Permit ; CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2012-00067
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/03/2012
Parcel: 1 S133CA11800
Jurisdiction: Tigard
Site address: 10935 SW SAGE TER
Project: Hughart Subdivision: VILLAGE AT SUMMER CREEK Lot: 41
Project Description: Installation of a/c unit. Per planning department, this lot has zero lot lines, no setback requirements for a/c units.
Contractor: MUEHE QUALITY HEATING INC Owner: HUGHART, SCOTT M
7301 SW KABLE LN #500 10935 SW SAGE TER
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503 - 598 -0966 PHONE:
FAX: 503 - 598 -8498
FEES
Specifics: Description Date Amount
Air Conditioning 02/03/2012 $46.75
Type of Use: SFA 12% State Surcharge - Mechanical 02/03/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 02/03/2012 $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 Bytj' •
Permittee Signature:
Call 503.639.4175 by 7:00 a.m.- for_the next available inspection d a t 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.
Feb 02 12 02:23p Muehe Quality Heating 503 -598 -8498 p.2
c) .
Mechanical Permit A lnkcation i i.ai i.;i 1 it: i :. i5 ti 't
1. �l 1 Y �� O�� ..„ay: p2_ , /, k _ 1 Permit No.: / tejea `(j71
- 13125 S W Hall Blvd.. Tigard, OR 97 1. Plan Review 1
Phone: 503.7I8.2439 Fax: 503.598 6 , to ,;°Q Met Pemiiit:
Inspection Line. 503.639.4175 rJ � eR}
Oth
;. , ., is I �c p . C�� Date Re-tidy/By: 7aris: { Pi See Paso 2 for
Internet: www.titard-or.gov � � � � l \('� aa\ t i
� NatifiedThictliod: } Supplemental Information j
TYPE OF WORK (J`� `ia- COMMERCIAL ' Sx_r is :ii - S t:i t,Ctc tS
New construction ® Additionlalteration/re
�\ Mechanical permit fees' are based on the value of the work
ptacement
❑ � p performed. Indicate the value (rounded to the nearest dollar) of all
0 Demolition 0 Other: mechanical materials• equipment. labor. overhead, and profit. t
Value: S
CATEGORY OF CONSTRUCTION 1 . RESIDENTIAL EQUIPMENT/ SYSTEMS FEES'
.t E I - and 2- family dwelling 0 Commercial/Industrial 0 Acve nosy building For spcaQt irr,fmmralcaruse
Q Multi - family ❑ Master builder ❑ Other: Description 1 Qty. ] Ea. Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air condition
Job site ...Idles.. 18935 SW Sage Terrace iteatmas sac. Inn xhx9iatc •anti I t 46.75 46.75
Furnace 100.000 BTU lducrs/vems) 1 46.75 , 1
ccsTyrnsfe.i- ZtP: Tip 47* -23 Furnace 100000+ BTU (dnets/4eats) 54.91
Suitt bldgJapt. no.: 10 I Project name: Summer Creek Heat pump
{requires site plan showing placement) 61.06
Cross street/directions to job site: SW 135 and SW Scholls Ferry Road Duct work 23.32
1 14ydrouic hot water sy - stem 23 �2
Residential boiler (radiator or
h yaronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46. _ 23.32 75
Srhrfit ision: Summer Creek Lot no.: 41 Plue/ti'en[ f any of above 23.32 Other
Tax mapiparcel no.: Other fuel appliances:
DESCRIPTION OF WORK Water heater . 23.32
Gas fireplace 33.39
Addition of air conditioning to existing system.
Flue vent for water heater or gas
fireplace 23.32
I Log lighter (gas) • 2332
t WoodJ3relkl stove 1 33.39 .
Wood fireplace/insert 23.32
® PROPERTY OWNER 0 TENANT Chimney/liner/flue/vent 23.32
Other. _ 23.32
I Nente: Scott il ughert Environmental exhaust and ventilation:
1 10935 SW Sage Terrace Range hood/other kitchen f i
equ omen _____ J 3 33. 1
City /State/ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
El APPLICANT ( CONTACC PERSON Attic.'cravilspace fans _ 23.32
1 Business name: Muehe Quality H g eatin . Inc. j 23.32
feel piping:
Contact name: kyk Birman 514.15 for first four, 54.03 for each additional
Address: 73131 SW liable Lane, Suite 500 Furnace, etc.
Gas heat pump I
CityiState1Z1P: Portland, OR 97224
( WatUsusptatdadltntit heats
Phone: (593) 598 -0966 1 Fax: : (503) 598.8498 Water heater I 1 1 1
Fireplace
E -mail: b {QRKYLE@[NTEGRA.NET Range
CONTRACTOR j Barbecue
•
L Business name; Muehe Quality Heating, Inc, Clothes drver(gas) 1 11
Other: 1 !
Address: 7301 SW Kahle Lane. Suite 500 4 € -Cfu CAL € € €*
City/State/ZIP: Portland, OR 97224 Subtotal - 46 -75
Minimum permit fee ($90.00) 43.25
Phone: (503) 598 -0966 i Fax: (503) 598.8498 Plan review (25% of permit fee)
} CCB lie.: S at ac sune s (t 2% of permit fee - I 0 R0
- - -- TOTAL - PERM TFEE 100:80 - -
Authorized signature: This permit da Aiasheedaccepttediso within IV
Print name: Kyle Birman Date: 2/2/12 • Fee methodology sat by Tri- Counly Building Industry Service Board
I
: :\&;itthc,J' mitsmEC- PermitApp don Ni09.'10 440.4617r ( E I /02'COMAVEB)
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