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8310 SW COLONY CREEK c.'OUR: if
CITY OF TIGARD MECHANICAL...
DEVELOPMENT SERVICES PERMIT
13125 SW Hall Bivd., Tigard,OR 97223 (503)639.4171 PFRM I T #. . . . . . . . MEC97-001 7
DATE ISSUED: 01/27/97
PARCEL: 2S 1 12BB--0200
i'F.TF-. P.DDRE1_i`^. ,. . 10 SW COLONY CRF_EK. CT
9UBDIVISION. . . . t COLONY CREEK ESTATES ZONING: F7 -7
BL_1lf.;K. . . . . . . . . . LOI . . . . . . . . . . . . . : 19
CLASS OF WORK. . :ALT FL_DOR TURN. . . . : 0 EVAP COOLERS: 0
TYPE OF=' USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
0f.*J.;1JPANCY GRP. . : R3 VENTS W/O APDL..: 0 VENT SYSTEMS: 0
9TORIE:S. . . . . . . . .. 0 BOIL—ERS/COMPRESSORS HOODS. . . . . . . : 0
F'LJF_L TYPES-------------—_..------ -— 0-?, HP. . . . - 0 DOMES. T.NC I N: 0
3-15 HP. . . . : 0 COMML. INCINt 0
110X T NPUT: 0 BTU 11.5-30 HP. . . . : 0 REPAIR UNITS: 0
FIRF= DAMPERS?. . : 30-50 HP. . . . : 0 WOOnSTOVEE. . : 0
f"3W.3 PRES)GURE. . . : 0+ HP. . . . : 0 CLO DRYERS. . : 0
IVO. OF UNITS- ---- -- --- AIR HANDLING UNITS OTHER UNITS. : 1
F"URN < 100K BTU. 0 (= 100+40 c fm: 0 GAS 0117 LE'TS. : 1
TURN )=100K 131U: 0 > 10000 cfm: 0
RpmArl<s : Installation of gas stove insert.
Owner: -.----._-___-_.---------------------------------- F.—ES
,MIKE CI_.AY'TON type amoI.(nt by slate recpt
Fi310 SW CONOLY CREEK. CT PRMT $ 25. 00 ARA 01/27/97 97-28952
PL.CF< $ 1. 25 DRA 01/27/97 97--289523
T'ICARD OR 972='4
Phone #:
Contractor :
I_UDF MANS I N1'
1 ,:!,F,75 SW BEAVFRDAM RD
B AVF_.RTON OR 97005 ------------- ___--_---_—_-.._.____.__----_.___
PlionP #: F,45-6409 $ -.6. 25 TOTAL..
N ri #. . : 00051.4
REQUIRED INSPECTIONS --This persit is issued subject to the regulations contained in the Cas Line Insp
Tigard Municipal Code, State of Ore. Specialty Codes and all other Mechanical Insp
applicable laws. 111 work will be done in accordance with W o o d s t o v e Insp -__--_--
approved plans. This persit will expire if work is not started Final Inspection
within IN days of issuance, or if work is suspended for sore Final Inspection
than IN days.
Permi 1;Pe Sryrla ,r.We : T
I s1_lad By
Call for inspection — 539-4175
Plan Choc
CITY OF TIC-!-ARD Mechanical Permit Application Recd By
13125 SW HALL BLVD. Camrnercial and Residential Date Recd l 7 47
TIGARD, OR 97223 Date to P E
Date to DST
--
(503) 639-4171, x304 --'"
Print or Type Permit a WC f-7
Called _
Incomplete or illegible applications will not be accepted
Name of DeveloprnentiProiec DeFcnption
Q t Table 1A Mechanical Code OTY PRICE AMT
Job iter.-el Address Su tea A.) Permit Fee -0- -0- 10.00
Address - `7 7 �2-
eidga dyrstate Zip B) Supplemental Permit 3.00
_-� r" is for name o.bumnessi 1 ) Furnace to 100,000 BTU 600
Owner �., ` incl ducts&vents _—
r � � j'j 2 Furnaoe 100,000 BTU+ 7 50
Mailing Address / )
incl.ducts&vents
GI f$tals Zip Phone 3 1 Floor Furnace 600
c^rim' 7 4' �, _ incl.vent
�— Nanaof w meal 4) Suspended heater. Nall heater 6 00
ms' me
or floor mounted heater
Occupant Mailing Address 5.1 Vent not incl.in 300
appliance permit
City state Zip Phone 6) Boller or comp,heat pump,air road. — 600
to 3 HP:absorp unit to 100K 8 Y
Narge 7) Boiler or comp,heat pump,air Gond. 11 00
3-15 HP:absorp unit to 500K BTU
Contractor Mailing Address 8.) Boder or comp,heat pump,air coed 1500
15-30 HP:absorp unit 5.1 and BTU _
(Prior to City/state zip Phone 9) Boder or coinp,heat pump,air Gond. 22.50
issuance a copy i- c.,::_i�• 30.50 HP,absorp unit 1-1,75 mil BTU
of all licenses are 01111W Const.Ccnt Board u c a Exp onto 10) Boiler or comp,heat pump,air cond. 37.50
required d >50 NP;absorp unit 1 75 and BTU _
expired in C O T COT 8usmess Tax or Metro a — Exp Date 11 ) Air handling unit to 450
data base) "`1l. 10.000 CFM _
Architect Narre 12 ) Air handling unit 7 50
10,000 CTM+
or Marling Address 13.) Non portable 450
_ evaporate cooler —
Engineer c,grSlateZip ❑hone 14) Vent fan connected
3.00
to a single duct
work
Describe work New O A."Idition O Alteration Repair 0 15) Ventilation system not 450
to be done Residential O Non-residential included in appliance permit
Additional Description of work 16) Hood served by mechanical exhaust 450
17) Domestic incinerators - 7_50
Existing use of
18.) Commercial or in lustnalh,pe 3000
building or property ___ ncmerator
L—iy) Repair units 450
---- -- --
Proposed use of 20) Woodstove 4 50
building or property21) Clothes dryer,etc. 450
Type of fuel- A O natural gas 0 LFG O electric r: 221 Uth�r un is 4 5050
1`iereby acknowledge that I have read this application.that the 23) Gas piping one to four outlets 200
information g,/en is correct.that I am the owner or authorized age it of
the owner,that pians submitted are in compliance with Oregon State 24) More than 4-per outlet (each) 50
r �
Signa ture of Owner/Agent Date C]TY.SUBTOTAL
'SUBTOTAL.
�7.
Contact Person Name Phone 5%SURCHARGE
PLAN REVIEW 25%OF SUBTOTAL
TOTAL _- -
dstVnechpmt doc (rev 7!961 Minimum permit fees S25+5%surcharge