Permit (68) CITY OF TIGARD MECHANICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit#: MEC2017-00766
T
GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2017
Parcel: 2S106DB04900
Jurisdiction: Tigard
Site address: 17291 SW GRANITA LN
Project: River Terrace Northwest,Lot 49 Subdivision: RIVER TERRACE NORTHWEST Lot: 49
Project Description: (1)branch circuit for A/C.
Contractor: APEX AIR LLC Owner: WILLIAM LYON HOMES INC
2210 W MAIN ST STE 107-272 109 E 13TH ST
BATTLEGROUND,WA 98604 VANCOUVER,WA 98660
PHONE: 360-342-8109 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 10/05/2017 $46.75
Type of Use: SF Minimum Fee Adjustment-Mechanical 10/05/2017 $43.25
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 10/05/2017 $10.80
Occupancy Grp: Investigation Fee 10/05/2017 $90.00
Stories: Investigation Mechanical 12%State 10/05/2017 $10.80
Surcharge
Fuel
Fuel Types:
Gas Pressure:
Total $201.60
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: .. 4
Permittee Signature: G7/0 11
/16Z.
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 1o()I I Ii I.i til fiat \
City of Tigard
13125 SW Raft Blvd..Tigard.OR 97223 1 /
Phones 503.718.2439 Fax: 503.598.1960 Diller Permit:
7 i 6„ ,> =inspection Line: 503.639.4175Dale Reatd?3y; 18 See Page 2 for
w
`Internet: ww,tigard-orgov r ,Notified/Method; `rte '-Supplemental Information
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Mechanical permit fees+are!rased on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the vette(rounded to the nearest dollar)of all
0 Demolition 0 Other. mechanical materials.equipment,labor.overhead.and profit,
e a W , Value $
r sA-„,:_i''-. s"_rw;�4k ii G"arl-- iA. i •. ,'a - i. a e,,r*,, ,'3^j ' `i ti�AP» ..S:44L [ ,4`,„,..- .', i , -••rte 't .td' S -• r * is
5*and 2-family dwelling 0 Cotnmercialiindustrial 0 Accessory building For special information*se checUlst.
Multi-family 0 Master builder 0 Other: Description I Q . 1 tea. Total
A •.,7,1...*:;- ^ r.,_,¢.9. tj'�` o5.:.l 1: ?t - „7.y.1-E (-,,At/AL,;�:-,hrl,-rex„o.r` T HenUng/euoiinR:
p_l� Air condhioning , 46.75
Job site address ' 2A W iJ t l ra Furnace 100.000 B713(duct heats) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.0004BTU tdtuistvcrn) 54.91 •
Flee pump 61.061
Suite/bldg./apt.no.: I Project name: t� T� ra.�1[�17 Duct work X33.32
Cross strcet/dircctions to job site: t' 11vdranic hot water system 23.32
Residemiat boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall.induct..suspended,eic. 46.75
Mc/vent for arty of above 23.32
Subdivision:. 23.32 Other: __23.32
R,.�� Tt (,�� t�, Lot tuts,: Other fuel appliances:
Tax'map/parcel no.: i Water treater 23.32
)•,4';01:7;1.--":',
, `- - t!K C'_=i F 61may -.,3:::-',,,-,,,, ..51 Y ••
Gas rvue»e3pi afaari,x,n,vetcrtr heater or gas
3339
• fireplace 23.32
2333rtc:xm _c),0 -19
Log lighter(gas)
Wood/peat stove 3339a&,
(A.1 C..-- Wood fireplace/insert 23.32
Ohimne'1iinee/fiuelvfntt 23,32
`' a 6'.1tr3r5i-f', Ga'''''''4''r -c;, , ';'*,,fj st . 4. Usher: 23.32
gi ”i. ,' ; x a ta !
Environmental exhaust and ventilation:
Native: :Mt)kJ,.. L(i • Qtf etc U .-6eaadiaticr kiteben
equipment
Addressio0Z C, DDWOVeirRfl cAlv \ rLa
Clothes dryer exhaust 33,39 ✓
Ci[yiS[tttetZlP:'. >, • ► Single-duct exhaust(bathro ms,
r �, - r toilet compartments,utility rooms) 23.32
Phone: 1/ / `c J P'ax ( ) Aiiidtxawtstracc fans23.32
ry
~ e^'''a'u -A 61! `e,q,: '€b�� ir 1C .z,, •z.0 r.4 411.2 pS EfE:,2:vr3 ,R y; ?.--,-,i.• o1bur; V 23.32
Pad Alli.,[=
Business name:Polygon �Y f,Hp,LLC v 514.15 for first four;$4.03 for each additional
Contact name: ' �,-11,10 Furnace.aic,
�� tial heal pump
Address;
od oi St sus l V waNlsitspcndediunit Water
City/StateIZtP:Vancouver,WA 98660 Water heater _
Phone:(360)695-7700 j Fax: (30)693-4442 Fireplace
E-mail: Range
C i , . A � � ir. �et I i +1 ��,1' UAA Barbecue
a, _ F,� £ 4 ,,t ,.1 .M x � y Clothes dryer(1' )
Business note:Apex Air LLC Other;
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Address:18004 NE 72"Ave Subtotal
City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(390.00)
Plan renew(25%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12.4 of perrttit foo)
CCB lib.:203034 TOTAL PERMIT FEE
This permit application expires if permit is not chtzhmd within ISO
Authorized Si i2tttbC' days alter ithrocbeau accepted as complete. _
'i*t Fcc methodology set by Tri-County Building Industry Service tttsard
['riot name:' j Ii\ 1 I Date: 4.141.iL-
1:Weiidiagrl'a ait6ralEr emiSApp,0!'.4713 der 444-46277(r i t.)AME131
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17291 SW GRANITA LN, SHERWOOD, October 20, 2017 at
OR, 97140 11 :59:58 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00766
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor