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Permit C ITY OF TIGARD MECHANICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: MEC2007 -00345 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 6/13/2007 PARCEL: 1S133DC-16200 SITE ADDRESS: 13032 SW LAURMONT DR ZONING: R -12 SUBDIVISION: VILLAGE AT SUMMER LAKE PARK LOT: 017 JURISDICTION: TIG PROJECT: GRUNDSETH Project Description: Installation of exterior NC unit. Unit cannot be placed within the required setbacks. CLASS OF WORK: OTR 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: 1 DOMES. INCIN: 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: AIR HANDLING UNITS CLO DRYERS: FURN > =100K BTU: <= 10000 cfm: OTHER UNITS: > 10000 cfm: GAS OUTLETS: Owner: FEES ERNESTO GRUNDSETH Description Date Amount 13032 SW LAURMONT DR TIGARD, OR 97223 [MECH] Pennut Fee 6/13/2007 $72.50 [TAX] 8% State Surcha 6/13/2007 $5.80 Total $78.30 Phone: Contractor: MUEHE QUALITY HEATING INC 7301 SW KABLE LN, STE 500 PORTLAND, OR 97224 REQUIRED ITEMS AND REPORTS Contact #: FAX 503 -598 -8498 PRI 503 -598 -0966 Reg #: LIC 50096 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 OUNC by calling 503.246.6699 or 1.800.332.2344. - Issued -B r r' t -- P-ermittee -Signature: Call 503.639.4175 by 7:00 a.m. for inspections 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. JUN - 13 - 2007 07:28A FROM :MUEHE QUALITY HEATIN C503)624 - 1706 TO:5035981960 P.2/4 Mechanical Permit Application ht1R (IIF1( I I tii:. (1 1.\ City of Tigard ��C � I Received Date/By. g j D J Permit NW6r0Z /f �o7/ 2'r2 13125 SW Hall Blvd., Tigard, OR 973n P lan Revie n Phone: 503.639.4171 Fax: 503.598.19603uN 1 3 ZOO7 Dare /By: Other Permit: 7 IC. A R D Inspection Line: 503.639 �±{{ 7 O ® s Date Ready /By: Juris. ® See Page 2 for Internet: www.tigard- or.gov arY OF TiGN I ' Notificd/Method. '' 7 ' Supplemental Information BIDIl.®aNG D V 1 1V TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST ❑ New construction ® Addition/alteration /replacement Mechanical permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition El Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ I -and 2-family dwelling RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ® y g ❑ Commercial /industrial ❑ Accessory building El Multi-family El Master builder ❑ Other: Fur special information use checklist. Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Job site address: 13032 SW Laurmont Drive Air conditioning or heat pump (requires site plan showing placement) 1 14.00 , 14.00 City /State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts/vents) 14.00 Suite/bldg./apt. no.: Project name: Furnace 100,000+ BTU (ducts/vents) 17.90 _ _ Gas heat pump 14.00 Cross street/directions to job site: SW 135 and SW Morning Hill Drive Duct work 14.00 Hydronic hot water system 14.00 _ Residential boiler (radiator or hydronic) _ 14.00 Unit heaters (fuel -type, not electric), in -wall, in -duct, suspended, etc. 10.00 Subdivision: Lot no.: Flue/vent for any of above 10.00 _ Other: 10.00 _ Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 10.00 Gas fireplace 10.00 Addition of air conditioning to existing system. Flue vent for water heater or gas fireplace 10.00 Log lighter (gas) 10.00 Wood /pellet stove 10.00 Wood fireplace/insert 10.00 ® PROPERTY OWNER ❑ TENANT Chimney/liner/flue/vent 10.00 Other: 10.00 Name: Ernesto Crundseth Environmental exhaust and ventilation Address: Same as above Range hood /other kitchen equipment 1 0.00 City /State /ZIP: Clothes dryer exhaust , 10.00 Single - duct exhaust (bathrooms. Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80 ❑ APPLICANT ❑ CONTACT PERSON Atticicrawlspace fans 10.00 Other: 10.00 Business name: Fuel piping Contact name: $5.40 for first four; 51 for each additional Furnace, etc. _ Address: Gas heat pump City/State /ZIP: Wall /suspended/unit heater Fax: Phone: ( ) ( ) Water heater Fireplace E -mail: Range CONTRACTOR Barbecue 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 14.00 Minimum permit fee ($72.50) 72.50 Phone: (503) 598 -0966 Fax: (503) 598 -8498 Plan review (25% of permit fee) - - CCR - Iic.: 50096 - State - surcharge - (8 %of- permit -fee)- 5.80 - TOTAL PERMIT FEE 78.30 / This permit application expires if a permit is not obtained within ISO Authorized signature: / days after it has been accepted as complete. ft iiff ve K•Aitai i � 1 t L�y�7 ll • For mrthnrinlnc v CM by Tri- !Tunny Railrhno Industry Srrvier. Biwa JUN -13 -2007 07:29A FROM:MUEHE QUALITY HEATIN C503)624 -1706 TO:5035981960 P.3/4 RECEIVED JUN 1 3 /01: CITY OF TIGARD BUILDING DIVISION ? t L Uur a ©n`v{-