Permit (105) IN
CITY OF TIGARD MECHANICAL PERMIT
. COMMUNITY DEVELOPMENT Permit#: MEC2018 00548
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 08/08/2018
T t(.3 A 1t.D 9
Parcel: 2S1060001400
Jurisdiction: Tigard
Site address: 13223 SW 169TH AVE
Project: River Terrace East Apartments,Building G Subdivision: RIVER TERRACE EAST Lot: None
Project Description: Building G: Mechanical for new 12 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 $789.67
Class of Work: NEW Type of Const: VB Plan Review 08/08/2018 $197.42
Occupancy Grp: R-2 Occupancy Load: 12%State Surcharge-Mechanical 08/08/2018 $94.76
Stories: 4 Info Process/Archiving-Lg$2.00(over 08/08/2018 $10.00
11x17)
Project Valuation: $27,346.00 Info Process/Archiving-Sm$0.50(up to 08/08/2018 $1.50
11x17)
Fuel Air Handlers
Fuel Types: Electricity 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: 30 Vent Systems: Total $1,093.35
Hoods: Comm Incinerators:
Required Items and Reports(Conditions)
Woodstoves: Gas Fireplaces:
Clothes Dryers: 12 Other Mech Units:
Gas Outlets: Other Desc: AC exhaust
Duct Work: 54
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: 0 Permittee Signature: e1� /06/6, .7`x,'
Call 503.639.4175 by 7:00 a.m.for the next available inspectionti� 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.
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Mechanical Permit Applicatllo ,,dc,-=:-.)!J ,-`-, k lr.
City of Tigard Received /`
II ' 13125 SW Hall Blvd.,Tigard,OR 97223 31 0?. 8 1 I f l DateBY: 7/ ��' Permit N y �� ��c y
Phone: 503.718.2439 Fax: 503.598.1960 Plan Revie
l n li a Inspection Line: 4 3.63 *�� ,� F Date/By: /'2 -J Other Permit:
Internet:terned Line: 03.63 41 .i i'P g t j Date Ready/By: auris: H See Page 2 for
www.tigard-or.gov - 4 l:71 t,, t-,_,- Notified/Method: ? �� �y �e,
Supplemental
Informahon
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1 �". l LI_ y .- :-.-ii ' t!". t, ,,, : :' a , ;. .« ,.�^,-... :-t.e'se x......_...: ugc e..2..�..,._xn4-tu .: :�. •
Mechanical permit fees'are based on the value of the work
®New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipment,labor over teacj pd profit
� H Value:$ CO 7
® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use cehckllsl.
❑Multi-family 0 Master builder 0 Other: Description Ea. Total
sa14;,,k, aQty.
' " ,r � t *a E k 6 '� " °" S'.t) - Heating/cooling:
Y ,.. .._r . .. s. ..r.�.... ' Air conditioning 46.75
Job site address: 322 3 5w /Lo I AJE Furnace 100,000 BTU(ducts/vents) 46.75
City/State/ZIP: I Furnace 100,000+BTU(ducts/vents) 54.91 0
Suite/bldg./apt.no.: I Project name:East River Terrace C,�/!0t Heat pump 3 61.06 II 3,t
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
Subdivision:River Terrace I Lot no.:006, % Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
" -,1„,--.. y. '''�Z"7,17,','11;'--C`.-:: ' r -�,"': :_ ^'. 'g!
_ � _ ,�^�,� �� � Gas fireplace/insert 3339
/ { �A �a Flue vent for water heater or gas
Wrr'►N{- /rler It� &t/(/�j1/ fireplace 23.32
Log lighter(gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
g acsu ' � .. � i 't� mOther 23.32
�
-' `__ rt......_,;,...__ ` -".- `" ".. ' - ` . — -. It' _, ^ '-`..t-.1":.. ---LL` 4.i
J-v---" Environmental exhaust and ventilation:
Name:ADVL Land Holdings LLC Range hood/other kitchen
Address:7600 E Doubletree Rd equipment 33.39 YID();
Clothes dryer exhaust /a 33.39 good LI?
City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, Q
toilet compartments,utility rooms) 30 23.32 1 p.. D
Phone:(602)6944031 Fax ( ) Attic/crawlspace fans 23.32
.... ', i :4.7,-,.:-"'7,;,7. .tS t § t1`3 Cm <» Other 6Rr AG Fx r a Y 23.32 SST.t'3
. nd#. - w@_} 4w _ _-- . , g x.. ''', '. t ,�
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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
Wall/suspended/unit heater
City/State/ZIP:Vancouver,WA 98660 Water heater
Phone:(503)577-4160 I Fax::( ) Fireplace
Range
E-mail:tom.dicianno@polygonhomes.com Barbecue
r,, �1;, " , €, 7 Clothes dryer(gas)
Business name: A 16 4 1 Other:
Address: Igo6 M 74"AvE
Subtotal
City/State/ZIP: u �
e1tt) tut) 'p4 I vo Minimum permit fee($90.00)
3d) 3Ya 7 bQ Fax:( ) Plan review(25%of permit fee)
(
Phone: 66 State surcharge(12%of permit fee)
CCB lic.: +, 0 30^. (/f' TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
OPdays after it has been accepted as complete.
Authorized signature: 4. / 4' Fee methodologyset byTri-County BuildingIndustry tY Service Board
Print name: s/f / 1•0014) Date:
I:\Building\PermitsV�C_PermitApp_040113.doc 440 617T(11/02/COM/WEB)