Permit CITY TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00253
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/3/2007
PARCEL: 2 S 110AA -91031
SITE ADDRESS: 10775 SW CANTERBURY LN 103 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: CANTERBURY CREST
Project Description: Installing a/c unit.
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: 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:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
CANTERBURY PLACE LLC Description Date Amount
109 EAST 13TH ST.
VANCOUVER, WA 98660 [MECH] Permit Fee 5/3/2007 $72.50
[TAX] 8% State Surcha 5/3/2007 $5.80
Total $78.30
Phone:
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: ij .`% .�.a. Permittee Signature: 5C(... 4/Vica,l-io-ri
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.
Mai 03 07 07:37a Oregan egretilrrg `' A/C 503 - 537 -2172 p. 1
-, U N 14 ,
Mechanif,al Permit Application : FOR OFFICE USE ONLY
Cl of Ti and 1 / Received Permit No
ty g f : l 2007 Date/By: MEC.2lxi ' 002_ ° 13125 SW Hall Blvd., Tigard, OR 97223
° ' Phone: 503.639.4171 Fax: 503.59
' --1 896'0 p , Plan Review
.f D
Date %By: Other Permit:
Inspection Line: 503.639.475 �I N '�y Date Read H funs: H See Page 2 for
TIGARD z_ V l y: K
Internet: www.tigard-or.gov { * ^` � r `I< Notified /Method: Supplemental Information • �, ,�' AFT rrC7r, .
• TYPE OF WORK COMMERCIAL 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 CONSTRUCTION • Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES'" •
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist,
0 Multi family ❑ Master builder ❑ Other: Description Qty. l Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address. 1 rc 44 f
Air conditioning
(requires sti Al showing t pw em o
J 5� 1.0 �1''*ti��r .. I J Q3 (requires site plan showin£ placement) 1 14.00 ��_
City /State /ZIP: 11 e� r-d criaa� Furnace 100,000 BTU (ducts/vents) 14.00
`� Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: r
'TU bu.r C Q,SA- Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -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 appliances
. • DESCRIPTION OF WORK Water heater 10.00
IiVAG Gas fireplace 10.00
Flue vent for water heater or gas
v61 A(L Log
fireplace 10.00
t
Log lighter (gas) _ 10.00
Wood/pellet stove 10.00
Wood fireplace/insert 10.00 • ta PROPERTY OWNER ❑ TENANT
Chimney /liner /Flue /vent 10.00
Other: 10.00
Name: ell co, L . 4- nar '- (Lo... x lnv. Plc c_e, U Environmental exhaust and ventilation
Range hood /other kitchen
Address:
, 4 -11g s,) ( lamer t -G Ln 1(7. equipment 10.00
City /State /ZIP: Tt Qra ala )-� � Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( 1 ) aq _ G a5c Fax: ( ) • toilet compartments. utility rooms) 6.80
® APPLICANT • ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name: Oregon Heating & A/C
Fuel P t p rnR
Contact name: Ra $5.40 for first four; $1.00 for each additional
Address: PO BOX 297 ��tl Furnace, etc.
Gas heat pump
City/State /ZIP: Dundee OR 97115 Wall/suspended/unit heater
Phone: (503) 538 -2953 Fax: : (503) 537 -2172 Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Oregon Heating & A/C Clothes dryer (gas)
Other:
Address: PO BOX 397 MECHANICAL PERMIT FEES*
City/State /ZIP: Dundee OR 97115 Subtotal
Phone: (503) 538 -2953 Fax: (503) 537 -2172 Minimum permit fee ($72.50) 12 -50
Plan review (25% of permit fee)
CCB lie.: 172126 State surcharge (8% of permit fee)
TOTAL PERMIT FEE I g, 30
Authorized signature: `_AD 0..,.a... This permit application expires If a permit is not obtained within 180
days after It has been accepted as complete.
Print name: �Zasrell e��sr. D ate: 5-3�0� • Fee methodology set by Tri -County Building Industry Service Board
- -- -- ._
l:' Building :Permits.MEC- PermitApp.doc 04 :06/06 440- 4617T(II/02 /CONtWEB)
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00253
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/3/2007
Phone: (503) 639 -4171 ,1�n�iiglQl�1
Inspection Requests (24 Hrs.): (503) 639 -4175 _� .
INSPECTION WORKSHEET FOR DATE: 7/3/2007 TIME: 7:03AM PAGE: 24
SITE ADDRESS: 10775 SW CANTERBURY LN 103 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CANTERBURY CREST •
DESCRIPTION: Installing a/c unit.
OWNER: CANTERBURY PLACE LLC, PHONE #:
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 7/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
C99 Mechanical final 051385 -01 503-538-2953 Y
Corrections /Comments / Instructions:
-6
S c_L��/lit41� �`���� A416 � S— !�. � � � : ����"t/[��/� ir k
ASS H PARTIAL APPROVAL n CANCEL NO ACCESS
FAIL _ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 7-- > Phone #: (503) 718 - �-$