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Permit (93) CITY OF TIGARD MECHANICAL PERMIT ;, COMMUNITY DEVELOPMENT Permit#: MEC2018-00007 T({ \ D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/04/2018 Parcel: 2S101AD03200 Jurisdiction: Tigard Site address: 12909 SW 68TH PKWY 350 Project: Williston Financial Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25, PT Project Description: Modifying existing duct work for TI. Contractor: PROTEMP ASSOCIATES INC Owner: PACIFIC REALTY ASSOCIATES 9788 SE 17TH AVE ATTN: N PIVEN PORTLAND, OR 97222 15350 SE SEQUOIA PKWY#300 PORTLAND, OR 97224 PHONE: 503-233-6911 PHONE: FAX: 503-238-9767 ` FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 01/04/2018 $362.95 Class of Work: ALT Type of Const: Plan Review 01/04/2018 $90.74 Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 01/04/2018 $43.55 Stories: Info Process/Archiving-Lg$2.00(over 01/04/2018 $4.00 11x17) Project Valuation: $10,600.00 Fuel Air Handlers Fuel Types: 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 $501.24 Hoods: Comm Incinerators: Required Items and Reports(Conditions) Woodstoves: Gas Fireplaces: Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire/Smoke Dampers: This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: Call 503.639.4175 by 7:00 a.m.for the next availa• e inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application FOR 01 FI(E E SE ONI.I City of Tigard Received 114 ' ll 13125 SW Hall Blvd.,Tigard,OR 97224 't"" i t a Phone: 503.718.2439 Fax: 503.598.191 ` Date/BY L� Plan Date/By: Permit No.: J Other Permit: A i. Inspection Line: 503.639.4175 T 1 G A k D Internet: www.tigard-or.gov n r'1 a Date Ready/13y: ;. See Page 2l f f •�i\I Notified/Method: lin Supplemental Information ;,._ ',r �,O>i W l0�S 1 ! +'' '‘'411,3',.$,„„.,,,...4 Cb R(IA * g1J —ifisll,4 LI ,,,,,,: r)t•It _ Mechanical permit fees*are based on the value of the work ❑New construction ®Addition/alteratioft/feplacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$$10,600.00 11 X°Ii' J ftefrl�I •, rtes {itilPhal iS SF IKf TERS4S4 ❑ 1-and 2-family dwelling 1.1 Commercial/industrial 0 Accessory building For special information use checklist ❑Multi-family 0 Master builder 0 Other: DescriptionQtY• Ea. Total `JOBl t'.E:SOT MATIOON 4ND-' i IcAtf ` Heating/cooling: Air conditioning 46.75 Job site address:12909 SW 68th Pkwy Furnace 100,000 BTU(ducts/vents) 46.75 City/State/Z1P:Tigard Or 97224 Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.:340 Project name:Williston Financial group 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 10MW#1 4i I`tir.WOWGas fireplace/insert 33.39 Flue vent for water heater or gas Modify existing duct for new floor plan 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 © PR ❑'T N>bi�''` r Environmental exhaust and ventilation: Name:pactrust 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 0.,AQP ICe l l''.; b coisrrAit.palsori`. Other: 23.32 Business name: Fuel piping: $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 CO RAcT Clothes dryer(gas) Business name:Protemp Associates Other: E IIcA-4 T l *' Address:9788 SE 17th Ave MSubtotal 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 lie.:38868 TOTAL PERMIT FE /� '' This permit application expires if a permit is not obt 'nird thin 80 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:1/3/18 I:\Building\Permits\MEC_Perni1App_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: 12909 SW 68TH PKWY 350, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Mechanical MEC2018-00007 Inspection Type: Inspector: 699 Mechanical final Jeff Grove Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor