Permit 71 •.- -,': CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2010 00214
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 $03.639.4171 Date Issued: 05/07/2010
Parcel: 1 S134BD10800
Jurisdiction: Tigard
Site address: 10942 SW 118TH CT
Subdivision: PENN LAWN ESTATES NO. 2 Lot: 36
Project: Brandt
Project Description: Replace gas furnace and install A/C. Unit must meet 3' minimum rear and side yard setbacks.
Owner: FEES
BRANDT, MICHAEL Description Date Amount
10942 SW 118TH CT Air Conditioning 05/07/2010 $46.75
PORTLAND, OR 97223 Furnaces < 100K BTU 05/07/2010 $46.75
PHONE: 541 - 914 -5142 12% State Surcharge - Mechanical 05/07/2010 $11.22
Contractor:
MUEHE QUALITY HEATING INC
7301 SW KABLE LN #500
PORTLAND, OR 97224
PHONE: 503 - 598 -0966
FAX: 503- 598 -8498
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
Total $104.72
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: 1 _ �� r 1 - Permittee Signature: /A/ /9-4,04./ (1�-77d �, ��J/ ,r /
Call 503.639.4175 by 7:00 a.m. for an inspection that 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.
May 06 10 12:44p Muehe Quality Heating 503 - 598 -8498 p.2
Mechanical Permit Applicati o!' cill i r= �, al /� IM v k � iii ''"""l�`"'ia'" I1r�, , „ , b rk n ,r 0
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-:z�a :; h " 3 1 Received • _
I . �l i '�I, �4 w,�; C of Tigard Dakar s5 7 to • 13125 SW Hall Blvd., T OR 97223 Permit t o.��a20�D �QQv��
MAY - 6 2010 Plan Review
a 0
1 Phone: 503.639.4171 Fax 503.598.1960 Date/By: Other Permit:
% Ir 4 Internet vvww_tigard -or gov7S r �� y` Date y /B El See Page 2 for
CITY I OFF 11GARD Notified/Method:
SupplemeotaE loforma6o0
BUILDING Divls r P 1
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - I;SE CHECKLIST
El New construction ill Addition/alterat ion /replacement Mechanical permit fees' are based on the value of the work
performed. indicate the value (rounded to thelnearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, Tabor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
1:.; 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building RESIDENTIAL EQUIPMENT /SYSTEMS PEES'
El Multi-family ID Master builder ❑ Other, For special information we checklist.
Description j Qty. I Ea_ I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling 1
Job site address: 10942 SW 118 Ct Air conditioning
(requires site plan showing placement) 1 46.75 46.75
City/ State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
. Suite/bldg. /apt. no.: Project name:
Fumace 100,000+ BTU (duns/yews) 54.91
Heat pump 61.06
Cross street/directions to job site: Scholls Ferry Road to 121" Ave to Duct work 23.32
Springwood Drive to 118 Ct Hydronic trot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall. in -duct, suspended, etc. 46.75
•
Subdivision: Flue/vent for any of above 23.32
Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRII'TION OF WORK Water heater 23.32
Gas fireplace 33.39
Replacement of existing 80% gas furnace with 95% gas furnace; addition of air Flue vent for water heater or gas
conditioning fireplace 23.32
- Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
2 PROPERTY OWNER ❑ TENANT Chitnncyllinerlflue /vent 23
Other: 23.32 ,
Name: Mike Brandt Environmental exhaust and ventilation
Address: 10942 SW 118"' Ct Range hood/other kitchen
equipment 33.39
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 1 33.39
Single -duct exhaust (bathrooms,
Phone: (541)914 -5142 Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT 0 CONTACT PERSON Attic /crawlspace fans 1 23.32
Other: I 23.32
Business name: Muebe Quality Heating, Inc.)
Fuel piping P g
Contact name: Kyle Iiirman $14.15 for first four; 54.03 for each addirional
Address: 7301 SW Kable Lane, Suite 500 Furnace, etc
Gas heat pump
City /State /ZIP: Portland, OR 97224 Wall/suspended/unitheater
Phone: (503) 598 -0966 Fax: : (503) 598 -8498 Water heater
Fireplace
E -mail: mghkyle@integra.net Range
CONTRACTOR Barbecue 1
Business name: Muehe Quality Heating, Inc.
Clothes dryer (gas)
Other:
Address: 7301 SW Kahle Lane, Suite 500 MECHANICAL PERMIT FEES*
City /State/ZIP: Portland, OR 97224 Subtotal 93.50
f r p hone: (503) 598 -0966 Fax: (503) 598 Minimum (25% fee (590.Q
` j / �!�/ Flan review (25% of permit fee)
CCB lie.: 50096 ?,. State surcharge (12% of permit 6ze) 11.22 , /
TOTAL PERMIT FEE 104.72
Authorized signature: / This Permit application expires if a permit is not obtained within 1110
days after it hax been accepted as complete
Print name: Kyle Birman I Date: 5/6/2010 • Fee methodology set by Tri Building industry Service Board
IAll wilding 'Yermits11.1EGPormit.4pp.do., IOfGI 44046 177 (111O2ICOM/WFB)
May 06 10 12:44p Muehe Quality Heating 503- 598 -8498 p.4
Site Plan
Rear Property Line
Left Side Right Side
Property Property
Line 50' Line
ac 15'
Brandt Residence Unit ~�
4
10942 SW 118 Ct.
29'
SW 118 Ct.