Permit (46) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2019-00443
' Date Issued: 07/08/2019
TlAzC� 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S101 DD00401
Jurisdiction: Tigard
Site address: 6955 SW SANDBURG ST
Project: Pape Material Subdivision: SALEM FREEWAY SUBDIVISION Lot: 1
Project Description: HVAC remodel of southwest corner of building including 1st and 2nd floor.
Contractor: ALLIANT SYSTEMS LLC Owner: PAPE PROPERTIES INC
351 NW 12TH AVE ATTN LANCE JORGENSEN
PORTLAND, OR 97209 355 GOODPASTURE ISLAND RD STE 30
EUGENE, OR 97401
PHONE: 503-619-4000 PHONE: 541-334-3437
FAX: 503-230-9238
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 07/08/2019 $1,145.27
Class of Work: ALT Type of Const: VB Plan Review 07/08/2019 $286.32
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Mechanical 07/08/2019 $137.43
Stories: Info Process/Archiving-Lg$2.00(over 07/08/2019 $12.00
11x17)
Project Valuation: $41,373.00 Info Process/Archiving-Sm$0.50(up to 07/08/2019 $100.00
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:
Appliances
Vent Fans: Vent Systems: Total $1,681.02
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
eruct WO?k: 1-a()
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.23 1987 or 1.8'1.332.234
Issued By: ermittee Signature: ` e ('
Call 503.639.4175 by 7:00 a.m.for the next availabl in ction date. /0/1/171A1
This permit card shall be kept in a conspicuous place on the job site until completion of the proYe ,
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application HVEIL
FOR OFFICE USE ONLY
�` City of Tigard Date/ByReceived:
�� . -
IIIN 13125 SW Hall Blvd.,Tigard,OR 97223 (• Y' i��� //./l �r is �' ��l�s/
Phone: 503.718.2439 Fax: 503.598.1960 JUN 2 6" 2019 Plan Review ,,�/J/ �I ��
Date/By: .a' i 9 -J/ - .400. /G -�✓`aT/ 6
Inspection Line: 503.639.4175 a Date Read / Juris: ® See Page 2 for
TIGARD �p`f,d y �y Y Y g
Internet: www.tigard-or.gov C I OF IIG Noti .Method: 7 Supplemental Information
BUILD NG DIVISi -
CO N*1:,,/' FEE* SCHEDULE - USE CHECKLIST
TYPE OF WORK I .
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$ 41/-, 3;73
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑X Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi-family 0 Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address: 6 955 SW Sandburg St. Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Tigard, OR 97220 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Pape Machine Handling Duct work 23.32
Cross street/directions to job site: SW Sandburg and SW 72nd Ave 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
Flue vent for water heater or gas
HVAC Remodel of SW Corner of building 1st and 2nd fireplace 23.32
floor Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
M PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name: Pape Machine handling 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
0 APPLICANT ® CONTACT PERSON Other: 23.32
Fuel piping:
Business name:
Alliant Systems LLC
$14.15 for first four;$4.03 for each additional
Contact name: Jeff Simons Furnace,etc.
Gas heat pump
Address: 351 NW 12th Ave Wall/suspended/unit heater
City/State/ZIP: Portland, OR 97209 Water heater _
Phone:( 503) 267-2863 Fax: :( ) Fireplace
Range
E-mail: j.simons@Alliant-Systems.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name: Alliant Systems LLC Other:
MECHANICAL PERMIT FEES*
Address: 351 NW 12th Ave Subtotal
City/State/ZIP: Portland, OR 97209 Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone:( 503) 619-4000 Fax:( ) State surcharge(12%ofpermitfee)
CCB lic.: 153420 TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signaturee�,.�, le * Fee methodology set by Tri-County Building Industry Service Board
Print name: s$�eu� / �-tis-ri-+ Date: 6/7/2019
I:Buildiag Permits MEC Permit App0401 13.doc 440-4617T(11/02/COM/WEB)
Mechanical Permit Application - City of Tigard
r ` 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
114 " COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: oi (tea2 C)icj , 60 1/3
Site Address: 6 &s. W Sahkr a. Suite/Bldg#:
Project Name: Puet K42 .. 'IAA/k
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: tiVAC ft.r.z, ( 0 c► ' (rn. - c L.U6k PA , Z, OL
Existing Business Activity: ‘;ii,-1'‘.431.1t JAI ei -, v‘,0 (l ki () (aft klinV
Pro osed Business Activity: krt. ti
V•fy site address/suite#exists and active in permit sysstte .
gver Terrace Neighborhood: ❑ Yes 1 No
�oning: i
ermitted Use: /Yes ❑ No ❑ Spec Space
Ir onfirm no land use required.
LJ Business License:
7
Exists: ❑ Yes D/ No,applicant notified to obtain business license
Notes: the. r‘03 1'4 rilrfctliPt., W iA lt 6 Lt it \36,1
Approved by Planning: ) JL Date: £ L�c_I
Revisions (after Building Submittal only) Reviewer Date
Revision 1: El Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: _ _�_ _
Site Plans: # _
Building Plans: #
Building Permit#: Enter building permit#abov
Workflow Routing: ,,,Its Planning mit Coordinator .Building
Workflow Sign-off: Sign-off fo lanning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ,„ (4 Date: 6(A/. . (/-9
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060 1 16.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applic.
Revision Notice 2: Date Sent to Ap.scant:
Revision Notice 3: Date Sent to -pplicant:
❑ SDC Fees Entered: Wash rans Dev Tax: ❑ Yes ❑ N/A
Tig,. • Trans SDC: ❑ Yes ❑ N/A
arks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Pe , it Coordinator: Date:
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx
City of Tigard
Tel: 503.718.2439
Location: Inspection Date:
6955 SW SANDBURG ST, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2019-00443
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor