Permit CITY OF TIGARD MECHANICAL PERMIT
1111.
COMMUNITY DEVELOPMENT Permit#: MEC2020-00059
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/29/2020
Parcel: 1 S 136CC00200
Jurisdiction: Tigard
Site address: 8376 SW PFAFFLE ST
Project: Carriage House Apartments Subdivision: None Lot: None
Project Description: Replacing existing gas furnace.
Contractor: LATIMER HVAC LLC Owner: ANDREWS MANAGEMENT LTD
11230 SW MORGEN CT 5845 JEAN RD
TIGARD, OR 97223 LAKE OSWEGO, OR 97035
PHONE: 503-290-1085 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 01/29/2020 $226.88
Class of Work: ALT Type of Const: Plan Review 01/29/2020 $56.72
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/29/2020 $27.23
Stories: Info Process/Archiving-Sm$0.50(up to 01/29/2020 $9.00
11x17)
Project Valuation: $5,690.00
Fuel Air Handlers
Fuel Types: Units< 10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces< 100K BTU: 1 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 $319.83
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
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 503.232.1987 or 1.800.332.2344.
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.
Mechanical Permit Application
City of Tigard Received
`J s al <„. 8 DateB : r Jik ` "7 y Permit No.fil.^j `0
C 13125 SW Hall Blvd.,Tigard,OR 9701 - i + Plan Review
Phone: 503.718.2439. Fax: 503.598. 960"' '-," ' �"`'"" Date/By.
Other Permit: ofn
T I GARD Inspection Line: 503.639.4175 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard-or.gov IAN 2 9 2020 Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
0 New construction 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:$6001 0
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
A n Air conditioning 46.75
Job site address: 4 3 1(n �V 941 O. t Z \t Furnace 100,000 BTU(ducts/vents) 46.75
Ci /State/ZIP: el`e Furnace 100,000+BTU(ducts/vents) 54.91
tyi ��� 0 �t �223
g p t j k 4.. � 1, \�� Heat pump 61.06
Suite/bld ./a t.no.: Project name:��>(V� Q ‘,C 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
l'�j ; ;::;:::: e
v411130Lot no.:no.: lit 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
•
rQ b�1(jj... ``y 10-)c& t UL; i)Gi �ti1/U(i,'1 uv-.. , '�(� 6v(ilU\.Cy fireplace 23.32
Log lighter(gas) 23.32
Vui�tl (�
Wood/pellet stove 33.39
feLoV1ki4t ' l GDVlhY6lS C w Qts ft(a Mt S 'On Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
0 PROPERTY OWNER 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:( ) Fax:( ) Attic/crawlspace fans 23.32
ZJ APPLICANT ❑ CONTACT PERSON Other: 23.32
Fuel piping:
Business name: i p,i ;n tt t1 V�[,r `-tv A-(., ,��1 $14.15 for first four;$4.03 for each additional
Cuontact name: CAI V'��j_ 'i�`��� Furnace,etc.
Address: (t,�a S� f( ci- Gas heat pump
"�`oM Wall/suspended/unit heater
City/State/ZIP: Ti U,,,(( i O I /7-273 Water heater
(9 O 26LfJ 0(f-� ( Fireplace
Phone: Fax:: )
Range
E-mail: C i (I t it 1 60.;A.Q,),""VI VG1G. (ev\ Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: S A'4/w, ' Other:
(A trl�?Vv MECHANICAL PERMIT FEES*
Address: Subtotal
City/State/ZIP: Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lic.: 2 p 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: C A/ti +_ LiA jk(1tAty" Date: f r!i R I2 0W
I:1Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)