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Permit • CITY OF TIGARD MECHANICAL PERMIT ;11 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00144 T [ G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/20/2012 Parcel: 1 S 133CA08200 Jurisdiction: Tigard Site address: 13602 SW ROSEMARY LN Project: HIEFIELD Subdivision: VILLAGE AT SUMMER CREEK Lot: 5 Project Description: NC installation. Unit must meet 5 ft. minimum rear and side yard setbacks. Contractor: MUEHE QUALITY HEATING INC Owner: HIEFIELD, AMY R 7301 SW KABLE LN #500 13602 SW ROSEMARY LN PORTLAND, OR 97224 TIGARD, OR 97223 PHONE: 503 - 598 -0966 PHONE: FAX: 503 - 598 -8498 FEES Specifics: Description Date Amount Air Conditioning 03/20/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 03/20/2012 $10.80 Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/20/2012 $43.25 Occupancy Grp: Stories: Fuel Fuel Types: 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 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. Issued By: — Permittee Signature: 4111 Call 503.639.4175 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. Mar 1612 08:47a Muehe Quality Heatin#) 503 - 598 -8498 p.5 all , Mechanical Permit A li ' - � , � 6 �p� L I�OIlur, lc is I �l.rJ\l.1 City of Tigard Reamed 13125 SW Hall Blvd., Tigard OR 97223 M �. 0 D�By' . 111 ' • Phone: 503.7182439 Fax 503.598.1960 � ON Dat R`: Other Permit: l I G : RD Inspection Line: 503.639.4175 G \'� w` r O�V\ yB Internet www. and -or. gA v \vV o d: Mil ®See Supplemental � ` `\� © NotNotified/Method: Page 2 ` Information ' • • TYPE OF WORK V ' COMMERCIAL FEE- SCHEDULE — USE CHECKLIST ❑ New construction La permit fees' are based on the value of the work ® Addition /alteration/replacement performed indicate the value (rounded to the nearest dollar) of all ❑ Demolition 0 Other: mechanical materials. equipment, labor, overhead, and profit CATEGORY OF CONSTRUCTION • Value: $ RESIDENTIAL EQUIPMENT/SYSTEMS FEES` ® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessary building For Master 'pedal information me ❑ Multi- family ❑ Maer builder Qty. ❑ Other: Description I QiY• r Ea. I Total JOB SITE INFORMATION AND LOCATION Heatittglebelrat~ Air conditioning Job site address: 1.3602 SW Rosemary Lane pegrures site plan showing placement) 1 46.75 46.75 City/StmeJ71P- Tigard, OR 97223 Furnace 100.000 BTU (doctslvmrs) 46.75 Furnace 100,000+ BTU (ducestvents) 54.91 Suite/bldg./apt. no.: I Project name: Summer Creek Heat pump (requires site plan showing phacemeetl 61.06 _ Cross street/directions to job site: SW Seholls Ferry Road and SW 135 Ave Duct work 23.32 Hydrant hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel-type, not electric), in- wall, in -duct, suspended, eta 46.75 Subdivision: Summer Creek I Lot no.: 5 Fltrr/vent or any of above 23.32 Tax map/parcel no.: Other 23.32 Other fad appliances: DESCRIPTION OF WORK Water heater - 23.32 Addition of air conditioning to casting system. Gas fireplace/insert 3339 Flue vent for water heater or gas fireplace 2332 . Log lighter (gas) 23.32 Wood/pellet stove 3339 Wood ftreplaa/insat 2332 ® PROPERTY OWNER [ 0 TENArfr Chimney/liner/Rue/vent 2332 23.32 Name: Amy fiiefieid Environmental exhaust and ventilation: Address: Same as above Range hood/other kitchen equipment 33.39 City/State/ZIP: Clothes dryer exhaust 33.39 Phone: {9 71)409-2596 Fax: ) Single-duct exhaust (bathrooms, toilet carnparmtenLS, utility [sums) 2332 ® APPLICANT ® CONTACT PERSON Atticrcrawlspace fans 23.32 Business name: Muehe Quality Heating, Inc. Other. 2332 Fuel piping: Contact name: Kyle Birmaa S14.15 ter first lour: $4.03 For each additional Address: 7301 SW }Cable Lane, Suite 500 Furnace, etc. City/State/ZIP: Portland, OR 97224 Gas hem pump _ WeWsuspendedAmit heater Phone: (503) 598-0966 I Fax:: (503) 598 -8498 Water heater E -mail: MQEIKYLNTEGRA.Er Fireplace E a 1 Ni _ .. Range CONTRACTOR -Barbecue Business name: Maehe Quality Heating, Inc. Clothes dryer (gas) Address: Same as above Other MEEUA.s4ICAL PERKO* FEES' City /State/ZIP: - Subtotal 46.75 Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) 43.25 Plan review (25% of permit fee) , CCB fir.: 50096 State surcharge (12% of permit fee) 10.80 s TOTAL PERMIT FEE 100.80 . 7 .--. ... i Authorized signature: This permit application expires If a permit is not obtained within 180 days after it has been accepted as complete. Print name: Kyle Birman ( Date: 3/i62012 I • Fee methodology set by Tri•Counry Building Industry Service Board l' 'Pennitt; .j.. am 0■07. :12 440 6177 (1 t /o7JCOM/WEB) • X01111// vvIIIIIIuIIILy L.ayuuL SUMMER [RE_E:K • 411 , 17 • 1 T i s co Ik° #1*\11FI 0 Scr . j - 4 10 I t i i 6, s‘t‘ *Pt I W E / �0 8 el . 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