Permit r
c; z ,
I1 CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2006 -00630
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/12/2006
PARCEL: 2S110AA -CCOM
SITE ADDRESS: 10779 SW CANTERBURY LN BLDG 14 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
Project Description: Building 14 Unit 102 add AC unit.
/01
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: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: p,,- DOMES. INCIN:
ELE 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CANTERBURY PLACE, LLC Description Date Amount
109 EAST 13TH STREET
VANCOUVER, WA 98660 • [MECH] Permit Fee 12/12/20( $72.50
[TAX] 8% State Surcha 12/12/20( $5.80
Total $78.30
Phone: 360 - 695 -7700
Contractor:
FRITZ MECHANICAL INC
5913 NE 127TH
VANCOUVER, WA 98682 REQUIRED ITEMS AND REPORTS
Contact #: PRI 360- 883 -4876
FAX 360 - 883 -2969
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 1.800.332.2344.
Issued By:
Ec Permittee Signature: - Ca 1
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 — _ _ , _FOR_OIF ICE _l1_SE ON ;1 Y _ __ _
City of Tigard x CEtV� Received ' �� / 3� Pe rmit No. �cs•/ O
111 ql t3' g Date/By I O6 W[f77 l/ 4,30
13125 SW Hall Blvd., Tigard, 0 `1 ?I!
11 ' ` Phone: 503.639.4171 Fax: 503.598.1960 Plan Review Other Permi
, Date/By WIC---e-.).095 — SD
TIGARD Inspection Line: 503.639.4175 DEC r ' Date Ready/By: Jud ®
y. See Page 2 for
Internet: www.tigard- or.gov l r 0 2�U6 Notified/Method T Supplemental Information
CITY OF TIGARD
TYPE l Q DIVISION FEE* SCHEDULE - USE CHECKLIST
❑ New construction ❑ Addition/alteration/replacement 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 CON STR UCTION - Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS_FEES*
01 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
I Ea. ❑ Master builder ❑ Other: .
Description I Qty. Ea. I Total
-JOB SITE INFORMATION AND LOCATION Heeti g/>f co 1 g
Job site address: {{..�� - ) Mr conditioni g or heat pump
V ! �'/] 7 �(�(/ ( an showing placement) ' 14.00
City /State /ZIP: L 10P- ( � 01�� Furnace 100,000 BTU (ducts/vents) 14.00
Suite/bldg. /apt. 1`I , I Project name:C / u Furnace 100,000+ BTU (ducts/vents) 17.90
( Gas heat pump 14.00
Cross street /directions to job site: Duct work 14.00
1 LO Hydronic hot water system 14.00
6" Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: Lot no.: / 0 / Flue /vent for any of above 10.00
Other: 10.00
. Tax map /parcel no.: jOa Other fuel appliances
. , DESCRIPTION OF WORK Water heater 10.00
/ `J Gas fireplace 10.00
�-/ �..� 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
❑ PROPERTY OWNER ❑ TENANT •
Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
• City /State /ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
•
❑. APPLICANT ❑ CONTACT PERSON Attic/crawlspace fans 10.00
Business name: Other: 10.00
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
- , CONTRACTOR . . - - Barbecue
. Business name: A , X' Clothes dryer (gas)
111 Jwl Other:
Address: J %/ 3 N • /;:-/ sr "" 1 . MECHANICAL PERMIT FEES*
City /State /ZIP: V a r LfM.. 9�6p 6 51 Subtotal • .
• Phona3 ) 5 - � (, / Fax:V� ) g? 3 - .(3 Minimum permit fee ($72.50)
Plan review (25% of permit fee)
CCB lic.: / -.-4b7// Q State surcharge (8% of permit fee) 0 S
•
TOTAL PERMIT FEE 1V-5t1
Authorized si re: This p ermit application expires if a permit is not obtained within 180
� days after it has been accepted as complete.
"
Print name: .• t:ZN'vv'i Date: * Fee methodology set by Tri County Building Industry Service Board
1:\ Building \ Permits \MEC- PermitApp.doc 04/06/06 440 -4617T(11 /07/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information • '
Commercial Fee Schedule:
Total Valuation:: w : 'Permit..Fee
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
•
$1.35 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.00 and
$1.25 for each additional $100.00 or •
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
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1:\Building\Permits\MEC- PermitApp.doc 12/30/05 2
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: MEC2006-00630
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/12/2006
Phone: (503) 639-4171 „„40, 1 1 111L`
Inspection Requests (24 Hrs.): (503) 639-4175 ..4111■ r- 1 1..
INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7:04AM PAGE: 24
SITE ADDRESS: 10779 SW CANTERBURY LN BLDG 14 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST
DESCRIPTION: Building 14 Unit 102 add AC unit.
OWNER: CANTERBURY PLACE, LLC, PHONE #: 3%695-7700
CONTRACTOR: FRITZ MECHANICAL INC PHONE #: 360-883-4876
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
695 Misc. insp ction . 2f 1 2? rk( 041039-02 503-313-7398 N
Corrections/Comments/Instructions:
0/q Fr /oz. oe eA„Ly
.
ife-1 10/ di<
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PASS fl PARTIAL APPROVAL fl CANCEL I I NO ACCESS
FAIL I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: C--Ht f =;. Date: /Z// Phone #: (503) 718- Z6 9
"•.. ... ,_. _ . .