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Permit CITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVEL Permit #: ,MEC2010 -00312 OPMENT _ Date Issued: 07/06/2010 - 1IGAFLD; 13125 SW Hall Blvd., Tigard OR 97223 .503.639.4171 Parcel: 1S134CA07100 Jurisdiction: Tigard Site address: 11690 SW BURLCREST DR Subdivision: ' BURLWOOD' NO. 2 Lot: 11 Project: Rice Project Description: Replace existing gas furnace and add A/C. Unit must meet 3' minimum rear and side yard setbacks. Owner: FEES RICE, CHARLES L & DIANE G Description Date Amount 11690 SW BURLCREST DR TIGARD, OR 97223 Air Conditioning 07/06/2010 $46.75 Furnaces < 100K BTU 07/06/2010 $46.75 PHONE: 503 -312 -5117 12% State Surcharge - Mechanical 07/06/2010 $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: 7 , t //',L/ e - / 'S ON v — 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 ofeach inspection. Jul 02 10 03:37p Muehe Quality Heating 503 -598 -8498 p.2 • 'Media P ermit A h ia ' a F ' • n ', '' '' 41 y l ` h0126l' leri4 O l.1 SIP h " ''' 5.': ' , L '' ' '' ' ' ' '' lik ,� �r City of Tigard UL �. 2 2010 Da cevi 22 . :. . Perltrit No. !� � �� m ,13125 SW HalCBlvd., Tigard FOR 97223 te/g3' P 'ate � l j/0 - © o 31. Plan Act •0 • , q Phone: 503639.4 Fax: 503.598.1960 Date/gy; Other Permit: v T,IG J v RED ' -Inspection Line :. 503'639.4175 , ,G1TY F TIGARD Date Ready/ay; 8f'See Paget for 1, �t itai Internet: www.tigard- or-;gov BU L )I G DIVISION - (SIDIVISION 1 1 Notified -- ---- IM S tnformatioa _ TYPE OF WORK ' COMMERCIAL FEE* SCHEDULE USE CHECKLIST 1 Mechanical permit fees* are based on the value of the work l New. construction ® Addition/alteration/re )Iacement performed. Indicate the value (rounded to the nearest dollar) of all 0 Demolition ❑ Other: mechanical materials. equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION Value: S RESIDENTIAL EQUIPMENT / SYSTEMS FEES* Z I -:and 2- family dwelling ❑ Commercial /industria II Accessory building For special inform atiorr use checklist. ❑ Multi- family ❑ Master builder II Other: Description I Qty. I £a Total JOB SITE INFORMATION AND LOCATION Fleating(cooing Job site. address: 11690 SW Burlerest Drive Air conditioning (requires site plan showing placement) 1 46.75 46.75 City / State/ZIP: Tigard, OR 97223 , Furnace 400,000 BTU ( ducts/vents) 1 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: SW 121' Ave to SW Bul 1hei;hts Drive to Duct work 23.32 Flydronic.hot water system 23.32 5W Burlerest °Drive �` Residential boiler (radiator or hydronic) 2332 Unit healers (fuel -type, not electric), in -wall, in -duct, suspended, etc. 46.75 Flue/ventfnr any of above 23.32 Subdivision: Lot no.: Other. 23.32 Tax map/parcel no.: 1 i Other fuel appliances DESCRIPTION OF W4M tC Water heater 1 23:32 vent Gas f Replacement of existing 80% efficient gas furnace whit 9D% gas furnace; addition fireplace 33.39 Flue v ven for water heater or gas of air conditioning fireplace 23.32 hog,lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER I ❑ TENANT _ Chimney/liner /Rue /vent 23.32 Other: 23.32 Name: Chuck and Diane Rice Environmental exhaust and ventilation , Address: 11690 SW BurlcrestDrive Range hood/olherkitchen • equipment 33.39 City/State /ZIP: Tigard, OR 97223 Clothes dryer exhaust _ 33.39 Single -duct exhaust (bathrooms, Phone: (503)312 -5117 Fax: ( ) toilet compartments, utility rooms) 23.32 10 APPLICANT ® CONTACT PERSON Attic/crawlspace fans 23.32 . Other: 23.32 Business -name: Muehe Quality Beating, Inc. Fuel piping Contact name: Kyle Birrnan S14.15 for first four, S4.03 for each additional Address: 7301 SW Kable Lane, Suite 500 Furnace, etc. . - Gas heat pump City/ State/ZIP: Portland, OR 97224 Wall/suspended/unit heater Phone: (503) 598 -0966 Fax: : (50 i) 598 -8498 Water heater Fireplace • E- mail: mghkyle(integra.net Range CONTRACTOR Barbecue Business name: Muehe Quality Heating, Inc. Clothes dryer (gas) Other - Address: 7301 SW Kable Lane, Suite 500 MECHANICAL PERMIT FEES* . City/State/ZIP: Portland, OR 97224 Subtotal 93.50 Phone: 503 598-0966 Fax: (5 )3 591 ;349$ Minimum: permit fee (S90.00) ( ) Plan review (25% of permit fee) CCB tic.: 50096 r� State surcharge (12% of permit fee) 11.22 TOTAL PERMIT FEE 104.72 Authorized signature: Th perm appl expires i f a permit is not obtained within 180 / days after it has been accepted as complete. Print.natne: Kytellirman II Date: 7/2/10 ' Fee methodology set by Tri- County Building Industry Service Board 1: 1Building \Pcrmits\A15C- PermitApp.doc I0 ;01/09 440- 4617f (11 /07JCOM/WE113) Jul 02 10 03 :38p Muehe Quality Heating 503- 598 -8498 p.3 ! Ec E ' rr ,JUL 0 2 2010 CITY OF TIGARD Site Plan BUILDING DMMM' . ; Rear Property Line 48' Left Side Right Side Property Property Line Line Ai c Un 10' Rice Residence 11690 SW Burlcrest Dr. SW Burlcrest Drive