Permit ? 1 . . vITY OF TIGARD MECHANICAL PERMIT
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1 " COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00687
TIGArRD DATE ISSUED: 11/27/2007
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135DC 02600
SITE ADDRESS: 11665 SW GREENBURG RD ZONING: R -7
SUBDIVISION: MLP85 -0007 LOT: JURISDICTION: TIG
PROJECT: KAHALOA
Project Description: Replace gas furnace.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: 1 AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
CARRIE KAHALOA Description Date Amount
11665 SW GREENBURG RD
TIGARD, OR 97223 [MECH] Permit Fee 11/27/20C $72.50
[TAX] 8% State Surchar€ 11/27/20C $5.80
Phone: 503- 639 -0767
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Total $78.30
Contractor:
COLUMBIA HEATING & COOLING INC
P.O. BOX 230397
TIGARD, OR 97281 REQUIRED ITEMS AND REPORTS
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Contact #: PRI 503- 624 -2704
FAX 503 -598 -0270
Reg #: LIC 76359
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 OU NC by
calling 503.246.6699 or 1.800.332.2344.
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Issued y: 1 ! Permittee , d'' ' , d` --�
Call 503.639.4175 by 7:00 a.m. for inspectionsth. business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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mit are based on tile volue or the wort
0 New co011ruelion "tit aditioniehettlaitifrimidneement prebrynne, tamale am yabc CiesAncicd Its [he invest driller) of WI .
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1- and 2-fandly clorcillng 0 CommertieJfindUstritd in Accessory building ,,...::...... •
For specid rearrwateu las cheers,
0 Mulat-Bnnily 0 Master builder 0 Other: --,
Description F Qty. I EL I Thug
. • " . • JOB sus DIFORMATION Af4D LOCATION . - -. . .. ' • v." Heasing/ceedln;__ ' .
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Job site address: /4 A) 64' 46"/ ' „.., . Aar candidestiez Dr Ilan PUMP
Civ.ItietiMiLP: Rumba 100 000 UTU • ntlannnti • 14.00
- Nam= 100.500 1171.1 (dneed•ents) : 17.00 1111
Suite/bldg./ape. no,: ' Project rant G33 beet , • 141.00
Orme streethlireqtions to job site: Duct %tusk II 13.00
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- hammer 3 - tem 14.00
Residential bailer (rattler or
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bydrestiej 14.00
____ Ur a beam tbel-typ c. ontalutrxic) ,
in-wall in-duct, susrertded, do 10,00
Pliniventfer an of Wove I 0.00
Subdivisitat j Lot no.:
Tax tutpiperecl elm! Oilier Ate.1 !plains es _
arscarrtaw ea WORK • - • ' '''' - • .• ''' " ''' Sw81.4 hmm. 10.00 ,
------nce 10.00
i / ,fe , - , .e--• ;7 0 4...5 - 71.0`1"e't 4 Phu vent ler wnla li =tee Or 3is
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--- Log !Otter (mts) 10.00
Wood/pelle stow 1000
Wood Steobralinett 10.00
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iSraorrort• OWNER • . 0 .TTOLAKT CF-J---11264Y,Tnneloolveso 1.0.00
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' C A PPLSCAPIT ' • '. ' _ • - D CONTACT motor '. -: -- NN ,, AnickmAstite ains 10.00
_Odies: 10.00 /
Dimino; neon:
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Contact name: e ......- - -- reel Pr? i k
r7 tr-1 5.5.4 for first foul SI 313 M t, r cu additional
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TOTAL PERMIT Ur 1 1 co
AuterriZct1 ai go atom 'Mamma nppaealtitn expires if n permit th set abssleel.Abis 110
theyS oat It eras tnen •cteprted tu vssip laic
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: MEC2007-00607
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/2112007
Phone: (503) 639-4171 A
: ,,i ti l i 'l
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2/12/2008 TIME: 7:05AM PAGE: 57
SITE ADDRESS: 11666 SW GREENBURG RD CLASS OF WORK:
SUBDIVISION: Ml P85-0007 LOT #: TYPE OF USE:
PROJECT NAME: KAHALOA
DESCRIPTION: Replace gas furnace.
OWNER: KAHALOA, CARRIE PHONE #: 503.639.0757
CONTRACTOR: COLUMBIA HEATING & COOLING INC PHONE #: 503-624-2704
Inspection Request Scheduled For: Date: 2/120008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 064801-01 503-624-2704 Y
Corrections/Comments/Instructions:
4 ASS PARTIAL APPROVAL D CANCEL I I NO ACCESS
_
fl FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
,./
Inspector: . ' . Date: - 2.— — /g----&9 Phone #: (503) 718- _a-.---/'