Permit (135) IN
CITY OF TIGARD MECHANICAL PERMIT
I .' '- COMMUNITY DEVELOPMENT Permit#: MEC2019 00401
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/27/2019
Parcel: 2S101 DC03900
Jurisdiction: Tigard
Site address: 7150 SW SANDBURG ST
Project: Immunology Consultants Laboratory(ICL) Subdivision: SALEM FREEWAY SUBDIVISION Lot: 4
Project Description: Replacing(3)RTU's, relocating VAV boxes,and modifying duct work and exhaust fans.
Contractor: PROTEMP ASSOCIATES INC Owner: LESLIE SANDBURG LLC
9788 SE 17TH AVE ATTN:JOHN G LESLIE
PORTLAND, OR 97222 14056 GOODALL RD
LAKE OSWEGO, OR 97034
PHONE: 503-233-6911 PHONE:
FAX: 503-238-9767
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 06/27/2019 $7,864.71
Class of Work: ALT Type of Const: IIIB Plan Review 06/27/2019 $1,966.18
Occupancy Grp: B Occupancy Load: 12%State Surcharge-Mechanical 06/27/2019 $943.77
Stories: Info Process/Archiving-Lg$2.00(over 06/27/2019 $6.00
11x17)
Project Valuation: $280,000.00 Info Process/Archiving-Sm$0.50(up to 06/27/2019 $32.50
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: 1 Vent Systems: Total $10,813.16
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 OUNC by calling 503.232.1987 or 1.800_332.2344.
Issued By:"......4:23......0..........,,,,.. _ --
'.�. ure:
Call 503.63..4'175 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 roR()F1.1( E 1 SE(Y\1,\
Received
City of Tigard j Permit No.:
_ . 13125 SW Hall Blvd.,Tigard,OR 9722 Date/By: /� /� = G I J�/r,/
H E C E l V E C) Plan Review r /
Phone: 503.718.2439 Fax: 503.598.19 Date/By: �',��— Other Permit:
( y/41
CX 42)
711Inspection Line: 503.639.4175TIGARD Date Ready/By: ting- See Page 2 for
Internet: www.ti azd-or. ov JUN 17 2019otified/Meth
' ` Supplemental Information
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� 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
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$$280,000.00
CATEGEiIItY Ili?C AI i f#�N 1U1S 11+1(8. ,EQUIPMENTISYSTEI FEES'
❑ 1-and 2-family dwelling ®Commercial/industrial ❑Accessory building For special information use checklist.
❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB.'1 ffE"INFORMATION*AND LOCATION Heating/cooling:
Air conditioning 46.75
Job site address:7150 SW Sandburg St Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard Oregon 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name:Immunology 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
Subdivision: Lot no.: Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION of""Wim., Gas fireplace/insert 33.39
Flue vent for water heater or gas
Repalce(3)RTU,s,modify duct work,exhaust fans,relocate some existing VAV fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
Other: 23.32
El roortRfl..QNotl t ►e"" Environmental exhaust and ventilation:
Name:Immunology Range hood/other kitchen
equipment 33.39
Address:15862 SW 72nd Clothes dryer exhaust 33.39
City/State/ZIP:Tigard Oregon 97224 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(503)747-2454 Fax:( ) Attic/crawlspace fans 23.32
:" ❑ APPLICANT"' " " ❑ CONTACT r PERSO�I . Other: 23.32
Business name: Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Bruce Butner Furnace,etc.
Gas heat pump
Address:
Wall/suspended/unit heater
City/State/ZIP: Water heater
Phone:(503-)519-6199 Fax::( ) Fireplace
Range
E-mail:bruce@protmp.com Barbecue
`CONTRACTOR Clothes dryer(gas)
Business name:Protemp Associates Other:
MEcRAN1CAL PERM1TT? *. .,','
Address:9788 SE 17th Ave Subtotal
City/State/ZIP:Milwaukie 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:6/17/19
I:\Building\Permits\MEC PermitApp_040113.doc 440-4617T(11/02/COM/WEB)