Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2005 -00689
.-11 DATE ISSUED: 6/29/2006
13125 SW Hall B Tigard, OR 97223 503 - 639 -4171
10_21 g �1 PARCEL: 2S110AA -01500
SITE ADDRESS: 486I CANTERBURY LN BLDG 21 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOS LOT: 010 JURISDICTION: TIG
Project Description: Building 21, new 4 unit condominium.
Addresses: Units 1 through 4.
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS: 16
OCCUPANCY GRP: R1 VENTS W/O APPL: 4 VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS: 4
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS: 4
FURN < 100K BTU: 4 AIR HANDLING UNITS OTHER UNITS: 4 •
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 16
> 10000 cfm:
Owner: FEES
CANTERBURY PLACE, LLC Description Date Amount
109 EAST 13TH STREET [TAX] 8% State Surchar 6/29/200E $27.38
VANCOUVER, WA 98660 [MECH] Permit Fee 6/29/200E $342.20
Phone: 360 - 695 - 7700 Total $369.58
Contractor:
FRITZ MECHANICAL INC
22100 NE 237TH AVE REQUIRED ITEMS AND REPORTS
BRUSH PRAIRIE, WA 98604
Contact #: PRI 360 - 883 - 4876
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 -3 .2- 2344.
Issued y: _L1/ Permittee Signatures ��yl�
Call 503 - 639 -4175 by 7:00 a.m. for inspections that business 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 - --- - - - - roll on ice USE ONLY
--..?---.7.---
City of Tigard Date/By: - Permit No. \ i_� / • A, .
13125 SW Hall Blvd., Tigard, OR 9, f !;
Phone: 503.639.4171 Fax: 503.59 : /
t 4 . Other Permit:
` Plan Review
. i ` /�ia lD iWi Date/B Inspection Line: 503.639.4175 qt I Date Ready /By: lid See Page 2 for
Internet: www.ci.tigard.or.us OCT 1 1 4 2005 Notified/Method: • i Supplemental Information
'GTE
E ur F T IUn(,� O W,OR COMMERCIAL; •FEE" SCHEDULE, - : USE CHECKLIST
® New construction 1: MIldjy(c)Cflagrptii placement 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: $
❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIpENTIAL'EQUIPMENT %SI'STEMS FEES
® Multi - family 0 Master builder For special information use checklist.
❑ Other: Iescription I Qty. I Ea. Total
/(j 7/ 9 JOB SITE INFORMATION AND LOCATION eating/cooling
Job site address :SW Canterbury Lane r conditioning or heat pump
(re ∎ uires site plan showing placement) 14.00 /
City/ State/ZIP: Tigard, OR 97223 F , ace 100,000 BTU (ducts/vents) 4 14.00 5 (o
Fum: ce 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: BLDG/ Project name: Canterbury Crest Gas h at pump 14.00
Cross street/directions to job site: Canterbury Lane off HWY 99 S Of SW McDonald Duct irk 14.00
Hydroni• hot water system 14.00
Residenti., boiler (radiator or
hydronic) 14.00
Unit heaters el -type, not electric),
in -wall, in-du , suspended, etc. 10.00
Subdivision: Canterbury Place Lot no.:
Flue/vent for an of above if - 10.00 L. 0
Other: 10.00
Tax map /parcel no.: WCTM 2S110AA, 01500, 01400 Other fuel applian -s
DESCRIPTION OF WORK Water heater '{ 10.00 L - ) D
Gas fireplace 4 10.0 i Li()
New Construction of Condominium Units ∎C a c'ot r Opetadatn, IA i t ht S , Flue vent for water he. - or gas
11 }. I r fireplace 4 1t.00 X10
au ► 1tl. ! t Val., 1�/ e W lj ci r j ri Cy D 1s- e 4 , a.. h I d� Log lighter (gas) 0.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
® PROPERTY OWNER ❑ TENANT Chimney/liner /flue/vent 10.00
- Other: Range 10.00 9 0
Name: Canterbury Place LLC Environmental exhaust and ventila o
Address: 109 East 13 Street Range hood/other kitchen
equipment 10.00 y Q
City/State /ZIP: Vancouver, WA 98660 Clothes dryer exhaust t{ 10.00 1 -1D
Single -duct exhaust (bathrooms, g_9-
Phone: (503)221 -1920 Fax: (360)693 -4442 toilet compartments, utility rooms 1 6.80 1IA
® APPLICANT CO CONTACT PERSON Attic/crawlspace fans 10.00
Other: 10.00
Business name: Canterbury Place LLC Fuel r m
Pp g
Contact name: Dave Gutschmidt $5.40 for first f r; $1.00 for each a . ditional
Address: 11625 SE 5 Street
Furnace, etc. L i s , `1 O
Gas heat pump
City/State/ZIP: Bellevue, WA 98005 WalUsuspended/uni eater
Phone: (360) 695 -7700 Fax: : (360) 693 -4442 Water heater 14 5 , cJ 0
E-mail: Fireplace 5 , H D
Range S , 1- 11)
CONTRACTOR Barbecue
Bj Clothes er (gas)
j FRITZ MECHANICAL INC Other:
- 22100 NE 237TH AVE MECHANICALPERMIT,FEES* • ' _. -
C BRUSH P Subtotal y f, y 0
PRAIRIE WA 98604 Minimum permit fee ($72.50)
F 360- 883.4g76 CCB# 154410 Plan review (25% of permit fee) 5 : , 3D
(,L° State surcharge (8% of permit fee) 3 / , 32
TOTAL PERMIT FEE 5 (p ' , 0 2—
Authorized signature: - This permit ap ' 'on expires if a permit is not obtained wit . in 180
d s it has been accepted as complete.
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BUILDING DIVISION PERMIT #: MEC2005-00689
13125SVV Hall B|vd.. Tigard, ORO7223 ' DATE ISSUED: 5/29/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 1.12.
INSPECTION WORKSHEET FOR DATE: 7/9/2007 TIME: 7:02AM PAGE: 58
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, new 4 unit condominium.
Addresses: Units 101.102.103.104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360'695-7700
CONTRACTOR: FRITZ MECHANICAL INC PHONE #: 360-883-4876
Inspection Request Scheduled For: Date: 779/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 051607'04 503-313'7398 N
Corrections/Comments/Instructions:
I | �� I �� PASS / / ~ ^~T�LAPPROVAL / / �ANCEL / NOACCES8
FAIL , ' ALL FOR INSPECTION AOODl•NAL EES ASSESSED
A'
Inspector: Date: Phone (5O3)718' .~
�N�mb � #: ` '
_ • -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC200&•00609
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/20 /2006
Phone: (503) 639 -4171 � i Inspection Requests (24 Hrs.): (503) 639 -4175 Ja
INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 11 •
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, new 4 unit condominium.
Addresses: Units 101,102,103,104,
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: FRITZ MECHANICAL INC PHONE #: 360 -8B3 -4676
Inspection Request Scheduled For: Date: 4/11/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 046336 -05 503545.3654 N
Corrections /Comments /Instructions:
. at, e„.
p d
4.?
•
64"
X \ PASS El PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
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Inspector: Date: Phone #: (503) 718- •
CITY 'OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005-006139
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/22/2007 TIME: 7:00AM PAGE: 35
SITE ADDRESS: 10719 SW CANTERBURY LN BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, new 4 unit condominium.
Addresses: Units 101,102.103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700,
CONTRACTOR: FRITZ MECHANICAL INC PHONE #: 360-883-4876
Inspection Request Scheduled For: Date: 3/2212007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 045241-01 503-545-3654
Corrections/Comments/Instructions:
•
•
- A S S • IAL APPROVAL 0 CANCEL 0 NO ACCESS
n FAIL 0, R INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: ■1111•111111■ Z d Phone #: (503) 718- 2 C
CITY OF TIGARD
BUILDING DIVISION -:'
._. : PERMIT #: MEG2005-00689
.,
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/29/2006
Phone: (503) 639-4171 3:Pri(it
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/2112007 TIME: 7:02AM PAGE: 20
SITE ADDRESS: 10719 SW CANTERBURY LW BLDG 21 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 21, new 4 unit condominium.
Addresses: Units 101,102,103,104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: FRITZ MECHANICAL INC PHONE #: 360-883-4876
Inspection Request Scheduled For: Date: 3/21/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
610 Gas line 345183-01 503-545-3654 N
Corrections!' • mments/ Instructions:
el • 0
n PASS 1E PARTIAL APPROVAL 1 j CANCEL 0 NO ACCESS
AIL rA . FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: - —4. ______ Date: 3 (--- 2 / 7 Phone #: (503) 718-7
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