Permit (181) CITY OF TIGARD• MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2018-00846
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/04/2018
T r[ A r - g Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 17043 SW APPLEDALE RD
Project: River Terrace East Apartments,Building C Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building C: Adding(3)heat pumps.
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 11/29/2018 $855.71
Class of Work: ALT Type of Const: Plan Review 11/29/2018 $213.93
Occupancy Grp: Occupancy Load: 12%State Surcharge-Mechanical 11/29/2018 $102.69
Stories: Info Process/Archiving-Lg$2.00(over 11/29/2018 $2.00
11x17)
Project Valuation: $30,000.00
Fuel Air Handlers
Fuel Types: Electricity Units<10000 cfm:
Gas Pressure: Units>10000 cfm:
Furnaces Boilers&Compressors
Fumaces<100K BTU: 0-3 HP:
Fumaces>=100K BTU: 3-15 HP:
Floor Fumaces: 15-30 HP:
Unit Heaters: 30-50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump: 3
Appliances
Vent Fans: Vent Systems: Total $1,174.33
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces: Required Items and Reports(Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work: 100
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 e •' - ' . ' •ot started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law re• - :• to • ow the ru-s adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 0 ' -001-0090. ou • , •'• - - copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Iii-
Call 03.639.4175 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
Cityof Tigard Received /� ��/
g 4 i Date/BY (/4. f 1 /� /I .g_ .OP /(/ -[/� �
II - 13125 SW Hall Blvd.,Tigard,OR 9722 E I
,q+ Plan Review
Phone: 503.718.2439 Fax: 503.598.19 0 Date/By: )1 a J—J '!/r ill .//01 7 _/ Doe 7
T I G A R D Inspection Line: 503.639.4175 tt c q Date Ready/By: 7uris:((�/LL !0/See Page 2(ffoor
Internet: www.tigard-or.gov O C.1 L 4 Z 01 Q otified/Method: ` / / Supplemental Information
•
F n� :' ,� � i ,.v c* R. r fees*
ULE - CJS:HEC LIST
Mechanical permit basedon the value of the work
►1 New construction ❑Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
V
. tttS. ... - $ 30 __
''''''''''''''','f'''':-1',,-4.,;.q
irCA r'' I OF CONS R11CTION
,r . 5..A.. ..fva r; . rte RESIDENTIAL EQUIPMENT/ , MSS
FEES*':
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist.
®Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total
P, Heating/cooling:
.10''. v 1 TFUT+I4. ,,1 AND~LiI ATION , `
Air conditioning46.75
Job site address:17043 SW Appledale Rd .
Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP:Tigard,OR 97224 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 3 61.06
Suite/bldg./apt.no.C - 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 23.32
Other: 23.32
Subdivision:River Terrace East Apartments Lot no.:
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
OESCRIPTIoN: F WORKGas fireplace/insert 33.39
ia•wf ' Flue vent for water heater or gas
if—,
Ie �� (3) / -z�- ,//a4f /2c , fireplace 23.32
�6�f '1 �Lll Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
=tea Other: 23.32
® PITY OWING ,,. .:-..,„<<„,w1.1-' ENANT„
.,, ..._., .�, m �..,.,,', Environmental exhaust and ventilation:
Name:Polygon WLH,LLC Range hood/other kitchen
equipment 12 33.39
Address:703 Broadway st,Ste 510 Clothes dryer exhaust 12 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 36 23.32
Phone:(360)695-7700 Fax:( ) Attic/crawlspace fans 23.32
1 ,,,AT�PL ;; * ❑..CONT80T TKs€31S ,.� �.
Other: 23.32
Fuel piping:
I Business name:William Lyon Homes,Inc.
1 S14.15 for first four;$4.03 for each additional
I Contact name:Amanda Gavin Furnace,etc.
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
Range _
E-mail:permitsubmittals@polygonhomes.com Barbecue
G Clothes dryer(gas)
CONTRACTOR, Other:
Business name:Morae Mechanical {
' MECHANICAL PERMIT FEES*
Address:7325 NE Imbire Dr.#138 Subtotal
Cry/State/Zip:Hillsboro,OR 97124
Minimum permit fee($90.00)
— Plan review(25%of permit fee)
Phone:(971)274-9266 Fax:( ) State surcharge(12%of permit fee)
CCB He.:217781 _ J TOTAL PERMIT FEE
— — This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
•lutilorized signature: '''---.1 ''I''''''''--- -------T * Fee methodoiogv set by Tri-County Building Industry Service Board
:1t name:Ariel Salazar I Date: 10/24/2018
..-:kli,_iPermits\MEC_PermitApp-040113.doc 440-4617T t I 1 0'i)AI WI 13)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 I Transmittal Letter
T 1 GA R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DATE RECEIVED:
DEPT: BUILDING DIVISION A E - E I V E- ,
ART,
NOV 2 6 ?O18
FROM: Ma) el d y 1a ri'.
COMPANY: Polygon Northwest -
PHONE: 360-695-7700 By:
RE: tie if_22 Stro,,,AFFIetale cAPill NAPdUil 000
(Site Address) (Permit Number)
Viv(,rTexrace o 3tildivyr ()
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
0 Additional set(s) of Pp lans. 0 Revisions:
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
3 Other(explain): S tip S Vl&* A2.0
7 REMARKS: IGtCe,rr1P pctlesilrad ica-hintic correct-sor-5151--evA$ I brikhD 1.
moi II -f1 op rs O.F- -Fids �0�.1 tol i v�.o �.vi-r1-
S, �1
FOR OFFICE USE ONLY
Routed to Permit Tec 'clan: Date: j _ ----J g Initials: '-i)
Fees Due: ❑ Yes No Fee Description: Amount Due:
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ,No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
17043 SW APPLEDALE RD, SHERWOOD,
OR, 97140
Record Type: Record ID:
Commercial - Mechanical MEC2018-00846
Inspection Type: Inspector:
699 Mechanical final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor