances: Tax map/parcel no.: Water heater 23.32 .4' ; .i CRIPTI t s WO Gas fireplace/insert 33.39 . �'t ,i .. t , .�= y, � ''_ x Flue vent for water heater or gas OU I L/ii vl anti at V ai i hl W /2111 fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 T ,� Other: 23.32 ❑ PROPERTY OWNER ;, „ Q TEiNANT 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:( ) i Fax:( ) Attic/crawlspace fans 23.32 ACT ON � Other: 23.32 P'I(,ICANT ' . ; '. Business name: 1 1/111 1, /110- 11 IiitC, Fuel piping: $14.15 for first four;$4.03 for each additional Contact name: ( };11 t C A ti ate/y” Furnace,etc. Address: Gas heat pump Z"70 94) I t'I e/1 C Wall/suspended/unit heater City/State/ZIP: I 1A rdI Olt- r 77 L.3 Water heater Phone:( ) 2J/// ,/ 4 Fax::( ) Fireplace - Range E-mail: (7I' i 1 a 17 i 111V4.. •L e,')'') Barbecue k , CNTRt1 "' Clothes the s dryer(gas) Other: Business name: 1/lt,` / �✓ v4-C ,� IVIECRANICAL P 'IIT I!EES* i£irt Address: 117,3U )W MCV( M?' Subtotal City/State/ZIP: ` / �^ Minimum permit fee($90.00) �V iP2 C� Plan review(25%of permit fee) Phone:(417 )) '7)11 a 71 Fax:( ) State surcharge(12%of permit fee) CCB lic.: 2 .70 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: 04, if(1 4_, I4/ I I 'Ivy' Date: \Permits\ I.\BuildingMEC_PermitApp_0401I3.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: T4t Valu tion: 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: 10450 SW NIMBUS AVE RB1 , TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2018-00808 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor