Permit (107) CITY OF TIGARD MECHANICAL PERMIT
ril COMMUNITY DEVELOPMENT Permit#: MEC2018-00545
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2018
TIGARD' g Parcel: 251060001401
Jurisdiction: Tigard
Site address: 13265 SW 169TH AVE
Project: River Terrace East Apartments,Building D Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building D: Mechanical for new 12 unit apartment building.
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 08/08/2018 $789.67
Class of Work: NEW Type of Const: VB Plan Review 08/08/2018 $197.42
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 08/08/2018 $94.76
Stories: 4 Info Process/Archiving-Lg$2.00(over 08/08/2018 $10.00
11x17)
Project Valuation: $27,346.00 Info Process/Archiving-Sm$0.50(up to 08/08/2018 $1.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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: 24 50 or Greater HP:
Air Conditioning:
Heat Pump: 3
Appliances
Vent Fans: 30 Vent Systems: Total $1,093.35
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 12 Other Mech Units:
Gas Outlets: Other Desc: AC exhaust
Duct Work: 74
Fire/Smoke Dampers:
This permit is issued to the regulations contained in the Tigard Municipal Code, State of OR. SpecialtyCodesand all other
subject9 9 P
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: / (j Permittee Signature: ✓ 1/>� Cy7o
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.
anical Permit Al III,!`' z ,'t m�r� A FOR OFFICE I SL ON US
City of Tigard teia :i /,, *- ,;wo .r ..tN0 Eby /, 40.E 5`
a 13125 SW Hall Blvd.,Tigard,OR 972' i 1 8 t 3 €c Nan Revrew
Phone: 503 .718.2439 Fax: 503.598.. „ ,.1 may: 7--. I3 ..) Other Permit.
1 1 t,A 1:i_, Inspection Line: 503.639.4175 4 D w l ) Date Ready/By. rens ®See Page 2 for
Internet: www.tigard-a:gov k }' t,.,t Notified/Method/3 //� �!# "� L Supplemea�l lntormatina
y i �U � �-// f - 1L �Z ,
,4f- r� ,t .y Zw �IP:a t e"7 ;,iK x ' n •',� l 4i'''''''`'‘47:47: Vet "� " 1 Sar- V 6! e'.A9N
Mechanical permit fees*are based on the value of the work
' `New construction 0 Addition/aIteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: mechanical materials,equipment,labor,overhead d profit" 7
5 Value: �
-�nT^�2,tn�,u.�l;".vR��ak,����'�5.,..,!i¢.! -fi .. �,. a�.���' � •.•...,.sem,.r°F*,, '^'; ..,,. .... .4�.:,...�s. 0 y, fit� �1' 0�. k'�� -r��f... x,.,.� .,.
❑ I-and 2-family dwelling W bifCommerciaVindustriat 0 Accessory building For special information use checklist
t Multi-family 0 Master builder 0 Other. Description Qty. Ea. Total
r .Y _ `,, e '
e : c )'.v:1- o .-,7 t u, :t Heating/cooling::
Arr cotrctitiomirtg 46.75
Job site address: 1 '3 a(s 5 5W /61,r ii/4VE Furnace 100,000 BTU(duets/vents/ 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: Project name: Heat pump 61.06 1$���
( � Cf9��0.3 Duct work _ 23.32
Cross street/directions to job site: Hydronie hot water system 23.32 ,
Residential boiler(radiator or
hydronie) 23.32
Unit heaters(fuel-type,not electric),
in-wall,in-duct,suspended,etc. 46.75
war F/-y� Flue/vent for any of above 23.32
Subdivision: A VEt 1"Ee i c Tl� LernoB 4 6 Other 23.32
Other fuel apptianees•
Tax map/parcel no.: Water heater 23.32
a Hca P €ta`�;,s r e E c�a re< r fueptace/insat 33.39
/A1s0" OA*C* W L a&Iliei gli/ Gas f� t for water heater or gas lace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
&.,V 23.32
'::': 'Pfi y 10:1 3: .... ,'T a''µ3't�, `z2.` , . ±.:..v..•.3, ..._.2722_1-r/2.`,.l''.1_. xaa�.r„..�:?'
Environments[exhaust and ventilation:
Name: A DV L Lfi lv0 Ip wbs LL C Range hood/other kitchen1
Address: p� O equipment 33.39a 6 8
1/Pd t7 E C'c,u$/ pt A W.44 go ,TE 7b0 Clothes dryer exhaust: I Z 33.39 4490,6 Sr
ty rt 7/7M�w' Ae p.-asp Single-duct exhaust(bathrooms, .2 C9q 60
Ci /State/ZIP.� toilet compartments,utility rooms) 3a 23.32
Phone:(lpO?) 4141 '163 I Pax.( ) Attidcrawlspace
fans 23.32
V , 7,-:-'*---7 r J " C4 ���;, 1 ,,,,,,,� Mgr ,(2,dz tiAt atwust. 2J2332 .33/0
.y I
�t Fuel piping:
Business name: JbLye,o) (4.µ LC $14.15 for first four,$4.03 for each additional
Contact name: '1M 'P)(,t A r✓/84) Furnace,etc.
Gas heat came
Address: 101 ,r 1309 $),-.
Wall/suspended/unit heater
City/State/ZIP: Vi4Pr-Wu eel W#4 I i1,C0 t' Water heater
Phone:(S 5)57/ y l coo Fax::( ) Fireplace
Range
E-mail: fbPAop I Gl /A OG P, y&Au Noel Es,06141 Barbecue
r, a •gay s
`. x 4 %! f7 .
' ' t , ` Clothe
s dryer(gas)
,1,:-.1...:........:_.»„ Vis,. .j. .c , 2 `-- -_,,,,a_4..., Other'
Business name: 4YA .I"t +t "2,r0,
E £ ,6,?_., ,1 r tii'244.' C ' -0•"
Address: /yoo
L .1`)E. 7-2-4 4tte Subtotal
City/State/ZIP:. 1,01-4"- f! �'(( 'Fn Ai+11 +t�4(�t S 6 I tview penult fee 0.013)
Pian review(25%of permit fix)
Phone:(.;1;e2) 3 9-2.. .-&I Cq Fax;( ) State surcharge(12%of permit fee)
CCB lie.: 0,24.70-Q-44-- e'3 C 3/ TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it hasbeen accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: S't},.vol w y., 64 Date 5-/i I je
I1Bu,h6nglParm..iralbfE6 A _QwIr . ..,.: :: .. ,: ,... . :r...., .• 44046t7T(1t/OZ/GOMIWEB)::-.. ., .._ „.::.
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13265 SW 169TH AVE, SHERWOOD, OR, 97140
Record Type: Record ID:
Commercial - Mechanical MEC2018-00545
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor