Permit (106) CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2019-00529
T i(J r1 R 1) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/29/2019
Parcel: 2S101AB03100
Jurisdiction: Tigard
Site address: 12115 SW 70TH AVE
Project: Red Rock Building C Subdivision: 2012-009 PARTITION PLAT Lot: 3
Project Description: Installing(1)new rooftop gas pack unit on factory curb,(1)roof mount vent for future exhaust ducting to TI only,
and gas piping extension and final connection of RTU.
Contractor: LATIMER HVAC LLC Owner: TIGARD TRIANGLE PARTNERS LLC
11230 SW MORGEN CT 18187 SIERA DR
TIGARD, OR 97223 LAKE OSWEGO, OR 97034
PHONE: 503-290-1085 PHONE: 971-294-0879
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/29/2019 $274.65
Class of Work: ALT Type of Const: VB Plan Review 07/29/2019 $68.66
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 07/29/2019 $32.96
Stories: Info Process/Archiving-Sm$0.50(up to 07/29/2019 $12.50
11x17)
Project Valuation: $7,400.00
Fuel Air Handlers
Fuel Types: Natural Gas 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 $388.77
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct-Werl F£f
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OU by calling 50 32.1987 or 1.800.332, •4.
Issued By: //LL i/ Permittee Signature:
ri��-__
Call 503.639.4175 by 7:00 a.m.for the next availa I- .- •ection dat
This permit card shall be kept in a conspicuous place on the job site unci completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application EC EIVED
City of Tigard Received Date/By: 7,A 15 permit N ) c�
13125 SW Hall Blvd.,Tigard,OR 97223114
J U L 2 2 2019 Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ...„ ....i.,.
DateBy: 7 )9 Other Perntik
I G A R D Inspection Line: 503.639.4175 CITY OF TI GAR D Date Ready/By: .loris: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISIOg-Notifi ethod: 7 ���,,, Supplemental Information
, =." .. Type,op .!t IMIM IAI m* LE 7 I C is
Mechanical permit fees*are based on the value of the work
❑New construction 153 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ )D
CATEGORY f)F CONSTRhICTiON RESIDENTIAL QVii'1Vt 15T/SYSTEMS FEES*
❑ 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: DescriptionQtY• Ea. Total
JOl6 SITE INFORl ATION ANll3 IOCATION Heating/cooling:
I�1 rJ l q 1 't)111
VV Air conditioning 46.75
Job site address: s_c►'V f, 1 thteiFurnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: f!ciaf vl i 0 IQ_ pi-3,1?;3 Furnace 100,000+BTU(ducts/vents) 54.91
��ot rn„(� J1 D Heat pump 61.06
Suite/bldg./apt.no. Project name: �C11 (/� (, 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: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
f, � Flue vent for water heater or gas
\YDV,� Ott i ,nSill/I1 14.b1A) VIOb ri-F0 p 1044fG(C-IC 1,01 i r fireplace 23.32
Log lighter(gstoveas) 23.32 V `fi A1)Y myb • c)yDVI ct), 1 VbDF Veowlj- Wood/frt 33.39
h)Y `f 7 Vial'✓I _Vrto 71D�l � Wood fireplace/insert 23.32
VASp 11,1� ti� 6 - ( o ua- Chimney/liner/flue/vent 23.32
Other: 23.320 PFtOPERW OWNER 0 TENANTEnvironmental 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
(3 APPLICANT CONTACT PERSON Other: 23.32
L'(N�� N f /^c /'I/� Fuel piping:
Business name: I//`� _
L $14.15 for first four;54.03 for each additional
Contact name: C(l 64- a_4 Furnace,etc.
Address: 11 7,3 D )W p.4,0 A n,� I Gas heat pump
����� " � 1 Wall/suspended/unit heater
ity/S
— , Ctate/ZIP: _ �(�` 9r6+t-f.- 0#17.3,3 - -- — tattler ltettiZr
Phone:(17'i) VI L. (6 J-C Fax::( ) Fireplace
E-mail: IRange
t !V L L A^',, Barbecue
CONT iCTOR Clothes dryer(gas)
1-1 Other:
Business name: t1.,&0--1/l \AA A VC r,�C MECHANICAL PEIMT F S
. . -
Address: 11.�3D wU tvtwM� n ' Subtotal
City/State/ZIP: 'ti j 0� 1Minimum permit fee($90.00)
Phone:(°3 () /�� Fax:( ) Plan review(25%of permit fee)
3� State surcharge(12%of permit fee)
CCB lic.: 2 20 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: CA,di t n414/ Date: .31a2,/19
I:\Building'Permits\ EC_PermitApp_040113.doc 440-4617T(11/02/COMWEB)
MecJanit al 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
1111 M COMMUNITY DEVELOPMENT DEPARTMENT
■
r1cARo Building Permit Review — Commercial - No Land Use
Building Permit #: 44z eoz.v11i -005—,z. /
Site Address: 12115 SVJ 7Ohi fie_ Suite/Bldg#: 202_
Project Name: t,Aiimix }.,v j
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: VArc altficoa Yj)'tb p utn Lis
Existing Business Activity: N.J i p.
Proposed Business Activity: N 1A-
N Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes 4i"No
.Zoning: "fl..4 U
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
Business License:
Exists: E Yes CI No,applicant notified to obtain business license
Notes: rXel'Y11'�rwrl SCihee vi lr..o, 1,9 -( I i- t.LoO . 0 10 .C).2.
Approved by Planning: Q64— Date: 1'22119
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 2 2-2._- /4g
Sitela=
Building Plans: # Z
Building Permit#: p 'titer building permit#above.
Workflow Routing: Er lanning ❑ ordinator Building
Workflow Sign-off: 'Sign-off for Planning(include notes from planning review)
Route Application Documents: (01Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/044,f.By Permit Technician: Date: 7 /.2_.27/
I:\Building\Foims\BldgPermitRvw_COM NoLandUse 060116.doex
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: •
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant: •
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applica
❑ SDC Fees Entered: Wash Co Tran, '•ev Tax: ❑ Yes ❑ N/A
Tigard Tr,. s SDC: ❑ Yes ❑ N/A
Park, 7 •C: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit 'oordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM NolandUse_070915.docx