Permit (147) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00784
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/24/2018
r C,'�It.Dg Parcel: 2S101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 310
Project: Fairway mortgauge Subdivision: None Lot: None
Project Description: Adding(1)ceiling mount exhaust fan and removing(1)return grill.
Contractor: LATIMER HVAC LLC Owner: GK TRIANGLE CORPORATE PARK III 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: 206-292-6023
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/24/2018 $102.83
Class of Work: ALT Type of Const: VB Plan Review 10/24/2018 $25.71
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/24/2018 $12.34
Stories: Info Process/Archiving-Sm$0.50(up to 10/24/2018 $0.50
11x17)
Project Valuation: $1,600.00
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 $141.38
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUN )y calling 503.232.1987 or 1 800.332.2344.
Issued By: ��
d/ Permittee ignature:
r
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application
ceived
City of Tigard 1.—
i1' 1'1 f
t.... ate/By: /C7 [ i'T� ) ap/g".-
13125 SW Hall Blvd.,Tigard,OR 97223
G
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 0 C T 1Z01O DaeBy: )0 ` �'1 � • J/reiUt r—cCi.) c;
TIGARD Inspection Line: 503.639.4175 7
Date Ready/By: 7uris: H See Page 2 for
Internet: www.tigard-or.gov -,-.__, ., Notifi-d Method: �' Supplemental Information
CITY OF IGARSL�- 1 pp
BUILDING c'1r IV
TYPE OF WORK CO 'I FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction r Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
CATEGORY OF CONSTRUCTION Value:$ 0
RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling mmercial/industrial ❑Accessory building For special infornuition use checklist.
El Multi-family 0 Master builder ❑Other: Description Qty. Ea. Total
JOB,SITE INFORMATION AND LOCATION Heating/cooling:
/r Air conditioning 46.75
Job site address: 1 �,.�-( Li\i1 tU' i - pit:44f Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: I ; e\r"61 g- J Furnace 100,000+BTU(ducts/vents) 54.91
Heat .um. 61.06
Suite/bldg./apt.no.: + b Project name: V`
(r { , Duct work 23.32
Cross street/directions to job site: V' Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32 1
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
:2{6'V( I (��l V�'�MA 11 Cl vii- -64/vac ! fire•lace 23.32
�� ;
Log lighter(gas) 23.32
V e 4/1O V4.1f r H,t C Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER I 0 TENANT
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:( ) z Fax:( �_.) Attic/crawlspace fans 23.32
APPLICANT [ ,, 6(NTACT PERSON Other: 23.32
Business name: / / ,j /� Fuel piping:
1 V` Y f (t,` I c $14.15 for first four;$4.03 for each additional
Contact name: (, 1f A t-- Len(yt j/V'- Furnace,etc.
I ,:_ y Gas heat pump
Address: (/2„3 b J �(o' `46,0 l// Walllsuspended/unit heater
.1
City/State/ZIP: �t.i'r /
0 ,, ,2.3 Water heater
Phone:('777) 7,4 Li -- 0 6.7"/ Fax::( ) Fireplace
Range
E-mail:
((i1/1 (�.(oh l 'Y!At/ei i.. , ( Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: ,/{;{h il'J'(/ f'f Ul,f Other:
MECHANICAL PERMIT FEES*
Address: it?-3(r jbfJi L;v,, C ,,',,
" Subtotal
City/State/ZIP: la-t 0 (/,�' 4(2--t71,i-3 Minimum permit fee($90.00)
i Plan review(25%of permit fee)
Phone:(61I I) 9f� fJFax:( ) State surcharge(12%of permit fee)
CCB lic.: '-7,0 l 3 , I 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: COii,( 1 9 '`i (,1n il/Lii1 Date: ICSI/ I/t/g
I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB)
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:
13221 SW 68TH PKWY 310, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00784
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor