Permit n CITY OF TIGARD MECHANICAL PERMIT
IN 0 -- COMMUNITY DEVELOPMENT Permit #: MEC2012 -00643
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/10/2012
Parcel: 2S102BD03100
Jurisdiction: Tigard
Site address: 13055 SW PACIFIC HWY
Project: Midas Subdivision: NORTH TIGARDVILLE ADDITION Lot: 35
Project Description: Replace existing gas unit heater in shop with new 60 BTU gas unit heater.
Contractor: AMERICAN CONTRACTING Owner: MIDAS PROPERTIES INC •
7855 SW OLESON RD REAL ESTATE ACCOUNTING DEPT
PORTLAND, OR 97223 1300 ARLINGTON HEIGHTS RD
ITASCA, IL 60143
PHONE: 503 - 407 -8538 PHONE:
FAX: 503 - 244 - 9556
FEES
Specifics: Description ' Date Amount
Type of Use: COM Permit Fee 12/10/2012 $99.76
Class of Work: ALT Type of Const: Plan Review 12/10/2012 $24.94
Occupancy Grp: Occupancy Load: 12% State Surcharge - Mechanical 12/10/2012 $11.97
Stories: Info Process /Archiving - Sm $0.50 (up to 12/10/2012 $3.50
11x17)
Project Valuation: $1,500.00
Fuel Air Handlers
Fuel Types: Natural Gas Units < 10000 cfm:
Gas Pressure: Units > 10000 cfm:
Furnaces Boilers & Compressors
Furnaces < 100K BTU: 0 -3 HP:
Furnaces >= 100K BTU: 3 -15 HP:
Floor Furnaces: 15 -30 HP:
Unit Heaters: 1 30 -50 HP:
Vents w/o Appliances: 50 or Greater HP:
Air Conditioning:
Heat Pump:
Appliances
Vent Fans: Vent Systems: Total $140.17
Hoods: Comm Incinerators:
Woodstoves: Gas Fireplaces:
Required Items and Reports (Conditions)
Clothes Dryers: Other Mech Units:
Gas Outlets: Other Desc:
Duct Work:
Fire /Smoke Dampers:
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 -''90. You m- 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: i ` / /rIa _
• 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.
Mechanical Permit ApplicatiRKEIVED FOR OFFICE USE ONLY
Cl of Tigard DEC eceived Permit Not ,p /
City g t 1 C 1 0 2 Date/B42 // o z, 1' /�- f %EWt7�oZ /t0 L� ___
it 13125 SW Hall Blvd., Tigard, OR 97223
I I . Phone: 503.718.2439 Fax: 503.598.19 Plan Revie Other Permit:
QTY OFTIGARD D
TI G n R D Inspection Line: 503.639 Date Ready/By: Juris: 0 See Page 2 for
Internet: www.tigard- or.gov BUILDING DIVISIO Notified/Method: 7/16 Supplemental Information
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: $ 14500
CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ 1- 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
Job site address: (requires site plan showing placement) 46.75
City /State /ZIP: - 'A - L c, ��C Ole_ �• y� f Furnace 100,000 BTU (ducts/vents) 46.75
/ 0 Furnace 100,000+ BTU (ducts/vents)
Suite/bldg. /apt. no.: Project name: a R M t tka-S Heat pump
(requires site plan showing placement) 61.06
Cross street/directions to job site: Duct work 23.32
Q ((,� l (' Hydronic hot water system 23.32
�2
� J r"(. C.- ( k t`_ Fz%�� "V - C -Pi(L- ,(. 9l Mn 4-- Residential boiler (radiator or
f � � , Unit heaters ic) 23.32
a, 1
-(,-1 Unit h (fitcl -type, not electric),
in -wall, in -duct, suspended, etc. I 46.75
Subdivision: Lot no.: 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
- , l Gas fireplace 33.39
C
.1 ,p, at.c l 1 C4' � c �.. l` �(� I- C-a±04 (A-1 Flue vent for water heater or gas
V I 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: 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
❑ APPLICANT Q CONTACT PERSON Attic/crawlspace fans 23.32
Business name: /` - _ Other: 23.32
1 VL'CO/V\ C° '�' Fuel piping:
Contact name:
v p'p' 514.15 for first four; $4.03 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended/unit heater
Phone: 6 Li 7 -_ S Oc Fax:: ( ) Water heater
E -mail: TT'' Fireplace
Range
CONTRACTOR Barbecue
Business name:) Clothes dryer (gas)
° ` /i' (T CA/ Other:
Address: -- S S1w OIL' S oti1 MECHANICAL PERMIT FEES*
City /State/ZIP: v .4_ j N2—• °I - 7LL3 Subtotal
� c , � 5 S Minimum permit fee ($90.00)
}�
Phone: (s LI 0-7 8 s d , Fax: ( /!
0 L C�
Plan review (25% of permit fee)
CCB lie.: 1 6��
Y Y� e, -� � State surcharge (12% of permit fee) �/
O // TO'T'AL PERMIT FEE / /2777
/
Auth rizCd signature: Li ` ' ' Thic permit application expires if a permit is not obtained within 180
s " days after it t has been accepted as complete.
Print name: 4� l ✓ Date: 9/o/i • Fee methodology set by Tri County Building Industry Service Board
1 \Building \Permits\MEC -Permi A�.doc 09/09/10 440-4617T (11 /02/COM/WEB)
-- American Contracting, .Inc. Revised 11/30/2012
: PO Box 19083 RECEIVED
Portland, OR 97280
CCB License # 152797 DEC 10 2012
CITY
BUILDING
Midas Tigard DI I SION
13055 SW Pacific HWY
Tigard, Oregon 97223
Attention to: George Weivoda
In pursuant to your request American Contracting is pleased to submit the following proposal, which is including, but
not limited to:
Scope of work:
1. Replace existing unit heater with new unit heater
a. m/n REZ UDAP 60
Exclusions: Any unforeseen structural changes or planning and zoning, engineering stamps or additions, framing,
Insulation, concrete cutting, ductwork, roofing, sheet rock, mud and tape, paint, plumbing, or high voltage electrical.
(Unless noted above)
Notes: model numbers or parts may change without notice.
Terms: Proposal price is good for 15 days from above date. Payment is due at completion of work. Above prices are
based on cash sale. Interest may be applied for late payments on all accounts 15days past due, 18% annual percentage
rate or a minimum finance charge of 5.00 per month.
Please initial above, sign, date, and return to our office via fax or mail. Once we receive signed proposal we will
schedule installation date.
Customer Acceptance Date
Thank you, Randy Krueger
OFFICE COPY
/30555
Office: (503) 407 -8538 E -mail: acedheatingcooling (acomcast.net www.acedheatingcooling.com Fax: (503) 244 -9556