Permit (100) CITY OF TIGARD• MECHANICAL PERMIT
III.• COMMUNITY DEVELOPMENT
Permit#: MEC2018-00835
Date Issued: 10/22/2018
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106AD05600
Jurisdiction: Tigard
Site address: 16609 SW FRIENDLY LN
Project: River Terrace East,Lot 163 Subdivision: RIVER TERRACE EAST Lot: 163
Project Description: Adding(1)heat pump.
Contractor: APEX AIR LLC Owner: WILLIAM LYON HOMES INC
2210 W MAIN ST STE 107-272 703 BROADWAY ST STE 510
BATTLEGROUND,WA 98604 VANCOUVER,WA 98660
PHONE: 360-342-8109 PHONE: 602-694-4031
FAX:
FEES
Specifics: Description Date Amount
Heat Pump 10/22/2018 $61.06
Type of Use: SF 12%State Surcharge-Mechanical 10/22/2018 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 10/22/2018 $28.94
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
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: Permittee Signature: 419/a/71.
/ �)5GL
____"ik .
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 !- F012.OFFICE IlSE ONLN
City af Tigard . ....c Rcteived
)
,. Date-4w Permit tirtf&%17/41,,,..00E, "-
IN 4 13125 SW Hall Blvd.,Tigard.OR 97223 /01,, 1 * '
• II
• Phone: 501718.2439 Fax: 503.598.1960 01,ifettly: . .
Inspection Line: 503.639.4175 .., -i, C .
,..i-, 1,71 ; .1 90r7r0/F-06oPa2
TIGARD ;",e'‘,"j1.:7 ....,,, ' ' ' bate Ready/By: an* 01-Stengel fdr
Interact: www.tigard-or.gov •• , , •„...,•..,,,,i ,.,1,,f'.40.`ratiMedied: Supplemental Information
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if-f4s.(7.7i0.7 "• . KT-.77.:'.!-'.77, Y-,;?I'-'40000.?kVti.*tit:AOIES'ir•-.4NiirctiEPh-007-'7
Mechanical permit fees*are based on the value of the worlr
El New construction 0 Additionlaiteralinntreplacement performed.Indicate the value(rounded to the nearest dollar)oral!
0 Demolition Q our mechanical materials.•equipment.labor.overhead,and profit.
Value:S
'': •-•:'. :7-...."i::,;,?,•7:X4i-.4:-;"4t2GA.TEGOliff't5eeiiit•TittriefliigtEtzif44:,,,7,-A,:,.: :. x,yil,];j‘:,:::. .
.., .,.,,,.‘. :.., ...:......., ...,,_..,,..„.7:!:',..,4v.i.,' :,, ':;;.---4,7--. :',,,F :-i,-';';''',2':.-,!Ri41.0.03,43,24;$11,ArMENT,.:1SYSTAII4.V.44.1'::i7:::'',.,:: '
0 1.and 2-family dwelling 0 Commercial/industrial 0 Accessory building roe special irtjarmarlan Jae challis:.
_
C Multi-family 0 Master builder 0 Other. Description riii.TEi;71 Total
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" Air conditiottina 46.75
Joh site addrt..'sst //,60e1 5(4) Fr-.je 11CI Ln. Furnace 100.000 BTU trite:As:veers) 46.75 -
City/State/ZIP:Tigard,OR 97224 Furnace 100.000f BTU Moore:vents) 54.91
lieu pp 1 61.06
Suite/bldg./apt.no.: Project aaraaR1vecz Terrace,E.a.cok. Duct Wnrk 23.32
Cross stmettdirections to job site: Ilvdronic hot water system 23.32
Residential boiler(radiator or
hydtortie) 23.32
Unit heaters(fuel-type,not electric),
in-wall.in-duct,suspended,etc. 46.75 _
Flue'vent for any of above 23.32
. ,
.-. Other 13.17
Subdivision:1 weAe- -1--,tnreLe e r,c4_s-E. Lot no.: 11,0
Other fuel appliances:
--
Tax map/parcel no.: Water heater 23.32
.741.•:-::.::.--'•:'•Y••':;.,,•.,,',..!,•',-...';:•.:.:1A'.,,!•;,,,.'7.:•••J>,.. .ini, , .,:..:.i.:,::.,, Gas ilreplace/insed , 33_39 .
. • • Flue vent for water heater or gas
rb 5 T 20 (;soo V 7 , fireplace 23.32
Ntrt$ kW( .31-DL.I T To 1)4_. Log lighter teas) 23-32
Wood!pellet SIOVO 33.39
Al' OF St7P.097,-4-75 HEC. i4r-72-11717--- 1i Wood firephumtinsen 2332
Aior9‘,.. ,1--1_1,,,E-;,, ,4le//41yericigutevilinerillueivtatt 23.32
23 12
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ironmental exhaust and ventilation:
Name: INDV I- Li4no 4oL-Dtt..1s‘1-. c ane hoodiother kitcluat
equipment 33.39
Address; it(po_.E."bi,ukAt.A-ir-e.,e. r,th rock Clothes dtver exhaust 33.39
City/State/ZIP: CC:okSCStC1.....42-t Pk2. ca 5 7-643 Single-duct exhaust(bathrooms,
toilet convartments,uttlity morns) 23.32
Phone: t.06.2- tA4 14,Db% . Fax;( ) Anickrawlspace fans _ 23.32
•. '.'''..: ':,'.).•••;; ;ii:: .. .i:PtiC=4sN•it`, :•::5: -.i.1..';1::A!:•:::.ii;'. 1 i...•,0":.CORTAO ,PERS00'."•;•;:114:;•','" Other 23.32
Fuel piping:
Business name:Polygon WL11,LLC
514.15 for first four:S4.113 fur each additional
Contact nornc; ol e e*- Son,;-‘...i,, Furnace,etc. ,
_
Gas heat pump
Address: 103 ---eeroarkus-..po, ske 510
'
k Wal and heater
City/State/ZIP:Vancouver,WA 98660 Water beater ,
Phone:(360)695-7700 fax:;(360)693-4442 Fireplace
, ,Ranee
' 4C1.1 rap 1114
E-mail;... e.rry A-S1/4,s..‘pvy), .5 T....... S0r1VVOM,45.CA).rn Barbecue -----
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Business name:Apex Air LLC Other
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Address:18004 NE 72"Ave Subtotal
City/Stale/ZIP:Vancouver,WA 98686 Minimum permit fee(590,00)
Planreview(25%of permit fee) I -
Phone:060)342-8109 • Fax:(360)326-1769 -
Stale surchatrg.e(12%of permit feel
CCB hc.-,203034 4
. . .. TOTAL PERMIT FEE
Thh permit appliention eapirns if a permit is not obtained within ISO
&wanner it has been accepted as complete.
Authorized signature. * Fee methodohno,sethy Tn.-County Building Industry Service Board
Print name:"17,7‘,. ../ , t°ole: ko 16‘20%
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