Permit CITY OF TIGARD MECHANICAL PERMIT
1114 111.: COMMUNITY DEVELOPMENT Permit#: MEC2013-00456
T F GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/06/2013
Parcel: 1S 133CA09000
Jurisdiction: Tigard
Site address: 13664 SW ROSEMARY LN
Project: Village at Summer Creek,Lot 13 Subdivision: VILLAGE AT SUMMER CREEK Lot: 13
Project Description: Installation of A/C. Placement of NC 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 $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. Yo ay obt.in a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. c
Issued By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspe .•n date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Mechanical Permit ApplicaRECEIVED FOR OFFICE USE ONLY
City of Tigard ;;., 6 2013 DaateB O 0 �? Permit N 7b 20/s D1
;� ° 13125 SW Hall Blvd.,Tigard,OR 97223" Plan Revie e`l/
a ' Phone: 503.718.2439 Fax: 503.598.196 Other Permit
DateBy: 5rf/2 // 9
-TIGARD-
Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: JAS: ® See Page 2 for
Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: I. Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
• CATEGORY.OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES*
❑ I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For special information use checklist
®Multi-family ❑Master builder ❑Other: Description I Qty. I Ea. Total•
. - JOB-SITE INFORMATION AND LOCATION -
Heating/cooling:
. - - - Air conditioning
Job site address:13664 SW Rosemary Lane ( t) 1 46.75 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000 BTU(ducts/vents) 46.75
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 135th 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.:13 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 ® 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 WalUsuspended/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 C State surcharge(12%of permit fee) 10.80
TOTAL PERMIT FEE 100.80
j 'i his 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
1:\Building\PermitsUMEC-PermitApp doc 03/07/12 440-46I7T(I I/02/COM/WEB)