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Permit III �g CITY OF 'TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00448 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 9/3/2008 PARCEL: 2S 110AA -92541 SITE ADDRESS: 10749 SW CANTERBURY LN 104 ZONING: R -12 SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG PROJECT: POITRAS Project Description: Installing heat pump. 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: REPAIR UNITS: FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES: GAS PRESSURE: 50 + HP: FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES KATHRINA POITRAS Description Date Amount 10749 SW CANTERBURY LN 104 TIGARD, OR 97224 [MECH] Permit Fee 9/3/2008 $72.50 [TAX] 12% State Surch 9/3/2008 $8.70 Phone: Total $81.20 Contractor: CENTRAL AIR INC. 8849 SE JANNSEN RD. CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS Contact #: PRI 503- 656 -1908 FAX 503- 650 -3898 Reg #: LIC 178624 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: � j --- • rmittee Signature: ��� f�,�� Call 5e 175 by 7:00 a.m. for inspections that busine s 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. 09/03/2008 08:09 5036503898 CENTRAL AIR INC PAGE 01/02 Mechanical Permit Applica ' I 1 FOR OFFICE USE ONLY 1 11 1 • City of Tigard iii CEIVED Received FennitNo. ['P • 13125 SW Hall Blvd., Tigard, OR 97223 Date/By: ; ■ _. _ .III g Plan Review _F g . Phone: 503.639.4171 Fax: 503.598.19 Other Pemtit CEP - 3 2008 p at�'t3y: TIGARD Inspection Line: 503.639 Date Ready /8y: Ads: m See Page 2 for Internet www.tigard- or.gov NatifirdiMethod: ' m SupplaeetalInformngn o CITY OF TIGARD '' SIT :l Wr',.,;; , t' ® S • � ttsit.; Gi ' ` ' . .� rtu .4 , 111,1M0,413' . ': te i 0, 7I 4k4 I A4v �aS . . _ ° �,,, 'i .,,, . , , ❑ New construction M, Addition /alteration/replacement Mechanical perczut 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. a . f . > > , , ri a f e r 1 r 7 �3 is e ra r l w . ,>t k Value: $ t4M ' n°l5.., ;Y .,,,a 1' .� -�.�lk ,u: 3? .,^.x',..77 ..;` gat, ` t e" "A- r ..:k S ` '., a 1: ° -� dn;,4- -i - iii V .:'"v' l a!, u u � �y 31�( to dal, V x >,. a� 1 - and 2 dwelling 17 Comm.ercial/industrial ❑ Accessory building m - r- sa n,,,.i >y �,_., M r " - a _ 1 . For special information use checldist. Multi family ❑ Master builder ❑ Other Description Qty. I lea. Total t °AY . wt ,; , 3 , it Q ' 4 Ol' k,gE , y.I �9 A ; + „+6 11eatin tine/co Au conditioning or heat pump ��, Job site address: / l� 7 q 5 (,) co ,�f 1, / � l � (j7 /6 �yuires site plan showlna Dlacomeut) - . t 14.00 i n' City /StateJZIP: a 6 01 7-7cl �^ _ Furnace 100,000 BTU (ducte/venti) 14.00 Furnace 100,000+ BTU (du cis/vaats) 17.90 Suite/bldg. /apt. no.: IUil Project name: i tr `&e. ` sus heat pub 14.00 u Cross strcet/dixections to job site: -'" Duct work 14.00 Hydnonic hot water tem 14.00 Residential boiler (radiator or bydronic) 14.00 Unit heaters (fatal-type, not electric), in -wall, hi -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 appl �l 4 t s �M ". c -,� r `fie )) ( „' s q Water heater 10.00 h , ¢ . 4 ., 37 4`5 „''g �aa .1 af? l;14WA r' ^f.f'l Y a . 