Permit f , 5
IN
CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00372
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/17/2008
PARCEL: 2S 110AA -CC211
SITE ADDRESS: 10719 SW CANTERBURY LN 101 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: GUY
Project Description: Installing A/C.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF 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:
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
STEVE GUY Description Date Amount
10719 SW CANTERBURY LN 101
TIGARD, OR 97224 [MECH] Permit Fee 7/17/200€ $72.50
[TAX] 12% State Surch 7/17/200€ $8.70
Total $81.20
Phone: 503- 686 -5772
Contractor:
OREGON HEATING & A/C
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 538 -2953
FAX 503 -691 -8556
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: � / , �� • - rmittee Signature: See'
iJ `
Call 1 . • 39.4175 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.
ti . t•
of Tigard
+ -s-`r N d a.' � u rt q k'. alp W <� + 1' Mechanical Permit • .1 Cit .L b��r• ?l J t �r � : 1 t S1r ION L Y ,' '._. ;
City R eceive :
S 13125 SW ball Blvd.,'lipid, OR 97223 y ��a • ermitNo.: �� i _.46. ��
14
cc Plan Review
Phone: 503,639.4171 Fax: 50J0L1990p LUUO Date./13y: Other Permit:
.1,ICAR Inspection Line: 503,639,4175 Date Ready/By: lot13; RI See Pape 2 for
Internet: www•tigard-or.goy�I i OF TIGARD Notified;Method: 6 Supplemental Information
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❑ New construction [ Addition/ alteration /r. eplacement Mechanical pem 1t fees* are based on the value of the work:
❑ Demolition 111 Other: performed. indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead and •rofrt.
11 }}}t t { �j{ tJ � j j�� i i i p .. n RI ; P ' +I� 1 � 6 m ut; iS,I r >np j i l f} Z , Value: $
`( i[BYf 1i'Il ill Ii rif,I� I II t t 'IE 'I� :mill h 1 111.1 S'.CiPEpIlll-5!f l ��. i ,
Ifl _L M t a C � r � 13 �_= ` r� tt } { �1N 11C I t }t t { �V i} , � , � I n � i H � ) 1 = " .
[� t and 2-family dwelling ` ni Il lla_ikrt i "rn�t t it i 1. _ �tiiItIItt'a 7 i aii' n tiri.n ni.4 ,, i ' tl
y b ❑ Collmiercial /industrial ❑ Accessory building
For special info, matzoh use checklist.
❑ Multi - funnily ❑ Master builder ❑ Other: Description Qty. Fa. Total
114 l i ,iii ° ' 1 ',. 1. 1 into; i ;ldd,Ffal '�tl C aslag 'di Il i nYtl�ilm iPtigiP� ff i:4,:11 1 r! ,31 1 Heating/cooling
y
Job site address: I U q V/ C CS § Pr u �,/ r_ h` t Ai, conditioning or heat pump O 1 ( J
n uiraS We •ISnshowin •lacaittul IR.00
City /State /ZIP: T ; 9 ,- c,l i 0 .] '- l.) Furnace 100 .2 000 BTU (duels/vents) 14.00
Suite/bldg./apt. no.: Project name: 0
0 l�� Gas r mace 100 0004- BTU ductslveuts) 17.90
as loaf •um 14.00
Cross 3trcet/dircctions to job site: Duct work I 10.00
Flydronic hot water system 14.00
' Residential baiter (radiator or
h dronic 14.00
Unit heaters (fuel - type, not electric),
in- 'wall, io-duc suspended, etc. 14.00
Subdivision: Lot no.: for an of above 6.80
,w.,- n Other 10.00
u
Tax map /parcel no.: Other fuel a r s Iianee
{ i+¢ ¢ I i ,; t Y :117" �o � a t1s N 1, d I ' - Water heater 10.00
! + 1 °9 . i .0,1 ' , I { i r - ` i / iZ�,t • •1 )/) . �9 �•• cnls fireplace 10.00
I y" S - {.t 1 1 7 1 (- C p I,•� d1 i 1 ty y , e tr' Flue vent for water heater or gas
fir .lace 10.00
I o; li titer (gas) 10.00
Wood/ ellet stove 10.00
WEE �{. ¢�� �¢�¢ {} �; OM Wood fir 'lace/insert 10.00
I[C,lflf'IIz 1tiJ€ ! �4' =l ii. , °?�mlt ai lj 1 1 i '� +:P' ill ' ME 4 r� €l f t O �nctneyAinerlflue/vcnt 10.00
Name: v Environmental exhaust and ventilation
Range hood/other kitchen
Address: / .G -7 f q S W CG ve -er ►, r� L r'1 . \ l ° 1 equipment 10.00
City /State/ZIP: Q a Clothes . erexhaust 10.00
Single-duct exhaust ,till mor om .
