Permit CITY OF TIGARD MECHANICAL PERMIT
III r.,--.-g COMMUNITY DEVELOPMENT Permit#: MEC2013-00479
Date Issued: 08/19/2013
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S133CA14700
Jurisdiction: Tigard
Site address: 11084 SW MALLOW TER
Project: Village at Summer Creek,Lot 70 Subdivision: VILLAGE AT SUMMER CREEK Lot: 70
Project Description: Installation of NC. Placement of A/C 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 $100.80
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /
Issued By: Permittee Signature: Q� �/L/e.9-770 /
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Aug 13 1308:34a Muehe Quality Heating 503-598-8498 p.3
Mechanical Permit A 1V ED FOR
Ali OFF ICi�S
E- EJ\L .
City of Tigard sy Received p�
1,, .
13125 SW Hall Blvd.,Tigard,OR 9 1 �7 z0�3
Date/By: 0 , .:10 Permit Non?C20i3_d 7 q79
° ' Phone: 503.718.2439 Fax: 503.598.1960 Da a By: Other Permit:
Inspection Line: 503.639.4175 Date Re'
.).I GA k D P g CITY OF TIG ARD Date Ready/By: See Page 2 for
Internet: www.ti d-or. oy N Notified/Meth-at information
BUILDING DNISIO BE
TYPE OF VI'ORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees*are based on the value of the work
❑New construction ®Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
❑Demolition ❑Other: mechanical materials,equipment,labor.overhead,and profit.
Value:$
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES"
❑ I-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 ' 1 46.75 46.75
Job site address:11084 SW Mallow Terrace Furnace 100,000 BTU(duclshenls) 46.75
City/Stale/ZlP:Tigard,OR 97223 I Fumace 100,000-BTU(duets/vents) 54.91
Heat pump 61.06
SuitebldgJapt.no.: Project name: Duct work 23.32
Cross streetidirections to job site:SW 135"'Ave and SW ScholLs Ferry Road Hydonic 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 . 23.32
Other: 23.32
Subdivision:Summer Creek Lot no.:70
Other fuel appliances:
Tax map/parcel no.: Water heater 23.32
DESCRIPTION OF WORK Gas fireplace/insert 33.39
Flue vent for water heater or gas
Addition of air conditioning to existing system. fireplace: 23.32
Log lighter(gas) 23.32
Wood/petlet stove 33.39
Wood fireplace msert 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) ' 23.32
Phone:(425)777-0518 Fax:( ) Artio/crawlspace fans 23.32
® APPLICANT ® CONTACT PERSON Other: 23.32 i
Business name:Muehe Quality Heating,Inc. Fuel piping:
514.15 for first four.$4.03 for each additional
Contact name:Kyle Birman Furnace,etc.
Address:7301 SW Kahle 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:MQIIKYLE @INTEGRA.NET Barbecue
CONTRACTOR Clothes dryer(g.*
Business name:Muehe Quality Heating,Inc. Other: -
MECHANICAL PERMIT FEES"
Address:7301 SW Kablc Lane,Suite 500 Subtotal 46.75
City/State/ZIP:Portland,OR 97224 Minimum permit fee($90.00) 43.25
Plan review(25%of permit fee)
Phone:(503)5988-0966 Fax:(503)598-8498 State surcharge(12%of permit the) 10.80
CCB lie.:50096 ��� TOTAL PERMIT FEE 100.80 t/
t This permit application expires if a permit is trot obtained within m80
� y days after it has been accepted as complete.
Authorized signature: 1 ' ' � �t----^‘ • Fee methodology set by Tri-County Building industry Service Board
Print name:Kyle.Bilm;..,// J Date:8/13/13
t%Wading1Pcrmits1MEC_Pcrmit App 04011 440-461 TT(11:oa'CoM1v B)