Permit v ,, , CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00258
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 5/4/2007
PARCEL: 2 S 110AA -90931
SITE ADDRESS: 10813 SW CANTERBURY LN 103 ZONING: R -12
SUBDIVISION: CANTERBURY CREST CONDOMINIUMS LOT: JURISDICTION: TIG
PROJECT: BEERS
Project Description: HVAC- install a /c.
CLASS OF WORK: OTR 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:
GAS OUTLETS:
> 10000 cfm:
Owner: FEES
RANDY BEERS Description Date Amount
10813 SW CANTERBURY LN #103
TIGARD, OR 97224 [MECH] Permit Fee 5/4/2007 $72.50
[TAX] 8% State Surcha 5/4/2007 $5.80
Total $78.30
Phone: 503- 849 -6529
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: it j 1% if, 1 , Permittee Signature: 3eg Po) frccery\
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.
May 04 07 08:49a Oregon Heating & A/C 503 - 537 -2172 p.1
• Mechanical Permit Applolt-e} � • �' FOR OFFICE USE ONLY
r
City of Tigard Received Permit No.: 1
rr
13125 SW Hall Blvd., Tigard. OR 97223 Plan Review it
Phone: 503.639.4171 Fax: 503.598.1960 Date; By: Other Permit
TIGARD Inspection Line: 503.639.4175 HA 4 2007 Datc Ready:By: Juris: H See Page 2 for
Internet: www.tigard - or.gov Notified Method: Supplemental Information
CI Uf I
TM F� I Tt COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
• Li a t , ` ' • ' ' , • I ' Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteration/replacement
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: S
•
• • RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description _ Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION • Heating/cooling
Q C ` ( L T1. Air conditioning or heat pump
Job site address:
1 O Q' 3 ` )tj,. canter bt 1...n # 103 (requires site plan showing placement) ' 14.00 (4. O0
City/State /ZIP: Tt(� Qrd cn a a4 J Furnace 100,000 BTU (ducts /bents) 14.00
..JJ Furnace 100,000+ BTU (ducts %vents) 17.90
Suite/bldg. /apt. no.: Project name:
Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
1-lydronic 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
Gas fireplace 10.00
HVAC Flue vent for water heater or gas
In�4 3t A !C_ L l igh 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
Wood fireplace insert 10.00
.. PROPERTY OWNER, • 0 TENANT Chimney;7iner;'ftue /vent 10.00
• Other: 10.00
Name: Environmental exhaust and ventilation
\ ' p bee :3_3 ^ Range hood/other kitchen
Address:
`p O 13 i L) l onk x'bt - 1' � Ln 41-I `1; equipment 10.00 _
City/State /ZIP: T cirrl quay Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: O $y - (5 acj Fax: ( ) toilet compartments, utility rooms) 6.80
. _ ®:. APPLICANT : • f. 0: CONTACT PERSON Attic /crawlspace fans
Other: 10.00
Business name: Oregon Heating & A/C Fuel
piping
Contact name: R0.3\ICIiC. $5.40 for first four; $1.00 for each additional
Furnace, etc.
Address: PO BOX 297
Gas heat pump
City /State /ZIP: Dundee OR 97115 Walllsuspended %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
Minimum permit fee (S72.50) 7`a ,50
Phone: (503) 538-2953 Fax: (503) 537-2172
Plan review (25% of permit fee)
CCB lie.: 172126 State surcharge (8% of permit fee) 5, R'Q
TOTAL PERMIT FEE , 3Cj
Authorized signature: This permit application expires if a permit is not obtained within 180
g days after it has been accepted as complete.
Print name: 1?0:3 bet e9 bee Date: 5 4 _ * Fee methodology set by Tri- County Building Industry Service Board
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CITY OF TIGARD .
BUILDING DIVISION - . PERMIT #: MEC2007 -00258
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/412.007
Phone: (503) 639 -4171 p 94
Inspection Requests (24 Hrs.): (503) 639 -4175 „
INSPECTION WORKSHEET FOR DATE: 6/8/2007 TIME: 7:01AM PAGE: 36
SITE ADDRESS: 10813 SW CANTERBURY LN 103 CLASS OF WORK:
SUBDIVISION: CANTERBURY CREST CONDOMINIUM LOT #: TYPE OF USE:
PROJECT NAME: BEERS
DESCRIPTION: HVAC install a/o. •
OWNER: BEERS, RANDY PHONE #: 503-849-6529
CONTRACTOR: OREGON HEATING & AC PHONE #: 503. 538 -2353 .
Inspection Request Scheduled For: Date: 6/8/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 049861 -01 503- 538-2953 Y
Corrections /Comments /Instructions:
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PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL oR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: - Date: 6 r1 . Phone #: (503) 718-