Permit jig : CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00335
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/26/2008
PARCEL: 2S 110AA -CC241
SITE ADDRESS: 10743 SW CANTERBURY LN 103 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: MOHR
Project Description: Install A/C
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: 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: WOODSTOVES:
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
ADAM & KATE MOHR Description Date Amount
10743 SW CANTERBURY LN #103
TIGARD, OR 97224 [MECH] Permit Fee 6/26/200E $72.50
[TAX] 12% State Surch 6/26/200E $8.70
Phone: Total $81.20
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRl 503 -538 -2953
FAX 503 -537 -2172
Reg #: LIC 172126
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 By: Permittee Signature: __AA t � _ i e a
Call 503.639.4175 by 7:00 a.m. for inspections that busines " da .
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.
Mehanica! Permit Application �j �J�j „ ` TOR OFFICE uSE o `" ' ' - : ,�
,'
L t ti :" `' fig' C of Tigard RECEIVED Y ED Received PenxitNo.: -440.33 '.
.. 13125 SW hall Blvd., Tigard. OR 97223 P re R � �
' - ' --,:l ' Phon :03,639.4171 Fax: 503.599 19 � 2008 Flan Review
5
6 2�Q Date/By: Other Femiic
• Inspon Line: 503.39.4175 JUN G 6 -'
TIGAR Internet: Fi 6 Data Ready By: Si Se Pane Internet: www.ugard •Or.gov
Notified/Method: Dae Re dy/By: ES Se e Page 2 far
Information
CITY OF i'IGARD
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❑ New construction Addition/alterati0n/replacement ^ _ Mechanic permit fee are based on th value of the wore:
0 Demolition ❑ Other: performed. Indicate the value (rounded to the nearest dollar) of all •
1 e . _ „ ` i mechanical , s equipment, overhead, an d pro
matcnal , cq p labor, ov ad fit
''+''y..
1:1 „�1 j f1 ';' *. ", t r irks; ` . i ! ;: , I�ATF S �r"." .t T0'+ , '.UT C"F1,. eP 7I 1, a �o il' j,,;' Value: $
1- 2_f mYl dvrellin t. 1 ..ht,.SITYg,'1 L'TpM �I 'i'viY T$M 5, : .4,
��}9 t
i� y g 0 Commercial /industrial ❑ A ccessory building + �,.. . + „•,(
ploy �
❑ M ❑Master builder For special information use checklist.
1 ,d 1,1 i� Multi-family il Vrl e �t.' .z rr-r , ' µ ❑ m Description Qty. Ea. - iota!
Other:
'V, ti "'' [ :: . i ro ,� Q , .} .4 fJy47: A f}1 ` I , . ti ry.
b, ill It O vi �; -
s s � ut f 1 3 V - p
r ^ _ L.,. �, ' � T Q� �� � , . , ,, ... ,' t . I. r � i,,'t,t t 1 y f�; J! Heat
���= fnp/coolin�
Job site address:: 0 ,�, ,� � G .Air conditioning or heat pump r
C ! ore (requires site Li-lowing pinnemcnq 14.00
City/State /Zli°: -n, a g q a t ! Furnace 100,000 BTU (ducts/vents) j4.09
Ci M
Furnace 100,000+ BTI,) (ducts /vents) 17.9
Suite/bldg. /apt. no.: Prrjcct name: b g' - (� Gas feat pump w 14.00
Cross street/directions to job site: Duct work 14
.. F1vdronic 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: FIue /vent for any of above 10.00
Lot nc
- - ... Other: 10.00
Tax map /parcel no.:
Other fuel appliances
LIE ,d'� f , l,l 1'"^tl , aga "Gn,.r, :,n�, ", -�„ _
tt�1i �` •'t1i1. r E `', 1'. v MKS .�`� YI i 3 " 01 �,�:� atcrheater
e2lacc 10.00
Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
. _ Wood/pellet stove 10.00
• Wood frepiace/insert 10.00
'i'r i d + , a O W , � 5 a e 1 ' F ' , spa„ i r 1 E I�c, ltd Irk o fley /1¢let /IIue/v�1t 10.00
r) t �,,,.• r1,•�i�, „3�1t�i�11t 3, �n ., r, `. 1. ..,;�:iit= ,a�li.�.i<,;(,.;,�o�� Other: 10.00
Name A o A 0^ l< A 4 e /v1 o 1 r Environmental exhaust and ventilation
Address: ( 0 " 1 3 S W C a e !terl �( ry ( e4uipmcnt 10.00
1 j a i l rtnpc hood /other kitchen
I
City /State /ZIP: 1 - a rd CA-/) C{ - 7 a- V Clothes dryer exhaust 10.00
(� I
� �� � � p p '
Phone: ��
melo�uct s
�i=9t� r. `.tr:;:t7 �k:,r,,ni ; y �; "�� �i�y1'I� d^,: t l ) , . 1y,a„ . �,. •, 1...1•� � 1 ,
exhaust (bathrooms,
toilet compartments, utility rooms) b 80
! 1 t d � 4I, ,, t , i( .1,�, Artie /crawls ace fans 10.00
p� r ,a
,tl" �,�r� .r.,ltn � � y�; � .�' � r'" (f�,'1),. ",.r,' 14 i ", � ' �����i ' 1 '���?v �,',,,� � P
p� Uther 10.00
Business name;. 0 f e 9 a i t 1 �° �'� � rr � A. l C "`
Fuel
_ �.' ' ing
Contact name: p �' . .- -' 1. m r Tp iel $5.40 for first four; $1.00 for each additional
Address: p o � 3 ci -7 Furnace, etc. ^^
t - Gas heat purr
City/S tate/ZIP; �� 0 � d o e p L "7(1'5" _ Wall/suspended/unit heater
fl
Phone; (S:73 ) S 3 T ..- t7- Cf S Fax: : (c 3 ) 6c1 / .- e cc,c Water heater
E-mail: Fireplace
„ , r , Range
" ,'3 i 1 ,, ' "I i . , i., � t c1'OR' ` 11 q ' r ' ' 'Ii Barbecue
Business name: Ca v✓� Q Clothes d (gas)
.J. Other:
Address.
- - ';, � I f ` D1EC I\`ICAIIPE.RIt'II'I'; `E,i$,e 1 ' ( ,13`,,
City/State /ZIP; Subtotal '7,4 Sc
- -
--- Phone: ( ) Fax: ( ) -- _ Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic,: 1y 11 I Sta te surchar (12% p fee) r C l, . 7
LI _ . 1
p (- o o£ permit fee 70
/ T bi TOTAL PERMIT FEE R I -), e
Authorized signature; r �Pr' /� +^ ° s permit appileetlon cxpieca if a permit is eat obtaiu wlrhtn 180
{ days after it boa been accepted as complete.
I Print name: 5 < s Fee methodolo • set by to Coun Building Indus Service Board
L ' ' �~ � -I : rte_ cs � I Daft: �� ��� y methodology Y " lY s trr
t: Building , PmitslbL:C- pexmn.5pp.d.,c 04r0610d
4410-4,61 (1 vozcovrrwes}
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06/28/2008 10:38 503 -691 -855G OREGON HEATING PAGE 02/03
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CITY OF TIGARD
BUILDING DIVISION ,
PERMIT #: MEC2008-00335
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2008
Phone: (503) 639-4171 irtit '
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 7716/2008 TIME: 7:00AM PAGE: 32
SITE ADDRESS: 10743 SW CANTERBURY LW 103 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: MOHR
DESCRIPTION: Install NC
OWNER: ADAM & KATE MOHR, PHONE #: 603-698-2340
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 7/1612008 Pour Time:
Code # Inspection Description Confirm # Contact # Messase
699 Mechanical final 072643-01 503-598-2340 .61 L
Corrections/Comments/Instructions:
1 kia rc ,4 -4_-___s i (,;(7` i ea--S it 75N
AS ) I I PARTIAL APPROVAL El CANCEL I I NO ACCESS
-.........-
0 FAIL 1 I CALL FOR INSPECTION 111 ADDITIONAL FEES ASSESSED
Inspector: Amillo■ Date: 7 /(S106 Phone #: (503) 718- 2417'1