Permit 's y CITY OF TIGARD MECHANICAL PERMIT
° • COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00318
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/19/2008
PARCEL: 2S 110AA - CC281
SITE ADDRESS: 10789 SW CANTERBURY LN 104 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: PAGE
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
JIM PAGE Description Date Amount
10789 SW CANTERBURY LN 104
TIGARD, OR 97224 [MECH] Permit Fee 6/19/200€ $72.50
[TAX] 12% State Surch 6/19/200€ $8.70
Total $81.20
Phone: 503- 936 -6971
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 By: " „/"/ ,� 1 Permittee Signature: V/u� 1 1
Call " . 36 9.4175 by 7:00 a.m. for inspections that busines 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.
e
. Mechanical Permit A ^ _ �p+ ee..ii r �
` ' Received
- City of Tigard �' Y ED Date/By: e�� � r'7'0'°‘: Nn , ., �� . ``( , ��, -,,. •
13125 SW Ball Blvd., Tigard, OR. 97223 1 , v' j= - �J 2s (1�:3 f�'
f Phone: 503.039 4171 Fax: 5035 0 O Review yit;
a
'. . w � ��'� 1 2008 DatcJBy:
Other Pern
'i XRD tr s Internet: Line: 503.639.4175 pate Cxesdy /'Sy: r � an , = - �� 21 $ee Page 2 far
::' : Internet: www.rigsrd- tr.gov • Notified /Method / 7 Ci Supplemental Inform aria
'' ° , 2,;.':;:,
CITY - COA�11u1�;RC� SCT�1�i5L1T.D � C1E T�L•CT{_C.,T'�`
Y _
1aI3IVi51OI�- j .
0 New constnrotion t . addition /alteration/replacement Mechanical permit Secs* are based on the value o.'ahe Work
performed. Indicate the .slue (rounded to the nearest dollar) of all
❑ Demolition El Other: mechanical materials eiUichant labor, overhead. and .rofit.
M
C•�1'EGO)t ? or CON TRUCT10N ' ' Value
1- and 2-family dwelling ''._' 'i RE'SYn 'NTXAL EQUrIPMENT/ SYSTEMS FECS'C
y g ❑ Commercial /industrial El Ac cessory building w
For special information use checklist.
❑ Multi family ❑ Master' builder: ❑ Other: Description Qty. i Ea. Total
+l n �` +,: / r ;, , ;' �Q13 SYTI✓ Ii9T'i1RQ,'L ..00�'7'XOI'■, �.1 , I r ° ; ";. iicatingicaolinq .`
Air conditioning or heat pump ��
Job site address: 0 $� ° C * �ury 1L--.4':^ " I y U / j (requires site plan showing placement) t 14.00 i q ..
Cit /State /27P: T r, 4 rC / O le , q 7 1 4a q Furnace 100,000 BTU (ducts /vents) 14_00
Furnace 160,000-- BTU (ductslveoC) 17.90
Suito/bldg- /apt. no.: Project name, 0 g 0 2r6 I —'
Gas heat
bump 14.00_
Cross street/directions to job alto: Duct work_ 3,4.00
Hlydronic hot water system 14.00
• Fecsidential boiler (radiator or
hydrouic) 14.00 - .._
Unit heaters (fuel -type, not electric),
in -wall, izr duet, auspended, etc. 10.00
Subdivision: Lot no.: Flue/vent for any of above 10.00
Other; I 10.00
Tax snap /parcel no.: Other fuel appliances
°(.Tr„+)vdld,]?t "n Imo' a .::, ,�. \ litb"";biFy-i +;. d , 9 , 'lira" .l
:.a r may.• " ''1dSF,4:iir� rt , + . I I 10.00
( 6, :.taA. J t,A.K toe ll .tVii)i.4le ):4,:i 4ss.]:SC3LEPTiO - '' � 4 NOt .o '`5 , °,\ " ,aril 4kt +D Water heater ,�_
Lv v
� � � Gas fireplace I0.00
T l^ S 14 r d CO V' d s 4- e e.44. '7 V 5 Flue vent for water heater or gas
fireplace ^ , 10.00
- Log lighter (4,...9_ 10.00
Wood/pellet stove 10.00 � •
___ _ ..... Woodfireplace✓insea 1 10.00
6rt: -s, n: x , ,i7;T -r • v w o, i ,,r. ,: r.. `w t : , . , . Chimney /liner /flue/vent 10.00
3 �h1 p 3 • ,1. I•. M; k i t - 1. C t,�,(` a:'
n 5,,.)., .'Kn��a.e.cc,' '. 0' 'T";�fj .x :li' �0 0, 4i, " ...i, t,, ,.t',,rN " :1'. ' ; ;1 : ■ • ,:. . r. l,. ti): y�i •,X, x .. , ,,•,., i , .• , 5�.��u' , � D..&4.. ,, �. ^r',. i.- _e•,,,.,.'t T .�.sA.i ^.+•,. s ^>,Ira'71;'r other_ ,.w..- 1�.�
Name: J } W . Pet , Environmental exhaust and ventilation_
Range hood/other kitchen
Address: 1 D 715 q S' ea „I $-ter b ury L 1 4 1 Q q equipment 10.00
City /State /ZIP: , (f C (L q ? ' .1 q Clothes dryer exhlaust 10.00
y Single -duct exhaust (bathrooms,
Phone: (j'3) 61 3 - 6 '7 1 � ] Fax: ( ) toilet compartments. utility moms) 6.80
r;{a!! °: •i •, .'. , , t':, r--�� C Attic /crawls ace fans 10.00
,� ,,. ,, ,VtCs'A1V''ll:k,r:.i; r A !�M JERSDN; :i'1 ;`.',N
' a.Y�, y ; rr ; J; .;,�. I, r i, ?N i'`.c;', ; :' : LA' r �.Y. d"d ':� "`� .,
: i1,..,, a.. � aa�,: �•,. �.. �,.y "r.J ^ :i$,:� :!.�.::�.:. ., .,cu .. ... ........ ,:, t.,': 1 _ , 1
.... Other: 10.00
Business name: , ID ( H P � i i y , "l r�4 . ^^ t,. ,- Fuel piping "
Contact name: IP ° " „" 4-0 v' . W ^ -_ -,. __ 55.40 for first four; 51.00 for each additional
A ��//��))
ddress: i i C5 c% j O2.S. he Furnace, etc. ,_�
—
lI /�• Gas heat pump !""""I
City /State/ZIP: t› N c e O Ft. 4 -I I is Wall/suspended/unit heater W _.r,.,_.
Phone :: C 5 c 3 ) 53 x'- R . . 9 5 7 Fax.: ; (9 11 $ . s-L Water heater
Fireplace,_
E -mail: Ranee
_ . (- l was
r,t:,j i. CONTR .CTdt Barbecue
Business name: V m � ` Clothes dryer (gas _
,_ . _ .,., Other: r
Address: Af£CHaNICA.L PE ' EEC . . ;
Cit /State /71P: I Subtota "y 3 . A ^
Minimum permit fee (572.50)
Phone: ( ) Fax: ( ) ?Ian review (25% of permit fee) — �—
CCB lie.: / i �r State surcharge (12% of permit fee) It . '7 0
TOTAL PERMIT PEE $K i . 3 C
This an a eipire i[ Nerutitie not obtained witllta ISO
Authorized Signature: days after k has been accepted as complete.
1 / Ot `" � f ile i t d° �'L� 7/1 �j Fee me hodclogy set yy'7' _Counjy Building tno ry $_rvice boom
P17n R2Rle: d" Datc: CI la (� �
I E11111 n55' C- Pczu.pp,doc 04 /06 440-46
£0 /TO 39tid 1NIld NO9 60 9008- T69 -£05 b5 :£T 890Z/6T/99
• 1,
. a •
CO
0
-...
N
V( 1 cfn WV ° C \{j93), j) 1
CD
l f - K) I
L.d
(..0
11.
..----
J
_
...-
i
,----
/ \ :
1
\ 1
1 ,
J
I -----
I ---------------- - ----1 —
! .
\ 1
0
=
1-1
I— I
I I
I
111
1
=
ID
LIJ
I ,
EL
•
0
0)(
.•
1 n
-3 ,, ,01+ No
•
.
•
N 2.- N } N
in >c7-z
•,-------7
Lo
in
co
i m
LD
1 Tyq
co ,
in
I
cr
in
6
co
140W (f 0
cp
1
c\I
i
■
cn
--,..
Le
CD
1
CITY OF TIGARD
BUILDING DIVISION ' " PERMIT #: MEC2()O8•00318
13125 SW Hall Blvd., Tigard, OR 97223 ISSUED: 6119/2008
Phone: (503) 639 -4171 ,�l yp��l� CV
Inspection Requests (24 Hrs.): (503) 639 -4175 -_-
INSPECTION WORKSHEET FOR DATE: 6/30/200 ' TIME: 7:00AM PAGE: 37
SITE ADDRESS: 10789 SW CANTERBURY LN 104 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: PAGE
DESCRIPTION: Installing NC.
OWNER: PAGE, JIM PHONE #: 503- 936 -6971
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-53B-2953
Inspection Request Scheduled For: Date: 6/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messase
699 Mechanical final 071943-01 503 - 53(3 - 2953 0 4/11
°f (- 30
Corrections /Comments /Instructions:
•
M /4Alo2 L - a2_ - - S / (C - 71
22-51 & 7s'9 6
•
k ' . P = I PARTIAL APPROVAL n CANCEL n NO ACCESS
n FAIL � ' ALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: Date: 6 So w Phone #: (503) 718- �,