(S
Phone: G 3) � � 6 � '� 7 a,- Fax: ( ) toilet t c corn m attmeltts, mill morns) 6.80
Ir , ... • 'Eli � t 1 I Ntnf A � } t Attic /crawls
III! '1 il6l ,`i1 gQi, , i¢ ¢ ¢ { ti j I jf{ salp }e�`v}��t�a 1 r '� �¢1 i ace fans 10.00
7; n >,o . rS c,. Ill 44 - I i ' li u^ ." r 1 l'i 4 ' nn.. tY�hd MaRi 17i� )1• ; if i li Other p 10.00
Business name; C r ,e.. 4 v, ( e a 4 4 " , .A o • ., a i A / C fuel piping w
Contact name: P c 'l •11 4- c H $5,40 for first four; $1.00 for each additional
rf Furnace, etc. 1
Address: P G BO* Sj _I `7 - Gas heat •tlm•
City /State /ZIP: 1-)u. s^ d P . e (1` C 7 f 5 Wall /suspended/unit heater
Phone: (,3) *it 5 3,o,_ 3 Fax: : (S 3) E co - g S sj C Water heater
Fireplace
E -mail: ,
• i
ir e ¢ a ll,
o .•4.1a.slsli t illattll?altlit, ;11; - t '.,, • 1 .11.�$1 1I� tt i • ' I I i ! I . qj i . I i ' .� Barbecue
d , 6 3P .yr ;!. a ' '� • t
3,_ I P. d 1 I #P..: i Clothes 'er( °'
Business name S 4 VV1 2 Other: linni
Address: ' ! : 33 1 p il'�` i ' i . i, �{ y;�, ri, 1 {{V t
�,� - i le , IN .i ith l ,If'nmiil hluula f u r '1 t Nom
I
City /State /ZIP: Subtotal "7 . .1 a
M Minimum permit fee ($72.50)
Phone: ( _, ( „, ) flan review (25% of permit fee)
CO3 lie.: [ -7 a i 2 4 State surcharge (12 %ofpermit fee) Sf . e•
TOTAL PERMIT n to d5? - n 80
Authorized signature: This permit appllcv it expires it a een accepted 1s oat obtained Within 1$D
days after ter has been as complete.
Print name: "� \„ - - e ,- v *� -�--p r , Date: -] / ! l) / O g ' � Fee methodology set by Tri- County Building Industry Service Board
t: wilding \Pnmits'h5EC.PermitApp.doc 01/19/07 440 -4/17T (1I /02 /CObt'WEB)
EO /TO 3J47d ONIltidH NO9 10 9SS8 -T69 -COS 517 :9T 800Z /91/L0
07/16/2008 16:45 503- 691 -8556 OREGON HEATING PAGE 02/03
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CITY OF TIGARD '0
BUILDING DIVISION PERMIT #: Mec2c�olOCa372
h.A. 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71/7/20081
Phone: (503) 639 -4171 . @��i4 � 1II •
Inspection Requests (24 Hrs.): (503) 639 -4175 �- !�i `__..
INSPECTION WORKSHEET FOR DATE: 8/612008 TIME: 7 :03AM PAGE: 27
SITE ADDRESS: 10719 SW CANTERBURY t.N 101 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: GUY
DESCRIPTION: Installing NC.
OWNER: GUY, STEVE PHONE #: 503.686 -5772
CONTRACTOR: OREGON HEATING & A/C PHONE #: 503 - 538 - 2953
Inspection Request Scheduled For: Date: 8/6/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message ?/"
699 Mechanical final 073797 -01 503 -686.5 72 Y
Corrections /Comments /Instructions:
Glee -i f Mi ib.g I 7- Cis ( /8
I;/3W
C� 5(2_ 4-`1,,c,,,\
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
l FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: 05 Date: (.,</-• JU£� Phone #: (503) 718- 2%23