Permit CITY OF TIGARD MECHANICAL PERMIT
:11111 2 COMMUNITY DEVELOPMENT Permit #: MEC2012 -00114
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/02/2012
Parcel: 1 S133CA11300
Jurisdiction: Tigard
Site address: 10961 SW SAGE TER
Project: SUNG Subdivision: VILLAGE AT SUMMER CREEK Lot: 36
Project Description: NC installation. Unit must meet minimum 5 ft. rear and side yard setbacks.
Contractor: MUEHE QUALITY HEATING INC Owner: SUNG, HON N
7301 SW KABLE LN #500 10961 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 03/02/2012 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/02/2012 $10.80
Class of Work: ALT Type of Const: Minimum Fee Adjustment - Mechanical 03/02/2012 $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 By: Permittee Signature: 1 10 z
0 /
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
This permit card shalt 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 29 12 03:24p Muehe Quality Heating 503- 598 -8498 p.2
Mechanical Permit Application ® i i, ,( v e e r i s t 1` i )\ 1_,
�
City of Tigard ® � \'�, Received gel .;7 Permitt+o.:
III _ ,n AI 72
13125 SW Hall Blvd., Tigard, OR 9 It • Phone: 503.7182439 Fax:' 503.59 , �� ' 0, oral w
,,,,,,, r . n Inspection Line: 503.639.4175 �Q C Date Ready/By: III See Page 2for
Internet: www.tigardo r.gov ! � O << � \�\ `� Notiied/Mdhod 1101 Supplemental Informative
TYPE OF WORK \k G � \\ COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
Mechanical permit fees* am based on the value of the wort
❑ New construction ® Addition/alteintion/reptOnent performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other; mechanical materials, equipment, labor, overhead, and profit.
Value: 8
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FE IS'
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building Far :pedal lufrur rdkas use eireeklbt
❑ Multi - family ❑ Master builder ❑ Other: Description 1 Qty. I Ea ( Total
JOB SITE INFORMATION AND LOCATION Heatlepfaorni
Air conditioning
lob site address: 10961 SW Sage Terrace (requites site plan showing placement) 1 46.75 46.75
Furnace 100,0001111J (duets/,mu) 46.75 _
My /State/ZIP:Tigard, OR 97223 Furnace 100,000}. BTU(ducts/vens) 54.91
Suite/bldgJapt. no.: I Project name:. 52w/1l 5 Heat pump
(rngrdca site plan showing placement) 61.06
Cross street/directions to job site: Scholls Ferry Road and SW 135 Ave Duct work 2332
Hydronic hot water system 23.32 _
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel-type, not deciric),
in -wall, in -duct, suspended, etc. 46.75
Subdivision: Summer Creek Lot no.: 36 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
Addition of air conditioning to exerting system. Flue vent 3339
for gas
water heater or
fireplace 2332
, Log lighter (gas) 23.32
Woodellet stove 33.39
Wood fireplace/insert' 23.32
® PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 23.32
Other: 23.32
' Name: Hon Sung Environmental eitbaestand ventilation:
i Address: same as above equipment hood/other latt�ea 33.39
City/State/ZIP: • Clothes dryer exhaust 3339
Single -duct exhaust (bathrooms,
Phone: (503)830 -7835 Fax: ( ) toilet comparmmelts, utility mans) 23.32
® APPLICANT ® CONTACT PERSON Atti lcrawlspace fans _ 23.32
Other _ 23.32
Business name: _Muehe Quality Heating, Inc. Fuel piping:
Contact name: Kyle Binuan 514.15 for first tear S&A3 f each :MAloud
Address:. 7301 SW 'Cable Lane, Suite 500 Furnace, etc.
- Gas heat pump
City /State/ZIP: Portland, OR 97224 Wall/suspended/unit heater •
Fax: (503) 59E 8498 Water heater •
Pbone: (503) 59E-41966 Fireplace
E -mail MQHKYLE@IHTEGRASIET Range
CONTRACTOR Barbecue .
Clothes dryer (gas)
Business Warne: Moshe Quality Heating, Inc- Other: - i
• Address: same as above MECHANICAL PERMIT PEES" '
City/State/ZIP: Subtotal 46.75
Minimum permit fee (890.00) 43.25
Phone: ( ) Fax ( ) Plan review (25%ofpermit fee)
'CCBlie.:50096 State surcharge (12% of permit c) , 10.80
TOTAL PERMIT FEE 100.80
Authorized signature: This permit application expires if a'peradt is not obtained within 180 '
gnatu e. days after it boo been accepted as comp ate.
I Print name: Kyle Birman I Date: 2/29/12' ' Fee methodology set by Tri- County Building Indrsby Service Board
L•1auaIdieePe nistMnc-PavotAppecc O9/a9110' 44a461rr(ti102)COMAVEn) -
Feb 2912 03:24p Muehe Quality Heating 503 - 598 -8498 p.1
( uehe q c �
h eat ij g u1 ?
AND AIR CONDITIONING
7301 sw kable lane, suite 500, portland, or 97224
PHONEi503.598.0966 ceu1503.572.3594 Fax 1503.598.8498
mghkyle@integra.net
Fax Cover
To: City of Tigard
Attention: Permits Dept
Office Location: Tigard, OR
Fax Number: 503.598.1960
Date: February 29, 2012
Total Pages, including cover. 4
• For review
• Please reply
Comments:
To whom it may concern:
Here is a mechanical permit application, site plan, and credit card authorization for
processing. Thank you.
Sincerely,
Kyle Birman
4
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