Permit jr S
CITY TIGARD MECHANICAL PERMIT
4 I 4 DEVELOPMENT SERVICES PERMIT #: MEC2002 -00579
DATE ISSUED: 12/16/02
�` 4 J- 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S135BA-00102
SITE ADDRESS: 10100 SW WASHINGTON SQUARE RD A -1
SUBDIVISION: OAKBURG ZONING: C -G
BLOCK: LOT: 001 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: 1
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: A3 VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: 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:
Remarks: Installation of cooler /freezer combo. Project value: $2,000.00
Owner: FEES
PPR SQUARE TOO LLC Description Date Amount
BY MACERICH COMPANY [MECH] Permit Fee 12/16/02 $72.50
ATTN: JANET FISHER, ASSET MGMT
SANTA MONICA, CA 90407 [TAX] 8% StateTax 12/16/02 $5.80
[MECPLN] Plan Rev 12/16/02 $18.12
Phone: Total $96.42
Contractor:
TOTAL QUALITY SERVICES
29934 S HWY 213
MOLALLA, OR 97038 REQUIRED INSPECTIONS
Phone: 503 Mechanical lnsp
Misc. Inspection
Reg #: LIC 101372 Final Inspection
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 c Utili uti 'rc�n Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR
95 - 001 -0100. l'"o may obtain copies of these rules or direct ques 'ons to OUNC by calling
(5 3)246 -6.99.
Is ed By: `d i'_,,, - Permittee Signature: / _ %
Call (503) 639 -4175 by 7:00 P.M. for inspections needed re next business day
Mechanical Permit Application
Date received/ /e 0�" Permit no.:pc'� ' J
Iia
City of Tigard VVV
• ty g Project/appl. no.: Expire date:
City ojTignrd Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receipt no.:
Phone: (503) 639 -4171
Fax: (503) 598 -1960 Case file no.: Payment type:
Land use approval: Building permit no.:
- TYPE OF PERMIT .
■
❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other:
JOB SITE INFORMATION , • COMMERCIAL VALUATION SCHEDULE
Job address: 0 00 SW �,� n PAllk Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: . -) value of all mechanical materials, equipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ 2c0 • C)° •
Lot: (Block: I Subdivision: *See checklist for important application information and
Project name: jurisdiction's fee schedule for residential permit fee.
City /county: I ZIP: 1 & 2 FAMILY DWELLING. PERMIT FEE SCHEDULE
Description and location of work on remises: 7a/,ir// to //)'I�'it+l AND COMMERICAL/INDUSTRIAL EQUIPMENT SCHEDULE
COOlei - I:�ce - � 7 Fee(ea.) Total
Est. date of completion/inspection: Description Qty. Res. only Res. only
Tenant improvement or change of use: HVAC:
Is existing space heated or conditioned? ❑ Yes ❑ No Air handling unit CFM
space insulated? ❑ Yes ❑ No Air conditioning rati fxi ti ngplanrequired)
Is existing P Alterati of existi HVAC system
. MECHANICAL CONTRACTOR ' • - Boiler /compressors
rOf L State boiler permit no.:
Business name:
"�' 1t1 `� HP Tons BTU /H
Address: 2 9 5 f/cv y 2/ 5 Fire/smoke dampers/duct smoke detectors
City: yyl o ( 4 I State:dr I ZIP: y 74 ( Heat pump (site plan required)
Phone: ?, 5 39 Fax: 2q- 17
E -mail: oficizo (ip z InstalUreplacefurnace / burn BTU /H
CCB no.: /4/3/J , rQ / 5 o Including ductwork/vent lin er ❑Yes ❑ No
lnstall/replace /relocate heaters - suspended,
City /metro lic. no.: • wall, or floor mounted
Name (please print): Vent for appliance other than furnace
. CONTACT PERSON. Refrigeration:
Absorption units BTU/H
Name: Chillers s HP
Compressors HP
Address: g,?q y/ '5,q ,by 213 Evtronmental exhaust and ventilation:
City: 04 I State: dr ( ZIP: Q70 3 ' Appliance vent
Phone: 3.539 - ; Z 3' Fax: $ ' f,/ 8 , E -mail: gB6t A; , , A ,,L Dryer exhaust
OWNER ' ,r .•. Hoods, Type U lUres. kitchen/hazmat
hood fire suppression system
Name: Exhaust fan with single duct (bath fans)
Mailing address: Exhaust system apart from heating or AC
City: I State: I ZIP: Fuel piping and distribution (up to 4 outlets)
. Type: LPG NG Oil
Phone: Fax: E - mail: Fuel piping each additional over 4 outlets
Process piping (schematic required)
. Number of outlets
Name: Other listed appliance or equipment:
Address: Decorative fireplace
City: I State: I ZIP: Insert - type
Phone: ax: E - mail: Woodstoveipelletstove
y Other:
Applicant's signature: /L. ` ,,, Date: a /7 - Other.
Name (print): / f ii ( 9�/
Not an jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $
O Visa ❑ MasterCard
Notice: This permit application Minimum fee $
expires if a permit is not obtained P lan review
Credit card number: / / (at _ %) $
Expires within 180 days after it has been State surcharge (8 %) .... $
Name of cardholder as shown on credit card accepted as complete. TOTAL $
Cardholder signature Amount 440 -4617 (6/00/COM)
1
Y ,Y
MECHANICAL PERMIT FEES
COMMERCIAL FEE SCHEDULE: 1 & 2 FAMILY DWELLING FEE SCHEDULE:
TOTAL VALUATION: PERMI -E. Description: Price Total
$1.00 to $5,000.00 Minimum ee $72.50 Table 1A Mechanical Code Qty (Ea) Amt
$5,001.00 to $10,000.00 $72.50 for th ,000.00 and 1) Furnace to 100,000 BTU
• $1.52 for each additional $100.00 or including ducts & vents 14.00
fraction thereof, to and including 2) Furnace 100,000 BTU+
$10,000.00. including ducts & vents 17.40
$10,001.00 to $25,000.00 $148.50 for the first $10,000.00 and 3) Floor Furnace
$1.54 for each additional $100.00 or including vent 14.00
fraction thereof, to and including 4) Suspended heater, wall heater
$25,000.00. or floor mounted heater 14.00
$25,001.00 to $50,000.00 $379.50 for the first $25,000.00 and 5) Vent not included in appliance permit 6.80
$1.45 for each additional $100.00 or
fraction thereof, to and including 6) Repair units
$50,000.00. 12.15
$50,001.00 and up $742.00 for the first $50,000.00 and Check all that apply: Boiler Heat Air
$1.20 for each additional $100.00 or For items 7 -11, see or Pump Cond
fraction thereof. footnotes below. Comp
Minimum Permit Fee $72.50 SUBTOTAL: $ 7) <3HP; absorb unit
to 100K BTU 14.00
8% State Surcharge $ 8) 3 -15 HP; absorb 25.60
unit 100k to 500k BTU
25% Plan Review Fee (of subtotal) $ 9) 15-30 HP; absorb
unit .5 -1 mil BTU 35.00
Required for ALL commercial permits only 10) 30-50 HP; absorb
TOTAL COMMERCIAL PERMIT FEE: $ unit 1 -1.75 mil BTU 52.20
11) >50HP; absorb
unit >1.75 mil BTU 87.20
ASSUMED VALUATIONS PER APPLIANCE: 12) Air handling unit to 10,000 CFM 10.00
Value Total 13) Air handling unit 10,000 CFM+
Description: Qty (Ea) Amount 17.20
Furnace to 100,000 BTU, including 955 14) Non - portable evaporate cooler
ducts & vents 10.00
Furnace > 100,000 BTU including 1,170 15) Vent fan connected to a single duct
ducts & vents 6.80
Floor furnace including vent 955 16) Ventilation system not included in
Suspended heater, wall heater or 955 appliance permit 10.00
floor mounted heater 17) Hood served by mechanical exhaust
Vent not included in appliance 445 10.00
permit 805 18) Domestic incinerators 17.40
Repair units
< 3 hp; absorb. unit, 955 19) Commercial or industrial type incinerator
to 100k BTU 69.95
3 -15 hp; absorb. unit, 1,700 20) Other units, including wood stoves
101k to 500k BTU 10.00
15-30 hp; absorb. unit, 501k to 1 2,310 21) Gas piping one to four outlets
mil. BTU 5.40
30 -50 hp; absorb. unit, 3,400 22) More than 4 -per outlet (each) •
1 -1.75 mil. BTU 1.00
>50 hp; absorb. unit, 5,725 Minimum Permit Fee $72.50 SUBTOTAL: 7 � ,mi
>1.75 mil. BTU $ SD
Air handling unit to 10,000 cfm 656 8% State Surcharge $
Air handling unit >10,000 cfm 1,170
Non - portable evaporate cooler 656 TOTAL RESIDENTIAL PERMIT FEE: $
Vent fan connected to a single duct 446
Vent system not included in 656
appliance permit
Hood served by mechanical exhaust 656 Other Inspections and Fees:
1,170 1. Inspections outside of normal business hours (minimum charge - two hours)
Domestic incinerator $62.50 per hour.
Commercial or industrial incinerator 4,590 2. Inspections for which no fee is specifically indicated (minimum charge - half hour)
Other unit, including wood stoves, 656 $62.50 per hour
inserts, etc. 3. Additional plan review required by changes, additions or revisions to plans (minimum
Gas piping 1 - 4 outlets 360 charge -one -half hour) $62.50 per hour
Each additional outlet 63 *State Contractor Boiler Certification required for units >200k BTU.
TOTAL COMMERCIAL $ * `Residential NC requires site plan showing placement of unit.
VALUATION: All New Commercial Buildings require 2 sets of plans.
is \dsts\forms\mech- fees.doc 02/11 /02
1
o /
0 Form 2a °Project Name: RED ROBIN Page: 1
G 2.00 — 6060 3 -5 SUMMARY
Project 1. Project Name RED ROBIN RESTAURANT
2. Project Address 10100 SW WASHINGTON SQUARE RD
Cn
3. City/Town TIGARD 5. County WASHINGTON C
4. Building, Gross Area (ft 7,234 6. No. of Floors 1 3
B
CO
Chapter Type ID Description Attached -1
Attached Building Envelope Form 3a Building Envelope - General Ii
Forms and 3b Prescriptive Path - Zone 1 El
Worksheets 3c Prescriptive Path - Zone 2 ❑
Check boxes to 3d Simplified Trade -off (Use CodeComp software) ❑
indicate attached
forms and Worksheet 3a . Wall U- factors ❑
worksheets. 3b Roof U- factors ❑
3c Floor U- factors ❑
Systems Form 4a Systems - General p
4b Complex Systems p
IC1 0 PR Opt Worksheet 4a Unitary Air Conditioners - Air Cooled
eN ( " 1694E
4b Unitary Air Conditioners - Water Cooled 4c Unitary Heat Pump - Air Cooled ❑ 4d Unitary Heat Pump - Water & Ground Cooled ❑
4e Unitary AC - Evaporatively Cooled ❑
i ' y �MN 4f Packaged Terminal Air Conditioner - Air Cooled ❑
'; L. * 6:t o �k ❑
4g Packaged Terminal Heat Pump - Air Cooled
® 4r ��' 4h Water Chilling Packages - Water & Air Cooled ❑
yROY S 4i Boiler - Gas -fired & Oil -fired ❑
4j Furnaces and Unit Heaters - Gas -fired & Oil -fired p
Lighting Form 5a Lighting - General El
5b Interior Lighting Power - Occupancy Method LI
5c Interior Lighting Power - Space -by -Space Method ❑
Worksheet 5a Interior Lighting Power U
5b Lighting Schedule
5c Interior Control Credits ❑
Applicant 7. Name 10. Telephone .
8. Company 11. Date
9. Signature
Attached No. of Pages Description of Document
Documen-
tation 3 ROOFTOP UNIT INFORMATION
3 MAKEUP AIR UNIT INFORMATION
4 LIGHT BULB INFORMATION
(10/00) Forms 2 -1
Form 3a Project Name: RED ROBIN Page: 2
BUILDING ENVELOPE - GENERAL
Check all boxes 1. Exceptions (Section 1312)
that apply. ❑ No Envelope Components. The building plans do not call for new or altered building envelope
components, e.g., walls, floors or roof /ceilings.
Li A Non - conditioned Building. The proposed structure has no spaces heated or cooled by an
HVAC system.
Exceptions ❑ Exception. All new or altered building envelope components do not comply with the require-
ments of Sec. 1312, but qualify for exception # . Portions of the building that qualify:
Discussion of . The plans /specs
qualifying excep s how compliance with this requirement on the following a es:
lions on page 3 -g. P q 9 P 9
2. Air Leakage (Section 1312.1.1)
❑ Complies. Plans require that penetrations in the building envelope are sealed and that windows
and doors are caulked, gasketed or weatherstripped. The plans /specs show compliance with this m
requirement on the following pages : — __ - - - -_ SPECIFICATION SECTION 07920
CD
3. Suspended Ceiling (Section 1312.1.2.1) 0
0 Complies. The building plans do not call for a suspended ceiling separating conditioned spaces CD
from unconditioned spaces. No exceptions are permitted.
4. Recessed Light Fixtures (Section 1312.1.2.2)
❑ Complies. The building plans do not show recessed light fixtures installed in ceilings separating
conditioned spaces from unconditioned spaces.
Exceptions 01 Exception. The building plans require that fixtures installed in direct contact with insulation be
insulation coverage (IC) rated. The plans /specs show compliance with this exception on:
Discussion of
-------- - - - - -- -- - --
qualifying excep-
tions on page 3 -10.
5. Moisture Control (Section 1312.1.4)
❑ Complies. A one -perm vapor retarder is installed on the warm side (in winter) of all exterior
floors, walls and ceilings, and a ground cover is installed in the crawl space for both new and
existing buildings where insulation is installed. The plans /specs show compliance with this
requirement on: ___ -- SPECIFICATION SECTION 07211, DRAWING A4.0 - - -_
Exceptions Li Exception. All new or altered building envelope components do not comply with the vapor
retarder requirements of the code, but qualify for an exception. Note applicable code exception.
Discussion of
qualifying excep Section 1312.1.4, Exception ____ . Portions of the building that qualify: ____________
tions on page 3 -11.
6. Climate Zones
Climate Zone 1 - A building site is in Climate Zone 1 if its elevation is less than 3,000 feet above sea level
Zones and it is in one of the following counties: Benton, Columbia, Clackamas, Clatsop, Coos, Curry,
Zone 1 Buildings: Douglas, Jackson, Josephine, Lane, Lincoln, Linn, Marion, Multnomah, Polk, Tillamook, Yamhill,
Complete Form 3b. or Washington.
Zone 2 Buildings: ❑ Zone 2 - Building sites not in Zone 1 are in Zone 2.
Complete Form 3c.
