Permit (102) CITY OF TIGARDr'/ MECHANICAL PERMIT
COMMUNITY DEVELOPMENT \ate Permit#: MEC2018-00549
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 \�`" Date Issued: 08/08/2018
[C+ t. Parcel: 251060001400
Jurisdiction: Tigard
Site address: 17126 SW SNOWDALE ST
Project: River Terrace East Apartments,Building J Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building J: Mechanical for new 22 unit apartment building.5/28/19:REPRINT to change contractor information.
Contractor: MORAE MECHANICAL Owner: POLYGON WLH, LLC
7325 NE IMBRIE DR#138 703 BROADWAY ST, SUITE 510
HILLSBORO, OR 97124 VANCOUVER,WA 98660
PHONE: 503-740-0997 PHONE: 360-695-7700
FAX:
FEES
Specifics: Description Date Amount
Type of Use: MF Permit Fee 08/08/2018 $1,109.71
Class of Work: NEW Type of Const: VB Plan Review 08/08/2018 $277.43
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 08/08/2018 $133.17
Stories: 4 Info Process/Archiving-Lg$2.00(over 08/08/2018 $10.00
11x17)
Project Valuation: $39,972.00 Info Process/Archiving-Sm$0.50(up to 08/08/2018 $1.50
11x17)
Fuel Air Handlers Misc Administration Fee 05/28/2019 $45.00
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: 3
Appliances
Vent Fans: 58 Vent Systems: Total $1,576.81
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 22 Other Mech Units:
Gas Outlets: Other Desc: AC exhaust
Duct Work:
Fire/Smoke Dampers:
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
the 180 days. ATTENTION:
issuance, or if work is suspended for moreOregon law requires you to follow the rules adopted by the Oregon y
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FOR OFFICE USE ONLY
Received
City of Tigard Date/By: - ` t \- Permit No ��6s--r
III13125 SW Hall Blvd.,Tigard,OR 97223 1 �A��J�—t
Plan Review
Phone: 503.718.2439 Fax: 503.598.1960 ,` Date/By: Other Permit: > ,,, _
TIGARD Inspection Line: 503.639.4175gate Ready/By: his: EJ See Page 2 for
Internet: www.tigard-or.gov `` \�S otified/Method: Supplemental Information
TYPE OF•WORK, ,CUMMERCTAL'.FEE* SCHEDULE TJ,SE iii C1 LIST',.
Mechanical permit fees*are based on the value of the work
IE New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
1 D Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF,CONSTRUCTION
RESIDENTIAL EQUIPMENT/ YSTEMS FEES* ;
® I-and 2-family dwelling ❑ Commercial/industrial 0 Accessory building For special lsformatlon use checklist.
0 Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total
JOB SITE'INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 . 46.75 46.75
Job site address: I.-Wile Sk l..) Sympus}�(}(„E, 5� Furnace 100,000 BTU(ducts/vents) 1 46.75
City/State/ZIP:'St"� ,n UJ'O'CS(J ... CT Ck 1 O Furnace 100,000+BTU(ducts/vents) 54.91
�vc..rC
Heat pump 61.06
Suite/bldg./apt.no.: 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 1 23.32
Subdivision:River Terrace East Apartments Lot no.: Other: 23.32
Other fuel appliances: _
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK' • Gas fireplace/insert 1 33.39
Flue vent for water heater or gas
C x3� -YW .�-V� [.
MEC, -v1.%-Q(f�� fireplace 23.32
� l Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER 0 TENANT Other: 23.32
Environmental exhaust and ventilation:
Name:ADVL Land Holdings,LLC Range hood/other kitchen
equipment 1 33.39
Address:7600 E Doubletree Ranch Road Clothes dryer exhaust 1 33.39
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 4 23.32
Phone:(602)694-4031 Fax:( ) Attic/crawispace fans 23.32
® APPLICANT 0 CONTACT PERSON Other: _ 23.32
Fuel piping:
Business name:William Lyon Homes,Inc.
$14.15 for first four;$4.03 for each additional
Contact name:Tonja Morris Furnace,etc. 1
Address:703 Broadway St Suite 510 Gas heat pump
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(360)695-7700 Fax: :(360)693-4442 Fireplace 1
Range 1
E-mail:permitsubmittais®polygonhomes.com Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Morae Mechanical Other:
MECHANICAL PERMIT FEES*
Address:7325 NE Imbrie Dr#138 Subtotal
City/State/ZIP:Hillsboro,OR 97124 Minimum permit fee($90A0)
Plan review(25%of permit fee)
Phone:(503)740-0997 Fax:( ) State surcharge(12%of permit fee)
CCB lic.:217781illiiiiTOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
r days after it has been accepted as complete.
