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Permit " ..,i,'e J CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT Permit #: MEC2010 -00213 TIGARD'. 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/07/2010 Parcel: 2S103BB04500 Jurisdiction: Tigard Site address: 12475 SW KATHERINE ST Subdivision: Lot: 0 Project: Ballard Project Description: Replace gas furnace and install A/C. Unit must meet 3' minimum rear and side yard setbacks. Owner: FEES BALLARD, CAROLYN JEAN Description Date Amount 12475 SW KATHERINE Air Conditioning 05/07/2010 $46.75 TIGARD, OR 97223 Furnaces < 100K BTU 05/07/2010 $46.75 PHONE: 503 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: Permittee Signature: (y71/\ L f. 770 ry / ��' lll���"` Cali 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 12:47p Muehe Quality He( /FO 503 - 598 -8498 p .2 • Mechanical Permit Application ,' ,51, , .`. ;� 0 w 4 E : O W (FcI F } "Niry r iota p , ram, MAY — 6 2010 i i City of Tigard o �� // 9/4V---.. Permit No/7 7+ t? /O -- W P?/3 * s, w 13125 SW Hall Blvd., Tigard, OR 97223 I OF TI�aAR Plan Review � � lGC Il - , I7 " , Phone: 503.639.4171 Fax: 503.598. 1 Date/By e Ready By: Other Permit: GeM1 tD Inspection Line: 503.639.4175 ILDING DI!/ISIOr pat 1 : t ®SeePppleage2tal for atioa o Internet: www.ugazd -or.gov ` (� Notified/M� hod: I V Sumen l�rm TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ® Addition/alteration/replacement Mechanical permit fees* are based on the value of the work ❑ Demolition performed. Indicate the value (rounded to the nearest dollar) of all © Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ RESIDENTIAL EQUIPMENT / SYSTEMS FEES" ® 1- and 2- family dwelling ❑ CommerciaL'industrial ❑ Accessory building ❑ Multi-family ❑ Master builder For special information use checklist. Other Description P 1 Qty. Ea. I Total JOB SITE INFORMATION AND LOCATION Heading/cooling Job site address: 12475 SW Katherine St. Air conditioning (requires site plan showing placement) 1 46.75 46.75_ City / State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducurvents) I 46.75 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: Project name: Heat pump 61.06 Cross street'directions to job site: Walnut St to 121'' Ave to Katherine St. Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or _l dronic) 23.32 Unit heaters (fuel -type, not electric), in -wall, in -duct suspended, etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: - Other: I 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 0 0 - 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 ® PROPERTY OWNER El TENANT Chimney/liner/flue/vent 2332 Other. 23.32 N ame: Carolyn Ballard Environmental exhaust and ventilation Address: 12475 SW Katherine St — Range hood/other kitchen equipment 33.39 City / State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 3339 Single -duct exhaust (bathrooms. Phone: (503)590 -4398 Fax: ( ) toilet compartments. utility rooms) _ 23.32 ® APPLICANT 0 CONTACT PERSON - Attic /crawlspace fans 2332 I Other: 23.32 Business name: Muehe Quality Heating, Inc.) Fuel pi is Contact name: Kyle Birman $14.15 for first four, $4.03 for eaeh_additional - Address: 7301 SW Kahle Lane, Suite 500 Furnace, etc. Gas heat pump City /State/ZIP: Portland, OR 97224 Wall /suspended/unit heater Phone: (503) 598 -0966 Fax: : (503) 598-8498 Water heater i Fireplace i E -mail: mghkyle®integra.net Range CONTRACTOR Barbecue i Business name: Muehe Quality Heating, Inc. Clothes dryer (gas) Other: i Address: 7301 SW Kahle Lane, Suite 500 MECHANICAL PERMIT FEES* City /State/ZIP: Portland, OR 97224 Subrtital 93.50 Minimum permit bee ($90.00) V Phone: (503) 598 -0966 Fax: (503) 598 - 8498 Plan review (25% of permit fee) CCB tic.: 5 0 0 9 6 , - - - - - - - i Stale surcharge (f 2 %ofpermit tee) 11.22 TOTAL PERMIT FEE 104.72 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as cadmic:te. Print name: Kyle Birm r " Date: 5/6/2010 • Fee methodology set by Tri Belding Indu Service Board F. HuiIding ;PermitsMEC- PvmiWpp.doc 10/01/09 440 -4617r (t L;o COM/WEB) I May 06 10 12:47p Muehe Quality Heating 503-598-8498 p.3 Site Plan Rear Property Line Left Side ' Right Side Property Property Line 50' Line Ballard Residence 12475 SW Katherine St. 10' I Al UZ I 5' SW Katherine St. 1