(10 /00) Forms & Worksheets 3 -
i e_
N Glazing + b o
Fraction - 35 X 100 = 23.4 Official Use On
G
Total Building Window Total Building Exterior Building Glazing
Calculation Area (total rough frame ft Wall Area (gross ft Fraction cr
Windows Thermal Performance' (U Factor) Shading Coefficient (SC) Official Use Only n
Windows 0.43 0.51
Walls Wall / Insulation Type R - Value Insulation only U- Factor' O Use Only
EXTERIOR FRAME WALL WITH BATT INSULATION 19 I or
or 4
or
or
Below- Below - Grade Walls R - Value Insulation Only U - Factor (Max. 0.11) Official Use Only
Grade (Min. R -7.5) 1 '7 1
Walls NONE I or I W
D
i I
3 Code I Max. I Wall Requirements I Window Requirements I a
ti ReQ amts. Glazing Wall / Insulation Type M in. R -Value Max. Shading Z
Po Fraction Max. U- Factor Max. U- Factor
Discussion of w/inteqral loose fill insulation NA 0.30
Insulation o Coefficient m
B
m
CMU Masonry',
this section of Up to 15% 0.54 0.57 7
o the form on Ma or concrete', w /cont. exterior insulation 1.4 or 0.30
t
u) pages 3 -12 CMU Masonry', w/ integral rigid fill insulation NA 0.21 m
Masonry w/ interior insulation 11 o 0.13 N
co asonry or concrete', nsu
through 3 -14 0
CD Up to 30% Masonry or concrete', w /cont. exterior insulation 2.8 or 0.21 0.54 0.57
in Frame (wood or metal framing) 13 or 0.13 co
Other (provide short description) 13 or 0.13 I
CMU Masonry', w/ integral rigid fill insulation NA 0.21
Masonry or concrete', w/ interior insulation 11 or 0.13 I I I
Up to 40% Masonry or concrete', w /cont. exterior insulation 2.8 or 0.21 0.37 0.35
Frame wood or metal framin 13 or 0.13
Other (provide short description) I 13 I or i 0.13
1 Enter "overall" U- factor for window assembly or write -in DTS (deemed to satisfy). See "Window Requirements" in table above for specific DTS requirements.
Q_R .! G G N For multiple types of glass and U- factors, enter the highest U- factor of the group. Maximum window U- factor is for entire window assembly per ASHRAE
1997 Fundamentals Handbook or NFRC Thermal Performance Rating Certification and Labeling Program.
2 Enter "center -of - class" shading coefficient (SC) for glass orwrite -in DTS (deemed to satisfy). See "Window Requirements" in table above for specific DTS
requirements. Solar Heat Gain Coefficient (overall window SHGC per NFRC) can be converted to SC using this equation: SHGC + 0.87 = SC. For multiple types of
..li glass and shading coefficients, enter the highest shading coeent of the group.
s Submit Worksheet 3a for each calculated assembly U- factor. ffici la.
M grl ° The Simplified Trade -off Approach must be used if glazing fraction exceeds allowable percentages. CO
5 Minimum weight of masonry and concrete walls = 50 lb/ft of wall face area.
_ ; r ., 4, ®j.,.a 6 All cores to be filled. At least 50 percent of cores must be filled with vermiculite or equivalent insulation. IN
E N E R► G Y ' Prescriptive "deemed to satisfy" (DTS) U- factor description is double glazed, 0.5 -inch airspace, low- emissivity (e) coating no greater than 0.4 and aluminum w
frame. DTS shading coefficient descnption is a tinted outboard pane of glass. Ms
0 C 0 D E 8 All cores except bond beams must contain rigid insulation inserts approved for use in reinforced masonry.
O OC: T 2 0 01 9 Batt insulation installed in metal or wood frame walls shall be insulated to full depth of cavity, up to 6 inches in depth. N
10 Prescriptive "deemed to satisfy" (DTS) U- factor description is double glazed, 0.5 -inch argon filled space, low.e coating no greater than 0.05 & thermal break _
frame. DTS shading coefficient description is 0.25 -inch thick glass, low-e coating on surface 2, no greater than 0.05 S tinted outboard pane.
,; Form 4a Project Name: RED ROBIN Page: 4
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
tions 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 ❑ Simple System. The planned HVAC system qualifies as a Simple System. If true, complete this
vs. complex form (4a) and equipment efficiency worksheets as required. Form 4b is not required.
systems.
la 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 ID No Cooling. The building plans do not call for a new fan system with mechanical cooling.
may claim the same ❑ 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 ❑ Exception — Simple Systems. The new fan system qualifies for an exception. The applicable
tions 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 for a
discussion of these Li 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.
i 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
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 as 1313.1.3.2)
Ul 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)
l:l 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.
Li Exception. The building qualifies for an exception to the deadband requirements. The applicable
code exception is Section 1313.1.3.2.1, Exception___ .
(10 /00) Forms & Worksheets 4 -1
Form 4a (cont.) Project Name: RED ROBIN Page: 5
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.
❑ 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.
❑ 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)
'Li No Heat Pump. The plans /specs do not call for a new heat pump.
