Permit (108) CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit#: MEC2018-00547
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2018
T f ''� ' g Parcel: 251060001400
Jurisdiction: Tigard
Site address: 13239 SW 169TH AVE
Project: River Terrace East Apartments, Building F Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building F: 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 OUNC by calling 503.232.1987 or 1.800.332.2344.
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Issued By: Permittee Signature: e74,- ,,oz_
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 Applic. ,t I, „ r_-
Roa orrlci_. lSIL ON l.1
City of Tigard y Received
11,11 13125 SW Hall Blvd.,Tigard,OR 97223 1 B 201 Date/B ' 7//, - Permit �i,. 7
JUL yit1'/ !1 s.y
_ Phone: 503.718.2439 Fax: 503.598.1960 ��f, Plan Review.--,
GI
'"� tt 4.-r Date/By: ^aj% Other Permit:
r I G A 1;p Inspection Line: 503.639.4175 f s `ls t B i` 1 •Ni -
Intemet: www.tiard-or. ov d" 7 a t Date ReadyBy: y kris. H See Page 2 for
g g �'7,'l J&R D1 Ni.,« 3. Notified/Method://.�0 //
,.t� � x Supplemental Information
..ft'Jt /L y 'a ,/t /
.. „.xis... c-._...W.,®._.a,.m..'m ' .. _.,,,_ --..,.-'_ .i -esa LTi '' ec atenic. ..__..r.T. fees*
the
value
f the:.
�� 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 0 Other: mechanical materials,equipment,labo 4ygh d and profit
Value $
3`g
, 7dv ,,y,r�1h�c ' .;`tL �� ,3 A;r ° 7:,3 t" L y. , 7,"sa r,".rt
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist.
0 Multi family 0 Master builder 0 Other: Description I_ Qty. I Ea. I Total
la' .z Il �"a
' ' 4...!�� �1__...�3 d tib s �� f Heating/cooling:
�; � .��„mss
Job site address: r y Air conditioning 46.75
( 3 a 31 sire �to l9a� Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91
Suite/bldg./apt.no.: I Project name:East River Terrace 5 Heat pump 61.06 3, 8
t yM
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
Subdivision:River Terrace I Lot no.:put 1 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
Gas fire lace/insert
p 33.39
..:� 'nu �4.�.�. 7-'-:`:"":: fi$:.� -.�.�'�w.,:,'.;v.,...,�v� ''�'R��,`cam...�....m�s,�za.M",...i't«,����.� � ,.,�v�.,3,'.
Flue vent for water heater or gas
/A/X/41L M/fc1440/(41 . reg4)41flvT fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32 I
. l'1"--:1';''' '--A'-'-------§.,-.. _ "'-——Lb:.,-4- -'tea'w°,--'-:�� 2=
� Environmental exhaust and ventilation:
Name:ADVL Land Holdings LLC Range hood/other kitchen 11
equipment K 33.39 1 4
Address:7600 E Doubletree Rd Clotheser exhaust
thY RI 33.39 70 id i
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, S
toilet compartments,utility rooms) / 23.32 13 egg.ati
Phone:(602)6944031 Fax:( ) Attic/crawls.ace fans _ 23.32 /
v �a �E. ` a Other: 1' C � u7 23.32 ...0. e
Business name:Polygon WLH LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tom Dicianno Furnace,etc.
Address:109 E 136 St Gas heat pump
WalUsuspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(503)577-4160 Fax::( ) Fireplace
Range
E-mail:tom.dicianno@polygonhomes.com Barbecue
Y A, y5',, $: G a f^ ; Clothes dryer(gas)
Business name: A 'EX 4 1 Other
Address: I Io' `A)4 ,vim '701 t�AVE ,=-1 1°.: 'ill'_
a�uge uJfl 4771 8(o Subtotal)
City/State/ZIP: t/+fuC Minimum permit fee($90.00)
1
Phone:(3e,) 3ya ,!aka Fax:( ) Plan review(25%of permit fee)
State surcharge(12%of permit fee)
CCB Iic.: J s 0 3 r” TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board
Print name: aliMiati WO 4) Date: 761 f(fig
I:\Building\PermitsUvIEC_PermitApp_040113.doc 440 7T(11/02/COM/WEB)