Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: MEC2020-00038
Date Issued: 01/17/2020
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DA17700
Jurisdiction: Tigard
Site address: 16799 SW APPLEDALE RD
Project: River Terrace East No.2, Lot 216 Subdivision: RIVER TERRACE EAST Lot: 216
Project Description: Installation of A/C.
Contractor: APEX AIR LLC Owner: WILLIAM LYON HOMES INC
2210 W MAIN ST STE 107-272 BY POLYGON WLH LLC
BATTLEGROUND,WA 98604 ATTN BAKER,JASON
703 BROADWAY ST STE 510
VANCOUVER,WA 98660
PHONE: 360-342-8109 PHONE: 602-694-4031
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 01/17/2020 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 01/17/2020 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 01/17/2020 $43.25
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: r /54-73734./54-73734./� 7-70
������.rrrr 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 ONLN
City of Tigard
HECEIVED Recci,,,,i , i
..,.. 13123 SW Hall 13
a1%d.Tigard,OR 072_3
74
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Inspeetion I. 503.639.4173 JAN I
TIGARD paw Ready:It,.. Jig, id Set.Page 2 for
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01-1-1(OF frARD NNificalviethod; Supplemental Information
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TYPE OF iittli."' ' '' ' ' • . COMMERCIAL'FEE (..1#EERILY. - ISE cm:cm:Isl.
Mechanical pennii fees'are based on the value of the utak
t )New construction 0 Additiorvalteration/replacement pgrformcd.Indicate the value(rounded to the nearest dollar 1 of all
0 Demolition 0 Other: technical materials,equip lent.labor,01 cdreadand rvotit
Value S
CATEGORY OF CONSTRUCTION -
RESIDENTIAL EQUIPMENT/SYSTEMS FEES'
0 I-and 24amil) dwelling 0 CommerciallinduStrial 0 Accessory building For special information use challist
---- -
El Multi--family 0 Muster builder l:Other: Description -- I Qt). I Fa. :fetal _
' -------- ' g/
108 SITE INFORMATION AND LOCATION
Heatincooling:
. . .
('D,,.‘ Air conditionina 1 46.75
Job site address' t6--1 CIA i;c.,Y1,.ck),,,,,V... -4.,..,.., Furnace 100.000 BTU hinerso<eirts) 46.75
City:State/IP: Tigard,OR 97224 J Furnace 1(10.000e III t arid,%on%) 54.91
...
* 11°31 Pulti61.0n
Sue ‘VETEt
ncibldgjapt. no' 1 Project nam -- R eryexce_ CL:$ ,. ll '
"R 1)„.„„„k 23..12
Cross strecudirections to job site: 11%door ic hot water system 23 32
Residential boilerFrathator or
11%(Ironic) 23.32
—
Unit heaters tfucl-type,not electric).
,in-wall.in-duct.suspended,etc. .1675
Hue/vent for any of:Mote 23 32
Other 23.32
Subd)vision-. . r Lot no: al(1,
Other fuel applit__ _____
ances:
TUN map/parcel no., IN ater heater . 7- ----I
23._o I
DESCRIPTION Of WORE . Gas.
fireplaceinsert. 33.30 .,
Flue vent for water heater or gas
41_ _... „.. l• .„, 111 h 4 -'00-2 --- fireplace _ 23.31
=-41111111111 !J.)/ '
.....1.4 ,
.
NIF/4(7".---"----- 1,01!lighter(east 23 32
/"---7.-::7t-:r-lfr-- i"----/f.41-1-e--- ---1 ///6 u i-ci w,,„0/pai, ote 33 39
Wood fireplace:insert 23.32
ChimnolinerrflueNent 23 32
—
II
Other: 23 12 PROPERTY OWNER j 0 TENANT
. Eni ironmental exhaust and tentila ion:
Name: kiwi- Lpf.no 4 01....-1,11... .s 1 4c. Range hood/other kitchen
Address: 1.(pc.:)0___,E 11::::6u$r3\R_A-Aene.e.. •v-c,i.,-,,,tr, -Road,
Clothes dr%er exhaust 33.39
—_
23 32 —
City/StaZIP. 3c6(,k.scSaKe...t. N2.. T-S 25S singic_dnet exhaust(bathrooms.
- — -- — toilet cumpartments,unlit) rooms)
Phone: 1.06-2.. Ll_ (4,(30 ‘ lax:I ) Attiecrawlspace fans 23.32
tr4 APPLICANT - 0 CONTACT PERSON Other. ':..3,32
I . . End pipings_
Business name. Polygon W1.11,LU'
S14.15 for first four;8.4.113 for eh additional
Contact name jo1e ex-1 Sm i-\--IeN +unlace,me.
Address: 103 --E,roariu.D4.. Sk.-- Ske 6D Gas heat:pump
---- -LWall uspended:unit heater
(.ity:State/ZIP: Vancouver,WA 98660
Water heater
Phone:1360)695-7700 Vas::(360)693-4442 I''reel ace
Ranee
r-lnall.- erVYS -Sv,.‘ov . VrO.S?-0.-)R-okr,VvonNes.e_tyrn :Barbecue
CONN Clothes dryer(2;1'31 *--.. '
Business name:Apex Air LU.' Other.
- MECHANICAL PERMIT FEES*
Address- 18004 NE Wt Ave
Subtotal ----1
(.if')/State:ZIPV MICOUN er,WA 98686 minimum permit fee i$90 00)
•-i
— Plan res 14:1A'(25°i+of permit feel
_
Phone.(360)342-8109 lax:13601326-1769 ' i
State surcharge(12').of permit fee) — -I
—
CUB lie.. 203034 , TTTIA 1.PERM 1 I FEE I
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This pe1.
ermit,-igl,2-artler ithabeenienexpireif aapeternttri.das .t
tisontobtitaitned uithin 1St)
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Authorized signature. * Ice methadolop%set hy 1 n-C,Attny Building Itidusti) So%ter Roard
Print name. J i p-k. 4.4 J.I Daic' k 0 IL\ 2 \15 1
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411C Pc-i.w.\N., (,sil t th, .14';4,,,"'"j. rq::-(1.0,,,(V.Fli,