Permit !��
� CITY O F `T I GAR D MECHANICAL PERMIT
° • COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00314
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/19/2008
PARCEL: 2S 110AA -CC271
SITE ADDRESS: 10793 SW CANTERBURY LN 103 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: CROSLEY
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: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
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
DIANNE CROSLEY Description Date Amount
10793 SW CANTERBURY LN 103
TIGARD, OR 97224 [MECH] Permit Fee 61191200€ $72.50
[TAX] 12% State Surch 6/19/200€ $8.70
Total $81.20
Phone: 503- 892 -8259
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 % / ter Permittee Signature: r e—e ,� /Gt
Call 50 .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.
i
• Mechanical Permit A V E. 11, V . 1 6 : 1 „ 1 -0':'..1 ;;, ,, . - ,... ,,,, : .,. ,i-%...;;. ,, - , •: , .-,. ,. : ,,,,,,, , , :ki.... , :3: , .:-.,:.,:-.1..,: ., .:... , ..:..:.-_ , .,.,.:.:::: , : : :: , .i.fv,:R..::, , 4 7 ,7.:;::,.:.:
p_plic;ticRECEI
Received
iii::!:,:.i.:, 4 3P5 SW H
' City of Tigard Nt , jay, ' iinla7/ 1 04 • .rmit No.: 719 •>.c
, 1al! Blvd ., Tigard, OR 97223 JUN 1 8 2008 pisn Re
. 2 ., !: Phone: 503.639.4171 Fax: 503.59S.1960 rs NteRy: Other Pn
'''''' " • Inspection Line: 503.6394175
0 y CITY OF TIGA 0 IkalE Ready/13y: .firis: 121 Ste Page 2 for
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BUILDING DIVISI* . , - r gupplements1 [afar tristion
i'l WI6 6e c4(4.it"
,---,' 1) ifecharticial permit iees on the value of the work 1.__I New construction Addition/alteration/replacement
performed. Indicate the v the near (rounded to nearest dollar) of all
El Demolition Other: mechanical materials, equipment labor, overhead, and .rofit
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1 iE
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p 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building m
Pot special infbnictilon use checklist.
D Multi-family Li Master builder 111 Other: Description
Qty. Ea. t Total
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, i'.,! 5 ti c : , ii. : jiiiLre , iii v r4iiiiN r '-i f ± 1 ('Xii0‘4 , ':;(,•: ' ,: l :', ,, ;g,' : : :',.', _ll-tingkonit224. ,
Air conditioning or heat pump 1
_Yob site address: i 0 i at 3 5 W' C 411 yl §. le C V? 4.4 ry t i / ,,,,,,,, 1400 ,.. . . )q
s i co
6' 1 ,
City/State/Z: 7 T. 9 c r d o g 0 - 3 Furnace 100,000 ETU (ducts/vents) • 14.00
Furnace 100,000+ aru o u,vven. ) .. 17,90
Suito/bldg./apt. no.: Project name: 0 g - ,• . • ("vs r , g: h - t
' hea 14.00
Cross street/directions to job site: Duct work 14.00
--------__ _ . —
liydronic hot water system 14.00
Residential boiler (radiator or .
hydnonic) . 14.00
— -- — Unit heaters (fuel-type, not electric).
in-wall, in-duct, suspended, etc. 10-00 •
Flue/vent for any of above 10-00
Subdivision: • Lot uo.:
, Other. 10,00
Tax map/parcel no.: Other fuel appliances -7 , _
4 .40541(tig31;0,;tia _ ., Warar licat-' ----1.-
10.00
..T...
y' s- ,‘ i I A / C nu, vent for water heater or gas
fireplace 10.00
Log E• later (gas) 1 10.00
Wood/pellet Stove 10.00
—
Wood Ere lace/insert 10.00
—
Chimney/liner/flue/went ey/liner/fiue/vent 10.00
. VW6TIAKKiiaRkt-'1,0?6WierrligtV:WringRita6f05440:4R1V1?K%
10.00
-----
• le! °O e,
, C. r 0 s ) .e.
_. „ . 1,__ Er,,,,i.ronr-rwa.).xhaust Lind vantilation
Range hood/other kitchen
Address: I ( 2, '7 4 3 5 \Ai C-1 L., -.3.1.. la
equipment 10,00
City/State/ZIP: - r - i , a rd / a 12 g 7 La a ir— Clothes dryer exhaust
Single-duct exhaust (bathrooms, 10,00
Phone: (5)2 ) q Ci 3 - . I V ,,, a . 5til Fax: ( ) toilet compartments, utility rooms) 6.80
;:V2"'d•;;.'.''', ri ' Anie/crawlspacc fans 10.00
yp'?.:-.miOr.4i,i., .,'.,„:: ;: ,i-!'i,'•'.?!.*;..-.;..i:s.t,l.-,c.
()then 10.00
Business name; im,,,,- ., l e t li ,i A/C Fuel piping
Contact name: 1 F-14 t , -i. e -t 3 -1-z 55.40 fo r first lout:, 51.00 for each additional
Furnace, etc.
Address: p fl,,,,,,, 3 ei -7
—...„,
Gas heat pump
___
City/State/21R: t› y d a g , 9705" . Wall/suspended/unit heater
Water heater
Phone; (•543) 5.3 5 3 - g. 4/ g. ? I Fax:: s.4,3 )53/ - ,; I -7,,)
--711
ra-epia,
E-mail.
Range
• • •• . ., ..,„, ...... . .. . .,• ... •
:6 :.!:,:::;. :.:5!;': • ,:.:: :'.: l '!,•'::.'.':. /.:H•- Barbecue
Clothes dryer (gas)
Business name: at: 1,,,,,, Othe
, r. . .
Address: '.;g::•.;.''.,r4('Al*P7464-.PtlTI:'0#'.:;-:,1:1:n.:;:.
_----
City/StateZI1 Subtotal -id .50
— – Minimum permit fee ($72.50)
Phone: ( ) i Fax: ( ) Plan review (25% of pennit fee)
CO; lie.: ( - a f 6
_
i State surcharge (12% o f permit fee)
.. .
TOTAL PERMIT FEE i 'ig /, Cr
Talspereait application e<pires if 2 permit is not obtained withio 180
Authorized signature. s 4 011/ rot • days after it has been accepted iis ,ornplete_
h - _
Print liarl ;70.-e... ID-aTe71)//e/al
i * 1:: uk clic>dolov sot by Tri-Cotatry Building Industry Se,,ice , Basal
: \5nilding \FcrtnitafEC-Pcrraitkiv.doc. 04/06/06 440 - 4 17T(11/01i/CONAt/3)
CO/TO 39Vd DNI_LV3H NO03d0 9SS8 -T69 -COS 612 :ST 800Z/8T/90
• ' w 06/18/2008 15:49 503-691-8556 OREGON HEATING PAGE 02/03
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CITY OF TIGARD . .. '
BUILDING DIVISION PERMIT #: MEC2008-00314
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2009
Phone: (503) 639-4171 211P
Inspection Requests (24 Hrs.): (503) 639-4175 .,-.7„7.,- —.
INSPECTION WORKSHEET FOR DATE: 7/9/2008 ' TIME: 7:00AM PAGE: 21
SITE ADDRESS: 10793 SW CANTERBURY LN 103 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: CROSLEY
DESCRIPTION: Installing NC.
OWNER: CROSLEY, DIANNE PHONE #: 503-892-8259
CONTRACTOR: OREGON HEATING & AC PHONE #: 503-538-2953
Inspection Request Scheduled For: Date: 7/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final • 072380-01 503-538-2953
Corrections /Comments / Instructions:
S / 7g 7 ,
IFfilak
_ ____ PARTIAL APPROVAL EI CANCEL fl NO ACCESS
I I FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector:
----Th Date: 7/1/ Phone #: (503)