Permit (24) ii. CITY OF TIGARD MECHANICAL PERMIT
ri a COMMUNITY DEVELOPMENT Permit#: MEC2019-00333
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2019
T I c.;el,
P g Parcel: 2S 101 DD00600
Jurisdiction: Tigard
Site address: 6700 SW SANDBURG ST
Project: Apex Labs Subdivision: SALEM FREEWAY SUBDIVISION Lot: 3
Project Description: Gas lines to(3)outdoor heat pump units.
Contractor: J&M CONTRACTOR SERVICES INC Owner: 6700 SANDBURG LLC
15604 NE RUID RD BY NERENBERG, BIANCA
AMBOY,WA 98601 13148 SW BROADMOOR PL
TIGARD, OR 97223
PHONE: PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 05/28/2019 $182.65
Class of Work: ALT Type of Const: Other Plan Review 05/28/2019 $45.66
Occupancy Grp: F-1 Occupancy Load: 12%State Surcharge-Mechanical 05/28/2019 $21.92
Stories: Info Process/Archiving-Sm$0.50(up to 05/28/2019 $5.00
11x17)
Project Valuation: $4,200.00
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 $255.23
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
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 UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / ! Permittee Signature: 4 4/ /970/0G../(0, 77 e
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.
EIVES
Mechanical Permit Annlic
IOROt[I( i:ttil O\.1.1
City of Tigard lieceived
MAY 2 3 2019 s/.23 /9 if, PelminWe 2aN e03-. s
13125 SW Hall Blvd.,Tigard,OR 97223 nateBy°
I Phone: 503.718.2439 Fax: 503.598.1960 Pian Review
Inspection Line: 503.639.4175 e. )9 Other Perm t:
P CITY 0�1 tr-t }.DateBy:
Internet: www.tigardor.gov u F FI`^AR Lzate Ready.y: "• tuck ®See Page 3 for
B1��1 9"S�h l(� ed/Method,j �% /N 15upplemevtal lvtormatiev
l leS..J 1 V a r v f♦ �/� ""'"Fs Gs
!.y-COM F�RC`tAL
Mechanical � r �':'
❑New construction ®Addition/alteration/replacement permit fees are based on the value of the work
performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
..... Value$$4,20000
F lA Y f i 1(i'
❑1-and 2-family dwellingItaaST For
lApec; information
4 Nf kStEM rR ? r';'aS
Y ®Cotnmercial/industrial 0 Accessory building Fr special information ase checklist
❑Multifamily ❑Master builder 0 Other: Description I Qty. I Ea. I Total
(z` TO***I 11YF¢J3tF„A,,0 ATilD�A joN Heating/cooling:
Job site address:6700 SW Sandburg St Air cononing 46.75
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:Apex Laboratories LLC Heat pump 61.06
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 dux,suspended,etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Lot no.: Other 23.32
Tax m /parce .Other fuel appliances:
ap l no.:
.7�
Water heater 23.32
A SC[tii' O it OF WORiL Gas a nsert
Gas lines to Flue fireplvent for water heater or gas 33.39
(3)outdoor heat pump units. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
## Chimney/liner/flue/vent 23.32
$ROP>RTX t ISMER' t {,TENAIVT-' Other. 23.32
Environmental exhaust and ventilation:
Name:Darwin Range hood/other kitchen
Address:6700 SW Sandburg St equipment 33.39
Clothes dryer exhaust 33.39
City/State/ZIP:Tigard,OR 97223 Single du x exhaust(bathrooms,
Phone ( ) Fax ( )
toilet compartments,utility rooms) 23.32
x t ;ivy Other: wlspaeefans 23.32
E'? N1X+G�A'.PER6bN I,°, Other: 23.32
Business name:J&M Services Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:J&M Services
Furnace,etc.
Address:15604 NE Reid Rd Gas heat pump 3
City/State/ZIP:Amboy,WA 98601 Wall/suspended/unit heater
Water heater
Phone:(360)263-5600 Fax::( ) Fireplace
E-mail:jandmassistaut@gmaiLcom Range
Barbecue
Clothes&Yet(gas)
Business name:J&M Services Other:
Address:15604 NE Reid Rd [fANICAL P p ES
Subtotal
City/State/ZIP:Amboy,WA 98601 Minimum permit fee($90.00)
Phone:(360)263-5600 Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB lie.:188595 TOTAL PERMIT FEE
This permit application expires if a permit is sot obtained within 180
days after it has bees accepted as complete.
Authorized signature: �_ L-- + Fee methodology set by Tn-Cousty Building ladastry Service Board
Print name:Rebecca Lar nggston Date:5/20/19
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