Permit CITY OF TIGARD
xl� DEVELOPMENT SERVICES MECHANICAL PERMIT
PERMIT #: MEC2002 -00083
- I- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 3/11/02
PARCEL: 1 S136CD -00600
SITE ADDRESS: 08060 SW PFAFFLE ST
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE ZONING: C -P
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: NEW FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 1
OCCUPANCY GRP: B VENTS W/O APPL: 4 VENT SYSTEMS:
STORIES: 2 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
• MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: N 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm: 1
Remarks: Install air handler and 11 VAV boxes. along with ventilation system
Owner: FEES
EEI SOLUTIONS Type By Date Amount Receipt
5665 SW MEADOWS RD SUITE 300 PRMT CTR 3/11/02 $163.85 2720020000
LAKE OSWEGO, OR 97035 PLCK CTR 3/11/02 $40.96 2720020000
5PCT CTR 3/11/02 $13.11 2720020000
Phone: 503-297-1060 Total $217.92
Contractor:
MACDONALD MILLER DBA: ENCOMPAS
5711 SW HOOD
PORTLAND, OR 97201 REQUIRED INSPECTIONS
Mechanical lnsp
Phone: 503 - 230 -8991 Mechanical lnsp
Reg #: LIC 137340 Duct Inspection
Final Inspection
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 :10 rough OAR
952 - 001 -0080. You may obtain copies of these rules or direct qu= tio •OU ailing
lrr1119dF -U1
Issue By: t)a,t. -tAji Permittee Signature'
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
V
i); 900 . coo .
Mechanical Permit Application OFFICE ICE USE ONLY
Date received: Permit no.:14 • oe ,o0 c, . 3
' City of Tigard ,„#,J. ° _, � � Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223
Phone: (503) 639 -4171 Date issued: By: Receipt no.:
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
T1'1'1: OF PERMIT
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family - till Tenant improvement
❑ New construction ❑ Addition/alteration/replacement 0 Other:
JOB SITE INFORMATION CO111i19ERCIAL VALUATION SCHEDULE
Job address: RO ,0 5 \, J ) a ( Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ 23,0oo .
Lot: 'Block: I Subdivision: (�20 i Fl -F *See checklist for important application information and
Project name: E „),, f ; o ,�c, _ 1' jurisdiction's fee schedule for residential permit fee.
City /county: Tyr� 4 1 ✓u51:hyWh ZIP: '7223 I & 2 FAMILY DWELLING Pliatl'lIT FEE SCHEDULE
Description and location of wok gn premises. ANI) COR1i% lERICALIINDUSTRIALEQUII 'M ENT SCHEDULE
Cuymm14. I / I Chant le"ftim moil Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Air handling unit CFM
Is existing space heated or conditioned? 0 Yes Ill No Air conditioning (site plan required)
Is existing space insulated? 0 Yes M No Alteration of existing HVAC system
1%lCCIIANICAI. CONTRACTOR Boiler /compressors
Business name: MAT �' State boiler permit no.:
t! s HP Tons BTU/H
Address: 5 ,I hJ , Fire/smoke dampers/duct smoke detectors
City: l ed State: G, ZIP: q 2 a Heat pump (site plan required)
Phone: / Fax: E - mail:
5 �i - 9�3 9 3 -1035 nsta /rep ace mace .umer . -:
Including ductwork/vent liner ❑ Yes O No
CCB no.: 131,10 InstalUreplace /relocate heaters — suspended,
City /metro lic. no.: �$6 wall, or floor mounted
Name (please print): • • , A a t 1, ` Vent for appliance other than furnace
CONTACT” PERSON Refrigeration:
1 I Absorption units BTU/H
Name: / h ,t / ,'They Chillers HP
Address: ,
7 1' 61,/ fe w d Compressors HP
Environmental exhaust and ventilation:
City: L,p,L I State: 0, I ZIP: VP/ Appliance vent
Phone: 93 - '1G3- 1./731( Fax: 9'�,'3 -y E -mail: Dryer exhaust
Hoods, Type U IUres. kitchen/hazmat
hood fire suppression system
Name: 1 S 5 Exhaust fan with single duct (bath fans)
Mailing address: 5665 , • 2 v Exhaust system a art from heating or AC
Fuel piping and distribution (up to 4 outlets)
City: M.I ZIP: D Type: LPG NG Oil
Phone: ./3-'2/1-1- 2 (SO =mum O� /'/�lL m E - mail: Fuel pi m g each additional over 4 outlets
ENGINEER Proces (schematic required)
Name: V Number of outlets
Other listed appliance or equipment:
Address: 57// a Decorative fireplace
City: ,,,daNi I State: Or ZIP: y /U Insert - type
Phone: Fax I E -mail: Woodstove/pellet stove
Applicant's signature: 1,,/J D ate: �-�7'Q Z Other:
I Other:
Name (print): :il Vhl
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
Notice: This permit application
0 Visa 0 MasterCard Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount 440 -4617 (6/00 /COM)
CITY OF,'IGARD 24 -Hour
BUILDING• Inspection Line: (503) 639 -4175
INSPECTION DIVISION Business Line: (503) 639 -4171 ST
BUP
Received Date pq ested AM PM BUP
Location 5?.6 0 Suite MEC (7 ° F3
Contact Persons Ph ( ) ?gO 26 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing ELC
Foundation Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
P PAR FAIL
ECHANICAL •
ST at
Roug - n
Gas Line •
Smoke Dampers
PART FAIL
CTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line J
ADA / l 0 �
Approach/Sidewalk Date 111spector Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL