Permit CITY OF TIGARD MECHANICAL PERMIT
I • COMMUNITY DEVELOPMENT Permit#: MEC2013-00455
T t GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2013
Parcel: 1 S 133CA09300
Jurisdiction: Tigard
Site address: 13688 SW ROSEMARY LN
Project: Village at Summer Creek,Lot 16 Subdivision: VILLAGE AT SUMMER CREEK Lot: 16
Project Description: Installation of A/C. Placement of A/C or heat pump units must comply with the manufacturer's clearance
requirements.
Contractor: MUEHE QUALITY HEATING INC Owner: CENTEX HOMES
7301 SW KABLE LN#500 11241 SLATER AVE NE STE 100
PORTLAND,OR 97224 KIRKLAND,WA 98033
PHONE: 503-598-0966 PHONE:
FAX: 503-598-8498
FEES
Specifics: Description Date Amount
Air Conditioning 08/06/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/06/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment-Mechanical 08/06/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to folio• rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090 You ay obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: r
Call 503.639.4175 by 7:00 a.m.for the next available i .<.e•tion •• e.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit Applica ItEC ED FOR OFFICE USE ONLY
City of Tigard Received Permit N .
° 13125 SW Hall Blvd.,Tigard,OR 97223 ; 6 2013 Date/By: r6 /3 Ce�«e/S Oo yS5'
Plan Review Other Perrgi/s��,a �D X}ff
M Phone: 503.718.2439 Fax: 503.598.1960 �`�o
Date/By:
TI G n R D Inspection Line: 503.639.4175 CITY OF-HOARD Date Ready/By: El ® See Page 2 for
Internet: www.tigard-or.gov
BUILDING DIVISION Notified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑ Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For specioi information use checklist
®Multi-family ❑ Master builder ❑Other: Description I Qty. ] Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
ng 1 46.75 46.75
Job site address:13688 SW Rosemary Lane i ..=---R
Furnace 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: 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.:16 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 fireplace/insert 33.39
Addition of air conditioning to existing system. Flue vent for 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:Pulte Homes Environmental exhaust and ventilation:
Address: 11241 Slater Ave,NE Suite 100 Range hood other kitchen
equipment 33.39
City/State/ZIP: Kirkland,WA 98033 Clothes dryer exhaust 33.39
Phone: 425 777-0518 Fax: Single-duct exhaust(bathrooms,
( ) ( ) toilet compartments,utility rooms) 23.32
® APPLICANT El CONTACT PERSON Attic/crawlspace fans 23.32
Business name:Muehe Quality Heating Inc. Other: 23.32
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
. 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 State surcharge(12%of permit fee) 10.80
4 TOTAL PERMIT FEE 100.80_
This permit application expires if a permit is not obtained within 180
Authorized signature: days after it has been accepted as complete.
Print name:Kyle Birman Date:8-6-13 • Fee methodology set by Tri-County Building Industry Service Board
I:\BuildingO Permits\MEC-PermitApp.doc 03/07/12 440-4617T(11/02/COM/WEB)