— rf>_./'
ut onzei StgnTar`
a —i – '.- Fee methodology set by"Trt-County Building Industry Service Board
Print name:Ariel 7111117 lir tido Date:05/28/2019
CITY OF TIGARD MECHANICAL PERMIT
11 COMMUNITY DEVELOPMENT Permit#: MEC2018-00549
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/08/2018
T T.G9 Parcel: 251060001400
Jurisdiction: Tigard
Site address: 13191 SW 169TH AVE
Project: River Terrace East Apartments,Building J Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building J: Mechanical for new 22 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 $1,109.71
Class of Work: NEW Type of Const: VB Plan Review 08/08/2018 $277.43
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 08/08/2018 $133.17
Stories: 4 Info Process/Archiving-Lg$2.00(over 08/08/2018 $10.00
11x17)
Project Valuation: $39,972.00 Info Process/Archiving-Sm$0.50(up to 08/08/2018 $1.50
11x17)
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: 3
Appliances
Vent Fans: 58 Vent Systems: Total $1,531.81
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 22 Other Mech Units:
Gas Outlets: Other Desc: AC exhaust
Duct Work:
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: i` � u Permittee Signature: emiper- /e' ri-s-�p'G
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 Applicatio ,,{ 1 OR OFFICE 161.0\1.1
City of Tigard i- r " >' Received 7 (P /F 6 ,,�g G
13125 SW Hall Blvd.,Tigard,OR 97223 Date/BY: 'ermit N7'lL� ft7 '��S`�c}
Phone: 503.718.2439 Fax: 503.598.1960Plan Review
i t G n K> Inspection Line: 503.639.4175 1 U 1. 1 2018 I)ate/By: -J g Other Permit:
Internet: www.tigard-or.gov - .,M :, Date ed/Met y: / jun':
uris H See Page 2 for
1 I (; t Note Reavietbod 7/ j - `f,/►U Supplemental Information
r r p'p 1P I �' r1 tflC°Pfl &Mg/L G s
®New construction Mechanical permit fees*are based on the value of the work
❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition 0 Other
�17 � mechanical materials,equipment,labor,overhead,and profit.
.. �: s < " ti � Value $
,...__ nt. .. s ;- a :.74s 3 z't17-
®1-and 2-family dwelling 0 Commercial/industrial Uindustrial 0Accessory building For special inf
orspeciaiinj_ornra.tio n use checklist.
0 Multi family 0 Master builder 0 Other: Description I Qty. I Ea. I Total
'„
Job site address: r ( 5e) / • nv� Air conditioning 46.75
e� !l 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 C041/n0S Heat pump 3 61.06 f 8j g
Duct work 23.32
Cross street/directions to job site: Hydropic 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 Lot no.: S Other: 23.32
Tax map/parcel no.: Other fuel appliances:
Water heater 23.32
��: � Gas fireplace/insert 33.39 t for water heater or gas1/$71144 E`c10"I c- EeDutemExir fireplace
23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
3x � � 4 Other. 23.32
..�.».s"� ��.,.`.a::� �...�r<"�. s.,.�a,.,"` �e...-..„s'za.�.,�
Environmental exhaust and ventilation:
Name:ADVL Land Holdings LLC
Range hood/other kitchen
Address:7600 E Doubletree Rd equipment 33.39 73 . 57
Clothes dryer exhaust 33.39 731f.Se
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms,
Phone:(602)6944031 toilet compartments,utility rooms) ti 23.32 13Sa.
Fax ( ) Attic/crawlspace fans 23.32
�x �: �' �°�� Other: Pater 4 �`XN�wft `t i 23.32 /Oa& .or
Business name:Polygon WLH LLC Fuel piping:
$14.15 for first four;$4.03 for each additional
Contact name:Tom Dicianno Furnace,etc.
Address:109 E 13th St Gas heat pump
City/State/ZIP:Vancouver,WA 98660 Wall/suspended/unit heater
Water heater
Phone:(503)577-4160 I Fax::( ) Fireplace
E-mail:tom.dicianno@polygonhomes.com Range
k ug°k �. .< Barbecue
., w, t1 7 ' Clothes dryer(gas)
Business name: 4 SEX a ' Other:
Address: 7$O d { A)‘ 7oIrew'AvE
Subtotal
City/State/ZIP: ut aJV gt, W fl !i /P v� ¢/„ Minimum permit fee($90.00)
Phone:(3(,) 3cfa met et Fax:( G ) Plan review(25%of permit fee)
66 State surcharge(12%of permit fee)
CCB lic.: .014404 3O2`;`," 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: ithig4AV L(f Q L Date: ?/Ite
I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB)