Permit C ITY OF TIGARD MECHANICAL PERMIT
��1� PERMIT #: MEC2005 -00033
�VELOPMENT SERVICES DATE ISSUED: 2/10/2005
F =-- ' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2 S 102AA -04100
SITE ADDRESS: 12230 SW MAIN ST
SUBDIVISION: MORINS ADDITION ZONING: CBD
BLOCK: LOT: JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMML. INCIN:
MAX INPUT: 100,000 BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: 0 AIR HANDLING UNITS OTHER UNITS: 3
FURN > =100K BTU: 2 < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Remarks: Installation of new mechanical system. Project Value: $29,750
Owner: FEES
INTEGRITY INVESTMENTS INC Description Date Amount
2229 NE BURNSIDE SUITE 86 [MECH] Permit Fee 2/10/200: $498.13
GRESHAM, OR 97030 [MECPLN] Plan Rev 2/10/200; $124.53
[TAX] 8% State Surcharl 2/10/200f. $39.85
Phone: Total $662.51
Contractor:
ANCTIL SHEET METAL CO.
4320 N WILLIAMS AVE
PORTLAND, OR 97217 REQUIRED INSPECTIONS
Phone: 503 -281 -0752
Reg #: LIC 8897
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.
Issued By: �1 1G�i , // ) Permittee Signatur
Call (503) 639 -4175 by 7:00 P.M. for inspections needed the next business day
1 da3v s1w i0a;h, ' • :, 'e --
li Mechanical Permit litition .
FOR OFFICE use ONLY
City of Tigard - EN E Received
DatriBy: 6 4: A Permit No.: _ ?ow , 4033
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ,: ,�;•,. ,.a Da g Mao
Ins O Inspection 503.639.4175 I AN 2O - , 1 ` i t` I y a 2 /n{ t hherPernut. Q /
�� t _ Date Ready/By: " / � 7 �' ® See Page 2 for
Internet: www.ci.tigard.or.us -" Notified/Method w /x.� - l Q �) - / 1Q, Supplemental Information
GITYOF TIC;ARD 5 1pnk:e.
et dition/alteration/replacement bSIt?ThVISTON COM ERCIAL FEE• SCHEDULE - USE CHECKLIST
❑ New construction Mechanical permit fees' are based on the value of the work
ID Demolition ❑ Other: mechanical Indicate the value (rounded to the nearest dollar) of all
mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $ 21 .7 r0
❑ 1 - and 2- family dwelling [tn
omercial/industtial ❑ Accessory building RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
For special information use checklist.
❑ Multi family 0 Master builder ❑Other:
Description I Qty. I Ea. I Total
JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 1 as 3o SvJ M A I r.) S l
Air g conditiopl an o owing pump
(requites site plan showing placement) 14.00
City/ State/ZIP: I- 104D t c e_ 9 --1. 3 Furnace 100,000 BTU ( ducts/vents) 14.00
Furnace 100,000+ BTU (ducts/vents) 17.90
Suite/bldg. /apt. no.: Project name: C 110 W a Cep. -•r Gas heat pump 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot Flue/vent for any of above 10.00
Other: 10.00
Tax map /parcel no.: 2 5 10 a Allot-1 lob Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
4...e.u) ,A7// I ei:9 Gas fireplace 10.00
Flue vent for water heater or gas
- fireplace 10.00
Log lighter (gas) 10.00
Wood/pellet stove 10.00
• Wood fireplacefnsert 10.00
❑ PROPERTY OWNER I ❑ TENANT Chimney/liner/flue/vent 10.00
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City/State/ZIP: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) _ _ , Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT [y'ONTACT PERSON Attic/crawlspace fans 10.00
Other: I 10.00 I
Business name: Fuel piping
Contact name: K A - eJ t= $5.40 for first four; $1.00 for each additional
Furnace, etc. I I
Address: l
(SEE= 13E1.0 tai Gas heat pump
City/State/ZIP: Wall/suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater
Fireplace
r,-mat: Range
CONTRACTOR Barbecue
Business name: A r CT I L 1-4 TG- A COO L I IJ G
Clothes Othther: er: dryer (gas)
A
Address: H 320 n) . I LL I R ) S M C MECHANICAL PERMIT FEES"
City/State/ZIP: P O R N - P c r . 3 3 t CO-- 9 7 Z-) 7 Subtotal
Minimum permit fee ($72.50) .i
Phone: (Spy) 2l 1 -0- S Z Fax: (503) 212 - s-72.2_ Plan review (25% of permit fee) /2 [/, 5 3
CCB lic.: ( 1 11 -7 State surcharge (8% of permit fee) 3 y
TOTAL PERMIT FEE o KZ 57
This application expires if a permit is not obtained within 180
Authorized signature: permit
after It has been accepted as complete.
Print name: . ema_ c.0 el H, nl I Date: 11 21 I If s • Fee methodology set by Tri-County Building Industry Service Board
1:\BuidniPermus\MEC-PmajApp.doe 12/03 440.4617T (1 UO2/COM/WEB)
/y ECS ove)
Form 4a Project Name: GQovJ r C.31 Page:
SYSTEMS - GENERAL Part 1 of 6
Applicability Plans/Specs � ,�
Discussion of qualifying Show compliance by including a dra r
exceptions on page 4-14 specification section and subparagr h.
1. Applicablity (Section 1317)
�I this form required? JAN 21 2005
Worm Required. Complete form if a new HVAC system is being installed, or components of an
existing HVAC system are being replaced (I.e., equipment, controls, ductwork, and iniin.QF TIGARD
BUILDING DIVISION
❑ Exception. The building or part of the building qualifies for an exception from HVAC code
requirements. Applicable code exception is Section 1317.1. Portions of the building that
qualify:
Area: Exception L] -1 1:1 -2 ❑ -3
Area: Exception Ca -1 ❑ -2 ❑ -3
Area: Exception ❑ -1 ❑ -2 ❑ -3
❑ Form Not Required. This project does not contain work required to comply with code.
2.,Simple or Complex Systems (Section 1317.9 or 1317.10)
&Simple System. Building contains only Simple HVAC System(s). Complete this form (4a) and
equipment efficiency worksheets as required. Form 4b is not required.
❑ Complex System. Project includes a Complex System. Complete this form (4a), form 4b and
equipment efficiency worksheets as required.
3. Equipment Performance (Section 1317.5)
❑ No New HVAC Equipment. The building plans do not call for new electrical HVAC equipment,
bustion heating equipment, or heat - operated cooling equipment.
Complies. All new HVAC equipment have efficiencies not less than those required by code.
The following equipment efficiency worksheets are attached:
�a ❑ -4b ❑ -4c ❑ -4d ❑ -4e ❑ -4f ❑ -4g ❑ -4h ❑ -4i a
4. Duct Insulation and Sealing (Sections 1317.7 as 1317.8)
_cOo Ducts. The building plans and specifications do not call for new HVAC ducts or plenums.
&Complies. The plans and specifications call for all air - handling ducts and plenums to be insulated
and sealed as required by Sections 1317.7 &1317.8.
5. Distribution Transformers (Section 1316.1)
&go Distribution Transformers. The plans /specs do not call for new distribution transformers.
❑ Complies. All new distribution transformers comply with efficiency, testing, and labeling
requirements of Section 1316.1.1.
❑ Exception. The project qualifies for an exception per Section 1316.1.1, Exceptiion:
❑ -1 U-2 I] -3 ❑-4 LI-5 ❑-6 ❑-7 ❑-8 ❑ -9 0-10 ❑-11 ❑ -12 0-13 ❑ -14
Attach relevant documentation for appropriate exception. The plans /specs show compliance in the
following locations:
4 -1
Compliance with OSSC, effective 01/01 /05
Form 4a Project Name: Gin) GP1/AY:13 Page:l a
SYSTEMS - GENERAL Part 2 of 6
6. HVAC Controls (Section 1317.4)
, --.. �� 6.1 System Thermostat /Zone Controls (Section 1317.4.1)
6omplies. All new HVAC systems include at least one temperature control device responding to
temperatures within the zones.
❑ Exception. HVAC system qualifies for an exception from zone control requirements.
The applicable code exception is Section 1317.4.2, Exception ❑ -1 ❑ -2
Portions of the building that qualify:
The plans/specs show compliance in the following locations:
M -1
Off - hour Controls - Auto Setback or Shutdown (Section 1317.4.3)
C mplies. Systems must have at least one of the following features:
&Control Setback Complies. Each system is equipped with automatic control capable of
reducing energy through control setback during periods of non -use or alternate use of spaces
❑ Equipment Shutdown Complies. Each system is equipped with controls capable of reducing
energy use through automatic shutdown during periods of non -use or alternate use of spaces.
❑ I.VAC systems with equipment shutdown are equipped with at least one of the following:
'Pro controls (1317.4.3.1 (1))
❑ Occupant sensor (1317.4.3.1 (2))
❑ Interlocked to a security system (1317.4.3.1 (3))
❑ Manually activated timers with 2 -hour operation max (1317.4.3.1 (4))
❑ Exception. The building qualifies for an exception to the requirement for automatic setback or
shutdown controls. The applicable code exception is Section 1317.4.3 Exception ❑ -1 ❑ -2
The plans/specs show compliance in the following locations:
M - I
6.3 Control Capabilities (Sec. 1317.4.2.1)
Domplies. Zone thermostats are capable of being set to the temperatures described in Sec.
1317.4.2.1. Where used to control both heating and cooling, zone controls shall be capable of
providing a temperature range or deadband of at least 5 degrees F within which the supply of
heating and cooling energy to the zone is shut off or reduced to a minimum.
❑ Exception. The building qualifies for an exception to the deadband requirements.
The applicable code exception is Section 1317.4.2.1 Exception ❑ -1 ❑ -2
Portions of the building that qualify:
The plans/specs show compliance in the following locations:
M -
6.4 Optimum Start Controls (Section 1317.4.3.2)
laComplies. Separate HVAC systems have controls capable of varying start-up time of system to
just meet temperature set point at time of occupancy.
❑ Exception. HVAC systems have a design supply air capacity not exceeding 10,000 cfm.
The plans/specs show compliance in the following locations:
5 Heat Pump Controls (Section 1317.4.4)
o Heat Pump. The plans /specs do not call for a new heat pump
❑ Complies. All new heat pumps equipped with supplementary heaters are controlled to minimize
the use of supplemental heat as defined in Section 1317.4.4.
Ck The plans/specs show compliance in the following locations:
4 -2
Compliance with OSSC, effective 01/01/05
•
Form 4a , Project Name: Ceo►an) aftR.A -.13 Page: 3
SYSTEMS - GENERAL Part 3 of 6
7. Economizer Cooling (Section 1317.3)
❑ o Cooling. The building plans do not call for a new fan system with mechanical cooling.
L Complies. Each new fan system has an air economizer capable of modulating outside -air and
return-air dampers to provide up to 100 percent of the design supply air as outside air.
❑ Exception At least one new fan system qualifies for an exception. The applicable code exception
is Section 1317.3, Exception ❑ -1 ❑ -2 ❑ -3 ❑ -4 ❑ -5 ❑ -6
If Exception 3 is selected complete the following:
(a) Total cooling capacity of exempt units (Btu/hr)
(b) Total installed building cooling capacity (Btu/hr)
❑ Complies. Sum of exempt units rated at less than 54,000 Btu/hr is <240,000 or a/b
< 0.10 (10% of total building cooling capacity).
Unit Identifier of exempt units:
The plans /specs show compliance in the following locations:
M -1
8. Economizer Pressure Relief & Integration (Section 1317.3.1 and 1317.3.2)
❑ No Economizers Required. Project does not contain a new fan system requiring economizers.
❑ Overpressurization Complies. The drawings specifically identify a pressure relief mechanism for
ch fan system that will relieve the extra air introduced by the economizer.
Integration Complies. Economizer is capable of providing partial cooling even when additional
mechanical cooling is required to meet the remainder of the cooling load.
❑ Exception. The applicable exception is Section 1317.3.2, Exception ❑ -1 ❑ -2
The plans /specs show compliance in the following locations:
— .I
9. JIot Gas Bypass (Section 1317.5)
No. Hot Gas Bypass
❑Complies. See'allowable amount of hot gas bypass as,a percentage of total cooling capacity in
table below.
Unit ID Rated Cooling Capacity Hot Gas Bypass Capacity
41,k Allowable Hot Gas Bypass
Rated Cooling Capacity Max Hot Gas Bypass
<240,000 Btu /hr 50
>240,000 Btu /hr 25%
U Exception. Unitary packaged system with cooling capacity no greater than 90,000 Btu/h
4 -3
Compliance with OSSC, effective 01/01/05
I, 4.
' Form 4a Project Name: GP-orJ,.) C-MI 3 Page: H
SYSTEMS - GENERAL Part 4 of 6
10. Shutoff Dampers (1317.4.3.3)
all Required. Shutoff dampers are not required on this project.
❑ Complies. Each outdoor air supply & exhaust system shall be equipped with motorized dampers.
❑ Exception. The building qualifies for an exception to the motorized damper requirement. The applic-
able code exception is Section 1317.4.3.3 Exception ❑ -1 ❑ -2 ❑ -3 ❑ -4 ❑ -5 ❑ -6
The plans /specs show compliance in the following locations:
) 0.1. Shutoff Damper Controls (Section 1317.4.3.3.1)
C omplies. Outdoor air supply and exhaust systems shall be provided dampers that automatically
shut when systems or spaces served are not in use or during building warm -up, cooldown, or
setback.
❑ Complies. Stair and shaft vents are capable of being automatically closed during normal building
operation and interlocked to open as required by fire and smoke detection systems.
The plans /specs show compliance in the following locations:
ri -1
10.2. Motorized Damper Leakage (1317.4.3.3.2)
❑ Complies. Motorized outdoor air supply and exhaust air dampers have a maximum leakage rate
of 4 cfm/ft2 at 1.0 in w.g. when tested in accordance with AMCA Standard 500 -1998.
'Exception. Packaged HVAC equipment may have maximum leakage rate of 20 cfm/ft at 1.0 in
w.g. when tested in accordance with AMCA Standard 500 -1998.
The plans /specs show compliance in the following locations:
M 1
11. Duct Insulation and Sealing (Sections 1317.7 & 1317.8)
pyo Ducts. The building plans and specifications do not call for new HVAC ducts or plenums.
Complies. The plans and specifications call for all air - handling ducts and plenums to be insulated
and sealed as required by Sections 1317.7 &1317.8.
1 .2 Piping Insulation (Section 1314)
lJ No New Piping. The building plans and specifications do not call for new piping serving a heating
or cooling system or part of a circulating service water heating system.
❑ Complies. All new piping serving a heating or cooling system or part of a circulating service water
heating system complies with the requirements of the Code, Section 1314.1.
❑ Exception. New piping qualifies for exception: Section 1314.1, Exception ❑ -1 ❑ -2
13. Occupancy Ventilation
❑ Complies. Mechanical ventilation systems provide the required amount of ventilation specified in
Chapter 4 of the Oregon Mechanical Specialty Code.
❑ Complies. Natural ventilation systems provide required amount of ventilation as certified by a reg-
istered architect or engineer as specified by Section 1203.4.1, Exception. Attach worksheet 4m.
❑ Exception. HVAC systems have a design supply air capacity not exceeding 10,000 cfm.
The plans /specs show compliance in
"», the following locations: M -
The plans /specs show compliance on
N ,, ', the following pages:
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Compliance with OSSC, effective 01/01/05
Form 4a Project Name: GQowN) Gpt 4 Page: S
SYSTEMS - GENERAL Part 5 of 6
14. High Occupancy Ventilation (Section 1317.2.2)
❑ Complies. HVAC systems with ventilation air capacities of 1,500 CFM or greater that serve areas
having an average occupant load of 20 square feet per person or less from Table 1004.1.2 have a
means to automatically reduce outside air intake.
Identify applicable systems:
Plans /specs indicate where equipment (i.e. carbon dioxide sensor) and sequence is specified:
❑ Exception. HVAC systems are equipped with an energy recovery device with at least 50%
rycovery effectiveness.
lI'No High Occupancy Systems. Project does not contain an HVAC system as described above.
15 arge Volume Fan Systems (Section 1318.4.2.4)
U'Not Regulated. The building plans or specifications do not call for fan systems over 15,000 CFM
that serve a single zone and function for the purpose of temperature control.
❑ Complies. Fan systems are equipped with variable frequency drive or two speed motor to reduce
airflow as required by Section 1318.4.2.3.
The plans /specs show compliance in the following
locations:
116 ,-Variable Speed Drives (Section 1317.10.3.1)
W Not Regulated. The building plans or specifications do not call for fan and pump motors 10
horsepower and greater that serve variable -flow air or liquid systems.
❑ Complies. All fan and pump motors 10 hp and greater which serve variable -flow air or liquid
systems are controlled by a variable -speed drive.
❑ Exception. The building qualifies for an exception to the variable -speed drive requirement.
Portions of the building that qualify:
Applicable code exception is Section 1317.10:3.1, Exception
The plans /specs show compliance in the following
locations:
17.,Service. Water Heating (Sec. 1315)
UN - ° New Water Heating. The building plans and specifications do not call for new water heaters,
hot water storage tanks or service hot water distribution systems.
❑ Complies. All new water heaters, hot water storage tanks or service hot water distribution
systems comply with the requirements of the Section 1315.
❑ Exception. The applicable code exception is Section: Exception:
Portions of the building that qualify:
The plans /specs show compliance in the following locations:
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Compliance with OSSC, effective 01 /01/05
4
Form 4a Project Name: GQoW►J CMPt Page: 6
SYSTEMS - GENERAL Part 6 of 6
18 Pools, Spas and Hot Tubs (Section 1315.5)
No New Pools. The building plans and specifications do not call for new, swimming pools, spas or
hot tubs.
❑ On/Off Controls Complies. Spa and hot tub heaters are equipped with a readily accessible
ON/OFF switch as required by Section 1315.5.1.
❑ Ventilation Controls Complies. Pool ventilation system is controlled based on humidity.
❑ Cover Complies. All heated pools, hot tubs and spas are equipped with a cover.
❑ Heat Recovery Complies. Pools, Spas, and hot tubs, over 200 ft utilize recovered heat as
required by Section 1315.5.3.
❑ Exception. Heat recovery is not necessary as pool is heated by renewable energy or waste
heat recovery sources capable of providing at least 70 percent of the heating energy
required over an operating season.
19 ,Fume Hoods (Section 1317.2.1.)
No Fume Hoods. The building plans do not call for fume hood systems that have a total exhaust
rate greater than 15,000 cfm.
❑ Complies. Fume hood systems have at least one of the following features:
❑ Variable air volume hood exhaust and room supply systems capable of reducing exhaust
and makeup air volume to 50% or less of design values.
❑ Direct makeup (auxiliary) air supply equal to at least 75% of the exhaust rate, heated no
warmer than 2° F below room set point, cooled no cooler than 3° F above room set point,
no humidification added, and no simultaneous heating and cooling used for
dehumidification control.
❑ Heat recovery systems to precondition makeup air from fume hood exhaust in accordance
with 1318.3 - Exhaust Air Energy Recovery, without using any exception.
The plans /specs show compliance in the following locations:
20, Parking Garage Ventilation (Section 1317.2.3)
No Enclosed Garages. The building plans and specifications do not call for enclosed Group S -2
parking garages with a ventilation exhaust rate greater than 30,000 CFM.
❑ Complies. The plans and specifications call for carbon monoxide sensing devices as required by
Section 1317.2.3.
