Permit (87) CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit*: MEC2017-00908
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/22/2017
Parcel: 2S106DA13800
Jurisdiction: Tigard
Site address: 13009 SW REDFOX TER
Project: River Terrace East,Sales Trailer,Lots 137&138 Subdivision: RIVER TERRACE EAST Lot: 138
Project Description: Mechanical installation of furnace and A/C for manufactured structure placement permit across(2)lots at site
address 13009 and 13019. Placement of NC must meet manufacturer's requirements.
Contractor: APEX AIR LLC Owner: ADLV LAND HOLDINGS LLC
2210 W MAIN ST STE 107-272 BY FORSUM, MICHAEL
BATTLEGROUND,WA 98604 7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
PHONE: 360-342-8109 PHONE:
FAX:
FEES
Specifics: Description Date Amount
Type of Use: CMS Permit Fee 11/22/2017 $108.97
Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 11/22/2017 $13.08
Occupancy Grp: Occupancy Load:
Stories:
Project Valuation: $1,800.00
Fuel Air Handlers
Fuel Types: Units<10000 cfm:
Gas Pressure: Units> 10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 1 0-3 HP:
Furnaces>=100K BTU: 3-15 HP:
Floor Fumaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning: 1
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $122.05
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct question •UNC by calling 503.232.1987 or 1.800.332.2344.
410Issued By rrij Permittee Signature: 6,x/ rp m c 42.7747,t/
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application L Int l i€ i. 1SE l)N1.
Cite of Tigard and '1EIVED Itac saI '"� :c� /
..., ,- 13125 SW flail'Blvd,„Tigard,i t t,t 97 tae s
1111
(...,,.....6,„0-2,,,,7-m_50,-) ,
,,,A—op Inspection Flee 303.6 39 4175 l t s , see; 2
for
Internet. ca'�.tn rd- r - NO '"A Z017 ;oai4i 'Method'/ �� �� Supplemental information
a..% ,,, /i,
TIG
.' , "lit ' d -$ . e9y ! .. -,, : tiff,"i .
R 1 11111 j. " , f. . Mechanical rtrait fees*are lased on the value of the aso
tli Newconstruction0 Addition.a.1 • t. • e I perfonneel.Indicate the value irounded to the nearest dollar t of all
0 Demolition 0 Other: naeChatncal matenals, "at.ment,labor.overhead,and ntat,
c i l '' $TKE att tats t?
0 t-and 2-fatni duelling Corrtmerttat,industrial 0:1ecessor'building For special an,,ftarrrr farar use ea ecl ttax
Muth-fwnilx 0 Master builder 0 tither, De sctaption Qty. La. loud
'.-r- 6 INE•- O a TI ' ', t tta �tnriia ;
, �„, . . . . ._,..�(^ Air a ionine 46.75
Joh site address./3'0 )G ip /3 hoe 5�. tl�i:'.$. Faaa..30ea €BTU(duet-.t eat46.
( tv State ZIE':Tigard„OR 97224 haarrtaee ltKa tXX)*BTU idutrt s ono 5.1.O1 a
Heal pump 61.06 9#
4ulte/btd .apt no,: Projeef name' k ty.Te- e, Duct work 23.31
f t
Crass street-drree ictus to job site: II*droute Ina water system IIIIIESMIIIIIIIII
Residential holler(radiator or
hydron ) 23 32 I
Unit heaters rind-type,not electric),
in-wall.an-dart.SU $' cled,etc 46 75
I"lue ent for any of aloe 23,32
_.
(..nher23.32Suadtvi5d(4n2 2V2/rT2Jf 'UC- -as lot no1- Other
fuel appliances
'Fax map/pared no, Water heater 23.32
' ` Das frep1a 'att" LG wow - oe3339
I
%
Flue s=ent Ow water heater or has
tire*ace 23.32
Ist• It, term) Olgiallillill
Wood,' stove 33 09._
Wood tlr lace,insert 23,32
Chumley liner/f 'vent 23 32
R
.:- 37th€r. *2
� TES • Ensir nnaea lexhaustandttui tion)
Name.Polygon ItV L11,1,1.4`
Range hood/other kitchen
e tit • sett lx 39
Address
742 •rnetcoax4
UJ (.tetla� diver exhaustB..
Ctt3/Statc:7IP.Vancouver,W A 98660 Stugle-cls exhaust(bathrols33154.
,,,,„ Milo)no artntenl.*`_Wilds rooms) 2 3.32
I I hone,(36 P 9 77i t Fax.i i -�
antc cath =r fares �23 3.32
�• `, a Other: 23.32
Y Fueli#a,:
tl e s n�e,L'trty tarn p!L,tt,FL(' A14.13 Ler first€attr;&ITO far rack additional
Contact name: N i t -5)cwvFurnas- .eta,
L'it3•/Statc ZIP:Vaiaetttrs'tr, A 906 B water he Iter
•
• Phone,0601,695-7700 Fax._t360;693-4442 Fireplace
Rao to
I trtl e :1111.04-?-c- Do -�yc',L�c`(- Barbecuee
i1, " t -4,7y.: ,,x✓ r
Clothes cdrserteas)
Business name,Apt%it 1.1C Other,
Address: ISM NE 7264.dstr Subtotal
(a1 Sloe'1P-S'antrantr<NV'.A 98686 Mtnintere perratt fee r S4U;t )
Plan res tela(25%of permitfeel
Phone-(3601342$109 Fax'(3601324-1769 �_ .
Ste sura arge 912,0 of permit feel
t.[l11w, 293034 TOT AL PERM IT FEE 1
This permit applicationtspioe it a pamit is nal sebtaaars1 atthie 109
dans attor it has been acceptest as complete.
Authorized otic tature:,_ ® a gee rngelteshxtc=O set bs in-<t"ttoot* ilolydtaa Indoswer Scs,se Toned
Print name: I t roe. i, F Date • *f'.1e... I . . - _—
stile•-~Pt:matt 3aat rt-mattw a:>,i7. 0r 44n..5;,..71'?;•(''.-t tstYr-B
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