Permit (73) CITY OF TIGARD MECHANICAL PERMIT
I COMMUNITY DEVELOPMENT Permit#: MEC2017-00767
Date Issued: 10/05/2017
t GARD GAR13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 2S106DB00800
Jurisdiction: Tigard
Site address: 13575 SW CALABASH TER
Project: River Terrace Northwest,Lot 8 Subdivision: RIVER TERRACE NORTHWEST Lot: 8
Project Description: Installing NC unit. Installation of NC 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: d;".!� Permittee Signature: �,. �o,,, ��
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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.,..- • I()I(ni 1.1( 1E; I SE O\1.1
City of Tigard Received . Permit No.:
r. 1312.5 SW Ifa11 Blvd..Tigard.OR 97223 ,• Y Daresay: t C'.ZOf'7 _41, .
Phone. 503.718,2439 Fax: 503.598.1960 Ohm Permit:
1,,-.,1;,) inspection Line: 503.639.4175 ; -:Daze Ready/13r FBm% gJ
itrtcrnct: www.tigard-or.gov '' f e Nave 2 far
E'v :.;(Ylotificdlbielhod: j 5uppkmtratal Information
4'"aim r`t?:,v A, . .. f , ,4 ql 1„1!e,,f- t •t *m , $Y"RN `'-f,_. ''��';F sy ,14.`' @ volo p t*J
e � s'.v'• `a�.'`�. ��^ � d.'.5�3n.�.a' .+.�wu S ��aG:'sis
Mechanical permit f.&are based on the value of the work
®New construction 0 Addition/alteration/replacement performed,Indicalc the value(rounded to the nearest dollar)of ail
Demolition 0 Other: mechanical malcrials.conformal..labor.overhead.and profit_
",,,1 1 r`„i i., ,ra,. ,,, : ,$ •sl�.,. 0 iz.t 4.' j� 1.5,;g' ,. i e r y -' •
.. "_ffrttss¢s..:ua�?a� � 4 Y..:!wN2 Y
ili .•and 2-family dwelling 0 Commereiulrindustrial 0 Accessory building For special iofarmanonuse checklist.
Multi-family 0 Master builder 0 Other: Description 1 Qty. ( Ea. Total
c^c�s ¢-. 's:.z;i s 4'P. .iC l' , "rn a4 ti. e s�y.,ira'''1 , 1 4.. eir 3ck-tKsiVe �� - Airieraf
igitaoa :
Joh site addreswt515 SW C9 rh TL nrat Furnace 100.000 B
Tttduc4vent0 „ ! 46.75
46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100.000+BTU(ducts/vents) $4.91 '
Heat pump 61.06
Suite/bldg./apt.no.: 'Project name: g. d. T.emyq�.s 1 W DLct wnrk 23.32
Cross street/directions to job site: �`�-�!� l-1 4ronic hot wooer systern 2332
Residential boiler(radiator or
bp:Ironic) 2332 ,
Unit heaters(fuel-type,not electric),
in-wail.in-duct..suspended_.etc. 46,75
-�' FIuelvent For any of above 23,32 ,
Subdivision:. AN,j/ !-gym'*• - h`R\/4J Lot no.: 6 Other: 23.32.
' Other fuel.xpplianem
Tax num/parcel no.; Water heater I 23.32
}
^r+. '.k .3.,•-t- i.• 1Ff �H! ti FSE 4t.-�Yt ', f r ':.�' ,. ..,L t,,',.�`''''. r1aS itfepPEL`L"�lnSie!'l 33.39
� � � i_:,,_.i'..___._ } •'y__°^ %x� i�'�`t ._ v*S •',._t,�'__'''''.... Flue vent for water heater or gas
,^ ��A ” (L fireplace , 2332
1'"to� ffcLog lighter(gas) .. 2332 "
Wand/pellet stove33.39
Wood fireplace/insert 23.32
Chimney/liner/fine/vent 23.32
` ;;1 = 16 +"l: ` ° 4a.i4 �i .t •4 i.,.'- ,c .t , Otho ''
_ 2332
$','T--W--' .. Y ,'i . 4a o� ;• 's ` Environmental exhaust and ventilation:
Name: Mh VI.- LaiNA l Odt� t"IJ, Range hood/other kitchen
equipment
33.34
Address: D 1C Q SN> C.J)a 4
Clothes dryer exl'tausi 33.39J'
City/State/ZIP:'.r ,: it PS r• Single-duel exhaust(1>rrhroonts,
toilet compartments,utility rooms) 23,32
Phone,. 1 f 1
f t + Fax ( ) Alliclerawlspccfins 2332
•.tr r F. ,s r .i ,i il �r, �i �. .4t ,, AM�7.I%e,�9da"krY`^`Z. ;"�:.5; _Other 23.32
•
Fuel p/piny
Business name.Polygon WLN,LLC $14.15 for first four.54.83 for each additional
Contact name:0 t C 1A016-111Ore?- F'ur'nace,etc.
Address: Ore?,
M` • Gas heat pump
�A ± I. e' :• i _ _ ` Waltlsuspeadcdfunitheater
City/State/DP:Vancouver,WA 98660 water heater
Phone:(360)695-7700 1 Pax::(360)693.444.2 Firrepiacc
l: ,Range
G-mai
1 C i . i I At,. A 111 f i 1 i til f e kb A Barbecue
'- r 1, e, e�!tc r, e� rc t; .Va {_ >_ •g'¢'tr;; :: Cot(les*Yet(ges)
Business me:Apex Air LLC Qtly
na
Address:18004 NE 72'°An .' ;� ?-,4 t :e r o-Ra .t?'6 k�.i;K 0,c r . ., s '
Subtotal
City/State/Z1P:Vancouver,WA 98686 Minimum permit fee(590.00)
Phone:(340)3424109 Fax:(360)326-1769 Plan review iew(25%offaemtit fee)
State surcharge(12%of permit fee)
CCB lie.:203034 TOTAL 1'ERMM1T FEE
'Chit permit apppeptien expires if a permit ix nar,ubtsined within 150
40%011e6t has been accepted as complete. -
Authorized signature' • Fee methodology set by Tri-County Building Industry Service.Bard
Print name: i lek '1 fate: 4/-11./C...
l:titanildutglranais�Arl'„PamitApp_0401 t;dor. 441£-46(7T t F tn1tx3MAVI Z