Permit (148) CITY OF TIGARD MECHANICAL PERMIT
IN :. COMMUNITY DEVELOPMENT Permit#: MEC2018-00785
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2018
Ttc;, Itt� g Parcel: 2S101DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 100
Project: Precoa Subdivision: None Lot: None
Project Description: Ducting,air distribution,and relocation of(2)sensors. No changes to duct detectors.
Contractor: LATIMER HVAC LLC Owner: GK TRIANGLE CORPORATE PARK Ill L
11230 SW MORGEN CT ATTN KBS REALTY ADVISORS
TIGARD, OR 97223 P 0 BOX 28270
SANTA ANA, CA 92709
PHONE: 503-290-1085 PHONE: 503-980-1729
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/24/2018 $130.46
Class of Work: ALT Type of Const: Plan Review 10/24/2018 $32.62
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 10/24/2018 $15.66
Stories: Info Process/Archiving-Sm$0.50(up to 10/24/2018 $1.00
11x17)
Project Valuation: $2,500.00
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 $179.74
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 03.232.1987 or 1.800.332.2344.
// i
Issued By: � / Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mec 1anical Permit Application IoR OF 1 1( 1 1 SI 1) 1.1
City of Tigard Raceived CO/ �� p���a��o
DateBy: / /`�
13125 SW Hall Blvd.,Tigard,OR 97223 "� `
ril Phone: 503.718.2439 Fax: 503.598.1960 n Qp Plan Review
InspectionLine: 503.639.4175 OCT�CT 1 ZU1B Date Re )Q - js'l� a,v�$ f �-
1, 1 R ITDate Ready/By: j9,
See pale 2 for
Internet www.tigard-or.gov r Nottfied/Method Supplemental Information
CITY OF TIGARD / / G/ PP
."' 4 T / ✓ .21I
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BUILDING DIVISION ,--771,7, T _i, , 5 A °
• ,'yeS✓ f rrf ,%Y f k/ 51`. r 77
i Mechanical permit fees*are based on the value of the wor. +'°✓ C44;f F&` '"4" ' rOp 1 r f'.A ',/r' 4`
❑New construction ra Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,oTv'erhead,and profit.
F' A'r rysnf ,•` � f ,'di�. ,. , t"" f ' 00
� ,�, 5�5 a-,.. ,� r f����' � a Value:$ ,
.!,• A, ,.4 F r'''41fr' r, 1. m § ' .� �,-' '�'''r' 7,M7.4777''' <<' a 6 's .,.4.3-(::
.A' f!,• .rr.,'Y 1;*lA'� l dSAf f'' i ,�, b
❑ 1-and 2-family dwelling ar Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
•%?• far!�5 �,,p5,�'t,,i,`A'S, t':'i" 7 '� ,.. r .� ,,, 5�` A ,1i . Heating/cooling:
kl f," f.;,.';r rip,,,,,yr , 1 Aid 4 _ls ,t0 �. .,,, . SEI � f f.,lirfij %,.,,,,, ``'.
tAir conditioning 46.75
Job site address: I2'GA Z• I '1iV 01 Pit,t,12� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: i , �'G(�, V}4-. '17-2,.Z_ Furnace 100,000+BTU(ducts/vents)
54.91
Suit ldg./apt.no.: Project name: / ; �i1Heat pump 61.06
�' ( E , CU'''LL. „IA,. -7_ 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
.f �?,s'-A'.,`,�,� ,,,'',f Fr x/,Fii5'; !! a a j' S,'� c, •' ,rf ?'r ` s'
a f f f , rf5 1,. Gas fireplace/insert 33.39
�„ Flue vent for water heater or gas
h t�L a iA4 A(1,7 6(e C ill ilA ii tin (hv t colo ni`a�tt o.- fireplace 23.32
1 ti f t(M v" ?ii i(i'^l) y'f-eZ{�`rt') / Log lighter(gas) 23.32
/ Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
23.32•,,,,..,w,,-,r.1 Otler:>fi',kr,,,,,,',,,*. :10' ;: te" 5rrr r,1. . ' r ,,,,,,,,,00„.,:;," . . A x k trF 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
^' A A'`rA, r' t ffr �d 44444
�1 .,r, d� s 4 A ffs„?1,4,,, Other:
b
47)k-'z 44 ,r- •- A. r. .d,`,A,`-,`' ''',,-�� s 44"' =: 1 Y A;r .,,. .. .5.�' . > 23.32
Business name: IA h+� H G/�--�,
Fuel piping:
.i $14.15 for first four;$4.03 for each additional
Contact name: 1 V') I" L 'i rvw, Furnace,etc.
Address: i 1 3 u ( pump
1' A� 11 ,V l., Wall/suspended/unit heater
City/State/ZIP: / a V(j I �� (;,1-, -2 ,3 Water heater
Phone:(l17/) 2,'Li( Fax::( ) Fireplace
t Range
E-mail: �1 j rti% h 14U`V ii VC((' ((.'' i
Barbecue
3,',',7,57,'''!,, *i", ``f? � Yr �° ', 1 v.. f6.„gtitz441404440,4-"(7.-.'4,m,04#61-./r'S , PKA,. 4A/5��%Sf`` � `tri�5,53'5,, >9�, Clothes dryer(gas)
Business name: ((h}� rye- �f,-C C.
Other
q� Y.' • - A.r A„,ice, r ,
Address: +I 1, i% ski l+r t o r CiSubtotal
City/State/ZIP: It til ft v61 Uli✓' q ,7:2 ) Minimum permit fee($90.00)
a 4Plan review(25%of permit fee)
Phone:(4 ) _7Fax:
l I r- i'l ( ) State surcharge(12%of permit fee)
CCB lie.: 7 '( 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: l1.A(1(' I4A n'',j(,,/ Date: i 0/( 1/
440-4617T(11/02/COM/WEB)
I:\Building\Permits\MEC_PermitApp_040113.doc
Mecltanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi-Famil Fee Schedule:
P47 s ' ;vp/ oa S "" ''�'1,X$91/7/7-1P;17-1/
$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