Permit L
C ITY OF TIGARD MECHANICAL PERMIT
1i4 DEVELOPMENT SERVICES PERMIT #: MEC2003 -00223
'� t�� II 13125 SW Hall Blvd., Tigard, O R 97223 (503) 639 -4171 DATE ISSUED: 5/1/03
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: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
<= 10000 cfm: OTHER UNITS: 1
FURN > =100K BTU: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of low pressure duct work for existing VAV.
Owner: FEES
PANATTONI CONSTRUCTION Description Date Amount
1400 SW 5TH AVE #810 [MECH] Permit Fee 5/1/03 $72.50
PORTLAND, OR 97201 [TAX] 8% StateTax 5/1/03 $5.80
Phone: 503 Total $78.30
Contractor:
ALLIANT SYSTEMS LLC
1600 NW 167TH PL, STE 330
BEAVERTON, OR 97006 REQUIRED INSPECTIONS
Phone: 503 - 230 - 8991 Duct Inspection
Final Inspection
Reg #: LIC 153420
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 -00
Issued By Permittee Signature I " ` U
.427.._____. Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
V -
-Mechanical Permit Application
DatereceivedS //3 Permitno.t f - Ito 2.4g
. 4''' f i City of TigaFE C E 4 4, � E D Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By:, Receiptno.:
Phone: (503) 639 -4171 +- p 1 2CO3
Fax: (503) 598 -1960 �` • "" Case file no.: Payment type:
Land use approva OF TIGARD Building permit no.:
"11 1'E OF 1'EItA11T
0 1 & 2 family dwelling or accessory iComercial/industrial 0 Multi- family 0 Tenant improvement
0 New construction 0 Addi 0 Other.
.1011S1 I E INFORMATION COMMERCIAL VALUATION SCIIEUULI
Job address: '! 1 • 1 i 4 111 a o 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 $ %•b .
Lot: Block: Subdivision: *See checklist for important application information and
Project name: ''jlr � ff r jurisdiction's fee schedule for residential permit fee.
City/county: I i, - .
MILIZMIIIII 1 & z F: 1■IILY DI1'Ia.LINC. PERM I FEI_ SCHEDULE
scription and loca. • o work on p• mises: {'i,�:�..� : 1ND COMiIERIC:tlJINUUSTRIkE EQUlPME\ 1'SCIIEDULE
I ' C .-1/1' t __A OW at ' X Mirgt Fee(ea.) Total
Est. date of completion/inspection: Demi . • an MI Res.only Res.only
-1 C: ■ --
Tenant improvement or change of use:
Is existing space heated or • n • 'tinned? Oyes 0 No Air handling unit UM
Is existing space insulated? I' Yes ❑ No Air conditioning siteplanrequired) -
Alteration of existing VAC system —
•
ME( II :W1(;,11. CON"! R:1( "1011 Boiler/compressors
St ,■■
State boiler permmit t no.:
,
Business name: ' i i , HP Tons BTU/H
Address: frardrillEMS7111.111.1111111 F smoke . ampers/. uct smoke detectors —
71M, X 1•5 / I' a IlEraliMION _ Heat pump site plan required) —
Phone: p , E -mail: Ins : replacefuma •urner BT H ■ --
Including ductwork/vent liner 0 Yes 0 No
CCB no.: if ,,,pe 0 i
wall, re pia re ovate eaters- suspen • ed, ■ --
City/metro lic. no.: wallll, or floor mounted
Name (please print): ent fora . . liance o er than furnace —
_ on: ■ --
(ONT PERSON
ACI' SON Absorption n units BTU/H
Name: 0415 `&✓ Chillers HP -
Address: 1 y�l Co • •ressors HP —
� �}�� � EZ}.�}�� nmvn a ast ven•1 ion: - --
�'��R'L /.'7' ��Ci:::��� �� � tl� - Appliance vent
Phone: 1 • ;,v 6r:'r�v;�dlm E -mail: a ere aust —
0 % NER oods, Type f fres. knc e azmat ■ __
�� Exhaust suppression fan with single (bath fans) - __
� ' 1 ;IMAM l'I r[ /�! ' Ehast with ge duct
Mailing address: > 1 ; r T x ' TM aust s stem a • art • m eaun _ or • C —
113211S i " ,.AI ZIP : ) ( , p p I., _ ,. ;Ire 7r1 on up to. ou ets III
Type: LPG NO Oil
Phone: ILP a, Fax: E -mail: Fuel • i .1n: eac • addition - over 4 outlets Mill
ENGINEER ' • - p p (schematicrequired) MI MIMI IIMIIII
Number of outlets -
Name: 4'1. 1 " app 1 : , e or . ,' potent: ■ -
Address: Decorative fireplace
City: State: ZIP: nsert- p —
Phone: Fax: E -mail: T ' toy pe etstove —
Applicant's signature: 1 4 1► I Date: S , p1 � 0 • ' er. =I
Name (print): ' a 517.17FAINIMIIMM -
Na all jurisdictions accept credit cards. please can jurisdiction for more information. Permit fee $ 7a , S D
Cl Visa O MasterCard Notice: This permit application Minimum fee $
Credit cud number: ! / expires if a permit is not obtained Plan review (at %) $
Expires within 180 days after it has been State surcharge (8%) .... $ .51 Pe
Name et c adtwlder as snows m credit card accepted as complete.
S TOTAL $ 7, • .3e9
Cardholder signature Amount 440.4617 (NONCOM)
r
CITY. OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION. ' Business Line: (503) 639 -4171 BUP 020 /.5
Received Date Request d 12 AM r PM BUP ' 1 — O o a-7 r
Location g 0 (O v Suite D03 - Oo33a
Contact Person Ph ( ) 5 / — Wo ° � 1,1)3 -CO a2-3
Contractor Ph ( ) SWR
`UILIti Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
—
Slab Inspection Note . 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
PART FAIL
P"I BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
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
ADA D /2/2 2 �U ''j
Approach/Sidewalk / Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171 BUP 3-00 7c
Received p - Date Ne. uested l ? Z v AM PM7� BUP 3 - 00 3 3 •
Location o 0 - 0 �,
j Suite C/ MEC 3'D Z Z �
_ �
Contact Person �/ Ph ( ) — 5?6 8g PLM
Contractor Ph ( ) SWR
= UILDIN Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab • Inspection Notes: C ,,,, SIT
Post & Beam / / Co a 2 4--
Shear Anchors — O ; ,ye e- �p
Ext Sheath/Shear /'
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
'- PART FAIL
P I MBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
- - T FAIL
Mat
Pos . .
Rough -In
Gas Line
• ke Dampers
'ASS PART FAIL
ELECTRICAL
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
ADA
Approach/Sidewalk Date /Z/z. 243 Inspector 7403 Ext
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL
•