Permit CITY OF TIGARD MECHANICAL PERMIT
1111 COMMUNITY DEVELOPMENT Permit#: MEC2013-00481
Date Issued: 08/19/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S133CA15000
° Jurisdiction: Tigard
Site address: 11062 SW MALLOW TER
Project: Village at Summer Creek,Lot 73 Subdivision: VILLAGE AT SUMMER CREEK Lot: 73
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 3884 SE AERIE AVE
PORTLAND, OR 97224 HILLSBORO, OR 97123
PHONE: 503-598-0966 PHONE: 971-246-1417
FAX: 503-598-8498
FEES
Specifics: Description Date Amount
Air Conditioning 08/19/2013 $46.75
Type of Use: SF 12%State Surcharge-Mechanical 08/19/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment-Mechanical 08/19/2013 $43.25
Occupancy Grp:
Stories:
Fuel
Fuel Types:
Gas Pressure:
Total $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: �fl / ` Permittee Signature: ON' ,970,04../e.47-41A/
lY Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept In a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Aug 13 13 08:35a Muehe Quality Heating 503-598-8498 p.5
Mechanical Permit ApplicatiolEiCEi FOR OFFICE USE ONLY
City of Tigard ,i "
g ReD Received O -I r Powat.of,--6,74„,..3 7 i,
13125 SW Hall Blvd.,Tigard OR 97223 3 201'3 Plan Review
IN I Phone: 503.718.2439 Fax: 503.598.1960 ItdBy: Other Permit:
T t G A R D Inspection Line: 503.639.4175 �(� p l( ygy. El Sec Page 2 for
Internet www.tigard-or.gov - i'�,/OFTIGARD NollfiedMcthod
li
, Supplemental Information
-/11\16 DIVISION
TYPE OF WORK COMMERCIAL FEE' SCHEDULE— USE CHECKLIST
Mechanical permit ties•are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
❑ 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building For speclallnformaiion use checklist
®Multi-family ❑Master builder ❑Other: Description I Qty. 1 Ea. I Total
JOB SITE INFORMATION AND LOCATION Hen tiogictwllog:
Air conditioning I 46.75 46.75
Job site address:11062 SW Mallow Terrace Furnace 100,000 BTU(duets/vents) 46.75
City/State/ZIP:Tigard,OR 97223 Furnace 100,000+BTU(ducts/vents) 54.91
Heat pump 61.06
Suite/bldg./apt.no.: Project name: Duct work 23.32
Cross street/directions to job site:SW 135e Ave and SW Scholls Ferry Rnad 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
Fluc/vent for any of above 23.32
Subdivision:Summer Creek Lot no.: 73 Other: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Addition of air conditioning to existing system. fireplace 23.32
Log lighter(gas) 23,32
Wood/pellet stove 33.39
Wood fireplaccrmsert 2332
Chimney/liner/flue/vent 2332
^
® PROPERTY OWNER ❑ TENANT Other: 2332
Environmental exhaust and ventilation:
Name:Pulte Homes Range hood/other kitchen
equipment 33.39
Address:11241 Slater Ave.,NE,Suite 100 Clothes dryer exhaust 33.39
City/State/ZIP:Kirkland,WA 95)33 Single-duct exhaust(bathrooms.
toilet compartments.utility rooms) 2332
Phone:(425)777-0518 Fax:( ) Atticicrawlspace fans . 23.32
® APPLICANT ® CONTACT PERSON Other: 1 23.32
Business name:Muehe Quality Heating,Inc. Fuel piping:
$14.15 for first four;54.03 for each additional
Contact name:Kyle Birman Furnace,etc. j _
Gas heat pump
Address:7301 SW Kable Lane,Suite 500 WalUsuspendedrunitheater
City/State/ZIP:Portland,OR 97224 Water heater
Phone:(503)598-0966 Fax::(503)598-8498 Fireplace
Range
E-mail;MQHKYLEr1NTEGRA.NET Barbecue
CONTRACTOR Clothes dryer(gas)
Business name:Muehe Quality Heating,Inc. Other:
MECHANICAL PERMIT FEES*
Address:7301 SW Kable Lane,Suite 500 Subtotal 46.75
City/State/ZIP:Portland,OR 97224 Minimum permit fee(590.00) 43.25
Phone:(503)598-0966 Fax:(503)598-8498 Plan review(25%of permit fee)
----.1 State surcharge(12%ofpeemit fee) 10.80
CCB lie.:50096 /, 1 TOTAL I'ERMIT FEE 100.80
--'� ---/ ' This permit application expires if a permit is not obtained within ISO
/1 _� days after it has been accepted as complete.
Authorized signature: ,/ / • Fee methodology set by Tri-County Building Industry Service Hoard
Print name:Kyle Bunton- -- �__.------- I Date:8/13/13
TAB uilding'PermitslhtnC_PcrmiIApp_040I I3.doc 4404617r(11N:lCOM/WEB)