Permit CITY OF TIGARD
MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 - 00362
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 7/14/2008
PARCEL: 25111 CC -15500
SITE ADDRESS: 10045 SW HIGHLAND DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.4 LOT: 206 JURISDICTION: TIG
PROJECT: GUDEKUNST
Project Description: Installing heat pump.
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: SF UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: R3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 1 DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP: WOODSTOVES:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
FURN > =100K BTU: <= 10000 cfm: OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
PETER & DOROTHEA GUDEKUNST Description Date Amount
DOROTHEA A, TRUSTEES
10045 SW HIGHLAND DR [MECH] Permit Fee 7/14/200E $72.50
TIGARD, OR 97224 [TAX] 12% State Surch 7/14/200€ $8.70
Total $81.20
Phone: 503- 684 -8194
Contractor:
JACOBS HEATING & A/C
4474 SE MILWAUKIE AVE
PORTLAND, OR 97202 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 234 -7331
FAX 503- 808 -9108
Reg #: LIC 1441
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By:/ /i y " 1 Permittee Signature: �73w
al ` s .639.4175 by 7:00 a.m. for inspections that busin /7
y.
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.
97/14/ 2008 08:10 5038139257 JACOBS HEATING PAGE 02/03
Mechani Permit Application
` (0 1''f?It f.)hI?Il'I? 1'SI: (.)N1 1 «,
City of Tigard C,��,,i ` " E:E, � � 125 SW ll d., Tigard, OR 9 q Q •74'" - 't Nn: �' Phone: 503639471 Fax: 503.59.1960 1 Pi ie 4 —
T l r., A R f) Inspection Line; 503.639.4175 1U� . �a tc R
Other Permit; -
t www.tigard"or.guv d A t2 D Date l /M ! y: lurlP' p ` page 3 far
. ... Internet; v Notified/Method: JJ
I 1' ` Supplemental infnrmntioe
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Mechanical perm • 0 New construction < t fees" a .n ,�� rUnt based d o n the val ❑ 1.) uY]JI a, of the ion/replacement
ire ased o ue of the work
0 Demolition ❑ Other:
mechanical materials, a ui ment. labor, overhead, indicate the value (rounded to the nearest dollar) (Wall
`:'iI!iif131411 i Demolition
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® 1- and 2-family dwelling v Iil1(t + alS
Y 8 ❑C ommercial /industrial <r ilt�4 1 ^�0 1 • . ° S . i 4 , N '. t put
❑ AG CCSSQry building
z � 1J,nivaa �,. r.�.li .. ,NO •..U,1 I!rd':. ,,,.,';
❑ Multi - family El Master builder Q Other: For spec/al information use checklist.
!,(j��l� f�INJ„IlflfDr7 jl {ir!ilti�, ^' I!!,1,�'( " ' . 1 + ,,, Description
S �li' I f r ' I:�,ii Ir' .... �y ii 11 11 i FI�1 '� f' f�l1f I { l Qty. ea, Total • � � �'>Ai�,A 1' " � o I '� 1 � 11,111 rN(�li'
d, 3 11 f l.r , fl ti n_ koolin _
Job site address: 10045 SW Highland Dr •r heat purr]
(rcgttire . sits plan sh t •rnent) 1 14.00 14.00
City /State %ZIP: Tigard, OR 97062
_ Furnace 100 000 BTU ( ralvcntsy 14,00
Suite/bldg. /apt. no.: I Project name: Gudekunst Furnace 100.000+ BTU (ducts /vents) 17.90
Cross street/directions to job site:
— Duct work i is heat um 14,00
— 10.00
Y 1lydronic hot water system 14,00
Residential hailer (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
_ in -wall, in- duet„ sus ended, etc. 14,00
Subdivision; 1 Lot no,: Flue /vent for any of above 6_80
Tax map /parcel no.; Other,
10.00
jli' " {YII(li�la {l i'1llf ;'t %f, ? "o'fy' . �ii+`,rlj w f' �,,,.� ':I Other fuel appliances
it �� "':l I v l !. { j j f "1(',! t r R i, r eir {f, Y 11 11 ( l i' o ,, l i!! ��
1 '1{, �, � f.'I0I.!! illi ; �li�! u Water
a.' .,,, ��k',�.a'm•d` pr' , ,1.�f { (f � , .ul „ ai , " �. 10.00
Gas fireplace 10,00
Flue vent for water heater or gas
install heat pump fireplace 10.00
. �Lo ligh as) 10,00
Wood /pe llet s tove 10.00
1 i 4( �� (j n�np Wood fireplace /insert 10,00
!:�, .'.dll�, +��1f y l ) �1Ld111.iH>.tUli �' ..i., 1 �i�1Yl� '::1:'�':rp .) 1' ;J l �1 +f,l
i , , . r *. , . , r , :,'1 1 , n )iii 1 1 9�Ig1� ' 1�,'r x V'r ("W° EiY�11,611N1f 1 m 10.00
r.l apt „�ai„1 r;yjLll',�1,rillii!1i OChi ue /vent
_
ney /liner /fl
Name: Dorothea Gudekunst 10.00
Environmental exhaust and ventilation
Address: Range hood /other kitchen
City /State /ZiP; equipment — 10.00
Ct othics d er_cxhaust _ 10,00
Phone: (503)684 -8194 Fax: ( ) Single -duct exhaust (bathmoms,
one:
1�'•�({I(1111�1'4 N ti ^llilllllkp':jr� !, !y I! " "i ; {ilil!'yjlii "Iil:i'!1'i" a:`�jl „ 1" toilet compartments, utility rooms) , 6.80
ia✓ Ifl:i ^Idll � l; {ti til�jl E rbtidAl�r. i�; ' ��0, .rl fi° 'Pl i, .11.il �iit t�1& fl lV!1lAwW!1 3
1y M :f)'11�`:1!r
' -1 Stl�u�: �y'� +f4F .r� ; � ,,` Y: Itl�iul�tlilf��tl '��lilll'!t�{liif� Attic/oratvlaeacc fans 10.00_
Business name: Other: 10,00
Contact name; Fuel piping —
— —
35,40 for first four: 51,00 for each additional
Address: Furnace, etc,
City /State /ZIP: — Gas heat pump
- Wall /suspended /unit heater
Phone: ( ) I Fax: ;
( ) Water heater
E-mail: Fireplace
' . , V ,i r• �i 11 'il {. (' � a p! l +iii "� ;r( ,�lt��l'. . tr A�� ;,,,r.r, d,y,.l.:i _angc
il.fi l ,ltil lll l'1 ��1�J''If 11 Ir I ''( 1 V, { ., 1 . , yy y { ij d.> 1I 1 P1 ( ! i{ 111 IIII{ is Barbecue J ,,,,'r ��'IK�r11�S1' • � 1 1,,11 11111 '�I��.11�j l�l {11� ��� {1�����11 � X4111 Barbecue
Business name: , Taeobs Heating & A/C Clothes dryer (gas)
Address: 4474 SE Mihvaukie Other:
„ rru'fl'11 . It1 . ' 9 sr , rtll9`a'; '"' 1 t , ,
City/State/ZIP: / 7D , {I11R01. , ' g�,� 0 '•w,rb oi'I?!gl1' ; , , , ,1 i:
y State/ZIP: Portland, OR 97202 u- 1 ,,.c„ ` �,.,, ,il.!!' „ ils��.i1 66 {('
'� I'll III ,
Subtotal 14.00
Phone: (503) 234.7331 Fax: (503) 808,9108 Minimum permit fee ($72,50) 72.
CCP. lie,: 1441
Plan review (25 °� of permit fee)
State surcharge (12% of permit fee) 8.70
Authorized signature, , l 1 ` ( i - 0 / TOTAL PERMIT FEE 81,20
This permit application expires if a permit is net obtained within 180
days after it has been accepted as complete.
Print name: Michelle LeClair Date: ice methodology set by Trt Cnl,nty Building Industry St vice Board
tr\ B IIdIrdeTermitelmtc- PermitApp,doe 01/19/07
49 9-4617T (1 f /nd /COM/R•P.R) C � i L41/1
07/14/200S 08:10 5038139257 JACOBS HEATING PAGE 03/03
SITE PLAN
t_ cc\I
DIRECTION
/or
HOUSE
A ,FRONT
/1
STRE f 6 V . k ,
Job Name .ate. 4_ .
Address acts Al li L
A ..ALA Oil ' r
Model ri/47
Make CAA/ V,A
•
JACOBS HEATING & AC
4474 SE Milwaukte Ave.
Portland, OR 97202
(503) 234 -7331
(503) 813-9257 fax
• INSPECTOR'S SIGNATURES ARE NOT- . -
Inspections Required for:Cua_ - REQUIRED ON GREEN INSPECTION CARD.
✓ • Code ' I Inspection Description I PASS Date I By ✓ Code Inspection Description I PASS Date By
BUP - Building Permit ELC - Electrical Permit
405 , Excavation 105 Underground /slab cover .
410. Fill 110 Temporary electrical service
• 415 Grading 115 Electrical service
205 Footing 120 Electrical rough -in
805 MFG- Structure grading /footing 125 Wall cover
210 Foundation walls • 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab • 140 Sign installation
310 Crawl drain • } 45 A/C or heating unit circuit
225 Post /beam structural 150 Hot tub /spa /pool
230 Underfloor insulation 195 Misc. inspection:
235 Sheaf walls /anchors 199 _ Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (mbar)
275 - Framing
810 MFG- Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post /beam mechanical
285 .. Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic, piping
899 MFG - Structure final • 625 Duct work
498 Grading final 630 Fire damper
. 299 Final inspection . 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
• \ 699 _ Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit •
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough :in 310 Crawl drain •
920 Suppression trip test 315 Post /beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final •
999 Sprinkler final 322 Shower pan
330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert /catch basin
410 Fill 350 Septic tank .
415. Grading 395 Misc. inspection:
205 . Footing • 399 Plumbing final •
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07