Permit ' .. CITY OF TIGARD MECHANICAL PERMIT
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is COMMUNITY DEVELOPMENT Permit #: MEC2013 00133
Date Issued: 03/11/2013
T 1G ARD 13125 SW Hall Blvd., Tigard OR 97223 503 718 2439 Parcel: 1 S133CA15300
Jurisdiction: Tigard
Site address: 11042 SW MALLOW TER
Project: Porter Subdivision: VILLAGE AT SUMMER CREEK Lot: 76
Project Description: Install a/c Per planning department, placement of a/c unit must maintain 18" side yard setback and 5' rear yard
setback
Contractor: MUEHE QUALITY HEATING INC Owner: PORTER, RANDALL & MICHELLE
7301 SW KABLE LN #500 11042 SW MALLOW TER
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE 503 - 598 -0966 PHONE
FAX: 503 - 598 -8498
FEES
Specifics: Description Date Amount '
Air Conditioning 03/11/2013 $46 75
Type of Use: SF 12% State Surcharge - Mechanical 03/11/2013 $10 80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 03/11/2013 $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 Notific. ion 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 dire• questions to a NC • ailing 503.232 1987 or 1.800 332 2344. A
Issu d By: A � Permittee Signature: / %� ,
Call 503.639.4175 by 7:00 a.m. for the next available inspecti • 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.
Mechanical Permit Applic v F OR Orhici USE ONI . ....
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• �� ♦ �®
• City of Tigard Received Date/By ., Permit No • Hgeogj w/ 5
17 a 13125 SW Hall Blvd., Tigard, O 9722,3, * 1 201 Plan Review
Phone: 503 718.2439 Fax: 503.598.1 R 1 Date/By. Other Permit
TI G A R D Inspection Line: 503.639.4175 '/ Date Ready/By. lulls ® See Page 2 for
Internet www.tigard or.gov CITY OF TIGrst Qn D Noufied/Method Supplemental Information
BUILDING DIVISION
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*
® l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 11042 SW Mallow Terrace (requires site plan showing placement) I 46.75 46.75
Fumace 100,000 BTU (ducts/vents) 46.75
City/State /ZIP: Tigard, OR 97223 Furnace 100,000+ BTU ( ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Po g.. - j2-- Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: SW Scholls Ferry Road and SW 135 Ave 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
Subdivision: Summer Creek Lot no.: 76 Flue /vent for any of above 23.32
Other. 23 32
Tax map /parcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater 23 32
Gas
Addition of air conditioning to existing system. fireplace/insert 33 39
Flue veent nt f foor r water heater or gas
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: Michelle Porter Environmental exhaust and ventilation:
Address: Same as above Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33 39
Single -duct exhaust (bathrooms,
Phone: (503)936 -2434 Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23 32
Other: 23.32
Business name: Muehe 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.
Gas heat pump
City /State /ZIP: Portland, OR 97224 Wall /suspended/unit heater
Phone: (503) 598 -0966 Fax: : (503) 598 -8498 Water heater
Fireplace
E -mail: MQHKYLE @INTEGRA.NET Range
g
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
Phone: (503) 598-0966 Fax: (503) 598 -8498 Minimum permit fee ($90 00) 43.25
Plan review (25% of permit fee)
CCB lic.: 50096 /5 / /o i 7 State surcharge (12 %ofpermit fee) 10.80
TOTAL PERMIT FEE 100.80
Authorized signature: This permit application expires if a permit is not obtained within 180
t'� days after it has been accepted as complete.
Print name: Kyle Birman Date: 3/7/13 • Fee methodology set by Tn- County Building Industry Service Board
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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
11042 SW MALLOW TER, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
2013-12-17 00:00:00
MEC2013-00133
PASS - No C of O
Meets setbacks
Violation Summary:
Inspector Contractor