Permit (103) 11 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018 00546
ARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2018
[ '' g Parcel: 2S1060001401
Jurisdiction: Tigard
Site address: 13271 SW 169TH AVE
Project: River Terrace East Apartments,Building E Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building E: Mechanical for new 21 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 $1,102.09
Class of Work: NEW Type of Const: VB Plan Review 08/08/2018 $275.52
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 08/08/2018 $132.25
Stories: 4 Info Process/Archiving-Lg$2.00(over 08/08/2018 $10.00
11x17)
Project Valuation: $39,672.00 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: 50 or Greater HP:
Air Conditioning:
Heat Pump: 3
Appliances
Vent Fans: 57 Vent Systems: Total $1,521.36
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 21 Other Mech Units:
Gas Outlets: Other Desc: AC exhaust
Duct Work: 99
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 UNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: / ' �y --' Permittee Signature:
Cin/ ef70/°L/r69-77G40/
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.
1.
r Lechanical Permit Applicata 0` ' .�.a FOR OFFICE USE ONLY
City of TI andReceived 7 // /4' ,{14"7S> PennitNyt Ee,2'�1 ief_cv_5"`,
Ili 8 13I25 SW Hall Blvd.,Tigard,OR 97223 :, r : %!I Pian Review.
C Phone: 503.718.2439 Fax: 503598.1960 -, �tlxerPennit.
Inspection Line 503.639.4175 Date/By: - - I "
Ti GARD p airyDate Ready/By: / /J Auris. 1l See Pa 2 for
Internet: www.tigard-or.gov yy ��t( `^ T` otified/Met od: / 1 iii !�'-, Supplemental Information
II i i A rt i, 4wd(Er/ as � ?'"''"
4 'EWE 'OF FY�1�2K CO 5. C1SLt, CIS,TyI5?'
Mechanical permit fees*are based on the value of the work
, New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other: equipment, profit.
mechanical materials, over cad,aqd
Value $ 3q G7,4
CATEGORY,OF CONSTRUCTION :#ESIpEN7 A,g +fp-['iSyg4-VTS' ,EEs*
❑ I-and 2-family dwelling (x-Commercial/industrial 0 Accessory building Far special information use checklist.
❑Multi-family ❑Master builder 0 Other: Description Qty. Ea. Total
Heating/cooling:
toll: Air conditioning 46.75
Jab site address: 13 a 7 I 5t 1 tR l• A V en Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 3 61.06 i 13d:
j,$
Suite/bldg./apt.no.: Project name: QTE CoA1 p o3 Ductwork 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
e Flue/vent for any of above 23.32
Subdivision: KW T€ (,E Of 5-1-- ( f,fl QG Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
'lickii.41 I. O tifot@ 't )t "' ..,-,,,,it*f Gas firepiaee/insert 33,39
3 .,A r t� � ,. 'Q,, Flue vent for water heater or gas
I v1 rr(,t, EC 1 ('IC'g L t QV ern eivr. fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33,39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
e _„-,, lis, .. Other: 23.32
%° ,a ��.Itz, Environmental exhaust and ventilation:
Name: ADV L LAND HOL0/005 L.LC Rangehood/otherkitchen /equipment - 33.39 IN,i
Address: 7(000 E 'p0V' Q��{ RP 51, ?t > clothes dryerexhaust ,a..I I 33.39 ,i`<i
City/State/ZIP: i(oi l0A i,E A e 0 s 0 58 Single-duct exhaust(bathrooms, � ,
i toilet compartments,utility rooms) 47
7 2332 13 e "
Phone:( ) (sq 4 ‘to 3 , Fax:( ) Attic/crawlspace fans 2332
....§', ;; „/y it a e e. e Other Add/ 4f 4E)ttur X712:` 23.32 77
1 Fuel piping:
Business name: bl yG.Ou lo 1..IA Ll.C 514.15 for first four;$4.03 for each additional
Contact name: 'J bbyv' p tem N,vO Furnace,_ etc.
Address: I 69 t c 11 ST ra ru Gas heat pump
Wall/suspended/unit
City/State/ZIP: VA�CV L%' / � 91ptj(0 Water heater
Phone:(so)) 577 1 140 I Fax::( ) Fireplace
Range
E-mail ' b*t D I CI!A/VAI p Q /o .Y(sot' Rom El a fekt Barbecue
t r g f �-- * �a; l lei: -, , Clothes dryer(gas)
s�`2�,,��..,s,��a-,.fit=�fir.,�l✓,+�;�., j�.. �� „-.�,���.��� .. ,c.. .:�<� c.�}n.?. �, , �a �s°„.;;;�'.�.
Business name:
i
Other: I ,,. z _
Address: //60 T A(� 22Jy 4,,e Subtotal
City/State/ZIP: `may/1 ,/" //VA'/'e7 _ Minimum permit fee fe0)
(� Plan review(25%of permit fee)
Phone:(,g66,r) I'72,. -- 8/047 Fax:( ) State surcharge(12%of permit fee)
1 CCB lie.: }, 1. ,. 2c'3 0 ,j rTOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized Signature; , a Fee methodology set by Tri-County Building Industry Service Board
i Print name: ,„5-/A x„s0-‘,e- i" (ei, j Date: 1/ `
448--461,(1ll42tC4zVWE1) -_..
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