Permit CITY OF TIGARD MECHANICAL PERMIT
C COMMUNITY DEVELOPMENT Permit #: MEC2010 -00043
'Jr CARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/29/2010
Parcel: 2S 109AB09900
Jurisdiction: Tigard
Site address: 13160 SW HOOD VISTA LN
Subdivision: Lot: 0
Project: Harvey
Project Description: Extend gas line for outdoor bbq.
Owner: FEES
HARVEY, KATHLEEN M REV LIV TRUST Description Date Amount
BY KATHLEEN M HARVEY TR, 13160 SW Fuel Piping 01/29/2010 $14.15
HOOD VISTA LN 12% State Surcharge - Mechanical 01/29/2010 $10.80
PHONE: Minimum Fee Adjustment - Mechanical 01/29/2010 $75.85
Contractor:
THERMAL FLO INC
7236 SW DURHAM RD 100
PORTLAND, OR 97224
PHONE: 503 -670 -8343
FAX: 503- 598 -6746
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Stories:
Fuel
Fuel Types: Natural Gas
Gas Pressue:
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 -0100. You may obtain a copy of the rules
or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
C n J
Issued By: v ar\ O J \ n (� n Permittee Signature: i
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
RE� E 1VE
Mechanical Permit Application �l " • ' P � � '� , • ` '
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illIg City of Tigard JAN 2 9 2010 Date/By: . A Permit No.: ,. a '14,
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Permit.
Inspection Line: 503.639.4175 CITY O TIGARD Date/By:
:6.(..:, A R ... P a ate Ready /By: KM Supplemental See Page 2 for
. Internet: www.tigard - ocgov BUILDING DIVISIO otified/Method: Supplemental Information
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
Mechanical permit fees* are based on the value of the work
❑ New construction 1 Addition /alteration /replacement performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
Value: $ • tJv
CATEGORY OF CONSTRUCTION 3oa
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Air conditioning
Job site address: 13 !/ SwJ /4' Dv /J7» (requires site plan showing placement) 46.75
City /State /ZIP: / / e, �4R-0 O R. 93 41 Furnace 100,000 BTU (ducts /vents) 46.75
/
Furnace 100,000+ BTU (ducts /vents) 54.91
Suite/bldg. /apt. no.: Project name: l e t.J Heat pump 61.06
Cross street/directions to job site: C7�._nt GI A. C.D Ta A, coapre t-o Duct work 23.32
fa 14 / - Hydronic hot water system 23.32
-0 r7IU TZ /3Z " ra l ?6D Virr 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
Subdivision: ,F.m6..%,/ P-7 06E Lot no.:
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 23.32
Gas fireplace 33.39
.6 E ,4f) /4 /t/E k/ gP.sFjt/G,H 6740 G/•vi iTag p l Flue vent for water heater or gas
fireplace 23.32
_df C7 IIS 17 tit= • A/E,c/ i "v____ Log lighter (gas) 23.32
TO S L D u pCJZJ� 1 / 3Q . 1-"l& fL R. Wood/pellet stove 33.39
TeR- A/ / 1� /r7y /y1�i✓uA,t. Y4t. yd . Wood fireplace /insert 23.32
Chimney/liner/flue/vent 23.32
W.PROPERTY OWNER ❑ TENANT Other 23.32
Name: l E ✓ Environmental exhaust and ventilation
Address: / Range hood/other kitchen
equipment 33.39
City /State /ZIP: Clothes dryer exhaust 33.39
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32
E APPLICANT ®' CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: egemseu ,2- 14„mES / L L._ Fuel
Piping
Contact name: gib s` /rs $14.15 for first four; 54.03 for each additional
Address: n „ �„r Furnace, etc.
�yf7 S k� �� -1� /N� x -F�I�S Gas heat pump
City /State /ZIP: - n/7ft'R- 6 IZ "172i/ Wall/suspended/unitheater
/
Phone: (02 ) 7 - 6 Fax:: ( 3) g i Water heater
Fireplace
E -mail: a fG✓ e/2._/I AfEr e. /1fj7014 /L, con Range
CONTRACTOR' Barbecue 1 N. IS I'7. /t"
Business name: Clothes dryer (gas)
T�pl- C ' Other:
Address: ?2342 sid !7u/LIh 120.40 MECHANICAL PERMIT FEES* .
City /State /ZIP: T/ C O 0 9 ?ZZ�! Subtotal /y. /s"
/ Minimum permit fee ($90.00)
Phone: 607) I ?.:, - 83413 Fax: (M) 6Q7) 6Vj _ VW Plan review (25% of permit fee)
CCB lic.: /57f State surcharge (12% of permit fee)
TOTAL PERMIT FEE 100 , 60
This permit application expires if a permit is not obtained within 180
Authorized s1 aturre ////�� days after it has been accepted as complete.
Print name :«5cc y�: S Date: I /.e1/Zd /�' * Fee methodology set by Tri- County Building Industry Service Board
IABuilding\Permits\MEC- PermitApp.doc 10/01/09 440- 4617T(tt /02/COM/WEB)
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
Commercial & Multi - Family Fee Schedule:
Total Valuation: Permit Fee:
$0.00 to $500.00 Minimum fee $69.06
$500.01 to $5,000.00 $69.06 for the first $500.00 and
$3.07 for each additional $100.00 or
fraction thereof, to and including
$5,000.00.
$5,000.01 to $10,000.00 $207.21 for the first $5,000.00 and
$2.81 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,000.01 to $50,000.00 $347.71 for the first $10,000.00 and
$2.54 for each additional $100.00 or
fraction thereof, to and including
$50,000.00.
$50,000.01 to $100,000.00 $1,363.71 for the first $50,000.00 and
$2.49 for each additional $100.00 or
fraction thereof, to and including
$100,000.00.
$100,000.01 and up $2,608.71 for the first $100,000.00 and
$2.92 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
1:\ Building \Permits \MEC- PermitApp.doc 10/01/09 2
Ake C 2 - Oco (4 --
Natural Gas Line Map: Extension of New Line to BBQ Station
Location: Crawlspace
Address: 13160 SW Hoodvista Lane
N
SW Hoodvista Lane rip
4
Water Heater
(existing) d
l'' G�
et
am
- ,,_,__-- MADIMUNKLINE ,
BBQ Station r
(new} j
��
E Fireplace Cooktop ii (existin. G~!S
Existing Deck
I
0
Installation
Outdoor Cooking Centers
;, >'� �WARNING ' PRODUCT STORAGE EINIM
• Step Wh'• storing LP models indoors, discon-
nect t�*: LP tank. Store the tank outdoors
Provide in a well\ tilated area. +
Do not stor`' , *are LP tanks in or near the
Gas Ou tdoor Cook e1 Center enclosure. Threading Compound Must Be
,.;� \ Resistant to L.P. Gas
Electrical 12 GAS MODELS `' ,,
Sully Coupler Sleeve
•C onnect the regulator :.14,,.ck Connect Inlet Main Valve
assembly to the hose attach =`'•% the grill.
•The Quick Connect type coup "'t!,,,, egUir-i • c ' `t
'" the user to pull on the outer sleeve �7;•i r
female coupling while simultaneo, �'''T.-
coup --%,,,,_
L.P. Regulator Quick
•�'
inserting the male hose end in e cou
then release the locking Disconnect Hose
o �`�_�
g « Assembly
fi
To connect the tank
L.P. Tank
t °� ,
• Insert the couples,, peeve on the regulator over -`_ ��
the tank inl r+ rn clockwise to tighten. ' ;,
To disco
L
the operating erating press s or is 10" W.C.
,� „
•Turn;. he main tank valve. ^. 't.
•Gra•u' the coupler sleeve and turn counter- CAUTION: The LP tank (s.„.,, •ed separately)
c Remove the inlet from the opening. is a Type 1 Acme. Do not atte to change
or alter these supplied parts Do ot attempt
to use the regulator /hose assembly with a
standard 510 POL tank /valve assembly.
NATURAL GAS MODELS
The grill and its individual shut -off valve must
be disconnected from the gas supply during
any pressure testing of the system at test
pressures in excess of 1/2 PSIG. Coupler---_,0
Natural Gas 4.0" Regulator
The grill must be isolated from the gas supply 1/2 NPT---
system by closing its individual shut -off valve Close Nipple TUBING Su
during any pressure testing of the system at Adapter 1/2 NPT
test pressures equal to or less than 1/2 PSIG, to 3/8 Flare Fitting / Natural Gas Supply
The installation of these grills must conform Installer Supplied
with local codes or, in the absence of local Shut -Off
codes, with the National fuel gas code, ANSI
Z223 latest edition. • Install a manual gas shut - off valve in an easily
accessible location.
Operating pressure is 4" W.C. • Use threading compound on male threads
Supply pressure should be 5" to 14" W.C. If only. Do not use threading compound on
pressure is more than 14" W.C. a step down the male end of the 1/2 NPT to 3/8 flare
regulator is required. adapter.
Check with local gas utility or with local codes • Make connections as shown.
for instructions on installing gas supply lines. • Check do be sure
of gas regulator
toward the in t s l
Be sure to check on type and size of run and g
how deep to bury the line. If the gas line is too and away from the gas supply.
small, the grill will not function properly.
9