Permit CITY TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00292
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IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/11/2008
PARCEL: 2S110AA -CC281 •
SITE ADDRESS: 10789 SW CANTERBURY LN 103 ZONING: R - 12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: MITCHELL
Project Description: Installing A/C.
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CLASS OF WORK: 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
RHONDA MITCHELL Description Date Amount
10789 SW CANTERBURY LN 103
TIGARD, OR 97224 [MECH] Permit Fee 6/11/200€ $72.50
[TAX] 12% State Surch 6/11/200€ $8.70
Total $81.20
Phone: 503- 957 -6595
Contractor:
OREGON HEATING & AC
PO BOX 241
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: � - ermittee Signature: " /Cs l
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Call 503. • ' .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.
06/04/2008 09:02 503 - 691 -8556 OREGON HEATING PAGE 02/04
'Mechanical 'Permit Application _ " , - F O O. F ySLtNL r. ;_ { '
t . City o Tigard Raceivtd it No.:
: Pe ..
` ` f b Date /8y: Permit - I •
13125 SW Hall Blvd., Tigard, e� �� Plan Review ^� v
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phone. 503.639.4171 Fax: 51,... ^. .. .' `.1 Date /By: Orher Permit.
-• Iospeetiort Lille: 503.639.4175
TV 2t1 08 Date Ready/By. rw r. e7 See P age 2 for
4..' In
•.!.''. ternet: www.tigard- or.gov JUN Nntifted/t7ethnd: .7 Supplemental IuformatiOn I
;. TYP a :, , id i ZOO); COAJf i'ERCt4,L': FEE SCxi 30'{Y'r USE CFIEClCX: :
1S7c • Mec hanical permit fees° arc based on the value of the worI< •
L, Ne co n s tructio n Ad di t i� > kla arel;t performed. Indicate the value rounded to the nearest P ( at clonal) of all
❑ Demolition [I Other: mechanical materials, equipment, labor, overhead, arid profit.
. `` C,ATEC:3It'': O1F c'O Y,S1;RTJ1, '11OtV ;; ) " ` ",..;
Value: S
L --. — IZESTliENTJA EQUIPIvIE ; SXSTEM$ FEES*
1 1 - and 2-family dwelling ❑ Commercial/industrial [J Accessory building 4
For special ir{fo,-mation use checklist.
❑ Multi' family Master builder Other
.:r...,c.,.:'::.w,. ::: Y � M bild c Qt) Total
� b'scdp on
' JOS SITE .1[14OI2.MA' 1 AN1)' ° ,OC 4 T ON ; ' Flaati
Air conditioning or heat pump '
Job site address: ^Q re uires sita •I $teelvia; pfacetnent) 1}.00 r �r
Cit /stat&zip -: — Furnace 100,000 BTU dectcveut .14.00
�� Furnace 100,000 BTU (ductIvezrts) 17 -90 J
Suite/bldg. /apt. no.: 1 Project laatn.e�.airiao+, ..k, ) /d•a( Gas heat pump 14.00
Cross straet/dtr'ections to job site; Duct work u _ 14.00
I'Iydrortic hot water system 14.00
F boiler (radiator or
C - hydronic) 11,00 ti 4 � ( _� iv/ —. .. Unit heaters (fuel -type, not electric), _
in- waIlin duct, suspended, etc. 10.00
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Subdivision: ``, ; Flue /vent for any of above I 10.00 _
Lot no.: -.
Other: 10.00
Tar map /parcel no.; J I r Other fuel appliances
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£� :4, :k, ,Y 1'al�t /Ji�P:�1� i {I,': c,.F'::k 3 1 i� : ,l .. .� � __ ' l M ��f .ti , �? =iii �' �
`' ��` l �#R�I ,�a,l)�M�!,r4 :
- ''1) 9.IPiOF40 ' i 4 iii a Y , I 11S1, / o-1 t S W ater h eat c r I 1 10.00
_ , _Gas &___.13.0e, I0.00
Flue vent for water heater or gas
fireplace 10,00
_•- Log lighter (gas) -. 10 -00
„_,..-. _ �Nood'pellet stove �� 10.00
Wood fireplace / inset 10.00
„ l)A,4' ,LtiS+?t;c " . ;,,: op,wp ,.g,. :K. ;• -:n ,r ., *,
,, :0.3;., : ,+,;, urine/ /liner /flue /vent 10.00
' .1..AI∎N :l`I,' 1V :1,;d i�' l ;t t,IMl ;7,I0' 1in„Y ;iI.It'I ?,lPdt , ,.� ^�R�1)1,Pi - r ' ;gily ° '4; :a I k 15.l ;b , i
Name: M .6 �-.' ,a z Environmental exhaust and ventilation
Range hood/other kitchen
Address: k • - "� ss � 1, ,gulpment 10.00
City /State/Z/7..'�` ()t� c f . Clothes dryer exhaust 10.00
• t �� Single-duct exhaust (bathrooms,
Phone: ( ent dlity rooms)
,,ai::pr.;:, . . ^ "Y - ;: r; ��• Fax: \ ( :+i. C."i.,
) toilet compartment, � u 6.80
,.
"h" `zY `lw& t.i; PP Ih� ,) ; 'r ; u, $ 1 ' ' ,,; t C C O P ' J AC , kF 2r( i t I'1 .'4 Attic /era vlipace fens 10.00
Other. 10.00
BusitteSS name: _ Fuel piping •
Contact name : Z,-- .4.-i&—,CYSkA--- - _ 55.40 for first four; 51.00 fox each addititsnal
• Address; -0 )( Ai Furnace, etc. - --
1 Gas heat pump
City /State /Zl0': ' 4 0, • - l
S -.)S t� WalVguspended /unitheater �
Phone: ( -&ti1�
- � Fax: • ' 69' , � Water heat
__
E-mail; _Fireplace
& n t:
:I ^ CONTRitaC '` % ` Barbecue
0 7- *} //j Clothes dryer (gas)
Business carne, '
V G � Other.
Address;
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City /State/ZIP: Subtotal
Minimum permit fee (572 50) WPM Phone: ( ) Fax: ( �) Plan review 25°
( /v ofpennitFee)
CCB lie.: C ,_ • ...,.. - _ State surcharge (12% of permit fee)
Mr' - •- - -_--- 'TOTAL FEk2hIIx FEE NMIRM
This permit appticatlea tcpire5 tf a permit is not obtained vittaio. 180
A.uthorized signature: fit' , ,,,;:t .. , ` drys aR¢r it has been accepted as compleSC-
frint name: Lt. ,e I Date: M f , az
' Fee methodology set by Tr; County Betiding Industry Service Bedd
I: 1Puildialap :iMMEC- Pe=itApp.dvc 04/06/00 40-0- 4a li"f( ItNLCOMns'pa)
06/ 04/2008 09: 02 503-691-8556 OREGON HEATING PAGE 04/04
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CITY OF TIGARD
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BUILDING DIVISION ° PERMIT #: MEC200I3- 00292
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/11/2008
Phone: (503) 639 -4171 e n dt9or:Ai
Inspection Requests (24 Hrs.): (503) 639 -4175 � °`'' I
INSPECTION WORKSHEET FOR DATE: 6130/ ' 08 TIME: 7:00AM PAGE: 39
SITE ADDRESS: 10789 SW CANTERBURY LN 103 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: MITCHELL
DESCRIPTION: Installing NC.
OWNER: RHONDA MITCHELL, PHONE #: 503- 957 -6595
CONTRACTOR: OREGON HEATING & AC PHONE #: 503 -53B- 2953
Inspection Request Scheduled For: Date: 6/30/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 071926 -01 503-538-2953 63 fri
Corrections /Comments /Instructions:
s 16 7AI ; (Z 1E7S7 .
2.8 r-+-MP cA ) UC 2
PA m PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: �6,A0 !�� Phone #: (503) 718 i.--6g