Permit CITY OF TIGARD MECHANICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: MEC2013 -00134
Date Issued: 03/11/2013
:TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718 2439 Parcel: 1 S133CA10500
Jurisdiction: Tigard
Site address: 11007 SW SAGE TER
Project: Doty Subdivision: VILLAGE AT SUMMER CREEK Lot: 28
Project Description: Install a/c Per planning department, placement of a/c unit must maintain 18" side yard setback and 5 rear yard
setback.
Contractor: MUEHE QUALITY HEATING INC Owner: DOTY, JASON J
7301 SW KABLE LN #500 11007 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 ' 03/11/2013 $46.75
Type of Use: SF 12% State Surcharge - Mechanical 03/11/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 03/11/2013 $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 que • OUNC by calling 503 232 1987 or 1 800.332.2344
/
Issued I Permittee Signature: , E �
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.
Mechanical Permit Applica ' cEN n Fog ONLY OFFICE USE ONLY
of Tigard Date/By .0 I �� Permit No hech 2 / - 00 / Q
•/
a 13125 SW Flail Blvd., Tigard, OR 9 2 Plan Review s v!
' [: Phone. 503.718.2439 Fax: 503.598.196V AR AR 1 12013 Date/By Other Permit
1VI
TI G A R D Inspection Line 503.639 Date Ready/By runs El See Page 2 for
Internet www tigard-or gov
CITY OF TIG ` �'t Y Notified/Method Supplemental Information
TYPE OF YhOR YO � � ? � f 1J�' 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 special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 11007 SW Sage Terrace (requires site plan showing placement) 1 46.75 46.75
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: l Y'/ 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.: 28 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
Addition of air conditioning to existing system. fireplace/insert 33.39
Flue veEnt nt fo for r water heater or gas
fireplace 23 32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace /insert 23.32
® PROPERTY OWNER El TENANT Chimney/liner/flue/vent 23 32
Other: 23.32
Name: Jason Doty Environmental exhaust and ventilation:
Address: Same as above Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (503)453 -7973 Fax: ( ) toilet compartments, utility rooms) 23.32
® APPLICANT ® CONTACT PERSON Atticfcrawlspace fans 23 32
Other: 23.32
Business name: Muehe Quality Heating, Inc.
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
Minimum permit fee ($90 00) 43.25
Phone: (503) 598 -0966 Fax: (503) 598 -8498 Plan review (25% of permit fee)
CCB lic.: 50096 0 5 k51/ 0 State surcharge (12% of permit fee) 10.80
• / ° 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: 3/7/13
• Fee methodology set by Tri -County Building Industry Service Board
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Location:
Record Type:
Inspection Type:
Comments:
Inspection Date:
Record ID:
Result:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
11007 SW SAGE TER, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
2013-12-17 00:00:00
MEC2013-00134
PASS - No C of O
Meets setbacks
Violation Summary:
Inspector Contractor