Permit •
CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00300
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/23/2007
PARCEL: 2S110AA -91011
SITE ADDRESS: 10775 SW CANTERBURY LN 101 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: CANTERBURY CREST CONDOS
Project Description: HVAC- install a/c unit.
CLASS OF WORK: OTR 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:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: 1
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
J.J. O'MALLEY Description Date Amount
10775 SW CANTERBURY LN #101
TIGARD, OR 97224 [MECH] Permit Fee 5/23/2007 $72.50
[TAX] 8% State Surcha 5/23/2007 $5.80
Total $78.30
Phone: 503 -430 -8705
Contractor:
OREGON HEATING & AC
PO BOX 397
DUNDEE, OR 97115 REQUIRED ITEMS AND REPORTS
Contact #: PRI 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 B P // Permittee Signature: Y aktV...n
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.
May 23 07 02:59p Oregon Heating & R/C 503 - 537 -2172 p.1
Mechanical Permit A s , hear . OILS .,�,, a -- FOR OFFICE USE ONLY
City of Tigard ;L , raa eceived ` P
EVIIII ,f '.. g ,,,:abate/By: L., M . WO- �� �_
13125 SW Hall Blvd., Tiga OR 97223 Plan Review 7.
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
D ate lB y:
TIGARD Inspection Line: 503.639.4175 NAY 23 2007 Date Ready /By: See Page 2 for
Internet: www.tigard - or.gov Notificd!Mcthod: � Supplemental Information
TYPE OF YO COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
p � " 1Ttr . M echanical permit fees* are based on the value of the work
❑ New construction ® Addition! teration /replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and ptnfit. • CATEGORY OF CONSTRUCTION Value: S
® 1- and 2-family dwelling - • . RESIDENTIAL EQUIPMENT/ SYSTEMS FEES*
y g ❑ Commercial /industrial ❑ Accessory building
❑ Multi-family or special information use checklist.
y ❑Master builder Cl ❑ Description Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling _
Job site address: IUD �--v Qr -- Air conditioning or heat pump �y�
Can- �---5 bo L--1 1 * in ( (requires site plan showing placement) 14.00 \ L \ 'CO
City/State /ZIP: --- ri9cr� �"1laaq Furnace 100.000 BTU (ducts %vents) 14.00
Suite/bldg. /apt. no.: Project name: Furnace 100,000+ BTU (ducts /vents) 17.90
Gas heat pump 14.00
Cross streeUdirections to job site: Duct work 14.00
Hydronic 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: Lot no.: Flue /vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: Other fuel appliances
• DESCRIPTION OF WORK Water heater 10.00
�i Gas fireplace 10.00
HVAC-
nS + G U f 1 c Flue vent for water heater or gas
fireplace 10.00
_ Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00
lil PROPERTY OWNER ID TENANT Chimney/liner/flue/vent 10.00
• Other: 10.00
Name: 7 7- /`� i es Environmental exhaust and ventilation
S Range hood/other kitchen
Address: 1 1 � �1 a Li Gn r ) 1 � `Gi equipment 10.00 •
City/State /ZIP: I, c Orr cria aiA Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ('3) 9.3t._ C 705 Fax: ( ) toilet compartments. utility moms) 6.80
® APPLICANT • • ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Oregon Heating & A/C Fuel r m
Pip g
Contact name: aShetle $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: PO BOX 297
Gas heat pump
City /State /ZIP: Dundee OR 97115 Wall /suspended unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
Fireplace
E -mail:
Range
•
. CONTRACTOR .. Barbecue
Business name: Oregon Heating & A/C
Clothes dryer (gas)
Other:
Address: PO BOX 397 MECHANICAL PERMIT FEES* . .
City/State/ZIP: Dundee OR 97115 Subtotal
Phone: (503) 538 -2953 Fax: (503) 537 -2172 Minimum permit fee ($72.50) 7,:....
Plan review (25% ofpennit fee)
CCB lie.: 172126 State surcharge (8% of pennit fee)
TOTAL PERMIT FEE 73,60
Authorized signature: This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete.
!! !'''���
Print name: c., 1e le i;3bee, Date: 5 - ,95 -07 " Fee methodology set by Tri-County Building Industry Service Board
t "HuiIdisg' mils »MtC-- Permitnpp.doc 04.06.'06 440 - 4617T (I t :021CO5MER)
. ,
May 23 07 02: 59p Oregon Heating & A/C 503-537-2172 p.
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007 -00300
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/23/2007
Phone: (503) 639 -4171 d9��li�ls�
Inspection Requests (24 Hrs.): (503) 639 -4175 _.
INSPECTION WORKSHEET FOR DATE: 6/4 /2007 TIME: 7 :01AM PAGE: 98
SITE ADDRESS: 10775 SW CANTERBURY LN 101 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST CONDOS
DESCRIPTION: HVAC- install a/c unit.
OWNER: J.J. O'MALLEY, PHONE #: 503 - 430.8706
CONTRACTOR: OREGON HEATING & AC PHONE #: 503. 538.2953
Inspection Request Scheduled For: Date: 6/4/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 049459 -01 503.538-2953 Y
Co - tions /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL Ce . L FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: .
•
Date: 6- / �1 Phone #: (503) 718-