❑ Exception. Open parking garages.
221 - Kitchen Hoods (Section 1317.11)
L Not Regulated. The plans /specs do not call for any new kitchen hoods with exhaust capacity
greater than 5,000 cfm each.
❑ Complies. All new kitchen hoods with a total exhaust capacity greater than 5,000 cfm have at
least 50 percent of the required makeup air; (a) unheated or heated to no more than 60 °F; and (b)
uncooled or evaporatively cooled.
The plans /specs show compliance in the following locations:
22,.Outside Heating Systems (Section 1317.12)
No Outside Heating Systems. The plans /specs do not call for new permanently installed heating
systems outside the building.
❑ Complies. All new permanently installed outside heating systems are radiant gas fired systems
controlled by an occupancy sensor or timer switch as required by Section 1317.12.
4-6
Compliance with OSSC, effective 01/01/05
•
Worksheet.4a Project Name: GRota,J CO-00 Page:
UNITARY AIR - CONDITIONER - AIR COOLED -
Equipment (a) (b) (c) 0) (e)
Cooling Seasonal or Compliance •
Discussion of equipment Equip. ID Model Designation Capacity Steady State Part Load Schedule (A -E)
- ratings and equipment /� -
definitions on page 4-19. e,TJ . I CPtQ4{d- 'A( m DID- S S7, coo , 1 O SE. • A
(LTJ - 3
1
•
•
•
Required Indicate source of information
Document- 0 ARI Unitary Directory, Section AC, page:
ation
O ARI Applied Products directory, Section ULE, page:
�roduct data (Attach data furnished by the equipment supplier, I.e., "cut sheets")
1
Code. Required Cooling Capacity (btu /hr) Minimum Rating
• Compliance Seasonal or
Efficiencies Schedule Equipment Type Over But not over - Steady State Part Load
0 65,000 na 9.7 SEER
Single Package Without a 65,000 135,000 10.3 EER n/a
This schedule of equip A Heating Section or With Electric 135,000 240,000 9.7 EER n/a
ment efficiencies was Resistance Heat 240,000 760,000 9.5 EER 9.7 IPLV
reformatted from code, 760,000 - 9.2 EER 9.41PLV
Table 13 0 65,000 na 10 SEER
Split System Without a Heating 65,000 135,000 10.3 EER n/a
B Section or With Electric 135,000 240,000 9.7 EER n/a
Resistance Heat 240,000 760,000 9.5 EER 9.5 IPLV
760,000 - 9.2 EER 9.2 IPLV
0 65,000 na 9.7 SEER
Single Package With a Heating 65,000 135,000 10.1 EER n/a
C Section Other Than Electric 135,000 240,000 9.5 EER n/a
Resistance 240,000 760,000 9.3 EER 9.5 IPLV
760,000 - 9.0 EER 9.2 IPLV
0 65,000 na 10 SEER
Split System With a Heating 65,000 135,000 10.1 EER n/a
*., D Section Other Than Electric 135,000 240,000 9.5 EER n/a
h Resistance 240,000 760,000 9.3 EER 9.7 IPLV
'"T/rA 760,000 - 9.0 EER 9.4IPLV •
' E Condensing Unit Only 135,000 - 10.1 EER 11.2 IPLV
4 -10
Compliance with OSSC, effective 01/01105
• Worksheet 4j Project Name: GRor tfj Of -1W Page:
FURNACE & UNIT HEATERS - GAS .& OIL -FIRED
Equipment (a) (b) (c) (d) (e)
Proposed
Discussion of equip-
ment ratings and Heating Minimum Minimum Minimum
equipment definitions Capacity Ec ET AFUE Compliance
on page 4 -19. Equip. ID Model Designation (Btu/hr) ( %) ( %) (%) Schedule (A -E)
V% — p D -) 0,000 cco G
•
•
•
.
Required Indicate source of information
Document- ❑ GAMA Consumer Directory, page(s): •
stion "roduct data (Attach data furnished by the equipment supplier, I.e., "cut sheets",).
Code
Required Capacity ,(Btu/hr) •
Compliance But not
Efficiencies Schedule Equipment Type Over over Minimum Efficiency
• This schedule of equip- Gas Fired Warm -Air 0 225,000 78% AFUE or 80% E,
ment efficiencies was A Furnaces & Combustion
reformatted from code, Furnace/AC 225,000 - 80% E
• Table 13-P. Oil -Fired Warm Air Furnaces 0 225,000 78% AFUE or 80% E
B & Combustion Furnace /AC 225,000 - 81% E
#� C Gas Fired Duct Furnaces ALL 80% E, •
4t• 1'4
D Gas Fired Unit Heaters ALL 80% E
b E Oil -Fired Unit Heaters ALL 80% E
•
4-19 .
•
Compliance with OSSC, effective 01/01/05
•
CITY OF TIGARD
BUrLDIN'O DIVISION PERMIT #: MEG2005 -00033
13125 SW Hall Blvd.; Tgard, OR 97223 D ATE ISSUED: 2/10 /2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 `: I
INSPECTION WORKSHEET FOR DATE: 6/3 /2005 TIME: 7:09AM PAGE: 82
SITE ADDRESS: - 1223 - 6:SW- ST CLASS OF WORK:
SUBDIVISION: MORIIIS•ADDITION LOT #: TYPE OF USE:
PROJECT NAME: CROWN CARPET
DESCRIPTION: Installation of new mechanical system. Project Value: $29,750
OWNER: INTEGRITY INVESTMENTS INC, PHONE #:
CONTRACTOR: ANCTIL SHEET METAL CO. PHONE #: 503 - 281 -0752
Inspection Request Scheduled For: Date: 6/3/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 008240-01 503 -281 -0752 V
Corrections /Comments /Instructions: ( ' OD 1 t 1
A I 4r
111197ZIWILVA'
'
J
PASS ❑ PARTIAL APPROVAL ❑'CANCEL ❑ NO ACCESS
❑ FAI • CALL FOR INSPECTION ❑ ADDITIO L FEES ASSESSED
Inspector: I � / Date: K� 6 #: (503) 718-
CITY, OF TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00033
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/10/2005
Phone: (503) 639 -4171 �` 4 ' ° '��"41 4'�' I '
Inspection Requests (24 Hrs.): (503) 639 -4175 'I L
INSPECTION WORKSHEET FOR DATE: 5/27/2005 TIME: 7:10AM PAGE: 11
SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK:
SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE:
PROJECT NAME: CROWN CARPET
DESCRIPTION: Installation of new mechanical system. Project Value: $29,750
OWNER: INTEGRITY INVESTMENTS INC, PHONE #:
CONTRACTOR: ANCTIL SHEET METAL CO. PHONE #: 503 -281 -0752
Inspection Request Scheduled For: Date: 5/27/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 007934 -01 503 -281 -0752 N
Corrections /Comments /Instructions:
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MinME. U ""1111M157illiMit
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❑ P ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL 111 CA FOR I PECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date. hone #: (503) 718 -
T
CITY qf.TIGARD
BUILDINVr- DIVISION PERMIT #: MEC2005 00033
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 2/10!2005
Phone: (503) 639 -4171 ii� p I l i !
Inspection Requests (24 Hrs.): (503) 639 -4175 -' `__ I
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
5/11/2005 7:12AM 67
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: 12230 SW MAIN ST LOT #: TYPE OF USE:
PROJECT NAME: MORINS ADDITION
DESCRIPTION: CROWN CARPET
Installation of new mechanical system. Project Value: $29,750
OWNER: PHONE #:
INTEGRITY INVESTMENTS INC,
CONTRACTOR: ANCTIL SHEET METAL CO. PHONE #: 5503 -281 -0752
Inspection Request Scheduled For: Date: 5!11!2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 006588 -02 503. 281 -0752 N
Corrections /Comments/ Instructions:
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❑ PASS [, RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR SPECTION ❑ ADDITION L FEES ASSESSED
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Inspector: _ Date: l 57 (/ne #: (503) 718