Permit CITY T MECHANICAL PERMIT
i� DEVELOPMENT SERVICES PERMIT #: MEC2006 -00413
I� DATE ISSUED: 8/18/2006
`:.,:-.. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
/
9 PARCEL: 2S110AA -01500
SITE ADDRESS: . SW CANTERBURY LN BLDG 4 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Install a /c's for units 1 and 2.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 2 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: < =10000 cfm: OTHER UNITS:
> 10000 cfm: GAS OUTLETS:
Owner: FEES
CANTERBURY PLACE LLC Description Date Amount
109 EAST 13TH ST. [MECH] Permit Fee 8/18/200E $72.50
VANCOUVER, OR 98660 [TAX] 8% State Surchaq 8/18/200E $5.80
Phone: 360 695 - 7700 Total $78.30
Contractor:
FRITZ MECHANICAL INC
5913 NE 127TH REQUIRED ITEMS AND REPORTS
VANCOUVER, WA 98682
Contact #: PRI 360 -883 -4876
FAX 360 - 883 -2969
Reg #: LIC 154410
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued B Permittee Signature: , J� y �,4' %
Call 503 -639 -4175 by 7:00 a.m. for inspections that usiness day.
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
Permit No.:
City of Tigard DateBy: Received ' Mo (,, 4 t CG 6 /,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 /Mn ;'2 Date/By: Other Permit:
Inspection Line: 503.639.4175 _ r7I Date Ready /By: ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: ; D0000000000000000
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction 1:f Addition /alteration/replacement Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
® Multi - family ❑ Master builder ❑ Other: Description 1 Qty. 1 Ea. Total
/ g 3 G, JOB SITE INFORMATION AND LOCATION Heating/cooling
1+765-8W Canterbury Lane Air conditioning or heat pump (1 a
Job site address: `
(requires site plan showing placement) 14.00 2�
City /State /ZIP: Tigard OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: 4 Project name: Canterbury Crest Gas heat pump 14.00
Cross street/directions to job site: East on Canterbury Lane off of Hwy 99 S of McDonald Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Canterbury Lot no.: 4 Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: 2S110AA -CC001 Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Add AC units to 4.1 and 4.2
Flue vent for r water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace /insert 10.00
❑ PROPERTY OWNER J ❑ TENANT Chimney /liner /flue/vent 10.00
Other: _ 10.00
Name: Canterbury Place LLC Environmental exhaust and ventilation
Address: 109 E 13 Street Range hood/other kitchen
equipment 10.00
City /State /ZIP: Vancouver WA 98660 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (503)221 -1920 Fax: (360)6934442 toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Polygon NW
Fuel piping
Contact name: Paul Templeton $5.40 for first four; $1.00 for each additional
Address: 109 E 13th Street Furnace, etc.
Gas heat pump
City /State /ZIP: Vancouver WA 98660 Wall /suspended/unit heater
Phone: (503) 221 -1920 Fax: : (360) 693 -4442 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Fritz Mechanical Clothes dryer (gas)
Other:
Address: 22100 NE 237 Ave MECHANICAL PERMIT FEES*
City /State /ZIP: Brush Praire WA 98604 Subtotal .$
Minimum permit fee ($72.50) 72,
Phone: (360) 883 -4876 Fax: (360) 691 -2599 Plan review (25% of permit fee) ----•
O
CCB lic.: 154410 State surcharge (8% of permit fee) 5 $
TOTAL PERMIT FEE '7 a it
This permit application expires if a permit is not obtained within 180
Authorized signature: 54 days after it has been accepted as complete.
Print name: ,b A.rl rV J-i-- Date: 5'/`71 c * Fee methodology set by Tri- County Building Industry Service Board
i:\ Building \Permits\MEC•PermitApp.doc 12/03 440 -46I7T (1I / /02/COM/WEB)
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11715 SE 5TH STREET SUITE 100
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Lmerd J. 'vtlibreiridt - Architect BELLEVUE, WASHINGTON 98005
(425) 454-7130