Permit R .r.
. A CITY OF TIGARD MECHANICAL PERMIT
I �. DEVELOPMENT SERVICES PERMIT #: MEC2005 -00333
�,I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 7/28/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI Value: $65,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
TYPE OF USE: COM UNIT HEATERS: VENT FANS: 2
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: 1 BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
ELE 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS
FURN > =100K BTU: <= 10000 cfm: 3 OTHER UNITS:
> 10000 cfm:
GAS OUTLETS:
Owner: FEES
WASHINGTON SQUARE LLC Description Date Amount
BY THE MACERICH COMPANY [MECH] Permit Fee 7/28/200f $959.00
9585 SW WASHINGTON SQUARE RD [MECPLN] Plan Rev 7/28/200: $239.75
TIGARD, OR 97223 [TAX] 8% State Surchaq 7/28/200f. $76.72
Phone: 503 639 - 8865 Total $1,275.47
Contractor:
HVAC INC •
5188 SE INTERNATIONAL WAY REQUIRED ITEMS AND REPORTS
MILWAUKIE, OR 97222 •
Phone: 503 462 - 4822
Reg #: LIC 50897
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 Cti Permittee Signature: CN,
Call 503 - 639 -4175 by 7:00 a.m. for inspections 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.
'---3 e chanic a s l l ermit A 1 .1 i ' -f + ; E I _ , VE FOR OFFICE USE ONLY
__C. , . S CO fifIefo •7;,'•-• - ,
City of Tigard (� • Received .
Date/By(j 3 2 A .` • permit No �J. - 0, 3
13125 SW Hall Blvd., Tigard, OR 97223 Ji
,
g � 2005 Plan R- :.+n) I
Phone: 503.639 4171 Fax: 503 598 1960 I , Date/B / n , Other Permit 2‘00 - 12e `
Inspection Line: 503.639 4175 �� OF ■ Date Rea. yBy" Runs 0 Se Page 2 for
Internet. www ci.tsgard.or.us O �( tl�p� � te' Notified/Method. Supplemental Information
B UILDING r)11I >s Tom
TYPE OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST
❑ New construction Addition/alteration/replacement Mechanical permit fees* are based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit
CATEGORY OF CONSTRUCTION O
Value $ s) QC�o
� �
- RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
❑ I- and 2 family dwelling Commercial /industrial ❑ Accessory building
For special information use checklist
❑ Multi family ❑ Master builder ❑ Other:
Description Qty Ea Total
. JOB SITE - ,INFORMATION AND LOCATION. , . Heating/cooling
( 45 Air conditioning or heat pump
Job site address. t
7 SW �\JA14 t I. c„ „„, , - R o_ (requires site plant showing placement) 14.00
City/State /ZIP: i (cNZ 17 , OR Furnace 100,000 BTU (ducts /vents) 14 00
Suite/bldg. /apt. no.:c pC�C e. Project name �/ Furnace 100,000+ BTU (ducts /vents) 17.90
. OTT�.1�.1 k QS Gas heat pump 14.00
Cross street/directions to job site: Sv C ok1 S -KfP 1 - \0 0 Duct work 14 00
Hydrontc 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
I Flue /vent for any of above 10 00
Subdivision: Lot no.:
Other. 10 00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10 00
/��
” \ECH c , J\) I cG F- 'Z I N ul1.5‘ 41 Netfiow S ri � Ql . , Flue vent for water heater or gas
aSSQG113,,T-ft:.D W I Tl-4 - got)? Z 5 OO — O 1 Ql t7 {U� fireplace 10 00
Log lighter (gas) 10 00
Wood /pellet stove 10 00
Wood fireplace /insert 10.00
- ❑ PROPERTY OWNER TENANT
Chimney/liner/flue/vent 10 00
Other 10 00
Name: 1 LI..‘L 1S * Sn kin u.u. I NG Environmental exhaust and ventilation
Address: 15,O vl‘kj i3 s �vr Range hood /other kitchen
equipment 10 00
City/State /ZIP: S D,4%.3 SRP,..Jr sc.o gi-1 i Oq Clothes dryer exhaust 10 00
1 Single -duct exhaust (bathrooms,
Phone: Ai 5) y cq, . az 1 Fax. (4,is ) 4 3q , 1 .6 ZS toilet compartments, utility rooms) 6.80
Et APPLICANT CONTACT PERSON Attic /crawlspace fans 10 00
--.% Other. 10 00
Business namC s �I'tits 1 Ma r' SC} -c,Q. te.v - Fuel piping
Contact name: ....10N I .i 1.Q.. . s �2Q \ , rnV,,J(9 ri, $5.40 for first four; $1.00 for each additional
Address: SD (b S% \>J ` Ti v ` � �.1 H . T� 1...1 (- 1 Furnace, etc.
Gas heat pump
City/State/ZIP: -Po CLT l.. Awl D . 0 Q Ci 1 . 0 4 Wall /suspended/unit heater
Phone: l v e e ( Fax: : (SO5) ZI-1 kb • 9 0314 Water heater
Fireplace
E -mail:
Range
CONTRACTOR Barbecue
Clothes dryer (gas)
Business name Tu & t 0 Other.
Address: MECHANICAL PERMIT FEES * -
City/State/ZIP: Subtotal yS
Phone: ( ) Fax ( ) Minimum permit fee ($72 50) � ���
Plan review (25% of permit fee) L
CCB lie.: State surcharge (8% of permit fee) 7Q
\ . ss` J 1 TOTAL PERMIT FEE 1 j,..... i, ' -
Authorized signature C \ This permit application expires if a permit is not obtained within 1 :0
- days after it has been accepted as complete.
Print name: �1 - S� 1 11F.N.I.S F j v a Date (� ( 0 (ay' ' Fee methodology set by Tn- County Buildtt) , Indus ri oard
i \Building \Permits \MEC- PemnitApp doc ID—+03 u1'I eV - Ea' 440 46617T (Il/02/COM/WEB) ( {+
•
Mechanical Permit Application - City of Tigard
Page 2 - Supplemental Information
•
Commercial Fee Schedule:
y:w.- y, . , �� _i y r "..�4`'r.%n`i� f - 3•..,y ±} «.._
el :fib '�:` -"!`" 'i'
Total Va °aton
$1.00 to $2,000.00 Minimum fee $72.50
$2,001.00 to $5,000.00 $72.50 for the first $2,000.00 and $2.30
for each additional $100.00 or fraction
thereof, to and including $5,000.00.
$5,001.00 to $10,000.00 $141.50 for the first $5,000.00 and
$1.80 for each additional $100.00 or
fraction thereof, to and including
$10,000.00.
$10,001.00 to $50,000.00 $231.50 for the first $10,000.00 and
$1.35 for each additional $100.00 or
fraction thereof, to and including • •
$50,000.00.
$50,001.00 to $100,000.00 $771.50 for the first $50,000.0.0 and, _
$1.25 for each additional $100.00 or .
fraction thereof, to and including, • ' • . . • •
$100,000.00.
$100,000.01 and up $1,396.50 for the first $100,000.00 and
$1.10 for each additional $100.00 or
fraction thereof.
Note: All new commercial buildings require 2 sets of plans.
•
i:\Building\Permits'MEC- PermitApp.doc 12/03
2 • •
pi EC,,2oo5 —aa333
l: �
Form 4a Project Name: Page:
SYSTEMS - GENERAL
Exceptions 1. Exceptions (Section 1313)
Discussion of No HVAC. The building plans do not call for an HVAC system. Skip to Item 12 below.
qualifying excep- ❑ Exception. The building or part of the building qualifies for an exception from HVAC code
lions on page 4 -14 requirements. The applicable code exception is Section 1313, Exception _ —_ . Portions of the
building that qualify: —_ - -- --
See page 4 -14 fora 2. Simple or Complex Systems (Section 1313.2 or 1313.3)
discussion of simple J Simple System. The planned HVAC system qualifies as a Simple System. If true, complete this
vs. complex form 4a
systems.
form ( 4a) and equipment efficiency worksheets as required. Form 4b is not required.
Complex System. The planned HVAC system is a Complex System. Complete this form (4a),
Form 4b and equipment efficiency worksheets as required.
Exceptions 3. Economizer Cooling (Section 1313.1.2)
Complex systems 'J No Cooling. The building plans do not call for a new fan system with mechanical cooling.
may claim the same ' - V Complies. The new fan system has an air economizer capable of modulating outside -air and
exceptions allowed return-air dampers to provide up to 85 percent of the design supply air as outdoor air.
for simple systems.
plus three excep- J Exception – Simple Systems. The new fan system qualifies for an exception. The applicable
irons allowed in code exception is Section 1313.1.2, Exception _, or Section 1313.2.1. Portions of the
Section 1313 1 2 building that qualify:
See page 4 -15 fora _ -- - - - - -- --------- - - - - --
discussion of these J Exception – Complex Systems. The new fan system qualifies for an exception. The applicable
exceptions code exception is Section 1313.1.2, Exception , or 1313.3.1, Exception . Portions of
the building that qualify:
•
4. Economizer Cooling – Overpressurizing (Section 1313.1.2) •
No Economizer. The building plans do not call for a new fan system with an economizer.
J Complies. The drawings specifically identify a pressure relief mechanism for each fan system
that will exhaust the extra air introduced by the economizer, and the economizer system is 5'
capable of providing partial cooling even when additional mechanical cooling is required to meet �;.
the remainder of the load.
5. System and Zone Controls (Sec. 1313.1.3.1 es 1313.1.3.2) •
Ar Complies. All new HVAC systems include at least one temperature control device responding to •
temperatures within the zone.
Exception. The new HVAC system qualifies for an exception from the zone control require -
Exceptions ments. The applicable code exception is Section 1313.1.3.2, Exception 1 and 2. Portions of the
Discussion of building that qualify:
qualifying excep-
tions on page 4 -16 6. Control Capabilities (Sec. 1313.1.3.2.1)
xi. Complies. Zone thermostats are capable of being set to the temperatures described in Sec.
1313.1.3.2.1. 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.
J Exception. The building qualifies for an exception to the deadband requirements. The applicable
code exception is Section 1313.1.3.2.1, Exception _
(tom) Forms & Worksheets 4 -1
Form 4a (cont.) Project Name: Page:
SYSTEMS - GENERAL
7. Off -hour Controls - HVAC Systems (Section 1313.1.3.3)
Complies. All new HVAC systems are capable of automatic setback or shutdown during periods
of non -use or alternate use of the space served by the system.
J Exception. Equipment has full load heating demands of 2 kW (6,826 Btu /hr) or less and is
controlled by a readily accessible manual off -hour control.
8. Off - hour Controls — Supply and Exhaust Systems (1313.1.3.3)
Complies. Plans require that outdoor air supply and exhaust systems have a means of auto-
matic (either motorized or gravity damper) volume shutoff or reduction during periods of non -use
or alternate use of the space served by the system.
J Exception. The building qualifies for an exception to the requirement for automatic shutoff or
reduction. The applicable code exception is Section 1313.1.3.3, Exception
9. Heat Pump Controls (Section 1313.1.3.4)
• No Heat Pump. The /specs do not call for a new heat pump.
J Complies. All new heat pumps equipped with supplementary heaters are controlled as required
in Section 1313.1.3.4.
10. Equipment Performance (Section 1313.1.4)
J No New HVAC Equipment. The building plans do not call for new electrical HVAC equipment,
combustion heating equipment or heat - operated cooling equipment.
• Complies. All new HVAC equipment has efficiencies not less than those required by the code.
The following equipment efficiency worksheets are attached:
11. Duct Insulation (Section 1313.2.2 as 1313.3.2)
J No Ducts. The building plans and specifications do not call for new HVAC ducts or plenums.
• ' > J Simple System: Complies. The plans and specifications call for a Simple System, and all
'_. exterior supply /return air - handling ducts and plenums and all outside air ducts are insulated as
required by Section 1313.2.2.
• xi Complex System: Complies. The building plans/specs call for a Complex System, and all air -
; t, '; handling ducts and plenums are insulated as required by Sec. 1313.3.2.
12. Piping Insulation (Section 1314)
Exceptions J 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.
Discussion of
qualifying excep- . Complies. All new piping serving a heating or cooling system or part of a circulating service
lions on page 4 -18 water heating system complies with the requirements of the Code, Section 1314.1.
J Exception. New piping qualifies for the following exception: Section 1314, Exception _ .
13. Service Water Heating (Section 1315)
J No New Water Heating. The building plans and specifications do not call for new water heaters,
hot water storage tanks, service hot water distribution systems, swimming pools or spas.
Exceptions A Complies. All new water heaters, hot water storage tanks, service hot water distribution sys-
Discussion of tems, swimming pools or spas comply with the requirements of the Code.
qualifying exoep- J Exception. The applicable code exception is Section _ , Exception _ . Portions of
lions on page 4-18 the building that qualify:
4-2 Forms & Worksheets (moo)
Form 4b Project Name: Page:
COMPLEX HVAC SYSTEMS
1. Simple or Complex System (Sections 1313.2 8s 1313.3)
Note: This form is required for complex systems only. If your plans qualify as a simple system as
defined by the code, you can skip this form.
2. Simultaneous Heating and Cooling (Section 1313.3.3.1)
No Cooling. The building plans and specifications call for a heating -only system.
.4 Complies. Temperature and humidity controls are capable of operating in sequence the supply
of cooling and heating energy to the zone as required by the code. Controls for this purpose are
Exceptions detailed in the plans and specifications on:
J Exception. The building or part of the building qualifies for an exception from the code. The
Discussion of applicable code exception is Section 1313.3.3.1, Exception:___ . Portions of the building that
qualifying excep- qualify:
Irons on page 4-20 ----------------
3. Humidity Controls (Section 1313.3.3.2)
No Moisture Added to Building. The building plans do not call for a means to add moisture to
maintain specific humidity levels.
J Complies. All new humidity control systems are equipped with a humidistat as required by code.
4. Air Transport Energy (Section 1313.3.4.2 8s Table 13 - L)
Air ' Complies. The energy demand of all HVAC fan systems meets code requirements. Complete
Transport the form below.
Energy J Exception. The applicable code exception is Section 1313.3.4.2. Exception:__ . Portions of the
See Table 13 -L, Fan VAV or Max
page 4-24, for System stan Design Motor Allowed Where noted in
maximum horse- ID Descri lion V olume Airflow cfm HP HP
power allowed. P ( ) plans /specs •
1.40 -i z4 C. 4 3 0 M i. 3
RU-2-
3, S. 0 / 4 .3
RU-3 r' • C 4, SO) 3. O i 5 1 3
building that qualify:
5. Motor Efficiency (Section 1313.3.5 8s Table 13 - M)
ZI Not Regulated. There are no NEMA Design A & B squirrel cage, T -frame induction, permanently
wired polyphase motors of one horsepower or more which serve built -up HVAC systems (regu-
lated motors).
❑ Complies. The efficiency of all regulated motors meets code requirements.
Exceptions ,f Exception. The applicable code exception is Section 1313.3.4.2, Exceptio le Portions of the
Discussion of building that qualify: --
qualifying excep-
tions on page 4-22. 6. Variable Speed Drives (Section 1313.3.5.1)
4 . Not Regulated. The building plans and specifications do not call for fan and pump motors 25
horsepower and greater that serve variable -flow air or liquid systems.
❑ Complies. All fan and pump motors 25 hp and greater which serve variable -flow air or liquid
systems are controlled by a variable -speed drive.
(1oroo) Forms & Worksheets 4 -3
Worksheet 4a Project Name: Page:
UNITARY AIR CONDITIONER - AIR COOLED
,Y
Equipment Proposed
Discussion or Cooling Proposed Seasonal or Part
Equip. Capacity Stead
equipment ratings ID Model Designation P tY y Slate Load Efficiency Lin
and equipment ( Btu/h) Efficiency (EER (SEER or IPLV) Line
definitions on page
4-19
I
I
Required indicate source of information
DoCUmenta AR! Unitary Directory, Section AC, page:
tion ARI Applied Products Directory, Section ULE, page:
Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets")
Highlight or otherwise indicate equipment selected on documentation provided
l`' 1
•
Code Cooling Capacity (Btu/h) Minimum Rating
Required Equipment Type Ref.
0 Efficiencies
Equal
ater than But less than Steady State Seasonal or Line
Q
9 Part Load
This schedule of Single Package 0 65,000 na 9.7 SEER
_ equipment efficiencies without a 65,000 135,000 10.3 EER 10.6 IPLV
was reformatted from heating section 135,000 240,000 9.7 EER 9.9 IPLV (
the code, Table 13-G or with electric
resistance heat 240,000 760,000 9.5 EER 9.7 IPLV
T 760,000 - 9.2 EER 9.4 IPLV
Split System 0 65,000 na j 10.0 SEER
without a 65,000 135,000 10.3 EER 10.6 IPLV
heating section 135,000 240,000 9.7EER 9.9 IPLV (2)
or with electric 240, 000 760, 000 9.5 EER 9.7 IPLV
resistance heat 9,2 EER 9.4 IPLV
760,000 -
Single Package
• 0 65,000 na 9.7 SEER
with a heating 65,000 135.000 10.1 EER j 10.4 IPLV
section other 135,000 240,000 9.5 EER 9.7 IPLV (3)
0 P F. G C) N than electric 240,000 760,000 9.3 EER 9.5 IPLV
�. - „■ - resistance heat
760,000 9.0 EER 9.2 IPLV
�
0 65,000 na 10.0 SEER
Split System
with a heating 65,000 135,000 10.1 EER 10.4 IPLV
OM section other 135, 000 240, 000 9.5 EER 7
t than electric 9. IPLV ( 4
)
�t��l>�u resistance heat 240,000 760,000 9.3 EER 9.5 IPLV
760,000 -
9.0 EER 9.2 IPLV
P.NFP Y
Condensing Unit
FORMS Only 135,000 - 10.1 EER 11.2 IPLV (
OCT 2000
4-4 Forms & Worksheets
(10/00)
Worksheet 4b Project Name: Page:
UNITARY AIR CONDITIONER - WATER COOLED
Equipment
Cooling Proposed Proposed Part
Equip. Capacity Steady State Load Efficiency Ref.
Discussion of Model Designation
equipment ratings ID (Btu/h) Efficiency (EER) (IPL Line
and equipment
definitions on page
4 -19
C .
D
Required C" T
Indicate source of information
Documents- AR! Unitary Directory, Section AC, page:
tion AR1 Applied Products Directory, Section ULE, page:
Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets")
Highlight or otherwise indicate equipment selected on documentation provided
Code
Required Cooling Capacity ( Btu/h) Minimum Rating
Efficiencies Equipment Type Ref.
