Permit CITY OF TIGARD MECHANICAL PERMIT
,� COMMUNITY DEVELOPMENT Permit#: MEC2013 00478
Date Issued: 08/19/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 1S133CA14600
Jurisdiction: Tigard
Site address: 11086 SW MALLOW TER
Project: Village at Summer Creek,Lot 69 Subdivision: VILLAGE AT SUMMER CREEK Lot: 69
Project Description: Installation of NC. Placement of NC 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 $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.4 7 zi t Issued By: Permittee Signature: i07 f9-//°L/e 77O/V
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Aug 13 13 08:34a Muehe Quality Heating 503-598-8498 p.2
Mechanical Permit Application FOR OFFICE I SE ONLV
FIVE
•
City of Tigard Received v . r/9 %�� permit No.i/`f6rao/3 0DV 2,
. ° 13125 SW Hall Blvd.,Tigard,OR 97223 I I(S 1 Plan Review
IN
a Phone 503.718.2439 Fax: 503.59$_1960 ' ] 3 2013
Dnte'Bv: Other Permit:
T 1 Gr\F D Inspection Line: 503.639.4175 OFTIGARD Date Ready/Bq: El See Page 2 for
Internet: w�tiv.tigard-or.gov CITY OF otitied/Method: Supplemental Information
BUILDINGDNISIIl`
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 i For spedal information use checklist
®Multi-family ❑ Master builder ❑Other. Description 1 Qty. I Ea. 1 Total
JOB SITE INFORMATION AND LOCATION Heating/cooling:
Air conditioning 1 46.75 46.75
.fob site address:11086 SW Mallow Terrace Furnace 100,000 B'l'U(duels/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.: I Project name:
Duct work 23.32
Cross street'directions to job site:SW 135°Ave and SW Scholls Ferry Road 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
Flue/vent for any of above 2.3.32
Oth
Subdivision:Summer Creek Lot no.:69 er: 23.32
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas ft eplace/insen 33.39
Flue vent for water heater or gas
Addition of air conditioning to existing system. fireplace 23.32
Log lighter(gasi 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
Chimney/liner/flue/vent 23.32
® PROPERTY OWNER ❑ TENANT Other: 23.32
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 98033 Single-duct exhaust(bathrooms,
toilet compartments,utility rooms) 2332
Phone:(425)777-41518 Fax:( ) _Attic/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32 :'
Business name:Muehe Quality Heating,Inc. Fuelplping:
514.15 for first four,S4.03 for each additional
Contact name:Kyle Birman Furnace,etc.
Address:7301 SW Kable Lane,Suite 500 Gas heat pump
Wall/suspended/unit heater •
City/State/ZIP:Portland,OR 97224 Water heater •
Phone:(503)598-0966 Fax: :(503)598-8498 Fireplace
Range
E-mail:MQHKYLECIN-fEGRA.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
CityiState/ZIP:Portland,OR 97224 Minimum permit fee(S90.00) 43.25
Plan review(25%of permit fee)
hone:(503)598-0966 ` \ ! Fax:(503)598-8498 State surcharge(12%of permit fee) 10.80
CCB tic. 50096 a TOTAL PERMIT FEE 100.80
// - This permit application expire iCe permit is not obtained within 180
days after it has been accepted as complete.
Authorized signature: j`, j% • Fee methodology set byTri-County Building Industry Service Hoard
Print name:Kyle Birmaiy' ,,/ I Date:8/13/13
t:U3uild ins,Pere cAMEC_Per mitApp 4040 o 113.doc 440461'r(11/02/COMB'EB)
Aug 13 13 08:34a Muehe Quality Heating 503-598-8498 p.1
1uehe quat
t
% heatpg
AND AIR CONDITIONING
7301 sw kable lane,suite 500,portland,or 97224
PHONe1503.598.0966 ee11503.572.3594 FAx1503.598.8498
mghkyle @integra.net
Fax Cover
To: City of Tigard
Attention: Building/Permits Department
Office Location: Tigard, OR
Fax Number: 503.598.1960
Date: August 13,2013
Total Pages, including cover: 6
• For review
• Please reply
Comments:
To whom it may concern,
Here are 4 mechanical permit applications and 1 credit card authorization form for
processing. You can run all four together if you like. Thank you.
Sincerely,
Kyle Birman