Permit CITY OF TIGARD MECHANICAL PERMIT
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COMMUNITY DEVELOPMENT Permit #: MEC2012 -00408
13125 SW H all Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/02/2012
TIGARD Parcel: 1S133CA13600
Jurisdiction: Tigard
Site address: 11036 SW SAGE TER
Project: Village at Summer Creek, Lot 59 Subdivision: Lot:
Project Description: Building 17. Add A/C. Unit must meet setbacks as approved by planning on site plan.
Contractor: MUEHE QUALITY HEATING INC Owner: CENTEX HOMES
7301 SW KABLE LN #500 ATTN: OCHSNER, JOHN
PORTLAND, OR 97224 11241 SLATER AVE NE, STE 100
KIRKLAND, WA 98033
PHONE: 503 - 598 -0966 PHONE:
FAX: 503 - 598 -8498
FEES
Specifics: Description Date Amount
Air Conditioning 08/02/2012 $46.75
Type of Use: SFA 12% State Surcharge - Mechanical 08/02/2012 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 08/02/2012 $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 1.800.332.2344.
Issued By: Permittee Signature:
1. 7
i
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.
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Approved plans are required on the job site at the time of each Inspection.
M ech3tnical Permit Application FOR OFFICE USE ONLY
City of Tigard Da , Z /y ,..: Permit NoI f i /o2— DO'/of
° 13125 SW Hall Blvd., Tigard, OR 97223
C Date/By:
Phone: 503.718.2439 Fax: 503.598.1960 an Review Other Permit:/ fs�����OO/
D
T I G A R D Inspection line: 503.639 Date Ready/By: Ein ® See Page 2 for
Internet: www.tigard or.gov Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* are based on the value of the work
® New construction ❑ Addition/alteration/replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
►: I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist
t7i ulti- family ❑ Master builder
❑ Other: Description I Qty. I Fa. I Total
JOB SITE INFORMATION AND LOCATION Heating/ cooling:
1 I 0 3 G ,` , Aiq res conditioning plan lob site address: n
NA) � � ...e. (regwres site plan showinf; placement) 1 46.75 46.75
Furnace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: Tigard, Oregon 97223 Furnace 100,000+ BTU (ducts/vents) 54.91
Suited. /apt. no.: 1,1 Project name: Village at Summer Creek Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job ste: 135 and Scholl Ferry Road Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
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Subdivision: Village at Summer Creek Lot no.: 5q Flue /ven[ for any of above 23.32
Other: 23.32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23.32
SFR Town Houses —Add A/C to exsisting Permit /1A $T Tip I +( �0 3 s Gas fireplace/
wa 33.39
Flue vent for or water heater or gas
C fps EZ, e fireplace 23.32 •
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER ❑ TENANT Chimney/liner /flue/vent 23.32
Other: _ 23.32
Name: Centex Homes Environmental exhaust and ventilation:
Address: 3884 SE Aerie Ave Range hood/other kitchen
equipment 33.39
City/State /ZIP: Hillsboro, Oregon 97123 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (971)246 -1417 Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Business name: Centex Homes Other: 23.32
Fuel piping:
Contact name: Bill Waggoner $14.15 for first four; $4.03 for each additional
Address: 3884 SE Aerie Ave Furnace, etc.
Gas heat pump
City/State /ZIP: Hillsboro, Oregon 97123 Wall /suspended /unit heater _
Phone: (971) 246 - 1417 Fax: : ( ) Water heater
Fireplace
E -mail: Bill.Waggoner @Pulte.com Range
CONTRACTOR Barbecue
Business name: Muehe Quality Heating Inc.
Clothes dryer (gas)
Other:
Address: 7301 Kahle Lane, Ste# 500 MECHANICAL PERMIT FEES*
City/State /ZIP: Portland, Oregon 97224 Subtotal
Phone: (503) 598 -0966 Fax: ( ) Minimum pet fee ($90.00) � 0 , [� I
Pan review 25% of permit fee) _
CCB lie.: 50096 • State surcharge (12% of permit fee) (0 en
Authorized signature:
W Authorized PERMIT FEE /20 , ,./
This p ermit application expires if a permit is not obi_____ ...____ __
days after it has been accepted as complete.
Print name: Bill Waggoner Date: * Fee methodology set by Tri- County Building Industry Service Board
I:\ Building \Permits\MEC- PermitApp doc 03/07/12 _ 440 -4617T (I I /02/COM/WEB) .
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Building Plan: 17
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Lots 57, 58, 59, & 60 // ' - 1
Units A -B -C -B ,, -II � 57 1
I 58 8 59 9 I 60 I
/ / I I FF /TOW 192.28 FF/TOW 191.28 FF /TOW 191.28 I FF /TOW 191.28 I
/ 1 G S 191.58 GS 190.58 GS 190.58 p GS 190.08
SITE PLAN ti //i / / r ; TOP 191.74 Lj OP 191.74 TOP 191.74 I TOP 191.74 Scale: 1 -10' / , E / / �,
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-:4 ENGINEERING ASSOCIATES CORPORATION : : : ::••• SW SAGE TERRACE
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17757 Kelok Road Lake Oswego, OR 97034 / I I I I I I
Tel. (503) 638 -4005 Fax (503) 636 -4015
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
11036 SW SAGE TER, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
2013-12-17 00:00:00
MEC2012-00408
PASS - No C of O
Meets setbacks
Violation Summary:
Inspector Contractor