Equal to or But less than Steady State Part Load Line
greater than
This schedule of
equipment efficiencies Single Package 0 65,000 12.1 EER 11.2 IPLV
was reformatted from without a
the code, Table 13-G heating section 65,000 135,000 11.5 EER 10.6 IPLV (1)
C) R F. C4 C) N or with electric 1 135,000 - 11.0 EER 10.3 IPLV
.i■�. resistance heat
' Singgle Package 0 65,000 12.1 EER 11.2 IPLV
with a heating 65,000
135, 000 135,000 11.3 EER
10.8 EER 10.4 IPLV
10.1 IPLV
section other
than electric - (2)
acil l« � i resistance heat
. a ` " ` " i Condensing Unit
F N F R Y Only 135,000 - 13.1 EER 13.1 IPLV (
FORMS
OCT 2000
(loioo) Forms & Worksheets 4 -
Worksheet 4c Project Name: Page:
UNITARY HEAT PUMP - AIR COOLED
Equipment Proposed Proposed Heating
Equip. Model Cooling Performance Performance
Discussion of I p � Desi Capacity Ref.
equipment ratings I D (Btu/h) SEER EER HSPF COP �P Line
and equipment ( ) ( F)
definrbons on page
4-19
' Required Indicate source of information
Documenta- ARI Unitary Directory, Section AC, page:
1.;, . tion AR1 Applied Products Directory, Section ULE, page:
Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets")
Highlight or otherwise indicate equipment selected on documentation provided
Q Code Cooling Capacity I Minimum Cooling Minimum Heating
> Required (Btu/h) Performance Performance m
_. Efficiencies Equipment Type Equal to
or But less Steady Seasonal COP COP m
This schedule of greater than State or Part c) (47°F) (f7 °F)
than I Load =
• equipment efficiencies
was reformatted from
Single Package 0 65, 000 na 9.7 SEER 6.6
•
the code, Table 13-H out a with g - -
heating with section 65,000 135,000 10.1 EER 10.4 IPLV - 3.2 2.2 (1)
or with electric 135,000 240,000 9.3 EER 9.5 1PLV - 3.1 2.0
resistance heat 240.000 - 9.0 EER 9.2 IPLV - 3.1 2.0
Split System 0 65,000 na 10.0 SEER 6.8 - -
without a 65.000 135, 000 10.1 EER 10.4 IPLV - 3.2 2.2
hewing section or with electric 135,000 240,000 9.3 EER 9.5 IPLV - 3.1 2.0 (2)
C) R F G C) N resistance heat 240,000 - 9.0 EER 9.2 IPLV - 3.1 2.0
suit Single Package 0 65,000 na 9.7 SEER 6.6 - -
' with a heating 65,000 135,000 9.9 EER 10.2 /PLV - 3.2 2.2
section other , 000 9.1 EER I 9.3 IPLV - 3.1 2.0 (3)
� 1
il re -
resistance heat 240,000 8.8 EER 9.0 IPLV - 3.1 2.0
�t 11 135, 000 240
than electric
Split System 0 65,000 na 10.0 SEER 6.8 - -
F N F. R G Y with a heating 65,000 135,000 9.9 EER 10.21PLV - 3.2 2.2
section other (4)
FORMS than electric 135,000 240,000 9.1 EER 9.3 IPLV - 3.1 2.0
OCT 2000 resistance heat 240,000 - 8.8 EER 9.0 IPLV - 3.1 2.0
i
4-6 Forms & Worksheets (10 /oo)
Worksheet 4d Project Name: Page:
UNITARY HEAT PUMP - WATER 86 GROUND COOLED
Cooling Entering
Equipment Model Proposed Proposed Ref.
Equip. Designation Capacity Water° EER COP Line
Discussion of I D (Btu/h) Temp. (F _
equipment ratings
and equipment
definitions on page
4 -19
1
C") RF.0 =1C1N
� 1
_,.
1�
1 I ,
• " . 1 .
E NLE R -G -Y ',
FORMS 2
OCT 2000 . 5-
D .
0
Required Indicate source of information
Documenta- ARI Unitary Directory, Section AC, page:
tion ARI Applied Products Directory, Section ULE, page:
Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets'9
Highlight or otherwise indicate equipment selected on documentation provided
Code
Required Cooling Capacity (Btwh) Minimum Cooling Minimum Heating
Performance Performance
Efficiencies Equipment Type q Ref.
Equal to or Line
This schedule of greater But less EER @EWT COP @EWT
- equipment efficiencies than than I
was reformatted from
the code. Table 13 -H 0 17,000 11.2 86 °F 4.2 68°F
Water Source 17,000 65,000 12.0 86 °F 1 4.2 68°F (
65,000 135,000 12.0 86 °F 1 4.2 68°F
Ground Water
Source 0 135,000 16.2 59 °F 3.6 50°F (2)
Ground Source 0 135,000 13.4 77 °F 3.1 32°F (
■
(10/00) Forms & Worksheets 4 -7
. Worksheet 4e Project Name: Page:
UNITARY AC — EVAPORATIVELY COOLED
Equipment
Cooling Proposed Proposed Part
Equip.
' Discussion of Model Designation Capacity Steady State Load Efficiency Ref.
equipment ratings ' 1 Efficiency (EER) (IPLV) Line
and equipment *t
definitions on page
4-19 rcu-i ,rrimr /59La it- 130.41)164 NA 4 NA
U - 2_ 1 0 /'LAo8 3(,4 I WA 4 Al�A it
V
F - � i � r r l t . r / ' / L-A I0 1 / /., / M$14 N/A * /U /,Q .1;
* 64 rro V104)
0, 4-- 4-a,v6r
•
•
Q '
= Required
Indicate source of information
Documents- AR! Unitary Directory, Section AC, page:
tion AR! Applied Products Directory, Section ULE, page:
*' Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets") ,
Highlight or otherwise indicate equipment selected on documentation provided
Code
Required Cooling Capacity (Btu/h) Minimum Rating
Efficiencies Equipment Type Ref.
_ This schedule of Equal
greater than But less than Steady State Part Load Line
equipment efficiencies
was reformatted from
the code, Table 13-G Single Package 0 65,000 12.1 EER 11.2 IPLV
P. �, N without a 65,000 135,000 11.5 EER 10.6 IPLV
heating section (1)
Imo` 1. 1 or with electric 135,000 - 11.0 EER 10.3 I PL V
.; ,.;. '! ;� resistance heat
i Single heating le Package
w 0
65,000 65,000
135, 000 12.1 EER
11.3 EER 11.2 IPL V
10.4 !PL V
, ` him section other -
` ��� than electric 135,000 10.8 EER 10.1 IPLV 2)
resistance heat
P..NF.RGY
FORMS
Condensing y Unit 135,000 - 13.1 EER 13.1 !PLV (3)
OCT 2000
4-8 Forms & Worksheets (10/00)
•
Worksheet 4f Project Name: Page:
PACKAGED TERMINAL A.C. - AIR COOLED
Equipment Cooling Proposed Code Minimum
Equip. Model Capacity
For cooling capacity ID Designation (Btu/h) EER EER EER EER
enter the actual (95 °F) (82 °F) (95 °F) (82°F)
value, or if capacity
is less then 7,000
Btu/h use 7,000:
and if capacity is
above 15.000, use
15.000.
Discussion of _
equipment ratings
and equipment
definitions on page
4 -19
.! _
l ls, ,D
kiLiirhan
1"n %Idincil: r
FNERC-',Y
FORMS
OCT 2000 .
I
Required Indicate source of information
Documenta- AR! Unitary Directory, Section AC, page:
tion AR! Applied Products Directory, Section ULE, page:
Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets ")
Highlight or otherwise indicate equipment selected on documentation provided
Code Calculate the code minimum EERs from the formulas below using the values entered in Cooling
Required Capacity column. Enter the results in Code Minimum column as applicable.
Efficiencies EER @ 95 °F Test Conditions = 12.5 - (0.213 x Cooling Capacity / 1000)
This schedule of EER @ 82 °F Test Conditions = 14.7 - (0.213 x Cooling Capacity / 1000)
equipment efficiencies
was reformatted from
the code, Table 13-G
(10/00) Forms & Worksheets 4 -9
Worksheet 4g Project Name: Page:
- PACKAGED TERMINAL HEAT PUMP - AIR COOLED
Equipment Proposed Code Minimum
For cooling capacity Model Cooling
surer the actual E Designation Capacity Cooling Rating Heating Cooling Rating Heating
value. or if capacity /D (Bt u/h)
is less then 7,000 EER EER COP EER EER COP
8tu/h use 7.000: (95 °F) (82 °F) (47°F) (95 °F) (82 °F) (47 °F)
and if capacity is
above 15,000. use
15,000
Discussion of
equipment ratings
and equipment
definitions on page
4-19
ORF,GC)N
II
Q
It k i„
ENERGY
FORMS
OCT 2000 1
Required Indicate source of information
- Documenta- AR! Unitary Directory Section AC, page:
tion AR! Applied Products Directory, Section ULE, page:
Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets")
Highlight or otherwise indicate equipment selected on documentation provided
Code Calculate the code minimum EERs from the formulas below using the values entered in Cooling
Required Capacity column. Enter the results in Code Minimum column as applicable.
Efficiencies EER @ 95 °F Test Conditions = 12.3 - (0.213 x Cooling Capacity / 1000)
This schedule of EER @ 82°F Test Conditions = 14.5 - (0.213 x Cooling Capacity / 1000)
equipment efficiencies
was reformatted from COP = 3.2 - (0.026 x Cooling Capacity / 1000)
the code, Table 13-H
4 -10 Forms & Worksheets (10 /00)
Worksheet 4h Project Name: Page:
WATER CHILLING PKGS. — WATER 8s AIR COOLED
Equipment
Cooling Proposed Proposed Part
Equip. Model Designation y y Load IPLV
• Discussion of Capacity Steady State Ref.
equipment ratings ID (tons) COP Line
and equipment
definitions on page
4-19
Required Indicate source of information
• Documents- ARI Unitary Directory, Section AC, page:
tion ARI Applied Products Directory, Section ULE, page:
Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets") ;;
• Highlight or otherwise indicate equipment selected on documentation provided
Code
Required Cooling Capacity Minimum Rating
(tons)
Efficiencies Ref. D
Equipment Type
This schedule of Equal to But less Steady Part Line
n
equipment efficiencies greater than State Load
was reformatted from than COP IPLV
the code, Table 13 -K •
Air Cooled With Condenser 0 - 2.80 2.80 (1)
Air Cooled, No Condenser 0 - 3.10 3.10 (2)
Water Cooled, Reciprocating 0 - 4.20 4.65 (
0 150 4.45 4.50
Water Cooled, Rotary, Screw or Scroll 150 300 4.90 4.95 (4)
300 - 5.50 5.60
ml 0 150 5.00 5.00
Water Cooled, Centrifugal 150 300 5.55 5.55 (5)
300 - 6.10 6.10
ri Air Cooled, Absorption, Single Effect 0 - 0.60 na (
klk:itil
Water Cooled, Absorption, Single Effect 0 - 0.70 na (
F N , F. R G Y Direct Fired, Absorption, Double Effect
FORMS o - 1.00 1.00 (8)
OCT 2 0 0 0 Indirect Fired, Absorption, Double Effect 0 - 1.00 1.05 (9)
(10/00) Forms & Worksheets 4 -11
Worksheet 4i Project Name: Page:
BOILER — GAS - FIRED 8s OIL- FIRED
Equipment
Heating Proposed Proposed Proposed
Equip. Capacity Minimum Combust. Thermal Ref.
Discussion of Model Designation
equipment ratings ID (Btu/h) AFUE Efficiency Efficiency Line
and equipment
definitions on page
4-19
4. I
Required Indicate source of information
Docusnenta- GAMA Consumer Directory, page:
Q tion Product data (Attach data furnished by the equipment supplier, i.e.. "cut sheets')
' Highlight or otherwise indicate equipment selected on documentation provided
Code
Required Heating Capacity
( Btu/h) Minimum Rating
Efficiencies I Ref.
Equipment Type
This schedule of Equal to, or But less Season. Combust. Thermal Line
equipment efiaencies reater than than Rating
g Efficiency Efficiency
was reformatted from AFUE
the code, Table 13-J
0 300,000 ' 80% na na
Gas Fired Hot Water 300,000 2,500,000 na na 75% (1)
2,500,000 - na 80% na
ORF.Co N 0 300,000 i 75% na na
rilli 'j j j Gas Fired Steam 300, 000 2, 500,000 na na 75% (2)
2.500,000 - na 80% na
de ...
0 300,000 80% na na
Oil Fired
��i►�la /1 300,000 2,500,000 na na 78% (3)
2,500,000 - na 83% na
RN-S _ Oil Fired (Residual) 300, 000 2,500,000 na na 78% (4)
FORMS 2,500,000 - na 83% na
OCT 2000
4-12 Forms & Worksheets (1oloo)
•
,
Worksheet 4j Project Name: Page: \
FURNACES 8s UNIT HEATERS — GAS 85 OIL -FIRED
Equipment
Heating Proposed Proposed Proposed
• Equip. Capacity Minimum Thermal Combust. Ref.
Discussion of Model Designation p
equipmentratings /D (Btu/h) AFUE Efficiency Efficiency Line
and equipment
definitions on page
4-19
.
f i
Required Indicate source of information •
Documents- GAMA Consumer Directory, page: _
tion Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets")
Highlight or otherwise indicate equipment selected on documentation provided D
Code C)
Required Heating Capacity
Efficiencies Minimum Rating
Ref.
Equipment Type
Season. Line
This schedule of Equal to or But less Thermal Combust.
equipment efficiencies greater than than Rating Efficiency Efficiency
was reformatted from AFUE
the code. Table 13-1
Warm Air Furnaces, 0 225,000 78% 80% na
Gas -Fired 225,000 - na na 80% (1)
C) R F. C-; 0 N Warm Air Furnaces, 0 225.000 78% 80% na
siu■ Oil -Fired 225,000 - na na 81%
(
' �� Warm Air Duct
4,11% Furnaces, Gas -Fired 0 - na na 80% (
ili :rslw Warm Air Unit
Heaters, Gas -Fired 0 - na na 80% (4)
F.NF.RC4Y
FORMS Warm Air Unit
Heaters, Oil Fired 0 - na na 80% (
OCT 2000
(moo) Forms & Worksheets 4 -13
CITY,Id1,TIGARD
BUILDING DIVISION PERMIT #: MEC2005 -00333
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 71 2812005
Phone: (503) 639- 4171m
Inspection Requests (24 Hrs.): (503) 639 -4175 . -_' "__.h.
INSPECTION WORKSHEET FOR DATE: 8/17/2005 TIME: 7:05AM PAGE: 86
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: TI Value: $65,000
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: HVAC INC PHONE #: 503- 462 -4822
•
Inspection Request Scheduled For: Date: 8117/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 013676 -01 360-981-4363 N
Corrections /Comments /Instructions:
•
❑ PASS ► ■ RTIAL AP' =OVAL .❑ CANCEL ❑ NO ACCESS
❑ FAIL V INS ECTION ❑ ADDITIONAL FEES ASSESSED
( 0 -
Inspector: � . Date: e-17 `y05 Phone #: (503) 718-
•
•
`CITY ?°TIGARD
BUILDING DIVISION PERMIT #: MEG200500333
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2005
Phone: (503) 639 -4171 —AN* I i ,
I
Inspection Requests (24 Hrs.): (503) 639 -4175 IL.
INSPECTION WORKSHEET FOR DATE: 9/20/2005 TIME: 7:07AM PAGE: 57
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: • TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: TI Value: $65,000
- OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: HVAC INC ' PHONE #: 503- 462 -4822
Inspection Request Scheduled For: Date: 9/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 016121 -01 503 -462 -4822 . N
Corrections /Comments/ Instructions:
kl i , iik k \ , 11 _ ip rr . A �
1 - --
6 '
i gp dr or
•
❑ PASS ❑ P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • , — I CALL FOR INSPECTION ❑ ADDIT NAL F ES ASSESSED
D • ,------/
Inspector: Aso. Date: Phone #: (503) 718 -
CITS' O TIGARD
BUILDING DIVISION PERMIT #: MEC -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 "'IL.
INSPECTION WORKSHEET FOR DATE: / 0 - 0 f D 5 - TIME: PAGE:
SITE ADDRESS:934S J /a S i►KsfoK - Y Aol • CLASS OF WORK:
SUBDIVISION: ! LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: 70 .rEir_Al bek)
OWNER: 1 ' PHONE #: (.Sb9 b2- '-
CONTRACTOR: v o Q t PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
S 4ve_S
���tt
( ®6- 33
Corrections /Comments /Instructions:
(_)B fA4 r4 °(.&- 1
4
/17
V .
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL , ❑, ALL FAR INSPECTION ❑ ADDITIONAL FEES ASSESSED
d r Inspector: Date 4 Phone #: (503) 718-
6 1
CITYF'�TIGARD i
4D
i BUILDING DIVISION PERMIT #: MEC200 &00333
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2005
Phone: (503) 639 -4171 .
Inspection Requests (24 Hrs.): (503) 639 -4175 .,'!'i -
i INSPECTION WORKSHEET FOR DATE: - 10/14/2005 TIME: 7 :02AM PAGE: 70
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD CLASS OF WORK: I
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: POTTERY BARN KIDS
DESCRIPTION: TI Value: $65,000
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 -639 -8865
CONTRACTOR: HVAC INC PHONE #: 503 - 462-4822
Inspection Request Scheduled For: Date: 10/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
615 Mechanical rough -in 018378 -01 503-462-4822 Y
Corrections /Comments /Instructions:
-- - T76 . -( 5 otk 1 1 'AW-- t *
— 10 1 } - t c_ — C i[ i. : Ili -
A I - 2A glIO - -, .
dr , v" - WO ►. ' W, ' wok*
_.
,,
. .
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR I PECTION ❑ ADDITIO AL FEES ASSESSED
, O
Inspector: / Date: ( v7' Phone #: (503) 718-
•
CITY.'!!P.TIGARD
BUILDING DIVISION PERMIT #: MEC2005 00333
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28 /2005
Phone: (503) 639 -4171 a+m�d „� j � l �
Inspection Requests (24 Hrs.): (503) 639 -4175 ': '`__
INSPECTION WORKSHEET FOR DATE: 11/9/2005 TIME 7:09AM PAGE: 41
SITE ADDRESS: 09345 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECTNAME: POTTERY BARN KIDS
DESCRIPTION: TI Value: $65,000
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865
CONTRACTOR: HVAC INC PHONE #: 503-462 -4822
Inspection Request Scheduled For:, Date: 11/9/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
699 Mechanical final 020831 -01 503462 -4822 N
Corrections /Comments / Instructions:
C-34-rrw c •
❑
ppss ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
IE ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ` ` Phone #: (503) 718-
CITY OF`TIGARD
BUILDING DIVISION PERMIT #:cG
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 003'3
Phone: (503) 639 -4171 1
Inspection Requests (24 Hrs.): (503) 639 -4175 n. "_
INSPECTION WORKSHEET FOR DATE: ( l/ ( / c, 5 TIME: PAGE:
SITE ADDRESS: -r CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: 'F2
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
(rt Lrl - E - �lr�?A�
Corrections /Comments /Instructions: C3Z0e3 (- 01
:10
•
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED
Ar -,
Inspector: Date: I I I Phone #: (503) 718 -