Permit (19) CITY OF TIGARD MECHANICAL PERMIT
1114
• COMMUNITY DEVELOPMENT Permit#: MEC2023-00741
T f i;A R f) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/13/2023
Parcel: 2S101 DD00100
Jurisdiction: Tigard
Site address: 7000 SW SANDBURG ST
Project: Pape Subdivision: None Lot: None
Project Description: (1)new RTU and(1)mini split system with gas piping.
Contractor: SOUTHLAND INDUSTRIES INC Owner: TD PROPERTIES LLC
12131 WESTERN AVE BY TOOKE, DIAN
GARDEN GROVE, CA 92841 957 GIBBS CROSSING
COPPELL,TX 75019
PHONE: (714)904-5800 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 10/25/2023 $2,065.89
Class of Work: ALT Type of Const: VB Plan Review 10/25/2023 $516.47
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 10/25/2023 $247.91
Stories: 1 Info Process/Archiving-Sm$0.50(up to 10/25/2023 $13.00
11x17)
Project Valuation: $78,109.00 Info Process/Archiving-Lg$2.00(over 10/25/2023 $14.00
11x17)
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: 1
Appliances
Vent Fans: Vent Systems: Total $2,857.27
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 1
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the ules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. u mi-y'ebtain a cqp f the rules
Issued By: Permittee Signature:
all 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
Cityof Tigard / /�� Permit �,1,1i3� ;y„ _�
13125 SW Hall Blvd.,Tigard,OR 972213ECE{VEC? Plan Re: , , - /
Plan Review • /
Phone: 503.718.2439 Fax: 503.598.19 Other Permit:
Ins Inspection Line: 503.639.4175 Date/By: JQ 3' uJ)'t�i)r 'cG 7
'TIGARD p 1 Date Ready/By: Juris See Page 2 for
w Internet: ww.tigard-or.gov 2023Notified/Method: i t,/.2.31.77.3.0Supplemental Information
TYPE OF WORK+
{TY OF TIGARD l COMMERCIAL`'�CHEDULE — USE CRECKLIST
BUILDING DIVISION Mechanical permit fees*are based on the value of the work
0 New construction 0Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 78, 109
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑✓ Commercial/industrial ❑Accessory building For special information use checklist.
0 Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 7000 SW Sandburg St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: PAPE MH TI 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
Other: 23.32
Subdivision: 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
Installation of packaged gas heat/air conditioning unit and associated ductwork. fireplace 23.32
Installation of 1.5 ton split system heat pump and associated ductwork. Log lighter(gas) 23.32
Wood/pellet stove 33.39
Includes new gas line to packaged unit. Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: pAPE Material Handling Range hood/other kitchen
equipment 33.39
Address: 7000 SW Sandburg St Clothes dryer exhaust 33.39
City/State/ZIP: Ti gard, OR 97223 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(5 0 3) 6 3 9—4 4 3 2 Fax:( ) Attic/crawlspace fans 23.32
a APPLICANT 0 CONTACT PERSON Other: 23.32
Business name: Southland Industries Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: Cameron Kelley Furnace,etc.
Address: 4750 N Channel Ave Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97217 Water heater
Phone:(5 0 3) 314-0 4 3 8 Fax: :( ) Fireplace
Range
E-mail: ckelley@southlandind.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Southland Industries Other:
MECHANICAL PERMIT FEES*
Address: 4750 N Channel Ave Subtotal 2063.62
City/State/ZIP: Portland, OR 97217 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(5 0 3) 314—0 4 3 8 Fax:( ) State surcharge(12%of permit fee)
CCB lie.: 195400 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: Zeowle4z. * Fee methodology set by Tri-County Building Industry Service Board
Print name: Cameron Kelley Date: 2023-09-13
1:Building\Permits\MECOPermitApp0040113.doc 440-4617T(I1/02/COM/WEB)
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
C
TrcnliD Building Permit Review — Commercial - Igo Land Use
Building Permit #: lg6, ).-3 -00 ?
Site Address: 7000 "(A.) SqQC= -` CT'Suite/Bldg#:
Project Name: (PP Pe
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal:
Existing Business Activity: &) /..t.SA Le ~SJ.vS
Propose Business Activity: 4.J41)Le. f Le files
Verify site address/suite#exists and active in permit system.
❑ • er T rrace Neighborhood: ❑ Yes No
I—P
d Use: �J Yes ❑ No 0 Spec Space
firm no land user uired.
Business License:
Exists: Yes 0 No, applicant was provided a business license application
Notes: /t/() Ct Y1&2 in tAe og 71-1,14JU7= 42T V Al2a1 41=c- ?`S K1 G`P
Approved by Planning: Date: ,/i K/Z3
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 4/i v/i3
Site Plans: # Aih,
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: [ ning ❑ Permit Coordinator Riding
Workflow Sign-off: 'Pl"'rgn- ff for Planning(include notes from planning review)
Route Application Documents: ding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: - Date:
I:\Building\Forms\B1dgPerm itRvw_COM_NoLandUse_09072022.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#:
K Conditions"Met"prior to issuance of permit
❑ asements (encroachments)per engineering conditions of approval and plat ot typical on SDR/CUP)
❑ ater Quality/Quantity Facility:
ssess Water Quality Fee in-lieu: ❑ Yes ❑ No
As ess Water Quantity Fee in-lieu: ❑ Yes ❑ No
LID Facility on lot: ❑ Yes ❑ No Add Fee: ❑ Yes ❑ No
❑ NOT App •ved by Engineering: Date
Notes:
Approved by Enginee.'ng: Date:
Revisions (after Building bmittal only) Reviewer Date
Revision 1: ❑ Approved ❑ No Approved
Revision 2: ❑ Approved ❑ •t Approved
Revision 3: ❑ Approved ❑ ot Approved
Permit Coordinator Revie •
❑ Conditions "Met"prior to iss .nce of per> 't
❑ Approved,NOT Rele. ed: Date:
❑ ENG Revisions Rem ired: Date:
Notes:
❑ SDC Exemption ❑ Applied for ❑ Received ❑ Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A ❑ Deferred
Tigard Trans SDC: L Yes ❑ N/A ❑ Deferred
Parks SDC: ❑ es ❑ N/A ❑ Deferred
LIDA Fee: ❑ ❑ N/A
❑ OK t' Issue/Approved by Permit Coordinator: Date:
Revis' ns (after Building Submittal only) Reviewer Date
' -vision 1: ❑ Approved ❑ Not Approved
evision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
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