Permit (67) CITY OF TIGARD MECHANICAL PERMIT
11;' COMMUNITY DEVELOPMENT Permit#: MEC2017-00764
T[ ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2017
Parcel: 2S106DB04700
Jurisdiction: Tigard
Site address: 17273 SW GRANITA LN
Project: River Terrace Northwest,Lot 47 Subdivision: RIVER TERRACE NORTHWEST Lot: 47
Project Description: Installing A/C unit. Installation of A/C unit must meet manufactures requirements for placement.
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 12%State Surcharge-Mechanical 10/05/2017 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/05/2017 $43.25
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 $201.60
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /440' • Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit.Applica don= , F«r,01 1 1t 1 t sr c)\tti
City of Tigard Received . . . ���1/Y�(
;1 Daterny: /�/* inn neo A �� !.�//
7,4,, 13125 SW mall Blvd..Tigard.OR 972231,, I+
Phone: 503.7182439 Fax: 503.598.1960 Ontur Permit,
T c; :17 Inspection Line: 503.£39,4175 l7att Itrrd79E3Y: 05 See Page 2 tar
Internet: www.tigard-or,gov Notified/Method: Mir Supplemental information
#:;1,. s P:t Y� �t li�}'r{•wry�+�-C,,,. �+ �'$ t.�l £ i"'t5 1.,,s °•.. >S,.•at El`'1'i �� � n�,...G 3f1 ( [ .rzt
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Mechanical permit fees*are based on the value of the wort,:
la New construction 0 Addition{alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor,overheat and profit.
' ...� ��4 °'. : h �,u\Kg� B y + '�4*€ '•lC 0 i `a''��} Y.; •)+'.' w.,
Value::$
r int ,,,. r k4;: ikti, 7 .: '344.,,*tec n. " --vot :'R D 4 .-s----
^
I *and 2-faintly dwelling 0 Commercial/industrial 0 Acctssory building For special information use checklist.
Multi-family 0 Master builder 0 Other, Dv^scn ipt.on
. I-Ctt}'. r!s`a, I Total
+. e a-''� r' v;(_,,,,-,. ,n, ,,'�; b,.t.ce6'' .• t's- , s` .�i ''N.r4� tfx,, - .. ,, irtatinwweooiiu .
r4 rSIs^YVtF' ° rff •7 ." `. 1.,4:2;tR., a .;`,4'f r4,1 'z.'e,.-.''a; �,t'L
` Air cenditionintt ; 46.35
Job site address.`1 L id ((a p 1-t La rvI Pomace)OO.t1<H}BTU IAuhstExncc) 4f+.iS
City/State/ZIP:Tigard,OR 97224 V' L Furnace 100.000+BTU tdueeemast $4.91 •
(feat pump 61.06
Suite/bldg./apt no.: Project name: p4 br TeAracewvo
Duct work 23.32
Cross street/directions to job site: i•lydronic hot water%Astern 23-12
Residential boiler(radiator or
hydronie) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duet,suspended.etc. 46.75
Flue/vent Coram)of above 23.32
Subdivision:. N,I Te p/U-�r 0 1 I Lot no. l Other: 23.32
E �-i r "` �V Other fuel appliances: _
Tax map/parcel no,: Water heater 23,32
Y rS .',4 v •7 ."{_f,, C i, , •yt:,+1"t +z t3 4 f.R;, H S a.��.? .Gas firep120-Wilisen
-m .. h.. , L ,t f.,,,� �, r! ;.�'• -, 33.39 _
.. Flue vent for water healer or gas
M obs-n fireplace 23.32
jh A , ale., Lo lighter( ) , 23.32
""` Wood/pelictstove 3339
Wood fueplacelinsert 23.32
taChirnneyllitter/f)uelvent 33,32
_ _
rt:Anay !''R 1 , � •tJ'i'' b''.';',-,--'6,e� 24: ''''., I 1 ,"' -r'' Nki Met- 23.32
L :::414., 1 -4r.: ui-�i3r . : � e ^.Ki,�:,.1,4. 5 -4 ti.£ -41.L3i., v' s
rgylrRnmenial exhaust Hoot ventilation:
'
1.
:flame: i>, 1 V . :i it "r • -4% ei tS.,a,.C. Range hoed/other kitchen
Address: 3equipment 33.39
i .� a ,,-ti WI ' ' 1 • I► ! 1, _ 'Clothesdrvcrextraust .33.39
Cityi'StatctZtP:'.s ri4 t-, tflii 2515 Single-duct exhaust(bathrooms,
toilet empartments,utility rooms) 23.32
Phone l 1 V F'aX ( )
0. . ,.. . : CJ a@fiAtttictcrtwlspace fans 23.32
t-" t q:[ 4 -IMCh Y2wl.,. 4L.;;s .'S ,(ci s-tr„Ye Sf t�:kk.,r-. C Moll 2132 y ,,__
Business name:Polygon WLH,LLC pipits
_ 514.is for Aral faun$4.03 for each additional
Contact name: N'C 1,wilt Furnace,sic,
Address; tit/ "'V Gas tient trump
/ /' `1 f a - A Wall/suspcndesilutrit heater
CitylState/ZIP:Vancouver,WA 98660 Water healer
Phone:(360)695-7700 I Fax::(360)693-4 442 Pimplaee -
A Range
E-mail: I G/ . A I ti.. r til , 11 i tai 1 “A lute
17,2-%,,..'''‘; .. 11'-=7,"'"P-,7,-,-7
L ..7 r.4 , 1. '„rriv.-- Y-•••i .r"'C'1 f.,.,,
'tsztr,-._}1.-' ; ,_. _.<v5.,::.W. . ..:.....:.E..MF 1�w :J $.''2i,..;..�''3....<,x.a 9.i.'3`.'. �.C.a..,I s..,ax..-61,Q.....::4; 13 C'l.�nhles drler(gils)
Business name:Apex Air LLC Other:
sh,,,-4,,-,1„,...737._7‘,.- 3.-:,-.•.-,-,4`s,dpi h 5.;e*---e,, ,,,,,',-,41.-. ,-y
Address:l 004 NE 72"Ave ...�. ._.. s=,*,... .,., ','Mss
Subtotal
City/State,/ZIP:Vancouver,WA 986$6 Minimum permit fen($90.00)
Plan review(25%of permit•fee)
Phone:(360)342-8109 Fax:(360)3264769 State surcharge(12%of peen({(fee)
CCB 1k.:203034 TOTAL PERMIT FEE
Thi permit application aspires if a permit is not obtained within ISO
daysattcrfthas been accepted as complete
-
Authorized Signature: •
Fee methodology ret by Tri Ctanrty Building Industry Senate Board
Print flamer-17;r: •.t Date: 4-11.j+y-
1literCdrsCefa sittdat.PertnlsApa,(x471,1dc. 440.46(7rttttrr.+OA4rh ail
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17273 SW GRANITA LN, SHERWOOD, October 26, 2017 at
OR, 97140 11 :02:53 AM
Record Type: Record ID:
Residential - Mechanical MEC2017-00764
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor