Permit CITY TIGARD MECHANICAL PERMIT
• 7 COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00406
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/10/2007
PARCEL: 2S110AA -CCOM
SITE ADDRESS: 10727 SW CANTERBURY LN BLDG 22 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: CANTERBURY CREST
Project Description: Install a/c units in Units 101,102, 103 & 104.
CLASS OF WORK: OTR FLOOR FURN: EVAP COOLERS:
TYPE OF USE: MF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R1 VENTS W/O APPL: VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 4 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CANTERBURY PLACE, LLC Description Date Amount
109 EAST 13TH ST
VANCOUVER, WA 98660 [MECH] Permit Fee 7/10/2007 $72.50
[TAX] 8% State Surcha 7/10/2007 $5.80
Total $78.30
Phone: 360 - 695 -7700
Contractor:
ANDERSON HEATING, INC.
6463 DAWN AVE.
LAKE OSWEGO, OR 97035 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 841 -0742
Reg #: LIC 168214
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.
// Permittee Signature: /� / ,
Issued B ,i / /
P
' . a. g 20,C hJ` ����
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.
City p - ' - " Iol. OF1.1('I•.1 SI: t)N1 1'
Meciianical Permit Ap 1>Icatx t _ `
1111 - City of Tigard Received permit No .
13125 SW Hall Blvd., Tigard, OR 97223 JUL 0 9 20 07 D3 v3/B y �-1�p � b SL I3 1� C. 1! l l i0 ..
Phone; 503,639.4171 Fax: 503.598,1960 Ilan Review
e ��* �® Date/By: Other Penchi Bu 12 S �F� ,
r I+; AR f CITY Inspection Line: 503.639.4175 ��� , p Date Read)/13y: Jail & $ee Page 2 fur
Internet: www.tigard- or.gov BUILDI� •'� D Not lied/Meihod. 6 I . :Si ,ppleatentat Information '
TYPE OF, WORK . . COMMERCIAL FEE* SCHEDI 'LE - USE CHECKLIST
® New construction ❑ Addition /alteration/replacctncnl Mechanical permit feel are based o i the value of the work
performed. Indicate the value (round:d to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials_ et tti.Inent, !aim overhead. and profit.
__
CATEGORY 1DF,CONSTRUCTION value; S— — •
RESIDENTIAL EQUIPMI':11 r / SYSTEMS FEES*
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Ac 'essory building ---
FOrspeClpi mfortnarro t use cheeklIA
® Multi - family ❑ Master builder ❑ Otl Cr: — Description Qty, I I.a. Total
,IOB SITE INFORMATION AND LOCATE( IV Ifentiu_ contin_ —
Job site address: 10727 SW Canterbury Lane Air conditioning or heat pump
r • uIroa site .Iva showin, .I,tceirreu,1) _ 1 14.00 p
City /State /ZIP: Tigard OR 97224 Furnace 100,000 DTU (ducts /yenta)_ _ _ 1
— Furnace 100,000+ BTLI (duLLsivc,lt ) 17,90
Suite/bldg. /apt. no.: 22 Project name: Canterbury Wood c_cc_ it' — Gas heat urn -- 14.00
Cross street/directions to job site: 99W and Canterbury _Duct work 10.00
H dronic hot waters stem _ I. _
-- _ Residential holler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, nor electric)_
in -wall, in -duct, sus .ended. arc, _ 1.
Subdivision: Lot no,; 1,2,3 Flue /vent for any of above _ 6 80
other: — _ ('.00 _
Tax map /parcel no.: Other fact a . tianCeS •_
DESCRIPTION OF WORR Water heater -- I0.00
Install A/C Units Gas tirc.lace — 10A0
Flue vent for water heater or gas
lire.lace 1('.00
Unit 101, 102, 103 4 L04 --
- Lo• li_htcr •ui 10.00 _
Wuod/.ellet stove __ 10.00 _
Wood fire lace/insert _ 1(',00
�JPROPERTY OWNER ❑ . ENANT —
— Chimney/liner/flue/vent _ — _ 1(1.00
Other: _ 10,00
Name: Came rlp tica C Envitonmental exhaust and vcntilo tion
— tt�� / . c•u .menl Range hood /other kitchen
Address: 9 ,� _— i _ —. 10.00
�_ V
City /State /ZIP: Ya fCD : ex q81a6e 0 Clothes d er exhaust - -- 1(1.00 _
Single -duct exhaust (bathrooms,
Phone; ( ,�(�) �O - 0 Fax: (301; Xe 3 4441 toilet eom.artmcnts, utilit rooms'_ 6 80
❑ APPLICANT ❑ Co NI \Crt FettsoPt Attic /crawls. ace funs _ 11:,00
Business name: — Other: _-- • 1 0.00
. - _ Fuel ii in_
Contact name: 55.40 for first four: $1.00 Or each additional
Address: Furnace, ere. _ _
—,r - — Gas heat pump — _ -
City /State /ZIP: Wall /sus.ended/unit heater _
T
Phone: ( ) Fax: : ( ) Water heater -- -
Fire lace _
E -mail: Ran:e __
_ CONTRACTOR Barbecue — _
Business nutne: Anderson Heating Inc. Clothes d cr (a)
__ Other: _ _.
Address: 6463 Dawn Ave. MECHANICAL PERMIT FEES"
-
City /State /ZIP: Lake Oswego, OR 97035 Subtotal 5(.C, 00
Phone: (503) 841-0742 Fax ( ) Minimum Perm; fee ($72.50) • .
_ Plan review (25 7L, - f permit fec)
CCB lie.: I ` 1 1 /2— 1 q a Slate surcharge (8% if permit fec) • 1 ,
II / - — TOTAL PE MIT FEE�1ikl
Authorized signature: / , v l This p application ex=lirta If a pci nit is not obtained Within 1St)
g I days after it hits l u
s beau aces s complete.
Print name: Matt weatherdon I Dat : 7 - - 1 - Fee methodology set by Tri.(O B, tiding Industry Service Board
1700 /Z00El XV3 99 81 171.03 /80/60
09/08/2014 18:56 FAX Z 004/004
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CITY OF TIGARD
BUILDING DIVISION 4 PERMIT #: MEC2007 00106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/1012007
Phone: (503) 639 -4171 ud iig iit
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/7/2007 TIME: 7:03AM PAGE: 33
SITE ADDRESS: 10727 SW CANTERBURY LW BLDG 22 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Install a/c units in Units 101,102, 103 & 104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: ANDERSON HEATING, INC. PHONE #: 503 -841 -0742
Inspection Request Scheduled For: Date: 8/7 /2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 053541 -01 503 -672 -7015 N
Corrections /Comments/ Instructions:
•
•
!SLPASS • •ARTIAL APPROVAL I I CANCEL NO ACCESS
I I FAIL r CALL FOR INSPECTION n ADDITIO ' L F-ES ASSESSED
Inspector: Lr Date: Phone #: (503) 718- Z . 0
at
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: MEC2007 -00406
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2007
Phone: (503) 639 -4171 � Requests (24 Hrs.): (503) 639 -4175 ittli •
INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME: 7:03AM PAGE: 34
SITE ADDRESS: 10727 SW CANTERBURY LN BLDG 22 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Install a/c units in Units 101,102, 103 & 104.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360-695-7700
CONTRACTOR: ANDERSON HEATING, INC. PHONE #: 503 - 1341-0742
•
Inspection Request Scheduled For: Date: 8/1/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 053181 -01 503-572-7015 N
Corrections /Comments /Instructions:
1 -- may
1 l • -
T .1:21ky' •
❑ PASS M % RTIAL APPROVAL ❑ CANCEL I I NO ACCESS
' j1 FAIL NT C LL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: f Phone #: (503) 718 - i
p ( ) i �
mib
.
CITY OF TIGARD
BUILDING DIVISION .- PERMIT #: MEC2007 -00406
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/10/2007
Phone: (503) 639 -4171 'g i
Inspection Requests (24 Hrs.): (503) 639 -4175
I I
INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 84
SITE ADDRESS: 10727 SW CANTERBURY LN BLDG 22 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Install ale units in Units 101,102, 103 & 104. ,
OWNER: CANTERBURY PLACE, LLC, PHONE #: 360 -605 -7700
CONTRACTOR: ANDERSON HEATING, INC. PHONE #: 503-841-0742
Inspection Request Scheduled For: Date: 7/27/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 052851 -01 503-313-7398 N
Corrections /Comments /Instructions:
(O/ (a /o Ok
D 4 G1(
I /1/61
PASS PARTIAL APPROVAL ❑ _ CANCEL - ❑ NO ACCESS
❑ FAIL .GAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: 1 /
: , q/
718- 'd
spector. Date. Phone #: (503) 718
r r