Permit (60) �, 07
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00133
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/27/2019
f ftp L'f'� 9 Parcel: 25101 DA00102
Jurisdiction: Tigard
Site address: 13221 SW 68TH PKWY 401
Project: Spec Space Subdivision: None Lot: None
Project Description: New variable air volume fan powered terminal unit,new ducting and air distribution,and a new carbon dioxide
sensor for ventilation management.
Contractor: LATIMER HVAC LLC Owner: CARRIE GRIFFTHS, CBRE
11230 SW MORGEN CT 1420 5TH AVENUE, SUITE 1700
TIGARD, OR 97223 SEATTLE,WA 98101
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/27/2019 $474.71
Class of Work: ALT Type of Const: VB Plan Review 03/27/2019 $118.68
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 03/27/2019 $56.97
Stories: Info Process/Archiving-Sm$0.50(up to 03/27/2019 $17.50
11x17)
Project Valuation: $15,000.00
Fuel Air Handlers
Fuel Types: Electricity 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 $667.86
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.23 •: • 1.::I. 2.2344.
Issued By: mature: 4�
cam. y •"._` �l��e3
Call 503.639.4175 by 7:00 a.m.for the next available in •ection da e.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR()F 1.1( U. I'SI:ONL1
City of Tigard Received
Date/By: 7/!C/ Permit � Jy'6 /3
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review I
1 11 Phone: 503.718.2439 Fax: 503.598.1960Q Other Permit: �,9 y df
Date/By: "��"� / c��7����! �( /
T 1 G A R D Inspection Line:g 03.63 8.4175 R E C E I V E D D.e ReadyB�' kilo J's H e Page 2 for
Internet: www.ti and-or, ov C ..tified/Meth, /.ilrte SupplementalInformation
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TYPE OF WI °p ® l CO I ,I RCIAL FEE* SCHEDULE--USE CHECKLIST
Mechanical pennit fees*are based on the value of the work
❑New construction tg Addition/alteraGrir•D1(e(gceTAG AR D performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: BUILDING DIVISION mechanical materials,equipment,labor overhead,and profit
CATEGORY OP CQNSi RUC."I1ON Value:$ ` �P 0(3
RESIDENTIALEfQUIPMENT t STEMS kEES*
❑ 1-and 2-family dwelling yl.Commercial/industrial 0 Accessory building For special information use checklist
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 13'22 i 51.4) (r)1 `fk- LI Furnace 100,000 BTU(ducts/vents) 46.75
If U1 R V 1 0 (43-2' Furnace 100,000+BTU(ducts/vents) 54.91
City/State/ZIP: 13
Heat pump 61.06
Su)(bldg./apt.no.: "O I I Project name: I Iri . _ '11 - 0)
Duct work 23.32
Cross street/directions to job site: Si -fL,t Hydronic hot water system 23.32
_Iv}" 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: 1 Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
pp and ,y�, ,' � Flue vent for water heater or gas
ov1(L and'1 iocrA)V
el I iAA MI6 i GIt !t4V fireplace 23.32
` PA(✓ii And Gu J Log lighter(gas) 23.32
`� ..Po11 Ye 1 fier��I K.tr+<..{ Wood/pellet stove 33.39
a IStrYJ" 'y 00 Ck S air aA,)v' Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ 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
527 APPLICANT CONTACT PERSON Other: 23.32
Fuel piping:
Business name: }-�1 ,yAvy Vlc t_L
$14.15 for first four;$4.03 for each additional
Contact name: Cal , L Lith Me,y Furnace,etc.
Address: I I j 3 0 J VJ lv 10 rtie4, c Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: 1 i li,,,-c( 1 OIL 0.-4-'/ 3 _Water heater
Phone:(',(',j Si1.l Fax::( ) Fireplace
✓✓✓ Range
E-mail: ca,, ( t 'v l{/Cjk, cuifyi Barbecue
CONTRACTOR Clothes dryer(gas)
Other:
Business name:
S a s ov\op ok i cis n t- AUCHANICAL PE MIT FEES*
Address: Stk.me. &y C& V k l(_�fIki Subtotal
Minimum permit fee($90.00)
City/State/ZIP:C�_ CA �\ ��i L Plan review(25%of permit fee)
Phone:(O 1) Z01�t1 1 0 0 dl Fax:( ) State surcharge(12%of permit fee)
CCB lie.: / 2 0 63/ 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: ECfjt V I 1 m�/ Date: ?ji 2/1 f
\ \\
I:\BuildingPermitsMEC'PermitApp_040113.doc 440-4617T(11/0((2/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_PennitApp_040113.doc 2
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
13221 SW 68TH PKWY 401 , TIGARD, OR, 97223 March 28, 2019 at 9:59:08 AM
Record Type: Record ID:
Commercial - Mechanical MEC2019-00133
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor