Permit f7 '
C ITY OF TIGARD MECHANICAL PERMIT
`: ° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00377
DATE ISSUED: 7/18/2008
T!GARI
1 3125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AA - 91021
SITE ADDRESS: 10775 SW CANTERBURY LN 102 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: DANESHMAND
Project Description: Installation of a/c unit.
CLASS OF WORK: ALT 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:
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
SIAMEK DANESHMAND Description Date Amount
10775 SW CANTERBURY LN #102
TIGARD, OR 97224 [MECH] Permit Fee 7/18/200E $72.50
[TAX] 12% State Surchai 7/18/200E $8.70
Phone: 971- 226 -0054
Total $81.20
Contractor:
OREGON HEATING & NC
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 Muniapal 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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
Issued = : t Permittee Sig =cure: r iot, /v
Call 503.639.4175 by 7:00 a.m. for inspections that business • f 3 y.
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.
.
r
Mechanical Permit A 4 , --C l _It,. I i, . • - pax i nth FI 1 aii.' , : '' a •` • r , •r , k I
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City of Tigard i n i � , Receive • � � GA �
„s b Date By: ? L�i1 �0 R Permi[No.. U%O d " �t/1
I3125 S W Hall Slvd., Tigard, OR 37223 W
a ' ) ' { M! Phone: 503.639.4171 Fax: 503.598.1960 p Plan Review Other P.nnir.
'-' . i Inspection Line: 503.439.4175 JUL 1 O'Z�� Date/By:
gT 1 C. Ali Di p Date Ready/By: IL .1 u Internet: www.tigardor.gov Y El See Page 2 for
CITY TIGARD Notified'Method: Supplemental Information FiM
"Noll r jp� !F y }t { ' , t i I ; • d o �:� ltttt t 9 ! . - t'ti : d` ; • , ( ., i , m� � �u. � t n• n . s,' �'i' N !F' , to
6' }� i tip�N ;1I Ili? ; a { il • $ .j .ii ' i '
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Mechanical permit fees* arc based on the value of the work
❑ New construction L Addition/aiteration/replacemcnt
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition 0 Other: mechanical materials, equipment, labor, overhead, and profit.
:! i
�i+S t 111tq llilliti' illiill jl)Ai is 1 +llifi D7 jttgtr 1 .t 11,40A n, u F n i# t , I {li tq d } }}� t ' iiiEi Vie 17
ii 0 t. :1 l 11111, rt liv ilri,1E,911,. 0, ,...,4 ,Yt1,,riactit n A- i tip Limit: t malt ,! il'3i,114 i. it f og 'i V t f i'. :1.H _ r I Value: : ,y
1{ 3171 , 1 1 Q F1 QiF tnit 1 u, i{ i!f 1 i tt,
. -'SY kt4t171 N, }"��lr,*��t
0 - 1_ and 2- family dwell n.g [] Comnierctal/industrial D Accessory building i f.I. § F, !it , .r ' 1'.,.1 ' „ t `c VI' 1 ' E$ l[
For .special lnformarion use checklist.
❑ Multi family 0 Master builder 0 Other:
1lFi`a j �,, �r <l tt: �� 1' Hasa' 1 , , 4 . ra ,t 1' 1, 1 1 r , rr : t tP nt r Description Qty- Ea. Total
�.a 6� i ti tt1 yi r . , 1 i 1 Heating/cooling
coolin
�, q� y
1 i „N, 1 u 111114D is ! �'IiaFnr .$ i a��M �J 641 . ��tF � (( t ] ,i i i ; 1 11 i tg3i 1,
L ti Y. t7o .,.1 raa •: .. 1'tf: ,fal� .. ri+tt ��$ts I i� 1 � 2 r..Sl�t�tlff !o4it .tt � � g
Job site address: / d S S / -4-e r b N r J ► a Air conditioning or heat pump .is C G ✓1 (re site plan showing placement) 14.00 1 1. ad
City/State/ZIP: 1 � e, CI rd 0 ( g -7 . 9 [ Furnace 100.000 } TU (ducts/ •ents) 14.00
/
( Pinnace 100 BTU (ducts vents 17,9
Suitc/bld2. /apt. no.: Project name: 0 �' -c g e,
Gas heat pump 14.00
Cross street/directions to job site: Duct work w 1 , 10.00
Hydronie hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
- Unit heaters (fuel -type, not electric),
__ in -wall. in -duct, suspended etc. • _ 14,00
Subdivision: Lot no.. Flue/vent for any of above , _6,80
-- — Other 1 10.00
Tax map /parcel no.: `”
t {! It l F %gysF v+ wt �, a • 4 q
l ? . ' ,1 1 11 ....k311 ), .1, s i. v3111� m c d t 1. = ' )` , ,ldl _ .1 ` t ' t,i „ , 1.',1`!,:i Alit Other fuel appliances
Water heater • 10.00
S k i r , ¢ Gas fireplace 1 10.00
rI f C 0 GI c i ern e r Flue vent for water heater or gas 1
fireplace ' _ 10.00
Log lighter (gas) 10.00
, Wuudlpellestove 10.00
Wood fireplace/insert 10.00
�
r��qt l . p „ 7, 1 r ; r ,t1;.::1, , t • i U ��lf � t Isl 1? a - ? 1u ir n, � + i u Chimney/liner/flue/vent 10.00
11 ti,111it 1..;lt lt;.. ''.,.. . ;'$ t C:,IltilI)��1lI t „ ru 1 t li� • yy.I �j l t ° i , i ;
..µ,,,.r � , 1 r +s , ,r .1;�1 Il I . ;t{ , t.lEkr`1''; ., , tr� �� 1G i , � �!i! ��a�! Other: 10.00
Name: r a tom^ e A rt e_
q (,� Environmental exhaust and ventilation
Address: ) D ;• V ^ C � Range hood/other kitchen
` ✓ [�pt,v��P <�our� (Y� d c 10.00
City /State /ZIP: TT `7 G r d, a a 7 a. a C{ Clothes dryer exhaust L 10.00 .
/� / Single -duct exhaust (bathrooms,
Phone: ('1 7 i a G (3
- C S � Fax: ( )
"'��. Eiltittit t toilet compartments. utility rooms) 6.80
�t�CC , t • I" S9! , !t ell= dli . 6 ! , d d1 ,e 1717 . , 0 d v yl ,
,F liiii ? .. ,a, 3 Y N 13,11'. l dl i1 11,1 ; ,bf P d l,'i,1' I v 1 t ',11.,,I !1 n, �i
1411 �1 {i�l I,r�:l� ,l3 ,. .• ,... l3 � 1 ® )� �� �;�,., Attic %ravels ace fens
}fig �y ,,.1 � �
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o � - ra uwi. Lgl „ 5yex "..d ".,rxYl
Business name: CJ f e G Gr H e ci f t r , r d
--•� J r t ' , Other; 10.00
Fuel piping
Contact name: J , S 1 l�, T , >? v" 4 - c 1^ _ S5.40 for first four; $1.00 for each additional
Address: @ x 7
Furnace, etc.
—
l Gas heat pump
City /State /ZIP: La v‘ d e e l a 1 q 1 115 Wall/suspended/unit heater
Phone: (rj C. ) 5 3s- - a q g 3 Fax; : (,5 n 3) C q 1 - g' S C Water heater
Fireplace
E-mail:
Range
yi i ttt¢¢�� 44 I Ia 3 ), { . 1 1i tyT 8 a I 1> ;i f It 1 • t `3 1
i: li t1t3r1'i� i } ti �i iiya ii.Eki� .' i , , . 1111 f i i i 1 Wdi "`) gg�� rE 1 J 1 7 i 1 0 ii � 111 ) 11 111 Barbecue
!:. �e• U , 1 ttG 1 t, , I1I21,
Business name: 'a w).-e. Clothes dryer (gas)
Other.
r < ,•
SS: 11311 l4i4 i)T �1� 14RI1dA �' }?hti! g t , ,,.a � ? 1z f o j.l 91 if 40
- °' •w• ' op 1:11 ?lEk +. ?ie 971ai! .i U I` i h, x , i 4r; 1: , , 1 d I?i:!. li;r 11911• itr'n7it ?d
City /State /ZIP: Subtotal
' Minimum p fee (
Phone: ( ) Fax; ( ) _
_ / 1 1 -
Plan review
St at e surcharge iew (ZS% of pernut fee)
CCB lie.: (12% of permit fee) �, c
+ I' 1. • TOTAL PERI�LIT FEE I, d
�� This permit appllcatlon expires it a permit s not obtained within 180
Authorized signature: / days after it Cat been accepted as complete.
Print name: 3-,„c)„., _ W - -1/1e,,--: y9 4, h Date: 7/ /8 FS • Fee methodology set by T i- Count3' Building industry Service Board
t:\BBuildis 4 Prnmie ,\EC- PcrmitApp.doc 01/19 440 417T(11.02/CW.4 /WEB)
E0 /T0 39dd ONIlti3H NOE1 O 9958- T69 -E05 Z0 :60 800Z/8T/L0
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.�'/� � . _-
CITY OF '
��mo x m�'m- TIGARD
��UUU 0��� ��U��U��U��0� ''� PERMIT #: '
~°~°" ""»° =°"°"~'"~~"° � MU—MU-00377
131ZSVVHall Blvd., Tigard, OR 97223 ,./,' DATE ISSUED: 7/10200D
Phone: (5O3)G3O'4171 '
. ,
Inspection Roquno�(24Hnaj:�Q3)83O-417G .��d (. ��'
PAGE: INSPECTION DATE: TIME: ' � 7/7�[�OO8 � ��03AA4 � Q
SITE ADDRESS: � CLASSOFVV0RK� �
10775 8YVCANTERBURY LN 102
SUBDIVISION: LOT #: TYPE � (�ANTER[�]RYCREST 0JND0kA|N|Uk8 � �
PROJECT NAME: � Q&NFSHk4AN[)
DESCRIPTION: � |nalo||otiun Vf e/uunit.
#: OWNER: � PHONE DANESHk8ANQ.��Ak�EK 971 4
CONTRACTOR: �
� ()RF{�0N MEATlNG&�0C PHONE 503,538_
Inspection Request Scheduled For: Date: 7/78/)008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
' 099 Mechanical final 073210-01 503-538'2363 Y
Corrections/Comments/Instructions:
��� '- mm -x CA e�c�. -��' A .�' � :���m�_~.: - -7 z,..., ..e. — �`��
' PASS 0 PARTIAL APPROVAL pi CANCEL --
7 FAIL 7 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: ii Date: __Z„9_ Phone #: (503) 718- oq.-1.-.--5-'