Permit CITY OF TIGARD MECHANICAL PERMIT
' COMMUNITY DEVELOPMENT Permit #: MEC2013 00175
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/01/2013
Parcel: 1 S 133CA13800
Jurisdiction: Tigard
Site address: 11052 SW SAGE TER
Project: Alti Subdivision: VILLAGE AT SUMMER CREEK Lot: 61
Project Description: Install a/c unit. Placement of A/C or heat pump units must comply with the manufacturer's clearance requirements
Contractor: MUEHE QUALITY HEATING INC Owner: ALTI, BILL
7301 SW KABLE LN #500 11052 SW SAGE TERRACE
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503 - 598 -0966 PHONE 971- 226 -3542
FAX: 503 - 598 -8498
FEES
Specifics: Description Date Amount
Air Conditioning 04/01 /2013 $46.75
Type of Use: SFA 12% State Surcharge - Mechanical 04/01/2013 $10.80
Class of Work: OTR Type of Const: Minimum Fee Adjustment - Mechanical 04 /01/2013 $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 No - in Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0090. -say obtain a copy of the rules
or d' -ct questions to c NC by calling 503.232.1987 or 1.800.332.2344.
Is- ed By: Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available inspect • ,dat-
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 Applic FOR OFFICE I SF ON 1.)
City of Tigard �/
Date/By: y / 3 i Permit No.: He - /7.5
• 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
= Phone: 503.718.2439 Fax: 503.598.190 R 01 2013 Date/By: Other Permit:
T I G A R D Inspection Line: 503.639 Date Ready /By: Juris RI See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Notified/Method: Supplemental Information
BUILDING DIVISION
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*
❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building For special information use checklist.
® Multi- famil ❑ Master builder ❑ Other: Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning
Job site address: 11052 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: Bill Alti 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.: 61 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
Addition of air conditioning to existing system. ate 33.39
Flue veent nt foor 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 ❑ TENANT Chimney /liner /flue/vent 23.32
Other: 23.32
Name: Bill Alti Environmental exhaust and ventilation:
Address: 11052 SW Sage Terrace Range hood/other kitchen
equipment 33.39
City /State /ZIP: Tigard, OR 97223 Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: (971)226 - 3542 Fax: ( ) 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 Wall /suspended/unit heater
Phone: (503) 598 -0966 Fax: : (503) 598 -8498 Water heater
Fireplace
E -mail: MQHKYLE @INTEGRA.NET Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name: Muehe Quality Heating, Inc. 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 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: 3/29/13
• 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
11052 SW SAGE TER, TIGARD, OR, 97223
Residential - Mechanical
615 Mechanical rough-in
04/16/2013 00:00
MEC2013-00175
PASS
Violation Summary:
Inspector Contractor
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
11052 SW SAGE TER, TIGARD, OR, 97223
Residential - Mechanical
699 Mechanical final
04/16/2013 00:00
MEC2013-00175
PASS - No C of O
Violation Summary:
Inspector Contractor