Permit (55) CITY OF TIGARD MECHANICAL PERMIT
11111
COMMUNITY DEVELOPMENT Permit#: MEC2018-00178
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 07/26/2018
l ' g Parcel: 251060001400
Jurisdiction: Tigard
Site address: 17051 SW APPLEDALE RD
Project: River Terrace East Apartments,Building A-Clubhouse Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Adding(1)gas line for pool.
Contractor: APEX AIR LLC Owner: POLYGON WLH, LLC
2210 W MAIN ST STE 107-272 703 BROADWAY ST, SUITE 510
BATTLEGROUND,WA 98604 VANCOUVER,WA 98660
PHONE: 360-342-8109 PHONE: 360-695-7700
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 07/26/2018 $130.46
Class of Work: ALT Type of Const: VB Plan Review 07/26/2018 $32.62
Occupancy Grp: A-4 Occupancy Load: 12%State Surcharge-Mechanical 07/26/2018 $15.66
Stories: Info Process/Archiving-Sm$0.50(up to 07/26/2018 $1.00
11x17)
Project Valuation: $2,500.00
Fuel Air Handlers
Fuel Types: Natural Gas Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Furnaces<100K BTU: 0-3 HP:
Furnaces>= 100K BTU: 3-15 HP:
Floor Furnaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $179.74
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc: Pool heater
Duct Work: 266k BTU
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 questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: it
1� Permittee Signature: ,e4/ , '�2 /('✓ -7 ,„
Call 503.639.4175 by 7:00 a.m.for the next available inspection date. V
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 ,,.. .� ` '. FOR OFFICE USE ONLY
City of Tigard Received
Date/By: fi �s/� Permit No..
/ . C�eig0 / eS
II 11 13125 SW Hall Blvd.,Tigard,OR 97223 Mi ti h 161 r )"?s Plan Review ,......„, _
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: ,\( 7 yy
T I G AR D Inspection Line: 503.639.4175 t0..fr' '),' y.., y , to Read/BJuris: ® See Page 2 for
Y Ya�
Internet: www.tigard-or.gov " t ‘ otified/Metho 40e. Supplemental Information
sj rte« IX »,f 77 i 1 l Y i s 1 *, ..*'/ ICil°7
Mechanical permit fees*are based on the value of the work
®New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor overhead,and profit
t 1t. O C6l�l ..;UC 'IO),1 .,, ,,, Value: CV1 e $ p2 • O c
'�. �. 'fru"'''SV'' �tlii...... * � °` i" .
►1 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
.2 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
mi Heating/cooling
Air conditioning 46.75
Job site address:17051 SW APPLEDALE RD Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Beaverton,OR 97007 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: 1 Project name:River Terrace East Apartm Duct work 23.32
Cross street/directions to job site: Hydronic hot water system 23.32
Residential boiler(radiator or
hydronic) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
Flue/vent for any of above 23.32
Other: 23.32
Subdivision:River Terrace East Apartments I Lot no.:
Other fuel appliances:
Tax map/parcel no.: 2 S f O6., oo li-!o o Water heater 23.32
Gas fireplace/insert 33.39
Flue vent for water heater or gas
GAS-POOL fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
�� ., Other: 23.32
`" - ,M,,\ t1 t 1...,,,, T l • ' ", Environmental exhaust and ventilation:
Name:POLYGON WLH,LLC Range hood/other kitchen
equipment 33.39
Address:703 BROADWAY ST,SUITE 510 Clothes dryer exhaust 33.39
City/State/ZIP:VANCOUVER,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
I1 l k�i N ly' "` ,gyp " Other: 23.32
Business name:APEX AIR,LLC Fuel iping:
$14.15 for first four;$4.03 for each additional
Contact dame:TIM HAY Furnace,etc.
Address: 18004 NE 72ND AVE Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:VANCOUVER,WA 98686 Water heater
Phone:(360)342-8109 Fax::( ) Fireplace
Range
E-mail:SCHEDULE@APEXAIRCO.COM Barbecue
„ 4 76 >t ACT ”i Clothes dryer(gas _
Other: i /L 17 ti4r 15
Business name:APEX AIR,LLC -
�.... 14I�1`iC/tU 1'L1�1'1�Fli'.mtifeN,y.�
Address:18004 NE 72ND AVE Subtotal ! 4, 1 y
City/State/ZIP:VANCOUVER,WA 98686 Minimum permit fee($90.00) '75. XS
Plan review(25%of permit fee)
Phone:(360)342-8109 Fax:( ) State surcharge(12%of permit fee) 10 . YO
CCB lic.:203034 TOTAL PERMIT FEE i CO .ITO
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signat * Fee methodology set by Tri-County Building Industry Service Board
r
Print name:TIM HAY- NER Date:3/13/18 /7 1, /
I:\Building\Permits\MEC_PermitApp_040113.doe 440-4617T(11/02/COM/WEB) I
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17051 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Mechanical MEC2018-00178
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor