Permit C ITY OF TIGARD MECHANICAL PERMIT
' � . DEVELOPMENT SERVICES PERMIT #: MEC2005 -00248
' ' I I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 5/17/2005
PARCEL: 1 S136CD -00600
SITE ADDRESS: 08060 SW PFAFFLE ST 100 ZONING: C -P
SUBDIVISION: SPRINT PCS WIRELESS MONOPOLE LOT: JURISDICTION: TIG
Project Description: Install diffusers, 1 return connected to existing return duct. Value:$2817.00
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 OTHER UNITS:
FURN > =100K BTU: < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
FINKE, ALEX TRUSTEE Description Date Amount
FINKE, LOTTE I TRUSTEE [MECH] Permit Fee 5/17/200f $86.30
PO BOX 23562 [TAX] 8% State Surchar€ 5/17/200f $6.90
PORTLAND, OR 97281
Total $93.20
Phone:
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Phone: 692 -1565
Reg #: LIC 5193
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.
i •
Issued By: � AP % Permittee Signature
Cali 503 - 639 -4175 by 7:00 a.m. for inspections that business •
This permit card shall be kept in a conspicuous place on the job site until co • - tion of the project
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Application FR O OFFICE USE ONLY
B
' CitP`of Tigard Received ./ , A ,....
.., - Permit No.: /,.. •
Date/y / / V ") p •• 5-coaLM
13125 SW Hall Blvd, Tigard,IRWOEINED Plan Revie
Phone: 503.639.4171 Fax: 5 3. 98.1960 .
Other Permit:
Inspection Line: 503.639.4175 svi Avr 1 1; lnnc A l ri l i. '
A,- "I.:. D /By: Juris: Hi See Page 2 for
Internet: www.ci.tigard.or.us 6.%11p-a 1 I LUUJ Notified/Method: Supplemental Information
. `,0' . !..;•.'1;•f..-' , :` , ..,,; y ,::::: 4 :71:; - a s ITC.MAWIRTgaiTtfarn Wit
PT , 11.-.... 'A... - .4/06: .! , ,_ - . ,..k7e."-ritt, - lailt.,:ae.4.? ...- A 1,1iL16. ' `a.% ■ ..■87. ,. . AIM z .1i .: 410:11:,04:741eXt4EVISAbleir
0 New construction 0 alteration/replacement
Mechanical permit fees* are based on the value of the work
!.1 ' a a a I
performed Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other mechanical materials, equipment, labor, overhead, and profit
70, Value: $ Ls/
' Millirride ; :. - ?1 , 2=TiFeiThiaziti*:4';`'‘WM"'..' , .•
- .A ,.. ; • - ' • -a-w.r. vA . . 4 17 •,1 ...'" . '-,-;, -, .1 .- 711 , Khumov - -,
-
1. .i, - : 4.14r' -
0 1- and 2-family dwelling Commercial/industrial 0 Accessory building
For special information use checklist.
0 Multi 0 Master builder 0 Other:
Description I Qty. I Ea. I Total
a Heatinakooling
Air conditioning or heat pump
Job Site addreSS: qc.coo Su PFAC-FLE S1 (requires site plan showing placement) 14.00
City/State/ZIP: fl (a (-)p,.., 97z-2-3 Furnace 100,000 BTU (duct.s/vents) 14.00
Suite/bldg./apt. no.: i 0 0 I Project name: 6-REfr AN060.60N1 Furnace 100,000+ BTU (duets/vents)
Gas heat pump 17.90
14.00
Cross street/directions to 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
Flue/vent for any of above 10.00
Subdivision: Lot no.:
Other: 10.00
Tax map/parcel no.: Other fuel appliances
-: 1 ':.1=.;:::-','::,... ; ' r • Z.:' :•-' , ; iikkiii ,- --,', , ..:\ .i . Water heater 10.00
Gas fireplace 10.00
(ktyrAL-1.... 5 - r- EAR_ DF1P1X-E.g.S \:// G F i-e X Flue vent for water heater or gas
fireplace 10.00
coNIK1‘..s1). to Y.15 N LT V AV 30 • IN 5 -r L L_ .1._
Log lighter (gas) 10.00
1 Ke wi 122' f 1-g x call K6exe in EKI STING Wood/pellet stove 10.00
V 2, Wood fireplace/insert 10.00
1. 1211 --, 1 Lia-I' DUCA"
...-- ..- -..-, .. Chimney/liner/flue/vent 10.00
:::•;:,' 'Oil/ - fieroiiikirf0 'I:-.,i ';9-; ....A
10.00
,
Name: (> E(x•" A-N DE2c NJ Environmental exhaust and ventilation
Range hood/other kitchen
Address: $D6 t) c )V) l' 5 r equipment 10.00
City/State/ZIP: Clothes dryer exhaust - 10.00
Single-duct exhaust (bathrooms,
Phone: (573 )5 f c l - -- 50 Fax: ( ) toilet compartments, utility rooms) 6.80
'' AfticialiwisPace fans
10.00
e g
Other:
10.00
Business n m e: A g .. IfWe..1...,,„e
Fuel piping
Contact name: S ..? 55.40 for first four, 51.00 for each additional
Furnace, etc.
Address: I InS0 :'1, - TUALAT i N ' D Gas heat pump
City/StateJZIP: Tvt,,,:z,,,-nt,4 57-- 9 •q- ex„z... 1 Wall/suspended/unit heater ,
Phone: (C3)3 ) /13/,,, Fax: : (377)`ed (, ' - I IV? :''i Water heater
Fireplace
E-mail: Range - D'
B ar b ecue
, • i L
SalT,M:Tre...--i ti m. lit A. A' -b ic 0
Clothes dryer (gas)
Business name: , R , Rov piN cm, Other: I " ■1011
Address: 'N)'-`...-4,i= - ''',..g.. ,-, :,..i,', .• '- . 4 0 T)11,7A -. Oki;;* :iti.4, a
fr.';•.•.-'% .3 ' .. ,• ..':..' - - 2 : .1' , E ....:. ,.: ,....,?;.irekti' .,:..., : LP ''.4''' - ..."
City/StateJZIP: S A m. A 5 A B \ft 7 ,''';
Subtotal Sb - 37
. , Minimum permit fee ($72.50)
,
Phone: ( ) Fax: ( ) Plan review (25% of permit fee)
CCB he.: 5 1 3 / State surcharge (8% of permit fee) b_ co
/
'4 TOTAL PERMff FEE t G73„39
This perndt application expires Ira permit is not obtained within 180
Authorized signature:
il ,... dap after it has been accepted as complete
1 1 c
• .......411nAnlewn, am kw T.:_resiryntv 11”;Ir1ine. Tyviv...try N!..n it no. 1:1 nowt
b 1940
CITY OF TIGARD j •
BUILDING DIVISION PERMIT #: MEC2005 -00248
13125 SW Hall Blvd., Tigard, OR 97223 L DATE ISSUED: 5/17/2005
Phone: (503) 639 -4171 �� d�i�yli,tl�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/27/2005 TIME: 7:10AM PAGE: 39
SITE ADDRESS: 08060 SW PFAFFLE ST 100 CLASS OF WORK:
SUBDIVISION: SPRINT PCS WRELESS MONOPOLE LOT #: TYPE OF USE:
PROJECT NAME: EMARK
DESCRIPTION: Install diffusers, 1 return connected to existing return duct. Value:$2817.00
OWNER: FINKE, ALEX TRUSTEE, PHONE #:
CONTRACTOR: ARROW MECHANICAL PHONE #: 692 -1565
Inspection Request Scheduled For: Date: 5/27/2005 Pour Time: - -.
Code # Inspection Description Confirm # Contact # Messag=
699 Mechanical final 007920 -01 503 -692 -1565 Y
7A a
Corrections /Comments/ Instructions:
4 _,...: 7i. . j z ,..
tP Ai5 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: g ( } Date: chS 2 Phone #: (503) 718-