Permit CITY OF TIGARD MECHANICAL PERMIT
1,1
�. COMMUNITY DEVELOPMENT Permit#: MEC2020-00079
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/05/2020
T f G a1 R C� 9 Parcel: 2S108DB04200
Jurisdiction: Tigard
Site address: 15277 SW THAMES LN
Project: Polygon at Bull Mountain,Lot 40 Subdivision: POLYGON AT BULL MOUNTAIN Lot: 40
Project Description: Adding NC unit. Placement of NC unit must comply manufacturers requirements.
Contractor: APEX AIR LLC Owner: POLYGON WLH LLC
2210 W MAIN ST STE 107-272 109 E 13TH ST, STE 200
BATTLEGROUND,WA 98604 VANCOUVER,WA 98660
PHONE: 360-342-8109 PHONE: 662-694-4031
FAX:
FEES
Specifics: Description Date Amount
Air Conditioning 02/05/2020 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 02/05/2020 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment-Mechanical 02/05/2020 $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 503.232.1•:7 or 1.800.332.2344.
Issued By: ermi a 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 Applicati FOR OFFICE usEoNa
'City. of Tigard it,rei,.,,,t
(HECEIVED /
Datelty: 2 / S---42O,RVL Pc""' C: )-Z, ..--II 1312.5 SW Hall BF,d,Tigard.t tR 97223 11111
a 'Phone. 503_718.'439 Fax: 503 5913.I 960 JAN 3 0 2020 I.P.)111Rtikst.k1CW
01110 N111111.
I ncpedion rue 503.0.39A 175 _
h.,. E9 Sie Page 2 ler
TIGARD : Date Re:Ht.:13k
Inferno: wow tigard-or.gok CITY OF TIGARD Notinedtmeshod. Supplemental Information
QI III nihir, nivisInN1 ......, .
. .. : TYPE OF WORK 'COMMERCIAL FEE*SCHrInILE- "I:citEckusT
Mechanical permit fees*are based on the value tat the t.11,11/,
El New construction 0 Additioni"alterationfreplacement performed.Indicate the value(rounded to the nearest dollar I of all
0 Demolition D Other: mechanical materials.equipment.labor,°kettle:1d.and pro fit,
Value.S
CATEGORY OF CONSTRUCTION
REMAIN I IAL 4.QCIPMEN T i SI S I EMS i EIS*
0 I-and 2-family dkselling 0 Commercial/industrial EI Accessory building For special information use chechlist.
... . .....
(El Multi-family D Master builder 0 Other: Description Qt) Fa. Total
JOB SITE INFORMATION AND LOCATION -Ileatinglrooling:
Air conditionina 4( 46.75
Job site address' 162,11 T...)t.A.) -11(..anne 3 1-4N Furnace 100.000 Jill!fklikets,vents 46.75
City!Statet7,113:Tigard,OR 97224 Furnace 100.000)-IITIlikiiikis kerns') 54.9 I 1
_—
Heat pump 61.06
Surielliit,lapt. no Project nameTaljKar -
.--- ____Pla-hrl Dud.l‘ork 23,32 i
Cross stretertdireetions to job site: I Is&km le hot kkater sts,stem 23 32
---" Residential boiler(radiator or
h)Omni,:) 13 ..2.
Unit heaters(fuel-type,not electric 4
m-wall,in-duct.suspended.etc. 46 75
---- -Fluevent fir any or aho c 33
SubdiVi5intr . , I i ,no a.n Other
I 1'. - ts,' Other fuel app1iAnces: -", i 32.... _ —J
las map'parcel no. Water heater 23.32
DESCRIPTION OF WORX Has fireplace'msert
Flue vent for water heater or gas
OsCIOL Pf 1 e, 44a----efrsaT-7334 -4.94:63.&- fireplace _ .23 3."
Log lighter(east 13.32.
-- -
Wood pellet stove 33.39
- Wood fireplace:insert 23.32
rch imneN liner tilli;;Vetil
---- Other.
, .. PROPERTY OWNER 0 TENANT
Vol ironmental exhaust and ventilation: 23 32
Name' Plil..:)V I— L-Ft no - Lb,t..1S. t LA-C. Range hoodiother kitchen
equipment 1. 33_39
Address: 1.tip)°, E. spi,u$0\vkir-e.e, •Varr,_,IA -Roa A 1 ,lothes dr,er eNhaus1 33,39
City"StaterZIP: ct:ikASizki._\..Q._.t Pt 2 S 2-€S - Sinitic-kind exhaust(hathroons,
3
—__ ,, toilet compartments,utility rooms) s- -,
i..k .:___...................
Phone, (0e.-2._ LA4 1-1020A, 1 I".-( .1 Atlicic ril Wkpace fans 1332
— —
0 APPLICANT 1 0 CONTACT PERSON Other, _ 23,31
. FuEl_pipirlga_
Business name: Polygon W1.11,1:LC
S14.15 for first four.S.4.113 for each additional
—....._
Contact MUM,.._.)01 e cr, 5rn, i-\-1, Furnace.etc. . .
____
Address: --IDS "Rproarkupo1/4_,I SC----- ---
t Gas heat pump
--- _Wall suspended unit heater
City!State!ZIP: %.aneouver,WA 98660
Water heater
Phone.(3(r0)695-7700 Lax: :(360)693-4442 , Fireplace
r,,Th % Ranue
r-marl'Re-rifY ‘45U.SOrn,ki-0.... kS - 0 ()VN NAilb 0\e5.CZ rn itartvetie I
........._
coNTRAcToR . Clotho drs er(Cast — _-_---
B1XSillC:6 name:Apex Air PLC. Other:
—
MECHANICAL PERMIT FELS*
Address. 18004 NE 72" .A.1.e ,--
Subtotal ...
Cii)!State'ZIP- V a(NOES cr,Vt A 98686 Is lin nnum permit fee iS0o lilt)
Plan tet-tew(25%of permit fee ,
Phone.(360)342-8109 1 I as:(360).326-17(.9
Stale surcharge(12%of penult fee ;
l
_ ----/
CC13 In_ 203034 1 OTAL PERNI 1 I FEE i
Ibis permit applicatio mres n ea if a permit ts not obtained within 150
days after it has been accepted 115 complete.
Authorized SW11:iliac
. fel:tinnhodolott.-.:-.11,:.in-Count. Budding Indust() S1,1%ICC
ar......*1
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Print name- I Gek. ../ I paw' k.0 ii-kylp\is
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