Permit CITY OF TIGARD MECHANICAL PERMIT
• COMMUNITY DEVELOPMENT
Permit#: MEC2016-00193
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2016
Parcel: 2S1080001500
Jurisdiction: TIGARD
Site address: 15111 SW DANUBE DR
Project: Polygon at Bull Mountain, Lot 9 Subdivision: 1998-005 PARTITION PLAT Lot: 2
Project Description: Duct work modification of sales trailer
Contractor: APEX AIR LLC Owner: POLYGON WLH LLC
2210 W MAIN ST STE 107-272 109 E 13TH ST, STE 200
BATTLEGROUND,WA 98604 VANCOUVER,WA 98660
PHONE: 360-342-8109 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: COM Permit Fee 03/23/2016 $90.55
Class of Work: ALT Type of Const: Plan Review 03/23/2016 $22.64
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 03/23/2016 $10.87
Stories:
Project Valuation: $1,200.00
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 $124.06
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 Notific ' ter. 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 estions to O C : . ling 503.232.1987 or 1.800.332.2344.
Issue By: . // Permittee Signature:
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.
Mechanical Permit Application FOR()FFICF I SI.()yI,v
e
City of Tigard FIV Received
DateBy: a3 I Gp MIPermit No.: ,. .0,IN /_-CO/?..3
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review (L
Phone: 503.718.2439 Fax: 503.598.1960 Date/By Other Permit:ei..f pf to `
T I(,A R.D Inspection Line: 503.639.4175 MAR 2 3 2016 Date Ready/By: lurk. H See Page 2 for
Internet: www.tigard-or.gov Notified/Method. Supplemental Information
1.iti Y fti. l , " off same sI cog 1 t, r
� 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
0 Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value: L
ATARIIPMXINVISYSTEMS FEES*
❑ I-and 2-family dwelling ,J Commercial/industrial 0 Accessory building For special information use checklist
O Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB $� 1 Ct s AND AIION t
Heating/cooling:
Air conditioning 46.75
Job site address: 1. 1 1 ' Com, 614.s0 NI
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: -11-6402. (r,22A Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump 61.06
�r4_,I .10�� ' Duct work I 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: �j /,�� Lo[no.: Other: 23.32
I� �L,u___ l}� OVA'�k f1. �L-�� Other fuel appliances:
Tax map/parcel no.: ` Water heater 23.32
Gas fireplace/insert 33.39
.� „.u,.- Flue vent for water heater or gas
�C-7- Ip0ar- \...\1:,4t Fle_Arri ert. 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
- itbl'E1 C � 1f#-- r„,...,,,,-,,,,,„.,,,,
.
- " " A�'..,L ' °x` ,F-.;( Environmental exhaust and ventilation:
Name: rJt-`-1(...c., C'L,Q S Range hood/other kitchen
equipment 33.39
Address: 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
ieANT a CaNtier pflgtN Other: 23.32
Business name: a�� A( L� Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name: --fr. 4._10,,i Furnace,etc.
AA _ Gas heat pump
Address: `E7004( ,i,... -724_4, /WJE Wall/suspended/unit heater
City/State/ZIP: \x.c jt.x . OA. Gtf3c0D' Water heater
Phone:(3G0) S' 2-4c" Fax: :( )j24,.(--14,q Fireplace
Range
E-mail:---171-‘1,4 Q A, {aLd.f'ah Barbecue
Clothes dryer(gas)
Business name: k D, Art LLL Other:
_.. M ,#INtCA ;PERMITFENS*
Address:
gOC ,Zt..i� m-JE Subtotal
City/State/ZIP: .X000.32 1.3Ar 41 b‘ogG, Minimum permit fee($90.00)
Plan review(25%of permit fee)
Phone.(3,o) 3ei2_ej 09 Fax.(340)sit,..1-7 6;9 State surcharge(12%of permit fee)
CCB lic.: 7..07so3tfTOTAL 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 namerj e.,� 14,49 Date: 3•ZZ' 1C,
I\Building\Permits\MEC_PermitApp_0401 13.doc 440-46171(11/02/COM/WEB)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15111 SW DANUBE DR, TIGARD, OR, 97224 August 27, 2018 at
8:35:28 AM
Record Type: Record ID:
Commercial - Mechanical MEC2016-00193
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Temporary sales office removed from job site.
This inspection is to close out open mechanical permit.
Investigative fee applied for occupancy prior to approved final inspection. OSSC
108, 111 .3
Violation Summary:
Inspector Contractor