Permit I CITY OF TIGARD MECHANICAL PERMIT
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� ° . COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00359
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/11/2008
PARCEL: 2S 110AA -CC 151
SITE ADDRESS: 10783 SW CANTERBURY LN 101 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: ALLEN
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
KIM ALLEN Description Date Amount
10783 SW CANTERBURY LN 101
TIGARD, OR 97224 [MECH] Permit Fee 7/11/2001 $72.50
[TAX] 12% State Surch 7/11/200E $8.70
Total $81.20
Phone: 503- 970 -7990
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.
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Issued By: Permittee Signature: /-
Call . 175 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.
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i' Permit Application RECEIVE � r U SL o r\ [ v , ,1,,c2;:7,.,,'
r, ; Received Permit No.:
City of Tigard A/ v ' l7
oats y:
., r, 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review puler Permit.
Phone: 503.639.4171 Fax: 503,598.1960 1 O 2 008 na te;hy:
Inspection Line: 503.639.4175 JUL
Date Reaeiy;Hy: iu�: a See }'ate 2 for
;TII,ARU Internet: www.tigard- or.gov Notified/Method: Sappletnentalln
CITY OF I WARD
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❑ New construction [ Additi /alterati on/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.
77 ,n ••. .� • Itr1 n} xli , 'Value: S
l 1 t II' A l . 11 Ai '1att rt y r Il . I '' i A id
i o i7 � f f � � � �� ; •.. •. U� m! '. F t !i, it,Y71 �{tr�'alilrW It . � � ;-?
ICI 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building �"'fr la»w ' �� ill rl�stu t ; i"l a t
For special information use checklist.
❑ NIuln- f ❑ Master builder �} l ❑ Other: Description Qty - ME Total
�1 II t
i 111 f''lIlli{ }JIIII +��(l,il i +, „..i :ti,,4 , jsil„ii ,u,,k , I /b Iltatan- COOIin:
Air conditioning or heat pump
lob site address:
G 7 ? 3 5 w Car ,, e r b,A t L 1 1 re tires site .1An Show'. .laceincut i 14 -00 MI
City /State /ZIP: - 1 - Z G 0 r e1 0 e- a 1 a 171rnace 100,00 BTU (ducts /vents) 14.00 W
j Furnace 100,000+ BTU ducts /vents)
17.90
Stti[e/bldg -yapt. no.: Project narnc. ( / Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00 M
H drouie hot water system II. 1400
• _ Residential boiler (radiator or
hydronic) 14.00
.„ Unit heaters (fuel -type, not electric),
in -wall, in -duct, su • ended etc. 14.00
Flue/vent for a of above 1= 6,80
Subdivision: Lot no.: 10.00
Other:
Tax map /parcel no.: Other fuel appliances
r y p tj(t,�o tl r +G4] u• • ,} tta n �, ?[jt t{,, t }I : } I (� 10.00
.. , ov i c•' i�il � ilktl1iltd hl !r l B..5 r U M 1 fltiii�:. f i1W ltNE. : „ 1 Water heater
p G as fi replace 10,00
. I X 1 S G) \ , (" C. l' 0 t r r P on Q Y Flue vent for water heater or gas 10.00
fireplace
Lo:li•hter _as) OM 10,00
Woo( . enet stove 10.00
{ { Icy � {��y�( [ # ` � ( Wood f .lace/insert 10.00
10 00
't ; ( /IP tai u k ''M Y !1r: t 1 { ' I ,Il�l l ' ill11Mf#Hrh t l { il V I r; IT�tit 3 v #di 1 l I 11I Other. miley/lincl /flua/vent 10.00
Name: I•[ ; yr A 11 e t o Environmental exhaust and ventilation
Range hood/other kitchen
Address: t c) - 7 `X. ' 3 v`' C N I re r b a r L vt f ° f equipinkilt 10.00
City/State/ZIP: ; g a r 0 C 1 a a 1 Clothes dryer exhaust 10
( Single -duct exhaust (bathrooms,
(SO 3 ) eil '7 D - -7 q q' C '# Fax: ( , � )) f toilet coin attments, utility rooms 6
; e , ,, .: ';'• •iy - A ilir � lltr' t�t tl u $ i i f ' 1' . .t r , � t ti Att /crawlspace fans 10.00
/ /� / ( /� Other:
10 00
13nsiness name: o r � , A o r " H e A •- •, • r � a N ci , /4 Fuel iping
/
Contact name: .,..,3 p S E 1-1A e 1 r t v- 9 i- c y t $5.40 for• first four; $1.00 for each additional
Address: �? p 3 a sC 3 q '� Furnace, etc.
_ y (ins heat pump ,,
City /State /ZIP: N 1 � q / / I 5 Wallltusspended/unit heater
f
P Water heater ■ Phone: �� ) 3 S Pa x:: (Co 6 ���
Fir . fact
E-mail: . gangs
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r�i1� �d2�Il�9bS?t�41'ti�ifif;,Q!!iSk tf6+i� +fti9� • ��tN) ii'161i$3 ?!�!.6A�1{11)�i�l�st l� " +lA'IIfY lT. 411�_�f471�.f i �.� flt13��f1.�����';`nififi Barbecu
Business name: w-- - Clothes di er (•aS EMI
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Otter:
Address: MI i i
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City /SrareJZIP.: Subtotal , SQ
- — • , Minimum parn]it fee ($72.50)
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CO3 lie.: • 1 `-'7 { ? G State surcharge (12% of permit fee) q' . 7c,
/ - L TOTAL PERMIT FEE ;. f • , c
Authorized signature: � _ T his permit application eaptrcx If a permit is not obtained W,lthln ISO
a S ( -1-1 t i vac f, yv b ate; -
/ J - cloys after it has been accep ted as complete.
Print name: — (' I // Q • Fee methodology set by Tri- County Building industry Service Board
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: dviEC200E�03i9
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/11/ ?t309
Phone: (503) 639 -4171 �� �,� dii∎i
Inspection Requests (24 Hrs.): (503) 639 -4175 ...' I_..
INSPECTION WORKSHEET FOR DATE: 7/25/20013 TIME: 7:00AM PAGE: 29
SITE ADDRESS: 10783 SW CANTERBURY LN 101 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: ALLEN
DESCRIPTION: Installing A/C.
OWNER: ALLEN, KIM PHONE #: 60'3-970 -7990
CONTRACTOR: OREGON HEATING & A/C PHONE #: 503- 538 -2953
Inspection Request Scheduled For: Date: 7125 Pour Time:
Code # Inspection Description Confirm # Contact # Message qm
699 Mechanical final 07320401 503 - 970.7990 Y
Corrections /Comments / Instructions:
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h r � t n../ d Q S J tM R 3 i 4 ..• /� n.5 / 1
<�'._.-- ..V
to PASS PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: J/i Date: a J Ay 6 o Phone #: (503) 718- 2/023