Permit (172) ili gi CITY OF TIGARD MECHANICAL PERMIT
Permit#: MEC2016-00788
COMMUNITY DEVELOPMENT
Date Issued: 11/17/2016
TIGARD D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S108DB06300
Jurisdiction: Tigard
Site address: 15138 SW 154TH AVE
Project: Polygon at Bull Mountain,Lot 61 Subdivision: POLYGON AT BULL MOUNTAIN Lot: 61
Project Description: Installation of A/C. Unit must meet manufacturer's placement requirements.
Contractor: APEX AIR LLC Owner: KING, MICHAEL J
2210 W MAIN ST STE 107-272 YONEYAMA, NAOMI S
BATTLEGROUND,WA 98604 15138 SW 154TH AVE
TIGARD, OR 97224
PHONE: 360-342-8109 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 11/17/2016 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 11/17/2016 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment-Mechanical 11/17/2016 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
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: <19 _ Permittee Signature: /14/ "�/e°9-7-7eA/
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.
IVI,echan ieal• Permit Anpfkati , )
14 ECEIVE it- Er)Rt)f-Fic-E I SE oNt..,,
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INCity of Tigard DateBrli/',
_,..4t. 13125 SW Hall Bivd.,Titath,OR 97223
SEP 2 0 2016 Plkin
Phone: 50-17I&2439 fa N.: 501.598.1960et"7"'11/7--C72t713-' '67025-22.)
'l nspection 1.11tc 503.639.4175
TEGARD . CITY OF TIGARD frdi"zulY:flY' 144', ,et sar Page 2 rer
Internet www,tigard-or.gov NatitiaMethad: lekupplementat inibrnation
BUILDING DIVISI
T yv E OF mirth. COMMERCIAL FEE"SC11E1I1ILE i,,LSE CHECKLIST.. ,
•Mechanical pet fees*are hased on The value of the work
Novi coristructiott 0 Additionialtorationirt.T1 "thzinent • ptronned.,indicate the value(rounded to the ottrest.dollar)of ail
0 Demolition 0 Other mer.hanical materials, u-meat,labor*overheadand refit
Value'.S
. . .
CATEGORt OF CONSTRUCTION - - - - • - —
- • , ' ' -_ RERIDEbriTAL EQUIPMENT/SYSTEmS FEES*
,. s, . . .
0 1-and 2-family dwelling 0 ComMereial/industrial 0 Aceessegy&Aiding Fee spedul infbratation list,fltecAtist, .
. .
1:0 Multi-fainily 0 Master builder 0 Other; I Description O . Ea. i'eutt
.1011 SITE INFORMATION AND LOCKFION ' "ttil
. ,. . . ... . i
I PAit:couditionin... ' 46.75 1
.... ,
Joh site-addrm:: 11 . WI fin 4k • - - .
g
.--- -
omace 100000 8 .
City/StateiZ1P:Tigard,OR 97224 maze 100.000+BTU tdoct-VvtatO. 54-91 '
Heat pump 41.06 i
Suiteibidginpl.no.: Project natrtet Polygon at Boll Mountain
Met work 2332 I
Cress$treetidirectioni,to joh site: 13 drunk hot water system 2312
Reside.nnial/loiter(radiator or
h Arenic) 2132 '
Unit Iteaters abet-type,not elmtrie),
... . 1n-wall in-13ml;suspetuled,lex. 46.,5
Fluevcni for tow of above . 1332
...
Other: _ 2332
Subdivn.:Polygon at.13ull Mountain Lot tut.: p i
01tuoirpliance.s-:
. t
Tax DlapipOcci no:, Water heater , 2132
..'...- . - 1. DERclitirt ION OF*ORR. ' - tlas firel0ncermseil ' 313, I
Pine vent rm.water heater m tas
I a I I hi,1 ii J.., - tiro ace 2312
Le titan-alum 11111F1111
. Wood', lo stow. 11111. 3339
" Ali •' IN-c,.
Wood ii tiaec/insert 1E11 23,32 -I
ChimneyMnerillueNent 2332
:.
Other • 1 2132• ,k17.!_.iit(*.ift,•xr-owpini. . . ' d TENANT ' •- bitrironmentat exhaust and ventilation: - I
Name:Polygon WLIL LLC Ranee hoodiother kitchen I
—
1. . i mem 33.39 I
Address:109 East le stro
i Clotho,dlyer exhaust
111§ 33,30
City/StatealP:Vans:ewer,WA 98660 Sit:tie-chid exhaust(bathrooms.
•I
toilet WI, ..,- -ots„toilit'woos) 2132
Phone:(3601695-7700 Fax:( ) Attiettrawbpace Ana 23.32
.. . .
APPLICA,%61i.: ',- . . . ID CONTACT PFAISON.- . .- - °Ih .:.
Itifdligt•
Business nam e:PolygOtt Will.LFuel LC
$1435 tor tint four SW for omit additional
Contact name;Angela Grajewski FarilaCe.etr, 1
Address;109 East 13th Street Oa beat romp i , ,
- - . - Vitaillsaispendedrprgt beater I
CityfStatetZfP:Vanenater,WA 98660 Witter heater
Phone:{360)695-7700 Fax::(360)693-4442 Fireplace
E-mittt Augela..Grajewskil)polygottholueleeotn Sarlatene
• - , .- - CONTRACTOR . - Clothes dryer(g45). - - -•
Business noble:Apex Air LLC /V4/ iil _. -/)z-,..r,--,-. - Other
— '"",-' : ' ' - - MECHANICAL PERMITFEE8*
AddieliE 18004 NE 72,4 Ave Subtotal
Cily/State2IP:Vancouver,WA 98686 Minimum term fee 090.00) e,re)
,
Pion tryiew(25%of*unit-ke)
Phone:(360)3424019 Fax:(360)326-116, te sureharga(-1 %of mutt the) 1 0,td..,
CCB he.:203034 LSta ,2
._ TOTAL PERMIT FEE I/eV, , el
Thi.$permit application espirts ita permit 4 not obtained n Alin inn
days uiterit ha s beat Aicepted as aimpirtm
Authorized signature- ., , — * Ft-tinethoolegy set by Di-Calmly lied*hniusay Semite Beard
Print name: I td.A, ./
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1 kavadirt;Pr.r.m:u Mrflyarviiapp2441 Li da: 440.46i77 l'i 1:024'0 MAIltx.'i /110 ht/e, / 77,1&-----e,
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Inspection Detail Portlet: Edit Mode Page 1 of 1
Record ID:MST2015-00252
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Case# Inspection Type * Address
MST2015-00252 699 Mechanical final 15138 SW 154TH AVE,TIGARD,OR 97224
Request Date
-� Requestor's Phone Requestor
09/06/2016
Request Comment
Scheduled Date * Scheduled Time
09/07/2016 V V [AM V
Inspection Date Status * Department *Current Department Inspector *Current User
09/07/2016 72, [PASS V Building V David Young V
Result Comment a Standard Comments
Date:9/7/2016
Note:no AC installed at time of final inspection,permit and inspections required at time of installation.
check spelling
CAP Type * Internal use only * Inspection Time
Building/Res/Master Permit/NA 15RES-00000-01715 12 V : [43 v PM V
Submit Date Submit Time
09/07/2016 12 V : 43 V PM V
https://ay.accela.com/portlets/inspection/inspectionDetailCapSpecific.do?mode=view&fr... 10/21/2016