Permit CITY OF TIGARD MECHANICAL PERMIT
Y! 2 : COMMUNITY DEVELOPMENT Permit #: MEC2010 -00596
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/18/2010
Parcel: 1 S 134AD08800
Jurisdiction: Tigard
Site address: 10605 SW WINDSOR CT
Project: Killingsworth Subdivision: WINDSOR PLACE Lot: 25
Project Description: Gas furnace replacement.
Contractor: MUEHE QUALITY HEATING INC Owner: KILLINGSWORTH, MAREN
7301 SW KABLE LN #500 10605 SW WINDSOR CT
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503 - 598 -0966 PHONE: 503 - 713 -8134
FAX: 503 - 598 -8498
FEES
Specifics: Description Date Amount
Furnaces < 100K BTU 11/18/2010 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 11/18/2010 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 11/18/2010 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressure:
Total $100.80
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 -0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
•
/ t
Issued By: Perm ittee Signature:
Call `: .: - 9.4175 by 7:00 a.m. for the next available inspection date.
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.
Nov 18 10 01:21p Muehe Quality Heating 503- 598 -8498 p.2
Mechanical Permit Application IOR OFFICE LSE ONLY � �
City of Tigard eve
/1111 o ateRe d Permit No.: (1 L,lo __ . • lilt,
13125 SW Hall Blvd., Tigard, OR 97223 Platt Review
Phone: 503.639.4171 Fax: 503.598.1960 110 18 2010 DateBy: Other Permit:
T I GA Vii} Inspection Line: 503.639 Date Ready/By: runs; BI See Page 2 for
Internet: www.tigard- or.gov �'I -v • F TIGARD Nti
o ii 1/Meibod: Supplemental Information
A2K" ILDI G CI
TYPE OF WO COIILMERCIAL FEE* SCHEDULE - LSE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction ® Addition /alteration/ 'el lac: merit
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTR-JCTI Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercialfindustr:al I1 Accessory building
For special information use checklist
❑ Multi- family ❑ Master builder 11 Other Description I Qty. Ea. Total
JOB SITE INFORMATION AND R,0* T1ON Heating/cooling
Air conditioning
Job site address: 10605 SW Windsor Ct.
(requires site plan showing placement) 46.75
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 1 46.75 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg./apt. no.: Project name: Hleat pump 61.06
Cross street/directions to job site: SW North Dakota St., t 11 h Ave., to Ductwork 23.32
Windsor Ct. Hydronic hot water system 23.32
A
.1 . Residential boiler (radiator or
_ .i ,,, hydronic) 23.32
' Unit heaters (fuel - type, nat electric), '
� � II in -watt, in -duct, suspended, etc. 46.75
l - 1 Flue/vent for any of above 23.32
Subdivision: l Lot no.:
Other. 23.32
Tax map /parcel no.' Other fuel appliances
DESCRIPTION OF WO', Water heater 23.32
Gas fireplace 33.39
Replace existing 80% as furnace with new 80% gas f. ace. Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) . 23.32
Wood/pellet stove : 33.39 1
Wood fireplace/insert 23.32 ':
Chimney/liner /flue /vent 23.32
® PROPERTY OWNER ❑ TENANT
Other: 23.32
Name: Maren Killingsworth Environmental exhaust and ventilation
Address: 10605 SW Windsor Ct Range hood/other kitchen .
pment 33.39
City/State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)713 -8134 Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT fi I NTACT PERSON Attic. /crawlspace fans : 23.32
Other: I 23.32
Business name: Muehe Quality Heating, Inc.
Fuel piping
Contact name: Kyle Birman 514.15 for first four; 54.03 for each additional
Address: 7301 SW )Cable Lane, Suite 500 Furnace, etc.
Gas heat pump
City /State/Z1P: Portland, OR 97224 Wall/suspended/unitheater
Phone: (503) 598 -0966 Fax: : (50 ) 5 -8498 Water heater
Fireplace
E -mail: mghkyle@integra.uet . . Range ........
CONTRACTOR Barbecue
Business name: Muehe Quality Heating, Inc. Clothes dryer (gas)
Other:
Address: 7301 SW Kahle Lane, Suite 500 MECHANICAL PERMIT FEES*
CityiState/Z1P: Portland, OR 97224 Subtotal 46.75
Phone: (503) 598-0966 Fax: (563 598- 8498 Minimum permit fee (S90.00) 43.25
Plan review (25% of permit! fee) !
CCB Iic.: 50096 State surcharge (12 %of permit !fee) 10.80
an c TOTAL PERMIT FEE 100.80
This permit application expires ifa permit is not oblaioed !Within 180
Authorized signature: days after it has been accepted as complete.
1 Print name: Kyle Ilirm Date: 11/18/10 . Fee methodology set by Tri -County Building Industry Service Board
1:/B eildingtPermits \MEC- PermitApp.doc I0./01 /09 44046171 (1 I/021CO MAYES)