Permit (146) 1,11
CITY OF TIGARD MECHANICAL PERMIT
m COMMUNITY DEVELOPMENT Permit#: MEC2018-00831
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/29/2018
Parcel: 2S101AD03200
Jurisdiction: Tigard
Site address: 12909 SW 68TH PKWY 250
Project: The Filkins Group Subdivision: WEST PORTLAND HEIGHTS Lot: 9-25,PT
Project Description: Modifying existing ductwork to(4)existing water sources heat pumps and installing(1)exhaust fan.
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
Permit Fee 10/29/2018 $360.41
Type of Use: COM Plan Review 10/29/2018 $90.10
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/29/2018 $43.25
Occupancy Grp: Info Process/Archiving-Lg$2.00(over 10/29/2018 $6.00
Stories: 11x17)
Fuel
Fuel Types:
Gas Pressure:
Total $499.76
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.::v. 32.234471-
-
Issued By: •.' ee Signature: irreee"Lead—t_ —
Call 503.639.4 •y 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 Applicatioi i *t x M
City of Tigard Received ,�lr� r I����v����
• 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By o r(- y-, --A-,( �` t,�`-AL !�f/
'Pia Phone: 503.718.2439 Fax: 503.598.1960 �.i 1, 1 1 �f t: A J I� Plan Re ew /Q` �}
Date/By: :ijLQ �WCO
T I G A R D Inspection Line: 503.639.4175 ,.s.< c Date Ready/By: l��s:
Internet: www.tigard-or.gov '' 1 t 1 See Page 2l for
':. Notified/Method:
Supplemental Information
❑New construction It Addition/alteration/replacement Mechanical permit fees*are based on the value of the work
p performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Tit '> 00I1�I Value:$$10,500.00
6 M1D L a f l Y i�IttM *
❑ 1-and 2-family dwelling ®Commercial/industrial 0 Accessory building For special information use checklist.
❑Multi-family 0 Master builder
0 Other: Description Qty. Ea. Total
x ,iit .� lit , I4bCA' AIY Heating/cooling:
Air conditioning 46.75
Job site address:12909 SW 68th PKWY
Furnace 100,000 BTU(ducts/vents) 46.75
f1,?
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
12909 SW 68TH PKWY 250, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Mechanical MEC2018-00831
Inspection Type: Inspector:
699 Mechanical final Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor