Permit (26) IiiiCITY OF TIGARD MECHANICAL PERMIT
al. . COMMUNITY DEVELOPMENT Permit#: MEC2018 00412
Date Issued: 06/05/2018
-f rGA L 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AD07600
Jurisdiction:
Site address: 16849 SW FRIENDLY LN
Project: River Terrace East, Lot 183 Subdivision: RIVER TERRACE EAST Lot: 183
Project Description: Adding(1)NC unit. Placement of NC unit must comply with manufacturer's installation requirements.
Contractor: WILLIAM LYON HOMES INC Owner: ADLV LAND HOLDINGS LLC
703 BROADWAY STREET, SUITE 510 BY FORSUM, MICHAEL
VANCOUVER,WA 98660 7600 E DOUBLETREE RANCH RD STE 1
SCOTTSDALE,AZ 85258
PHONE: 360-695-7700 PHONE: 602-694-4031
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 06/05/2018 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 06/05/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 06/05/2018 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.23 . •87 or 1.8067)332,\2344.
z
Issued By: " Permittee Signature: Gj We/L---
'
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
I(It{Cif Ht I.t si.ONI N
Mechanical Permit Application
in
Roccived Pernik
Phone 7182439 No.: ,-- ALI &itigOir CI I
City of Tigard
IN - .11 13125 SW Hall Blvd.Ti:.,i,OR
Other Perinityy15 /7_et, 7
RE(2;EV ED =1/5://li 2#-"7-- i.. 3
i -11 503. Fax: 5 03,598,1960 Date-1W 3,m, 0 st,page 2 tor
.,, Inspection Line. 503.639A 175
Date ReadviUY Simplemental Information
JUN 6 2018 Nonfieitsiviethod.
&"''' ') Internet: www.tjtri t-0r-Bor
...
.11'' M''' ''' '“4:4*:3"'°' gli,rirtiiitriP.i' '''''*':-'-'f'Jla;#441M L' ''' ''4;1;1- "'..ii'' *atr tmsed on the value of the work
-''' - •••' •.."-i,$.v'.:1 -4ss' 'A ,r-A` .N''' 'nit,„.a ;daaaa,-, ' • --": -iL ' 4°'. Mecham permr ees
Iktil.-'s‘
New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the neatest dollur)of a
t
mechanical materials,equipment,labor,overhead,and proft
0()then
'Value:S
o Demolition ,.‘.„,„.„:„..-;„,.,,,-,,,,,,,a,v, .,,... , - . ,„,„,.„,.,, ..." . wt....3,- .• ,,„ ,:„. s.....-..7.•:',,,';-..; '.'',..",
. Nqsalwyr,%,,,,, ,, -;‘,4,4P.F.wylei', "%,'T!''",,,,*;;;;;;-0,'"----
t.,:,...1ri,,,,4,.,,,,'„„„,,:,4:"41,74,'„ -;.........,,,„.•,„:;' ., ,,„,f r„,,.,,,„„:,.4.„,;,,,,,,,0,4! •*•,.... ',.., 71,14,- ,'1..•1 1:',•:" •"- "• ••' ' ",..,•,....;:. '.•'ta:,„*",, ••• '`•.."'" ""`',, .,,,,..
:de4'''''4..4':----'4'‘'.T"'- %''''; ' - la'''''''*- Accessorybuilding n use earth.
and 2-f ily dwelling 0 Commercial/industrial ID ., . For sPerial informaiw use fiNtL Total
mum
o iyinjlisfainily 0 Master builder 0 Other: z r
- I 44:177:
I i
1111Bii:#4;:f---'-',A1n.:- '4""•''''-'9:: 4,tarli,43,66HPNI''',.731rg',,,Ir.4:;;T.r74, -11117,-„,,i#',,:"-:-.42„ .:',z;-'-(',,e4'',A Air conditioning
, • 1, • t..... , ..,„,
Job site address: (6 # 11 )(4, etvg/L4 14)4 pomace 100-000 BTU filoctuveuto
City/State/ZIP: Furnace 100,000+BTU taws/vents) 54.91 1
61,06
_ /1„,,,,n. _....... that pump
Suite/bldg./apt.no.: Project name: GI,r-gIvett iceg.nrde Duct work 2332
Hydronic hot water system 23.32
Cross street/directions to job site:
Residential boiler(radiator or
hydionle) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
23.32
' Other;
Lot no.: /
Other fuel appliances:
Subdivision: Er "t,inet -rtyzitiice• 23,32
Water heater
Tar rnaPIP8rceI no.:
fri,,,-#:::.'t,c7r, ,,,.;443 Gas firculaYentisell 33 39
.
v,,,efr,,,-,,g,,,,,,,y,,,d,sc-.--,-/ ,i'fL '74?•,,,f?2,-1;: roltiTrsrItt;'7,'„rt's,'..4 ''`:''' ;• ' '.4414'.
Flue vent for water heater or gas
IA
23.32 0 0 4 C. -PO ODU56 fireplace
Log lighter(gas)
_ 2132
Wood/pellet stove 3339
_......,_
23.32
.,,, ,,,,ArrAi °th'wkimn7cr:fleY7lintelflinsuerv'ent 2233:3322
-,,,,.k.$•„, & ------ -'4''''' .''-''.(/ ',e,341 Y,'.4,' y , 14>a``. .,,Ua..,;:',Q4 ,' .gqs,01 EnNironma, 1 exhaust and yendlation:
Iligr.,:ffit ....:V' 1 k&'• 1 •°' .AP * ',•• - -, ,......- Range hood/other kitchen
Name: DuL-
it L 41 , • / 6$ E.- C equipment 33,39
Address: 7 LO "() 6 Duvoteritte ,.Ailucm ii V e%
or , 6- 1Clothest, iegti --.njYo.t.e.r..,.ex.ch:ntuss,tutaitiliktyrooms33.39
City/State/ZIP: 5crpai. - 9 e 15 shat(boons,
23.32
23.32
Phone:40 a) "I 410 3 1 Fat'( , ), mAtti,c1c.,rawisPace fans 23.32
61 •
i'4'''''''•''0/4;''''':''',113 I'Vrift! Feel piPiall:
''';','::-i,,ii,ir,:y:g e--,•', ''1' ,' - .', .
Business name: 1)0 L. 6 670 W L LC
$14,15 for first four;$4.03 for each additional
Furnace,etc.
Contact name: Tbw.Di ci,#)#,AvD
GU heat pump .,
Address: 10 ci Eft 5r /31 sr Wall/stispendediunit heater ____
Water beater
LIA ' 0/fel,cits
City/State/ZIP: Viacbt),)642_
limp-Moe
Phone:(53) S7'7 `7fiCe 0 Fax::( )
Range /
La.,i, ,
po - t•i'lecnui/001W• . Barbecue
E-mail: TO 14%i I)IC t•-•.-- - ,,,,,at.. ,,os.4„-,,..,,,a,sut•••:,....,*,,.,n,1,.....,:.,,,z*V1 0.0thog dryer(pas)
nar4 :er/ %0A,i2;',0 ,•'1;:r",;,i;" '''','ICRANN '
it4ti' ''' '''''''''''''''''' Other ,, ,,,,,,,.%, .• „..;- •,•-•^:,--',.,,Vj',-%',"''
Business nanke: (4)I 4.1.1firtri /taju s)yl Es 7,:,i),,c:71.:•,,, :::,:,74$4,,
Address: 1 Oct 671-sr /3 74*5/- subtotal
'"l' cc/A 1'176 top
City/State/ZIP: v4 oc.ou v b..... Minimum permit fee($90,00)
P',review(25%of permit fee)
(t Fax: /
Phone:(./ 0) (Dis 7 706 ( State surcharge(12%of permit fee) ,..,
TOTAL PERMIT FEE
CC/3 tic.: do? g 1
....,
2
Thh
opLc...,,
'.., permit obtainedatipplaysicaaftiteeraitexhtsirbeseeinfaampereputeirdisosocoutmoete
Authorized si s .bare: within 1811
it Fee ruattiodelemi tet by Id-County Building ladtantry Service Beard
o / (::2
Print name: row% D)Cd A ft/AA) I Date: ID ii-mi I
1
440,4617T(11 IVCOMWE8)
,
j auflitiwlerrnItt MECPeavaitApp,.94011.346e . _ _.r• -0"1&e,(51 eq., i)ei itif-try% ttil,74 1-1-C
"7-(7e-7 -- . _2,0/ G — r-,
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
16849 SW FRIENDLY LN, BEAVERTON,
OR, 97007
Record Type: Record ID:
Residential - Mechanical MEC2018-00412
Inspection Type: Inspector:
699 Mechanical final Allyson Armstrong
Result:
PASS - NoCofO
Comments:
EL S593561
Violation Summary:
Inspector Contractor