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Permit
a� CITY OF TIGARD MECHANICAL PERMIT a ' COMMUNITY DEVELOPMENT71 Permit#: MEC2017-00761 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2017 T f Cn .1. 9 Parcel: 26106E7604500 Jurisdiction: Tigard Site address: 17253 SW GRANITA LN Project: CAMERON Subdivision: RIVER TERRACE NORTHWEST Lot: 45 Project Description: Installing A/C unit. Installation of NC unit must meet manufactures requirements for placement. Contractor: APEX AIR LLC Owner: CAMERON, JAMES ANDREW& LESLIE G 2210 W MAIN ST STE 107-272 17253 SW GRANITA LN BATTLEGROUND,WA 98604 SHERWOOD, OR 97140 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: "tar.. Permittee Signature: SYP s,�rfii Lb p[.^/i Gli /44: 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 Annticat: , = t + ttcceived � . _ N___. ., :;City of Tigard ;R Doe-sr t>ermit too /, 13125 SW'Hall Blvd..Tigard,OR 97223 .., •- Plan Reviea`�/•� �� pt `y/ / �� ` Phone: 503.718.2439 Fax: 503.598.1960 natedir Cthei Pinta it: t ,, 1) 'Inspection Line: 503.639.4175 , Date Rea3g/By: ,im+s•. I R1 See Pae 2 fur Internet: nxvw.tigard-or.goe Notified/Method: Supplemests,Information w:'zA,Y.z 1,-- z ,t+s-, v-4...6.'""'''' 'G'^a� '- 4,..,,„r- ,,.•�t7i li1,,y`w-' ':t ,;iwia_•:,ya..*.,,,,i ig...+ i;i1 !' ,ia wc: ....et7:.'-kit/11:0010,43404#,,, > ' Mechanical permit fees*arc based an the value of the work ®New construction 0 Additionfalierstiontreplacement performed.Indicate the value(mended to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials.equipment,labor..overhead.and profit. � Value 8 Xr :;1'4 h� --V4Z: F4'':ii,: ' 7" 1,;,11 51.F h ,-.� m qr my, ti p .• `..-..E:.-r.,7..3a .t -:k`# ,rlt- `Z t. Q; •. 'a�:!d" dt: 04. * ;--and 2-family dwelling 0 Commercial industrial 0 Accessory building M for:pedal rnfaiirrarian*se cheektis Multi-family 0 Master builder 0 Other: !Description I Qty. I l a. f Total T-1., h S 1' --ie.•y IICat[necoolin : �.t•- i1 `.N, a #9 t s!. aFelrk al k---,n'E; r ec-1,, ,'t'ku a'" '* j3n• i �A' � ,, .A Air canditianinc � 45.75 Job site address: !"f LS3 &Vv Idr6Lni Loalt, + Furnace 100.000 BIt)tdans+lents) 46.75 City/State/ZIP:Tigard,OR 97224 Furnace 100,000$B115(ducts/vents) 54.91 Heat pump 61.06 SuiteRttdg fapt.no.: I Project name: ?,:t4 T. xv w Duct w-ort; 13.32 • Cross strcctidirections to job site: l•lvdronic hot water system 23.32 Residential boiler(radiator or hydrottic) 2332 , Unit heaters(titel-type,not electric), in-avail.in-duct,suspended,etc. 46,75 Flue/vent for atnv of above 13.32 , Subdivision: t,,L T-e ,c e,,. ow [ Lot no.:4 23.32 Other lira appliances: Tax map/parcel no.: Water heater 23.32 %,-,..3:,,,,,,,,,,t '''s +,rayl t, 'R #r i F .r 7 y M „,X,. ,x ',,_•4e Gas firepiapetinse rt 33.39 A - 'a."v.. '.s a,:. `,� .,%.. Yv ..4�ri..,'r-' .V. , :X4.. . .r, rr, :i'l', !.SC Flue vent for water[terror or gas kh61110,k, cia,p1)S1S- Fireplace • 23.31Log tighter(VW23.32 Woodlpellctstove 33.39 Wood[eplacetinu;rt 23.32 Chimnelllineri lut fluent 23.32 ,'.*:,,i9� :'*'41.= ., F�=: l:t e '..' r : .ti y. � - ;',,','.R---. .`,A, '1.''."p1, l' �,. t^'0.:6,+y' r atiW. 23.32 F.nvirantnarftatCxltaerstand ventilation: Name; Mb 3I L Lard tiQ t CtC}I_J��, Range hoodlother kilhcn Address:1 tntv� w►► r"-1.2.... 1j1)(0A _ cyuipmerii 33.39 Clothes dryer exhaust , 33.39 City/State/ZIP:'. it at., .+ * Static-duct exhaust(bathrooms, • toilet compartments,utility rooms) 23.12 Phone: l ti ii ) Fax:( ) Atticfcrawlapace fans 23.32 YV11=te t:i8<r ate)`,•_t. cli 14 afikt.fyej.- t1g'H fir Qtbtrr. . 23.32 Business name;Polygon WL/1,LLC Fuel plain= 514.15 for first four;54.03 for each additional Contact natty: i L U l '"�(i ore , Furnace.etc. Address: ,�'�`� ' i'_ i �,S1� r.,as heat puma eir0a J9 Si & Viraliistispccndedtuttitheater City/Slate/ZIP:Vancouver,WA 98660 Water heater Phone:(360)695-7700 I Fax::(360)693-4442 ,Fireplace Range E-mail: 1 G 1 . 1 i at fO ell , IA 111,_ .4 a* Barbecue , 3-. . . � � � ;.•` SS3 ‘,.,`,-;I'''-,,,-:.- .1.,-";" v ZClod drvers) s1-:-; r�y f `cAw,.f311'., y5*fj � .�.:rYy� L;' Other: Business name:Apex AIr LLC A ; N tfe vx � r tics d 'affli7 pr.sT Address:18004 NE 72.4 Ave Subtotal City/State/ZIP:Vancouver,WA 98686 Minimum permit fee(590.00) Plan review(25%of permit fee) Phone:(360)342-8109 Fax:(360)326-1769 State surcharge(12%of poisni fee) CCR Tic.:203034 TOTAL,.PERMIT FEE ^- This permit applicatttan expires-Ira permit is netobtained within Ina days afterit has been accepted as complete. - Authorized sianatture: ' Fee mctbodohtgyset byTri-County Building Industry ServiceRoad Print name. +( I Date: of-// /t► I 1.,,,e,,,-mioGR,Iit itc... .a..it .pp.Oroett dac 440.46(77111fal MIW1nt .. City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17253 SW GRANITA LN, SHERWOOD, October 26, 2017 at OR, 97140 11 :00:10 AM Record Type: Record ID: Residential - Mechanical MEC2017-00761 Inspection Type: Inspector: 699 Mechanical final Aaron Cillo-Gobel Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor