Permit il a CITY O F T I GA R D MECHANICAL PERMIT
: °' COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00262
Ti e A tt q 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/23/2008
PARCEL: 2S110AA- CC2810
SITE ADDRESS: 10789 SW CANTERBURY LN 101 ZONING: R - 12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: BARTH
Project Description: Install a/c unit. •
•
•
•
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS: •
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
• 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
• > 10000 cfm:
Owner: FEES
TIA BARTH Description Date Amount .
10789 SW CANTERBURY LN #101
TIGARD, OR 97224 • [MECH] Permit Fee 5/23/200E $72.50
[TAX] 12% State Surchai 5/23/200E $8.70
Phone: 503- 746 -6978 Total $81.20
Contractor:
. REX HEATING & A/C •
14015 SE STARK
PORTLAND, OR 97233. REQUIRED ITEMS AND REPORTS
•
Contact #: PRI 503- 255 -7233
FAX 503- 257 -6317
Reg #: LIC 66418
•
•
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issue B Permittee Signat r J4c1 ( �
Call 503.639.4175 by 7:00 a.m for inspections that ' usiness d y.
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.
INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: NEC 0190 S- 00.2,6 2_ REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description .I PASS Date By ✓ Code Inspection Description I PASS Date I By
BUP - Building•Perrnit ELC - Electrical Permit
405 Excavation 105 Underground /slab cover •
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG - Structure grading /footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
• 220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Shear walls /anchors 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling • 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
( 9 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab
PLM - Plumbing Permit
910 Sprinkler rough -in
915 Fire alarm rough -in 305 Plumbing underslab
920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit • 505 Sanitary sewer • 405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
•
• 205 Footing • 399 Plumbing final
•
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection • 599 Final inspection
I:\ Building \Foams \InspCard- AOP- Blank.doc 02/02/07
CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00262
TIG DATE ISSUED: 5/23/2008
.;' , 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AA CC2810
SITE ADDRESS: 10789 SW CANTERBURY LN 101 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: BARTH
Project Description: Install a/c unit.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SFA UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
TIA BARTH Description Date Amount
10789 SW CANTERBURY LN #101
TIGARD, OR 97224 [MECH] Permit Fee 5/23/200E $72.50
[TAX] 12% State Surchai 5/23/200E $8.70
Total $81.20
Phone: 503- 746 -6978
Contractor:
REX HEATING & A/C
14015 SE STARK
PORTLAND, OR 97233 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 255 -7233
FAX 503- 257 -6317
Reg #: LIC 66418
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issue By: / Permittee Signat re: i! ,'!,Wf(
Call 503.639.4175 by 7:00 a.m for inspections that .usiness d ;y.
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.
J ' 05/23/2008 12:27 FAX 5032576317 REX HEATING AND AIR COND Z 003 /003
•
Mechanical Permit A lieation ��� , "., . I t t1t i� I Ir 1 l` t 1 .l - r �,,, ,M41 , , ,
. S .it' ? �' tR1riti4i'at t'ti,ic, .xY,n lityib...ftiVt i a� ..." w{ :'�il:,Y.ai 'L,�' ! u5 i1e
� * a City of Tigard Received / . 4 Permit No,: . //f eg g . 0 .
� 13125 SW Hall Blvd., Tigard, OR 97223
in*' a A Phone: 503.639.4171 Fax; 503.598.1960 MAY 2 3 7° Plan Revteu Ocher Permit
" ~ s Inspection Line: 503.639.4175 llate/By:
4I Cc 1i t3 ' P RD Dare /13
b ., �2 Internet: www.tigard-cir.gov oj� ad y i H See Page 2 for
...wr O � . � i c , ' 1 . otiS eel/Met od Supplemental Information
OF WOi I� `v J COMMERCIAL FEE' SCHEDULE - USE CHECKLIST
❑ New eOnstruction Addition /alteration/replacement Mechanical pcnn fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials. e9uipment labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
F _
Multi - family ❑ MflSlcr builder ❑ Othe For special ir+form n orio use checklist,
—
D escription Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Q p 6 t 6 / A ir conditioning or h eat pump 1.01 Job site address: t T . .
(requires site plan %bowing placement) 7 _ 14.00 ! `
t e
City /State/ZIP: 1104r oc 912 2 G/ Furnace 100,000 a T11 (deco/wars) 14.00
Furnace 100.000+ BTU (dom.:Arens) 17.90
Suite/bldg. /apt. no -: /0/ Project name: .
Gas heat pump _ 14.00
Cross street/directions to job site: Duct work 10.00
-
1. ,Hydronic hot water system 14.00
Residential boiler (radiator or
hydrunic) __ 14.00
- Unit heaters (fuel -type, nor electric),
in -wall, in -duct_ suspended, etc, 14.00
Subdivision: Lot no.:
Flue/vent for any of above 6.80
Other: 10.00_
Tax map /parcel no.; Other fuel appliances
DESCRIPTION OF WORK Walcr heater 10.00 _
2 j / J A /� -
Gas fireplace 10.00
�j / tF Flue vent for water heater or gas
fireplace 10.00
—
Log lighter (Ras) 10.00
— Wood/pellet stove 10.00
Wood fireplace /insert 10.00
►.�'ROPIERTY OWNER Chimney /liner /flue/vent _ 10.00
❑ TENANT
Other; 10.00
Name; 7. 'el hap l/y Environmental exhaust and ventilation
Address; (0 7� 1 4 . g . ) 4 . g . ) ( hr, ` l L4eie die)/ eLPtnent d/othcrkltchen 10.00
City / State/ZIP; / f' 4t,J oe 97 Z ,./ Clothes dryer exhaust 10.00
7 Single -duct exhaust (bathrooms,
Phone: ( .) 74// ( g Fax: ( ) toilet compartments, utility rooms) 6.80
a APPLICANT ❑ CONTACT PERSON Attic /crawlspace fens _ 10.00
Other: 10.00
Business name: g! e ✓ ,t 4 i 4 /6 del piping —
Contact name: , /
,�iGi4� / i..- S5.40 for first Pour; 51.00 for each additional
Address. itia i 55 titer,, - ._ Furnace, etc.
Gas heat pum2
City /State /ZIP: pct 1440 t 72 233 _ Walt/suspended/unit heater
Phone?, ) 2$S' -7 ,233 Fax: : ) 23-7 y' - i2 Water heater
�) '/ / Fireplace
E -mail: . 54 . /} pie 0 ee y �ierl/7 , C Range 1
CONTRAC'T'OR Barbecue
Business name: e e .e 4 4 - Clothes dryer (gas) _ 1 1 / G Other:
Address: Kip/ c f6" 1/ar L MECHANICAL PERMIT FEES•
J „ /„ 3
City / State/ZIP: Pot- a I q 7 ,23 2, Subtotal /6.4 p0
Mi permit fee ($72.50) 7 i p
r
Phune; ( 3 , , _ )'ax: )a l''"7/7 Plan review (25% of permit tee)
CCB tic.: ‘, -�� State surcharge (12%of permit fee) I ,70
TOTAL PERMIT FEE4 0 i , •L 0
A uthorlZCd signature: This permit application expires an permit u not obtained within 180
days after It has been accepted at complete.
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