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8300 SW EANNO CREEK DRIVE
F- A CITY O F T I G A R D MECHANICAL
DEVELOPMENT SERVICESPERMIT
PERMIT #. . . . . . . : MEI"96--0400
1312F GW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 11/18/96
PARCEL-: P6112BB-07600
GI. IE ADDRESS. . . : 08.300 3W FiANNO CREEK DF'
SUBDIVISION— . : COLONY CREEK ESTATES NU. 2 ZONING: R-7
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :59
CLASS OF WORI/,. . :AL'T* FLOOR FURN. . . : 0 EVAP COOLERS: 0
TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY ORP. . :R3 VENTS W/O APIPI-.: 0 VENT' SYSTEMS: 0
STURIES. . . . . . . . : .13 BOILERS/COMPR-SSORS HOODS. . . . . . . : 0
FUEL TYPES----------------- 0-3 HP. . . . ., 0 DOMES. INCIN: 0
: /GAS/ 3-15 HP. . . : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?— : 30-50 HP. . . . : 0 WOODSTOVES. . : 0
GAS PRESSURE . . : 50+ HP. . . . V., CLO DRYERS. . : 0
NO. OF UNITS—------ AIR HANDLING UNIT�73 OTHER UNITS. : 0
FURN < 10OV. BTU: 1 <= 10000 c f m : 0 GAS OUTLETS. : I
FURN ) =100K BTU: 0 > 10000 r'r., : 0
Remarks : install gas fireplace
Owner: FEES -----------
MICHELLE NABOUSLS type amol.Int by date rer-pt
8300 OW FANNO CR DR PRMT $ (P5. 00 JSD 11/18/96 96-286633
5PCT $ 1. 25 JSD 11/18/96 95-286633
T16ARD OR
Phone #:
Contractor:
ABLE MECHAHICAL. INC
PO BOX 7176
BEAVERTON OF! 97007
1-'Ihone 0: 640-4141 $ 26. 25 TOTAL
Reg 069114
REQUIRED INSPECTIONS
This permit is issued subject to the reg-dations contained in the Mechanical Insp
Tigard Municipal Code, State of Ore. Specialty Cadet and all other Final Inspection
applicable laws. All work will be done in accordance with
approver{ plans. This permit will expire if work is not started
within 180 days of issuance, or if cork is susppr,;�d for more
+nar W days.
Permittee Signatp-e: i ,tAIL11".
I s!-tpd B0
Call for inspection 639--4175
Plan Check rt_
CITY OF TIGARD Mechanical Permit AppiicaVan Recd By
13125 SIN HALL BLVD. Commercial and Residential Date Recd
TIGARD, OR 97223 Date to P E.
(503) 539-4171, x304 Date to DST_
Print or Type 'em,rt 0—1
Incomplete or illegible applications will not be acceptedCalled
-- Nama a oe.erowrrnvwoNa -- Descnonon —,
Table 1A Mer .joical Code QTY PRISE MAT
Job sl+M1 Adar*Y -- $� A) Permit Fee -0- -0- 10.00
Address
a" CAyrStau lip
— B) Supplemental Permd 300
NwrW lar nmo d bumm"I J 1.) Furnace to 100.000 BTU 6.00
Owner }� L h (,� �k '� 'nd.ducts S vents
Ma"MOMn 2.) F—Ur o 100,000 BTU� 750 _
Dc') ` 10 C ' `✓( nct ducts 3 vents
�MZIP I Phww 3.)`Floor Fumace -
ind.vent
tar ram d tluwms) 4.) Suspended heater.wall h :ter 6.00 or floor_mounted heater
Occupant MM"Aacw 5.) Vent not nd.in -- — 3.00
appliance permit
5.) Borley or comp.heat pump.air ronr1. 6.00
to 3 HP;absoM unit to 1 OOK BTU
Nan e _ 7) Bahr or comp.heat pump,ax cond. 11.00 -
/ b,C- M C'h ay\,t_ 0 f 1,Y, 3-15 HP.absorp ural to 5"BTU
Contractor Me"Aaere= fl.) Boder or comp,heat pump.ar cond. l 15.00
' -1 15.10 HP;absorp unit.-r--1 mil BTU _
Altach copy of Claw ZIP "^ 9.) Boiler of comp,heat pump,air cord. 2250
Curet-nt Licenses I� 'L [L )L'h r Ut C' �U� / 1 7i_ "y('1 30.50 NP-absorp unit 1-1 75 rTW BTIJ _
organ conn CaK tlrttrd t na Exp.onle 10) Boiler or comp.heat pump.ar cond. 37.50 —
' 10/1l '_50 HP,absorp unit 1 75 rnd BTU
COT araneau Ta ar MNO 9 Exp,Oaa 11.) Ax handling and to — 4.50
('7 C I i /r 1G.OpO CFM
Architect Name 12.) A,rhanding unit -- -- 7.50
10.000 CTM•
or Me"Ad&o= — 13) Non portable 4.50
evaporate Cooler
r ryrStap
Engineer -0 Phi. 14) vent fan connected --- — 3.001
to a sangle due: -----
Descxtbe work New O Addition rl A Aeradxn Y Repan O 15) Venblabon system not 450
to be done Residential O Non-residential O nchxled in appliance pemut
Addrtronal Descnpbon of work 16) Hood served by
n Si U I 1 ()SS r Y' mechanical exhaust 450
17) Domestic row*rwors 7.50
Excstng rise of - -- --- 18) Commeerr%al Of rxlusmw 30 O0 --
building(,r property— --__-- --- -- _ tYt�e rcmerator
19) Clothes dryers,etc, 450
450
V.nposed use of 20) Other unds -
Luriding or property.----- --
Type of htel-oil O nawral gas 0 LPG O electnc O 21) Gas prong one to four outlets 200
I hertay acknowledge that 1 have read this application,that the 22) More than 4-per outlet (each) 50
information given is .mr ect that I am the owner or authonzed agent of
the owner,that plans submitted are n compliance with Oregon State — QTY.SUE 'OTAL
laws.
Signature of OwnerfAgent T - Date — 'SUBTOTAL
/ '• t `�� � � 'a 1 t ' ) l�I Cj�� SX SURCHARGE� - --
ContW Person Name / PLAN REVIEW 25%OF SUBTOTAL
--
_ TOTAL
L1dstVr*chpmcdoc - 'Minimum pent.1 fee is 525+5%su"arge
Rev 1196