Permit (138) 111111
CITY OF TIGARD MECHANICAL PERMIT
` '! B. COMMUNITY DEVELOPMENT Permit#: MEC2017 00172
13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 03/08/2017
g Parcel: 2S106DC05700
Jurisdiction: Tigard
Site address: 13741 SW 172ND AVE
Project: Polygon at West River Terrace, Lot 57 Subdivision: WEST RIVER TERRACE Lot: 57
Project Description: A/C installation. Placement of NC unit must comply with manufacturer's installation requirements.
Contractor: APEX AIR LLC Owner: ADLV LAND HOLDINGS LLC
2210 W MAIN ST STE 107-272 7600 EAST DOUBLETREE RANCH RD, STE
BATTLEGROUND,WA 98604 SCOTTSDALE,AZ 85258
PHONE: 360-342-8109 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 03/08/2017 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 03/08/2017 $10.80
Class of Work: NEW Type of Const: Minimum Fee Adjustment-Mechanical 03/08/2017 $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: .44rIn5ireziee.._ 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 , . , _ _ IoW.in [1( I. I si liNI,N
• - -
I1315Tigard,OR ;11• P°""iiNa`'11?Fr le 11-cioi 7,1
.. 25 W flail Blvd., 97223 Mao Review'Phone: 503.718,2439 Fax: 50339839W s- ' -, Dateitir °11".1 t""1//5-/-A71 4,•-00/70
,
) 1,,,,,I1 inspection Line: 503.6394175 (,11\1.), - '', z_017
Date ReadyfEty: , ,
Imo- I 121 Stu Pate 2 for
Internet: www,tigard.or.guy .-, Notified/Method: --p6 Suppirmerbil toformation
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lE1 New construction 0 AdClition/alterationireplacentern performed.Indicate the value(rounded to the nearest dollar)of all
0 Danolition 0 Other mechanical materials.atuiprnan.labor.overhead,and profit.
Value:S
r.',.‘.-.,:•'-.e:"-•••",-.)5-',4-1.E*rt-..:-...75-:.k4F.&,-i",''''',:::0',,,
r434:fitif.ft.7.a..tri:yile:41211.4.V:47:,i'l-ZIE,S.,,:4‘V4:8!;;:C.-;.j:A;"4"1`,F;'4:XSt:4`.-:•Pr','041'-''' ..;`-:11'El?,41..eirITT::, ,in 1.....^;FIYIPMf'gR,V77.7,,.,,,-;0;',7,7,-:P..='-'1,F.,.:74?-:
)11 I-and 2-family dwelling 0 Cotrunercialiindustrial 0 Accessory building For spedal Infoimailart use dteeilist
1 Multi-family Q Master builder 0 Other Description I Qty. I Ea. i Total
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Air conditioniari CI , 46.75
Job site address:1),-1 U 1 S\N I'll. • Ne, Furnace 100,000 13TU(luosiyartts) •P 46.75
Ciry/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTIJ(dortsNents) k 54.91
. Hem tramp 61.06
Suitt/bldg./apt.no.: I Project name Pollio\ af this{PverTtrt Duct work 23.32
Cross street/directions to job site: Ilydronic not water system 23.32
" Residential boiler(radiator or
hydronic) , 23,32
Unit heaters(fuel-type.not electric).
.in-wall,in-dud.suspended.etc. • 46.75
Flue/vent for unv of above .23.32
Subdivision*.&LI 1.4 0,....f. IA/.e v_ pi kietR watt_ Lot no.,to 1 ,..°1her:
Other fuel appliances: • 23.32
Tax map/pared no.: Water heater2132
'
Gas fireplatainscrt 3139 .
., ,-''-!--;.• Fitia veld for water heater or gas 1
44*;;;AillPI 2 / -
,- fireplace , 2332
Log lighter(ailts) „ • 23.32
Wood/pellet stove ", 3339
41-7" r7!ev7 772- Sr ,,teecift'07-4- Wood Ineplace/insert 23.32
Chimney/liner/flue/vent / 23.32
4r.rmriir.c.,?I'".f.fr:7, ..'.'•'-,„,r,-7-7F;';',:.,,-Tr,4tqitiF.-.1!.. .,..,•77:7:72,.MT:ni.g.tnP7,77,fiErlt'`..-`7P"''''1"-aaq'-'.Vei"---:::,'---•:' ../. 2332
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Name:Polygon WER,LEC Range bead/other kitchen
equipment ",,, 33.39
Address;109 Etat 13°Street - — Clothes dryer exhaust f\ 33.39
CityiStaterZIP'.Vancouver,WA 98460 Single-duct exhaust(bathrooms,
loud compartments.utility rooms) t..4 2132
Phone:(360)695-7700 Fax:( ) Alticknowtspaeo fans • • 23.32
Otbe
2132 .
ss name
'- '.* .'V.:.." .j, ,,'••7• : : '' .:I: ';'",.. “4,1,..r....t..,'.4.: 4.t ,IL, . '.. ':.:' '' .' .L.'. ..'
Fuel plpinv
Busine :Polygon-W1-11,TLC
$14.15 6r first four:SIM Ibr isick arldidousi.
Contact name:Angela Grajewski Furnace,etc. i 1
' Gas heat Nom ,
Address:109 East 13th Street •
Walldsusotardedfunit heater '\
City/State/71P:Vancouver,WA 98660 Water heater 1 \
Phone:(360)695-7700 Fax::(360)693-4442 Fireplace •
1 /
' Range
E-mail;Angela.Grajewskittpolygonhomes.com •Barbe •cue
(,
: .?t,.:-:':: :Iiie5i:`,.:'..::::;i1:;:i4-:!;:-.2-''..J.:;1"tl:e2:i'll-..,:• 73.:,',A7f,,f-,ti'lf;-.57,:`:;:-,,;--:-,3,,T,-,,..:± 7-„, .1,..,„.„:..-._-.-:-,!;, Clothes dryer(nes)
Other
Business name:Apex Mr;AC
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Address:18004 NE 72-4 Ave • •
Subtotal
City/StmerZIP:Vancouver.WA 98686 • Minimum permit lbe(S90.00)
Plan review(25%apt:gait fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of permit fee) ...44.0,
CCB lie.:203034 TOTAL.PERMIT FEE ,‘;(*)ga
This permit applicaliou'expires Ifs portal*isnot obloin within fao
days after Whits boon aseeptod as toropietr.
Authorized signature. • * Foe methodology so by Iti-Coomy Ronda%lochtsity Stroke Boats} -
LItaltIarne.. 4,0IET25L±i:
MiikCrigikanlistMEC PermilApp NOM ciao 4046171'(1 SiO2X"OMATO)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13741 SW 172ND AVE, SHERWOOD, OR, 97140 March 10, 2017 at 9:20:31 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00172
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS - NoCofO
Comments:
Mechanical final for AC only ok.
Violation Summary:
Inspector Contractor