Permit (28) CITY OF TIGARD MECHANICAL PERMIT
111.-• COMMUNITY DEVELOPMENT Permit#: MEC2018-00357
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/11/2018
T"r k;„%,1=.I) g Parcel: 2S101DC03800
Jurisdiction: Tigard
Site address: 7190 SW SANDBURG ST 10
Project: Burkhart Dental Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: (2)new RTU:(1)ductless split system and(1)condenser unit.
Contractor: PROTEMP ASSOCIATES INC Owner: MCCORMACK PROPERTIES LP
9788 SE 17TH AVE 7190 SW SANDBURG ST
PORTLAND, OR 97222 TIGARD, OR 97223
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/30/2018 $297.13
Class of Work: ALT Type of Const: VB Plan Review 05/30/2018 $74.28
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 05/30/2018 $35.66
Stories: Info Process/Archiving-Lg$2.00(over 05/30/2018 $4.00
11x17)
Project Valuation: $8,150.00 Info Process/Archiving-Sm$0.50(up to 05/30/2018 $17.50
11x17)
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 $428.57
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: mini split
Duct Work: system 2
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 C by . '.. 503.232.1987 or 1.800.332.2344.
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Issued By: /1 , / _ ... Permittee Signature: ��
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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 EOIz OFFICE L SE().\LI
Cityof Tigard o
g ��� �� �9S I, Permit No.:
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1114 11 13125 SW Hall Blvd.,Tigard,OR 97223 RECEIV
SPhone: 503.718.2439 Fax: 503.598.1960 Plan ReviewT
Date/By: .5 -av.)
t-r- Other Permit: d n
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Inspection Line: 503.639.4175
T 1 G A R D Date Ready/By: Juris. H See Page 2 for
Internet: www.tigard-or.govMAY
9 2.0IL Notified/Method: A ( �� Supplemental Information
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TXPE (W WOR'R ' I, t=i544 Cat;FEE* sCilEDuLE-IJSE ClOCKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteratio>i performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$8,150.00
CACE1; Y(H? f fl nt)l
l S1REl f�F i4 1 fa7 1 s1 S�'.
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
30I`SITS- ORM/j TION,ANS t< ATIOI`I:; Heating/cooling:
s Air conditioning 46.75
Job site address:7190 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.: %d I Project name:Burkhart Dental#2 Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
PorResidential boiler(radiator or
;,Pa'vs rep/G,C,P`( a,., ✓ iy/I� zta, hydronic) 23.32
Unit heaters(fuel-type,not electric),
die-L,1 :.,i7 ) ��1//i( ; 71"1 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
�F--TIo Gas fireplace/insert 33.39
Flue vent for water heater or gas
Install ductless split system two heads and 1 condenser fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
❑ P'ROPERTY OWI 1 ❑,TE .; Other: 23.32
Environmental exhaust and ventilation:
Name: Range hood/other kitchen
Address: equipment 33.39
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
CJ,�1! t slT .coriv'Ac PEEN Other: 23.32
Fuel piping:
Business name:
$14.15 for first four;$4.03 for each additional
Contact name:Bruce Butner Furnace,etc.
Address: Gas heat pump
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:( ) ( Fax::( ) Fireplace
Range
E-mail:bruce@protmp.com Barbecue
. . . -"'CTRCI`Cl Clothes dryer(gas)
Business name:Protemp Associates Other:
MECHANICAL.PE "l"TEES* ;
Address:9788 SE 17th Ave Subtotal
City/State/ZIP:Portland Oregon 97222 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:(503)519-6199 Fax:(503)238-9767 State surcharge(12%of permit fee)
CCB lic.:38868 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:Bruce Butner Date:5/8/18
I:1Building\Permits\MEC PerntitApp_040113.doc 440-4617T(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7190 SW SANDBURG ST 10, TIGARD,
OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00357
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor