Permit III 4 ( CITY OF TIGARD MECHANICAL PERMIT
° COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00068
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 2/8/2008
PARCEL: 1S136AD-04400
SITE ADDRESS: 06721 SW PINE ST ZONING: R -4.5
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: CORNISH
Project Description: gas furnace replacement
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: DOMES. INCIN:
NAT 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: 1 AIR HANDLING UNITS
CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS: 1
> 10000 cfm:
Owner: FEES
MARY CORNISH Description • Date Amount
6721 SW PINE ST
PORTLAND, OR 97223 [MECH] Permit Fee 2/8/2008 $72.50
[TAX] 12% State Surch 2/8/2008 $8.70
Total $81.20
Phone: 503- 244 -6829
Contractor:
COMFORT SOLUTIONS HEATING & COOLING
PO BOX 1233
CLACKAMAS, OR 97015 REQUIRED ITEMS AND REPORTS
Contact #: PR1 503 - 698 -2665
FAX 503- 655 -0349
Reg #: LIC 146472
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: Permittee Signature: y: _fl_1�i� . `/ g ___s> Vii, /a�7Gl�,
Call 5 /39.4175 by 7:00 a.m. for inspections that business • =y.
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.
Feb 09 2008 11:39RMort Solutions Heating 503 - 655 -0349 p.1
02/08/2008 FAX 54 1i CITY OF TIGARD Q001
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near 503.639.4171 F �R t ! Other
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a � ❑fir. perm -M indkats tee value (rounded to the nv.r dollar) of all
. m edwnlcai mantas, ointment, labor, overhead, and profit,
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J5( and ?ribmily dwelling p CoramerzialAndunial ❑ Accosaary building
Muhl- fbtnffy [] MasGer builder ❑ p For vocal terra aiian um chug
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Job sitssdd, /nlp.J ` 6 p,ha. 5 ' 'dO� °r pump
ea0 14.00
tt�y''' ` �aPitP eon ehawblRelaoam
city/staler�: 1L - A O a- q 7-g-0.- Pumas I00M BTU aver) 1 14.00
hildgJapt no.: I Prq)eet name: �.e /
Furnace 100.000+ BTU (domaherm) _ 17.90
Suke
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gas beat perm 14.00
c�troet/abecd® a to job nits; _� Duet . work 14.00
•
HvIranio hot taw mama 14.00
ltaveeltfal bona (radiator or
-
hydrant) 14.00
--- Unit honors (heel -type not eleoaia)
In.wN1. fe- duot, ausemodett, eta_ 10.00
Subdivision. I Lot mi.:. Flvehad for any or .hove 10o0
Taxmap/patuel no.: Oilier 10.00
Other flat appliance
!:itA !. '•,e?rl Wy;.• rr.•i :iv.1' '-''j,!•.9, Water beater j 10.00
c sa fireplace 10.00
�
Thi vent Po .r
water beater or gas
Ara _ B / il Q Empla a _ 10.00
I•ox RAW OM) 10.00
e
Q Waodlpellet novo 10.00
Wood lirwilacefinaart I 10.00
, fit . 7. r, C¢1 1 @sNaalt 1
:�. . , ': :j• �� �rril mf .. ' 3 4. ... `.�r°,a4 �' a' � N ' +:•. ''•r• � r I +.+, i ' 'r::• Q.00
IJsma ja fA _ /lli� l% . 8 orkoamettprl eshtwat red MOW*
10.00 kange Addrom: • / . C j LA" 1, / S 74- oaai other kitchen 10.00 r
Ctty/9tata21P: 4 9 ' -7��.,3 Clothes error admen ,_ I0.00
nano ( ) a 7 - ! a y Am: ( eo�tanmte. utility )
.; :• ... '.''''"• ?'i1 ' .,d ict %eT '... Anideraatipaaot3ms 0.00
Barinesa name: �p rtr► eOQ.'t 'D l u .` 10 (---) � s I 14.00
Fr Furl pipiat
Contact name:
F �hC.: ('I major first toor,0p WOO ttl
Address: 0 0>c 1 , 53 --
C
OP hied Plum
ity ' CA L. r`'ail O (2- 9 16 Wel hmaeadedlw.it heater ,
nom: (�3) ( colt - a( 4..t- 5 - x: 3
Pa: (g, �S� 03 4 9 Water heater
nom: Fireplace
Business zlama: 114 clothes deer (qua)
Addnaa: G Pe rr1 ,,. }, ,..
69q/Slare2l: subtotal 4
Pbcor ( ) ` Fat: ( ) Minimum penult fee (512.50) OD
Plan review (A5% of panhit tt:e) ..
CCS Ile. : 1 U. f a+ 19 7b Siete eurchargo OW await feo) Co 1
70TAJ. Plummy= ..7 . i ) I
D t penal appal:a 4.r eh�ann it ■ perch le ■v4. ; • 110
Authorized fie: ! / dys miter ft bm been mooted as comrade.
F Pnat 4shae: eV. B € I Data: • Fee metedoioar eat by Td- Cphaa9 a iet a todeeny ¬es Hand
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CITY O
BUILDING DIVISION
A . PERMIT #: MEC2008-00068
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2J8/200B
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 I I..
INSPECTION WORKSHEET FOR DATE: 2/25/2008 TIME: 7:00AM PAGE: 44
SITE ADDRESS: 06721 SW PINE ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: CORNISH
DESCRIPTION: gas furnace replacement
OWNER: CORNISH, MARY PHONE #: 503- 2446829
CONTRACTOR: COMFORT SOLUTIONS HEATING & COOLING PHONE #: 503 -698 -2665
Inspection Request Scheduled For: Date: 2/25/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 065519 -01 503 244 -6829 Y
Corrections /Comments /Instructions:
ca rte! ! ! r rcf c _
/f /UMA6
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: —
Date: 2_ ZS , Phone #: (503) 718- 2_.4..Q
•