Permit (69) CITY OF TIGARD MECHANICAL PERMIT
° ii .- COMMUNITY DEVELOPMENT Permit#: MEC2017-00759
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 10/05/2017
TWARD g Parcel: 2S106DB04200
Jurisdiction: Tigard
Site address: 13161 SW AUBERGINE TER
Project: River Terrace Northwest, Lot 42 Subdivision: RIVER TERRACE NORTHWEST Lot: 42
Project Description: Installing NC unit. Installation of NC unit must meet manufactures requirements for placement.
Contractor: APEX AIR LLC Owner: SIDDHARTH BANSAL
2210 W MAIN ST STE 107-272 13161 SW AUBERGINE TER
BATTLEGROUND,WA 98604 SHER, 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 $201.60
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987�► or 1.800.332.2344. ) !
Issued By: /1/ Permittee Signature: G /tam
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. /a
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applicat mets„( � "If` i }-01(01.1�IC I: l SI O'1.'
:Cityof Tigard ...
�, , QaAe ar 1�i�/i t ,tl :/41�oi.)—C 7i
'13125 SW Hall blvd_Tie.ard.OR. 97223 1. - /_�!j Plan Review
Phone: 503.718,2439 Fax: 503.598.1960 DarcH�^ OihcrPermit.
1: , :Inspection Lino: 503.639.4175 ,,. P t Y ,,•" Disc Rca4t/By: brig, 93 tee Page 2 tar
Internet: Www.tlgard-orgov 1e , t • ; ; -, Notified/Nitthod: SupptcmentalInformation
u. * rp,, 0, 1. ere.1:::: ). s 'r' t.s ,1 m-tw xis' .:_ .^`rAga s 7,-0-:,1 i. t• ..,-.4171'.%-' (:ii r ,5 x 11\s' er :tC't t.
Mechanical Permit fees*aro based on the value of the work
®New construction ❑Add iiionfalterationfreplacement performed,Indicate the value(rounded to the nearest dollar)of all
CI Demolition 0 Other. mechanical nrnlerials.equipment.labor.overhead,and profit.
.• . , ..-. .. Value:$r. 1. kx 4R:' ',4;s;r ,�r. st rIttehnk F?1C, T .4?M f .,,+ Fp �.,T�.i, !, ,.•4K < eCx,t c ,
4 , � x . 7
1aD,iH pi .g . _! t_ .,E .
17,‹.and 2-family dwelling 0 Commercial/industrial 0 Accessory
building For special informruraaIlse checklist
Multi-family q 0 blaster builder 0 Other: Description I Qty. 1_ Ea. f Total
v{^y. ,,,,r- 1 i '° .e
,,, " ii'Ac`i »i7 "i.;.iW 1.0 .,i-kvile j,i,\IN1 0 'tt l-0 '`a" -mss e4 -,1 J s•, iltaiing/eoolinj
Air conditioning ` 46.75
Sob site addmss:C 3 5�i lel(ne vq I CT.e,rr (-e, Putnam 100.000 BTU tducieventri 46.75City/Statc1Z_lP:Tigard,OR 97224 31 1 ^Furnace 100.000+[31'13(dncutvenis) 5491 .
ilea:pump 61.06
Suite/bldg./apt,no.: Project name: F..of er T. a \,J Duct work 23,32 .
Cross strcetidirectians to job site: l'lydronic hot water sYsttm 23.32
Residential boiler(radiator or
hydronic) 2332
Unit heaters(fuel-type,not electric),
in-wall.in-duet.suspended.etc. 46,75
Flueivent for anv of above 23.32
Subdivision: `_`\l T9)nrµ.c,e,.. tjv I Lot no.:(+1„ Other: •
Other fuel appliances: _ 23.32 )
Tax otaplparcel no.: Water heater 23.32
�P< c. c :.r ."a h 5 �i)',..7;,4 I4 416Vr . ;P„ st3i . ',,? Gas fireirlsce/insert 33,30
.,...�-• -+,,..i;r-.-,T4.-,..,:::..,r_t._._!. ^Icm ..---z c.z.....kce _E }sec ,a.,:,,�.,+,--,316"3 Ari.ika�,K,..2.rwz"s q.,,,V2 Flue vent far woes heater or gas•
t II) t,—Q t�L,. fireplace 2332
('. /. c j '.. Log lighter(gas) _ 2332 _
l!` . ^" W<wdlpellrststora 33,39
Wood fireplace/insert 2332
Chirnncyilineiifluirent 23.32
rhw, 1 t... ; ` . �t� ' Uthtx 23.32
d . } ', ra'S:41.'''',.--''..i7:10..4,..;',..;,9 4 ? . ;r 4:?. s , , "L Rjizrr-ITz .. 19 4 . ' ' . :, r ' -- ^ , .
, Environmental exhaust and ventilation: _
Name: li 1 V I. ►/l. 11 1 0_ i LL—C- Range hood/other hitchers
q� l,,+ � equipmepi 33.39
Address: 1kOUV £ L/ cite tT-e. [� -
9G,r[3(A 4 Ciethes dryer exhaust 33.39
City/State/ZIP:'5 11041, Qt -_ Single-duct exhaust(bathrooms, -
v toilet comparttnents,utility rooms) 23,32
Phone: / I fM I Pax ( ) AtticfcraW Ispac a fans 23.32 _
,:*.'Si.. r , '; : 4 u21. , sA3 �,, c n ' $c.d .-r r �. Other. 23.32
Business name:Polygon'ul:F1,l,x.0 Fuel pipit
• $14.15 far first four,S4.03 for each additional
Contact name: `(}t_IA 1)1,6114OY'()J �}. pun.,etc, 1
Address: Ql� O 6 /�ri k( 'A 1 A�'vS[ C'�,-G S,!'0 Glu heat pump
vtYv"'- """1 tJ 1Aall/suspendcdfunitheater
City/State/ZIP:Vancouver,WA 98660 J Water heater
Phone:(360)695.7700 j Fax::(360)693-4442 Fine rlact
-mail: Range
i Silt, (0 111 , 1 A 1 'tit 1k4,ti Barbecue
r+ -,:,,r7:g1t:� �r ., c-71-,,,,,,,--i-71,,,---`irii.,,,,,,,,-..,--i.--7,11:.,7-,E" drye
r( )
Business name:Apes Air LLC Other:
;"`z J:i
. .''a v•tit r%'f_ - .R.i,li:e r.r.,•,-.. - • .' .d.i'
Address:18004 NE 72'4 Ave i _t4f,.6,:. t' ^:.SY_-:fi;$;Subtotal
Cii /SlateFZlP:Vancouver,WA 98686 Minimum permit fee($90.00) .
Phone:(360)342-8109 Fax:(360)326-1769 Islari review 05°b of permit fiat)
State surcharge(12%of permit fee)
CCB lie.:203034 TOTAL,PERMIT FEE
This permit application expires if a permit is not:obtained within 180
days after it has hear accepted as complete. _
Authorized signature: + rev methodology set by Tri-County Buildenp Industry Serti'icc Elected
Print name: [/t. I Date: 4-11-It... 1
t_whiu n ;'mato$aC'_ m.iiA o4Crt 13 den. 4e0-45t7ri Etlfr'. pYtRYt3.t)
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13161 SW AUBERGINE TER, SHERWOOD, October 20, 2017 at
OR, 97140 12:04:49 PM
Record Type: Record ID:
Residential - Mechanical MEC2017-00759
Inspection Type: Inspector:
699 Mechanical final Aaron Cillo-Gobel
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor