Permit irpqCITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00754
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2019
TIGARD 13125 1S126BC01506
Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD
Project: One Embassy Centre Subdivision: None Lot: None
Project Description: Installing(1)new fan powered box VAV for bike area,ceiling mount exhaust fan for shower room,exhaust air
louver with motorized damper,and ducting and air distribution. No planning review required per Agnes Lindor.
Contractor: LATIMER HVAC LLC Owner: TOWMAN ONE EMBASSY CENTRE LLC
11230 SW MORGEN CT BY TOWMAN LLC
TIGARD, OR 97223 25425 BASCOM AVE STE 230
CAMPBELL, CA 95008
PHONE: 503-290-1085
PHONE: 503-294-0400
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/04/2019 $662.67
Class of Work: ALT Type of Const: VB Plan Review 11/04/2019 $165.67
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 11/04/2019 $79.52
Stories: Info Process/Archiving-Sm$0.50(up to 11/04/2019 $7.50
11x17)
Project Valuation: $22,400.00
Fuel Air Handlers
Fuel Types: Electricity Units< 10000 cfm: 1
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: 1 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 2 Vent Systems: Total $915.36
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
1 Bolts in Concrete
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Miff
Issued By: L‘ _ may/, (/ ------_, Permittee Signature: iar
Call 503.639.4175 by 7:00 a.m.for the next available inspe ~
ctiofsda e.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application r J mit oFFlcF. 1 SE oNEv
_..� Cityof Tigard CEI Y E D Received �J� ' P�fi�� D
Date/By: / ,2-0/ �'7 /♦ �j > %? D Sof
r 13125 SW Hall Blvd.,Tigard,OR 97223 8 Plan Review �b,,�r�,,�� /
_ Phone: 503.718.2439 Fax: 503.598.1960 OCT 2 2019 DateBy: p-.7 -► .t /"�C1, vUl
T I GA K D Inspection Line: 503.639.4175 Date Ready/B "ol Turis: See Page 2 for
Internet: www.tigard-or.gov BUILDINGCIYOTIGARD
5�D .,,ified/Metho.: 1p 4- Supplemental Information
-.r�,.
•
TYPE OF WORK COM I RCIAL FEE* SCHEDULE -USE CHECKLIST
Mechanical-permit fees*are based on the value of the work
D New construction 'I Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 'jjZ�L/(�d
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
0 1-and 2-family dwelling Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
JOB SITE INFORMATION AND LOCATION 46.75
Air conditionin_
Job site address: 191.t)14.2 �l W V'6:1 t V klyn o1 wilily" Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Ti Ou--4 6 `e` 213 Furnace 100,000+BTU(ducts/vents) 54.91
� ,^,'^ Heat sums 61.06
"ou
Suite/bldg./apt.no.: I Project name: o AS' C � Duct work 23.32
Cross street/directions to job site: J 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
Other: 23.32
Subdivision: I Lot no.:
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
mAcAt .v1"tlk` , Y'v F&v Powwid VgVc (vP1V) fireplace 23.32
,( Lo_Ii:hter as 23.32
4 , , atf e,ov _ ?rood toot,&(1 ) CO 11 01 �0 f" Wood/pellet stove 33.39
tkiAt ts)- f-oto ftiY 51now(Af (oUyl4c i),(1/010 - O I{ Wood fire,lace/insert 23.32
1 OI AHA/ tN/ Wk Ifni--i{ 4 4,,,,.1(3t'/Y( ilk :0;„..,e- of i s 1.1-19I„h�n Chimney/liner/flue/vent 23.32
Other: 23.32
Fl PROPERTY OWNER I TENANT Environmental exhaust and ventilation:
Name: .9} ' �Ns\�l n bii n S r{, L_ci/ i ell c --yAl b emit,. Range hood/other kitchen
f n6l/� equipment 33.39
Address: \7 p 60X, 2,(D 61 Clothes dryer exhaust 33.39
City/State/ZIP: C, ( I 5 o Okil i 1,A 1 U)$ Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:( )
Fax:( ) Attic/crawlspace fans 23.32
0 Other: 23.32
APPLICANT p CONTACT PERSON
Fuel siIMI:
Business name: 1 /1 h /V '11 VA CLix, $14.15 for first four;$4.03 for each additional
Contact name: ej,I\t)- Furnace,etc.
1 Gas heat sums
Address: \1Z3o SW ' -&(0V.2,ov\ Wall/suspended/unit heater
--\---,City/State/ZIP: --\---, (�1 6Q, 91-11/7/5 Water heater
�
} sFire dace
Phone:(/I 1 1) Z�'lp Q Fax::( ) Ranle
E-mail: Di 1 VI ( t 1!.h 1/�A1j1-kw(�-e-. Barbecue
` ���`ppCONTRhACTOR Clothes dryer(gas)
e .1� � VAS I; Other:
Business name: (J� � MECHANICAL PERMIT FEES*
Address: Subtotal
Minimum permit fee($90.00)
City/State/ZIP: Plan review(25%of permit fee)
Phone:( ) Fax:( ) State surcharge(12%of permit fee)
CCB lie.: TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
�� days after it has been accepted as complete.
Authorized signat s ' * Fee methodology set by Tri-County Building Industry Service Board
��11 �
Print name v ceek t0*�r. L 3'K Date: /0-(„ 14'1
1:iBuilding\Permits\MEC_PermitApp 040113.doc ,7 440-4617T(11/02/COM/WEB)
: v
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.
1:\Building\Permits\MEC_PermitApp_040113.doc 2
CITY OF TIGARD MECHANICAL PERMIT
'- COMMUNITY DEVELOPMENTNI
Permit#: MEC2019 00754
TIGARDra
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/04/2019
Parcel: 1 S126BC01506
/i ) H •. J Jurisdiction: Tigard
Site address: 9020 SW WASHINGTON SQUARE RD
Project: One Embassy Centre Subdivision: None Lot: None
Project Description: Installing (1) new fan powered box VAV for bike area,ceiling mount exhaust fan for shower room,exhaust air
louver with motorized damper,and ducting and air distribution. No planning review required per Agnes Lindor.
11/20/19: REPRINTED permit to include grill and diffuser replacements.
Contractor: LATIMER HVAC LLC Owner: TOWMAN ONE EMBASSY CENTRE LLC
11230 SW MORGEN CT BY TOWMAN LLC
TIGARD, OR 97223 25425 BASCOM AVE STE 230
CAMPBELL, CA 95008
PHONE: 503-290-1085 PHONE: 503-294-0400
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 11/04/2019 $662.67
Class of Work: ALT Type of Const: VB Plan Review 11/04/2019 $165.67
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 11/04/2019 $79.52
Stories: Info Process/Archiving-Sm$0.50(up to 11/04/2019 $7.50
11x17)
Project Valuation: $22,960.00 Permit Fee 11/20/2019 $15.24
Plan Review 11/20/2019 $3.81
Fuel Air Handlers 12%State Surcharge-Mechanical 11/20/2019 $1.83
Fuel Types: Electricity Units< 10000 cfm: 1 Info Process/Archiving-Sm$0.50(up to 11/20/2019 $1.00
Gas Pressure: Units> 10000 cfm: 11x17)
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: 1 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: 2 Vent Systems: Total $937.24
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
1 Bolts in Concrete
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 503.232.1987 or 1.800.332.2344. �'�
Issued By: Permitter Signature: •d`'
v ../'
�h,
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 FOR OFFICE USE ONLY
Received
City of Tigard C'` r C Date/By: /l �� r Permit No.: M pi,00
lig q 13125 SW Hall Blvd.,Tigard,O'IL') G % G eel
Plan Review
_ ` Phone: 503.718.2439 Fax: 503. ':. Date/By: Other Permit:4'1 P y lei i .i
T I GARD Inspection Line: 503.639.4175 Nw 2 U 2019 Date Ready/By: Juris: H See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Supplemental Information
TY O> Q C ni\;/ISlt'�I' COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction a'Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:CATEGORY $ 64,a. g=2-'-
F CONS ; J 1 `,,, i, RESIDENTIAL EQUIPMENT'/SYSTEMS FEES*
❑ 1-and 2-family dwelling in CommercialJind :aweKA ,==34.. checklist.
building For special information use
1:3 Multi-family ❑Master builder _.RPM!: .•` Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating{cooling:
.7
Air conditioning 46.75
Job site address: !QZ 6 Ski w ash,A 3Dn Sol/avf, ILLY Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: "7";:vir4 0g• q 12-Z 3 Furnace 100,000+BTU(ducts/vents) 54.91
J • j � Heat pump 61.06
� Ij
Suite/bldg./apt.no.: Project name: ...bassi 6 nsiw 1lI� �o4c Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydropic) 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.: er 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
A-id ill cid ni '1'61 lac-r Au - *- • � -C za 1- 06 7.5-'5'1 . fireplace 23.32
Log lighter(gas) 23.32
t-p4 C c. 3,4 Hs toti Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Er-PROPERTY OWNER 0 TENANT Other 23.32
,r�
/' p / Environmental exhaust and ventilation:
Name:T kIfill n Ot e " bdt s S (.CCK •t'C. L LX roAm/ii il C Range hood/other kitchen
equipment 33.39
Li I
Address: Z 5" Z 5_ 3/�S(4 Aye(., .o- Z O. Clothes dryer exhaust 33.39
City/State/ZIP: a„,), t CA q5 Q(� Single-duct exhaust(bathrooms,
/ toilet compartments,utility rooms) 23.32
Phone:( ) Fax:( ) Attic/crawlspace fans 23.32
Er-AP-PLICANT 0 CONTACT PERSON Other: 23.32
.4 m j'/ / Fuel piping:
Business name:
Pay rl V 4,(.., / LEC C $14.15 for first four;$4.03 for each additional
Contact name: a n T I-A p,41.1.-,,-- Furnace,etc.
Gas heat pump
Address:l/Z 30 Sw�fj�6v.Yc„ G..71.- Wall/suspended/unit heater
City/State/ZIP: `r4 �,.d J OIL 9 7 Z Z 3 Water heater
/ Fireplace
Phone:(7/ ) 2 K _ D 37 5 Fax::( ) Range
E-mail: C/`,1<f 0(i.1,4,, ley llVkG Cam Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: SA.et � a llJ0,'U'e, Other:
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 lie.: Z ZO g 3 / 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:r4nl/. ✓�Jy CSS Date: if-ZO_/9
I:\Building\Permits\MEC_PermitApp_040113.doc // 440-461TT(11/02/COM/WEB)