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Permit CITY OF TIGARD MECHANICAL PERMIT • • COMMUNITY DEVELOPMENT Permit #: MEC2012 -00333 -FIG A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/28/2012 T Parcel: 1S133CA13000 Jurisdiction: Tigard Site address: 10976 SW SAGE TER Project: Johnson Subdivision: VILLAGE AT SUMMER CREEK Lot: 53 Project Description: (1) NC Must meet 5 side yard setback and approved rear yard setback Contractor: MUEHE QUALITY HEATING INC Owner: JOHNSON, HEATHER I 7301 SW KABLE LN #500 10976 SW SAGE TER PORTLAND, OR 97224 TIGARD, OR 97223 PHONE: 503 - 598 -0966 PHONE: 971- 506 -7450 FAX: 503 - 598 -8498 FEES Specifics: Description Date Amount Air Conditioning 06/28/2012 $46.75 Type of Use: SF 12% State Surcharge - Mechanical 06/28/2012 $10.80 Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 06/28/2012 $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 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 11.8000.332.2344. e yam/ Issued By: dAlid Permittee Signature: DkL 1 PPIA e A 1 / 1 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. • Jun 27 12 08:20a Muehe Quality Heating 503- 598 -8498 p.2 Mechanical Permit Application. RECEIVED FOR OFFICE USE ONLY City of Tigard "`d a l PermitNo.y jpl3� cat' Uh y ° 1 3125 SW W Hall Blvd., Tigard, OR 97223 UN 7 2012 Plan Review Phone: 503.7182439 Fax: 503598.1960 Da te/By:, CttherPermit: 'IA GAR I) inspection Line: 503.639.4175 w � Date Ready/B ® Sec Page 2 for Internet www.tigard- or.gov ��p l; O L Not it Supp�m� Informat litafiDINGD V TYPE OF WORK COMLNtERC[AL FEE* SCHEDULE — USE CHECKLIST Mechanical permit fees" are based on the value of the work ❑ New construction g Addition / alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit Value: b CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES" • ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building Forspedal information use checklist ❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total JOB SITE INFORMATION AND LOCATION Headire/cooling: Air conditioning • Job site address: 10976 SW Sage Terrace (requires site plan showing piecemeal) 1 46.75 46.75 Furnace 100,000 BTU (ductsivents) . 46.75 City /State/ZIP: Tigard, OR 97223 ; Furnace 100,000+ BTU (ductsl enls) , 54.91 Suite/bldgJapt. no.: Project name: Summer Creek . 1 Heat pump ... — (requites site plan showing placement) 61.06 Cross street/directions to job site: SW 135'" Ave and SW Scholls Ferry Road Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 2332 • Unit heaters (fuel -type, not electric), in -wall, in -duel, suspended. etc. 46.75 Subdivision: Summer Creek Lot no.: Fluc;vent for any of above 23.32 Other. _ 2332 Tax map/parcel no.: Other fuel appliances: DESCRIPTION OF WORK Water heater 23.32 Gas fireplace/insert 33.39 Addition of air conditioning Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 2332 _ Wood/pellet stove , 33.39 Wood fireplace/insert 23.32 ® PROPERTY OWNER ❑ TENANT Chitnney/liecr /8ue/vent 23.32 Otter. 23.32 Name: Heather Johnson Environmental exhaust and ventilation: • • I Address: 10976 SW Sage Terrace Range hood /other kitchen equipment 33.39 City /State ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39 Single -duct exhaust (b:uhroons, Phone: (971)506 -7450 Fax ( ) toilet compartments, utility moms) 23.32 g APPLICANT g CONTACT PERSON Attidceawlspace fans 23.32 Other: ' 23.32 _ Business name: Mahe Quality Heating, Inc. Fuel piping: Contact name: Kyle Birman $14.15 for first four, $4.03 for each additional Address: 7301 SW Kable Lane, Suite 500 Furnace, etc. 1 Gas heat pump City/State/ZIP: Portland, OR 97224 Wall/suspended/unit heater Phone: (503) 598-0966 I Fax: : (503) 598 -8498 Water heater ,, Fireplace • E -mail: MQHKYLE@1NTEGRA.NET p 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 46.75 Minimum permit fee (590.00) 43.25 Phone: (503) 598 -0966 Fax: (503) 598 -8498 Plan review (25% of permit fee) / CCB lic.: 50096 `State surcharge (12% of permit fee) 10.80 tr TOTAL PERMIT FEE 100.80 This permit application mtpiree if a permit is not obtained within ISO Authorized signature: /94'2... days after It has been accepted as complete / Print name: Kyle Duman Date: G• F ee mdlwdo]osv set by Tri Cotmq Building Industry Service Board 1:1 BwldingiPenni9l .MEC•PermitApp.doc 03/07/12 440,1617T(1I.ro:1CO.MVED) • • • Jun 27 12 08:20a Muehe Quality Heating 503-598-8498 P -- - 9.'. "6 .• it, ',', ,' ".., • -.: . -1 •.■ -,.* : •, •••,. ;',•.' ' '• .- ".• ' .....- x4. - . . .. . 1 . . . . . . . . • -.. . ........................................................00IMlile/igt -g,,„(44-r 361t"-SlrY` -- r& - rzt ti2- Sole TernIcti. 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" '. •.-'' . . .. .,... . . i c . .-1 . - - ....... . .•...„. . ,..., . ... . , ., ,........... -• 4 thy .__ ___... ._ ._ •-- Jun 27 12 08:20a Muehe Quality Heating 503 - 598 -8498 p.1 fj ueh e ua 't q � h eat[pg t AND AIR CONDITIONING 7301 sw kable lane, suite 500, portland, or 97224 P HON E1503.598.0966 CEU.1503.572.3594 FAx1503.598.8498 mghkyie @integra.net Fax Cover To: City of Tigard Attention: Building /Permits Department Office Location: Tigard, OR Fax Number: 503.598.1960 Date: June 27, 2012 Total Pages, including cover: 4 • For review • Please reply Comments: To whom it may concern: Here is a mechanical permit application, site plan, and credit card authorization form for processing. Thank you. Sincerely, Kyle Birman Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 10976 SW SAGE TER, TIGARD, OR, 97223 Residential - Mechanical 699 Mechanical final 2013-12-17 00:00:00 MEC2012-00333 PASS - No C of O Meets setbacks Violation Summary: Inspector Contractor