Permit C ITY OF TIGARD MECHANICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: MEC2006 -00165
III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/11/2006
PARCEL: 2S109AD -13000
SITE ADDRESS: 14857 SW LOOKOUT DR ZONING: R -7
SUBDIVISION: ARBOR SUMMIT LOT: 028 JURISDICTION: TIG
Project Description: Install A/C unit.
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: 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
MARK& OLI TSUJIMURA Description Date Amount
14857 SW LOOKOUT DR [MECH] Permit Fee 5/11/200E $72.50
TIGARD, OR 97223 [TAX] 8% State Surchaq 51111200E $5.80
Phone: 503 670 - 8158 Total $78.30
Contractor:
COMFORT MECHANICAL INC
17936 SE DIVISION STREET REQUIRED ITEMS AND REPORTS
PORTLAND, OR 97236
Contact #: PRI 503- 761 -1500
FAX 503 - 762 -5394
Reg #: LIC 79558
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 0AR - 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.\
Iss ed By: On i .- Permittee Signature: ag
Call 503- 639 -4175 by 7:00 a.m. for inspections that business ay.
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.
' Apr 22 06 10:22a Comfort Mechanical,Inc. 503 762 - 5394 p.1
Nlechaiiiical Permit Application \J\E -,D FOR OFFICE USE ONLY
City: 2 of Tigard t�� D a r e s y:' ,Ll 46 ° �� 46caD6t a)16.�
DatcJBy: ` J `-' Pcrmic No.
1311 SW Hall Blvd., Tigard, OR 9 ?323 c �
- Phone. 503.6_ 9.4171 Fax: 503.598..1960 VI, 9 (} 2 06 Plan Review
Py -" 1 '- i 1 Date/By: Other Permit.
h,spection Line: 503.639.4175 !
Internet: www.ci.tigard.or.us �(C7 Date Notified/Method:
By: l �� 8 See Pate Z tar
pRNot ified/M ethod: Suppletgental lnto rmatian
No
..rev OF ..tnN
t , 4 4C)Rh' .` .. . . ' "�' �;r „Cp7,tGX's�::'Fi.i~'i *.. C AC1J -i 10 $E!CI3EC1.'Y,IST'
•• ,`�� :r; ;. � FIE �'-„
❑ Nev.: construalon 1 Addilion/alreration/replaCemen[ Mechanical pet - mit fees* are based on the value of the work
• performed. Indicate the value (rounded to the nearest dollar) of all 1
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Cr1TEGd.RY•...9F:` DI`t$T1�UCT101`('," Value: $
LCI 1- and 2-family dwelling ❑ CommerciaUindusrripl ❑ Accessory building j' S1AAL`i') tL.EQU]PMEN'T /SYSTEMS FEES*
❑ Multi -1' milt'' ❑ Master builder
For special information use checklist.
❑ Other: Description I Qty. I ha. Total
70B; SITE 'dP1
.. ct� i LOCr1TION;. , ,.
,.. -. .. . •t, I .. , HeatingJcooling
.Job Site addles;. H 251 n vV j` c Lc_. _t � i' e I Air conditioning or heat pump
J , (requires site plan showing; placement) 14.00 11 • C
Ctt " /Statc'ZIP: -r•
I C . � 0'�r C� C. Q - C{ �) 3 • Furnace 100,000 BTU (ducts/vents) 14.00
Juttc, b1u�.,apt. no.. ) l Project name: Furnace 100,000+ BTU ( ducts /vents) 17.90
U t i m L C r
1 ,. G as heat pump 14.00
Dross street/directions CO 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
S,I i :,•, ; ; o;t , Flue/vent for any of above 10.00
Lot no.:
Other: 1 10.00
Tax map /parcel no.- Other fuel appliances ,
, . •,•• " " ' r' ` W ater heater a!�'O . . ` ..; a i r . ; ! ` ,,:; i' ,;;. er � 10.00
X . - f ck 1 1 i ` . C Gas fireplace 10.00
1 J Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stoyc 10.00
Wood fireplace /insert 10.00
. , RTY .OWNER : , , , f. , .. , 'til; ;•:• - ' , ; -� .4A - Chimny /liner /(lueivent 10.00
(' other, l 0.00
• =',Q. ..irk: >i >'r •;
Name" i j (�� k th c' \ , i Cam_ I mot` ' rr r CA-- Environmental exhaust and ventilation
''j -a css I ‘-j '? 5 1 2 \V .- c-C' L. e. ``A J.3 r ■ V '�___ Range hood /other kitchen
- - -- equipment 1 0.00
City /State /ZIP: T '- C • 1
1 1 C CIA' CI �.
, '1 3 Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: (5C • '3) 4= 7 C. - F. 1 5'_ Fax: ( ) toilet compartments, utility rooms) 6.80
PPI ,;.t:,:, A iti c/c 10.00
':Q': "t1,. ICANT �. ''-� C;QrI yawls ace tans
..... ; ... �a , � +; � ' ,+` >'R >.. .r ����� >�' ° ; ,: "1 :� p
B usiness name: Other: 10.00
Fuel piping
C.ortract collie. $5.40 for first four; $1.00 for each additional
Address: Furnace etc.
Gas heat pump
City/Suite/ZIP:
Wall/suspended/unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail
Range
a ..r.;Ir ;.:.V i ::spslT' , '
i .GQN�g0:4;CTOR , t;ti.::,111 Barbecue . ._,. '..'. . ti .
.et .!Y.1',+"'!'Y�i1•.,5�',',:. ,, .I .. .. t�,i,•:•••..t'i•T •,•rt'��d' �;:'f '.:r�.' CU e •
Bus ncss name: (1 '1 � r - .., t/ rap /1 ( rmC Clothes dryer (has)
// T
lv t tt 1f� [ J! p (yC J( 1 ' Other:
kddress: 1 - 1 Q 3 G 5E 1) I U ( CCry'i 'll :i40.AT? .xG E .'
City /SLate/ZIT: e t-- ea.r,A 41 2-3(a 14.
Subtot CG
/ � � � i ' / Minimum permit fee ($'72.50) -- 11 .;ii; .
Phone. ( 5D3 - 1(Q( - i�J' 010 Fax: ( .7 r )-3 7��- `- ."T
[ Plan review (25% of permit fee)
. CB lie . 568 State surcharge (8 %ofpermit fee) 5,2,C.
) `\' TOTAL PERMIT FEE - 1 Z. .3 C
Authorized ; [13[ufe c-s1 [�� - 'l.l �iC•{ `W -rCk �yl� - This permit application expires if a permit is not obtained ,vlthin 1S0
/ V days atcer it has been accepted as complete.
•
Pant name: C c„ hi . / i,-1 t: C C' - \"1 G_I' GI, y. Date: 1-(- -.), 2- C.4. • Fee methodology set by Tri County Building Industry Service Board
i
:. d ,- ■l.iu,g\PIrrm,iiMEC- PerrtutApp doe 12103 440 - 4017T (11in /COM/ WEB)
Apr 22 06 10:23a Comfort Mechanical, Inc. 503 762-5394 p . 2
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LOT LINE:
• FIRST NAME: LAST NAME:
ADDRESS: 2y y CITY:
o --r- STATE: • ZIP: / 7 2,3
INSTALLATION ADDRESS: H2 S7 CITY: STATE:
PROPERTY LINE
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FT:
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FRONT
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PROPERTY LINE
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BUILDING DIVISION . kHEC28U�O0155
~~~~"~~~�"."~~ ~�"�"~~"~~"° PERMIT #:
13125SVV Hall 8�d,T�a�.ORQ7223 ' DATE ISSUED: 5111/2006
Phone: (503) 639-4171
Inspection Requests �4Hmj:�@3)630'4175 ~�0mW- ^��� .
6/16/2006 7:00AM |NSPECT0NVVORKGHEETFOR DATE: �o« T|K�E� PAGE: 38
SITE ADDRESS: 14B57 LOOKOUT DR CLASS OF WORK:
SUBDIVISION: ARBOR SUkHKA|l' LOT #: 028 TYPE OF USE:
PROJECT NAME: TSUJ|K4URA
DESCRIPTION: Install A/C unit.
OWNER: TSUJIk8URA. MARK &0UV|A PHONE #: 503
CONTRACTOR: COMFORT MECHANICAL INC PHONE #: 503-761'15O0
Inspection Request Scheduled For: Date: 6/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 0311331'01 503'761-1500 Y
Corrections/Comments/Instructions: .
� �/*��� �/�����
~�� — �--^-~'^'� '~-~ ~' � � ^ — x ~~
ASS 7 PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS
0 FAIL ri CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED
Inspector: ./ �~~~ Y\ Date: .1--16— 6 Phone #: (503) 718-