Permit Support Document CITY OF TIGARD MECHANICAL PERMIT
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III : COMMUNITY DEVELOPMENT Permit#: MEC2018-00691
p 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/30/2018
T l c 'LL g Parcel: 1S134DCO2400
Jurisdiction: Tigard
Site address: 11632 SW 114TH PL
Project: Shen Residence Subdivision: 114TH PLACE Lot: 17
Project Description: Install AC. 9/10/18: REPRINT permit to correct address.
Contractor: SPECIALTY HEATING&COOLING INC Owner: SHEN,ZIZHEN
7500 SW TECH CENTER DR STE 130 1100 106TH AVE NE APT 704
TIGARD,OR 97223 BELLEVUE,WA 98004
PHONE: 503-620-5643 PHONE:
FAX: 503-681-0793
FEES
Specifics: Description Date Amount
Air Conditioning 08/30/2018 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/30/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 08/30/2018 $43.25
Occupancy Grp: Misc Administration Fee 09/10/2018 $45.00
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $145.80
Required Items and Reports(Conditions)
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: z,"/ �!)/J4��°
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.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11632 SW 114TH PL, TIGARD, OR, 97223 December 20, 2018 at
10:49:30 AM
Record Type: Record ID:
Residential - Mechanical MEC2018-00691
Inspection Type: Inspector:
699 Mechanical final Jeremy Burrows
Result:
PASS - NoCofO
Comments:
Minor label # ELS 669768 668053
Violation Summary:
Inspector Contractor