3 44 Wawa " - @ f S , 'r, .:4 i � . , . .i.1. d R, ' � au : ',S fAe4t r , .: , r „, ; - 4 . a: . ' ` o e C# L4 fireplace 10.00 AAA CJ� cA, P V ( „ (lip Flue vent for water heater or gas fireplace 10.00___ Log lighter (2a9 10.00 Wood /ptll.ctstove 10.00 _____, Wood fireplace/insert 10,00 �"" , x � w „ Chimeyftiuer/klueJvettt 10.00 , , � .„ tQ :"''v �', ,,, , ,l r _ K ,/., .' EI "' ti '. a ` r ^�: ' .S. Ocher. 10.00 Niltae: (0t. „nth ' T p D [ I t�1 Environmental exhaust and ventilation n 1 ! / / age hood/other kitchen Address: l (2_.. 7 / �a� C Gt E�7' , t ,.` 1( ,1F l U` / . equipment 10.00 _ City/State/ZIl? • / ( Gt . ,r & 0 ( C;, o n-aexhaust (batbrooma, 10.00 ..� Phone: ( ) Fax: ( ) toilet compartments, utiht rooms) 6.80 ,Witr °: ..v. x--a _ m .. �.:, ptkic/ I seefans 10. i Tn E NV i tStl = '�t" pct t . �f.'I � `. ". t.i t s t'a rx • ; .,� , - ±-,,: e2' _, Other 10.00 • 13usincsa name: 0 . L I B / r' c.. N F uel in W._ w L piping _. Contact name: A At, . . y �r , $540 for first four; $1.00 for each additional _ Ftirrace etc. Address: �y �t A "�i�l ` � Gas heat pump City /State/ZIP: l e2 Q 70 1 W:tll/suspeudexl/unit Plsone: 6 G S G - /fOr . Fax:: (S'a3) 65,E - 3 t''? Water heater - Fireplace j e � E-mail: r ��� ` vRz fig' „ ` "t, x t � y ` "`c � y Barbecue a ,v, „, k : t . 1... a .4 ..: Yr am.'r.4*-"+: rl. . ^. ∎,. ...aa , , te�L V r . . Business name: C to ,/� ,, / ,�J / r' Clothes , er (_.� • Tit 4.L• �A 1. / A (/ nth Address: al' �q .� G J v'►1 .1 S�/i'J g of r _ '�' '� r i a) ra : . V'. City /State/ZIP: a4 k 4- © cf'7o LS- Subtotal Minimum pewit fee ($72.50) j~ � C, Phone: [a6 SG, - j (1.9 Fax' (,9-1) &50 --3 Fr , Plan review (2s% of permit fe e) CCU lie_: / 7 y' w .. _� ? State surcharge (12% of permit fee) 5. 7 G // //�% TOTAL PERMIT FEY t - Authorized 61 This permit application expires If a permit Is not obtained thin 180 signature: r' z' 11 /� s 'V ��' dxyd after It has hem accepted as complete. Print name: f(i k �.. e.ii wYe,,,..-- [ b,,_.911±1_,I ' te: ( * fee methodology set by Tiii -County Building Industry &wire eosin 1s 113ui3dinglIcrsitalNIDC- PetnitApp.doe 04/06/06 440 617T(11/07iCOWWBs) g4 e W N SITE PLAN W m L � CI1 p W W lD mn z H TJ Z n STREET CENTRAL AIR INC 8849 SE JANNSEN RD CLACKAMAS OR 97015 C VC' Th C O \ Q V--- [ CITY OF TIGARD BUILDING DIVISION PERMIT #: MEC2008- 00448 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 913/2008 Phone: (503) 639 -4171 hAW m� Ip ��� l , Inspection Requests (24 Hrs.): (503) 639 -4175 ,J _ __.. INSPECTION WORKSHEET FOR DATE: 919/2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 10749 SW CANTERBURY LW 104 CLASS OF WORK: SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE: PROJECT NAME: POITRAS DESCRIPTION: Installing heat pump. OWNER: POITRAS, KATHRINA PHONE #: CONTRACTOR: CENTRAL AIR INC. PHONE #: 503 - 656 -1908 Inspection Request Scheduled For: Date: 9/912008 Pour Time: Code # Inspection Description Confirm # Contact # Message 695 - Misc. inspection 075259 -01 503 - 351 -5820 N 6 a Ql 1.44 - G-V +ik.-- ae -ri f - L . Corrections /Comments /Instructions: 6/-6 GAL G4.4. -kAd-1c l A,4,66- „4,,-- S-- /7 6.8 Z at e a/ii-- ,i-A-7--/6 -t---4=7 r' PASS [ PARTIAL APPROVAL ❑ CANCEL ACCESS n FAIL . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: L— w Phone #: (503) 718 - 24-`4-;