❑ 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)
❑ 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: - -- 4A, 4J — _ - -_ --
V 11. Duct Insulation (Section 1313.2.2 & 1313.3.2)
❑ No Ducts. The building plans and specifications do not call for new HVAC ducts or plenums.
U 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.
❑ Complex System: Complies. The building plans /specs call for a Complex System, and all air -
handling ducts and plenums are insulated as required by Sec. 1313.3.2.
12. Piping Insulation (Section 1314)
Exceptions ❑ 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 O Complies. All new piping serving a heating or cooling system or part of a circulating excep P� P�P 9 9 g 9 Y P 9 service
tions on page 4 - 18 water heating system complies with the requirements of the Code, Section 1314.1.
❑ Exception. New piping qualifies for the following exception: Section 1314, Exception —_ .
13. Service Water Heating (Section 1315) REUSE EXISTING WATER HEATING SYSTEM
❑ 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 ❑ 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 excep ❑ Exception. The applicable code exception is Section____ ___ , Exception __ . Portions of
tions on page 4 - 18 the building that qualify:
4 - Forms & Worksheets (10/00)
Form 4b Project Name: RED ROBIN Page: 6
COMPLEX HVAC SYSTEMS
1. Simple or Complex System (Sections 1313.2 & 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.
• 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: SHEET MEP, SECTION 15500
❑ 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:
Lions 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.
❑ Complies. All new humidity control systems are equipped with a humidistat as required by code.
4. Air Transport Energy (Section 1313.3.4.2 & Table 13 -L)
Air ❑ Complies. The energy demand of all HVAC fan systems meets code requirements. Complete
Transport the form below.
Energy ❑ Exception. The applicable code exception is Section 1313.3.4.2, Exception: 1_ . Portions of the
See Table 134, Fan VAV or Max
page 4 -24, for System Constant Design Motor Allowed Where noted in
maximum horse- ID Description Volume Airflow (cfm) HP HP plans /specs
power allowed.
C)
building that qualify:
5. Motor Efficiency (Section 1313.3.5 & Table 13 -M)
❑ 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 ❑ Exception. The applicable code exception is Section 1313.3.4.2, Exception:___ . Portions of the
Discussion of building that qualify:
qualifying excep-
tions on page 4 -22. 6, Variable Speed Drives (Section 1313.3.5.1)
❑ 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.
(10/00) Forms & Worksheets 4 -
Worksheet 4a Project Name: RED ROBIN Page: 7
UNITARY AIR CONDITIONER - AIR COOLED
Equipment Proposed
Cooling Proposed Seasonal or Part
Discussion of Equip. Capacity Steady State Ref
Model Designation
equipment ratings ID Load Efficiency
and equipment (Btu /h) Efficiency (EER) (SEER or IPLV) Line
definitions on page
4 - RTU -1 LENNOX LGA210H 219,275 11.2 12.3 3
RTU -2 LENNOX LGA210H 222,600 11.2 12.3 3
RTU -3 LENNOX LGA180H 178,500 11.5 13.3 3
Required Indicate source of information
Documenta- ARI Unitary Directory, Section AC, page:
tion ARI Applied Products Directory, Section ULE, page:
X Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets")
Highlight or otherwise indicate equipment selected on documentation provided
Code Cooling Capacity (Btu/h) Minimum Rating
Required Equipment Type Ref.
Q Efficiencies Equal to or But less than Steady State Seasonal or Line
greater than 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 or with electric 240,000 760,000 9.5 EER 9.7 IPLV
resistance heat
760,000 - 9.2 EER 9.4 IPLV
0 65,000 na 10.0 SEER
Split System
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 10.4 IPLV
section other 135,000 240,000 9.5 EER 9.7 IPLV (3)
C) R E C- 0 N than electric 240,000 760,000 9.3 EER 9.5 IPLV
-� ivies resistance heat -
760,000 9.0 EER 9.2 IPLV
IJ 0 65,000 na 10.0 SEER
Split System
with a Heating 65,000 135,000 10.1 EER 10.4 IPLV
�' �V��„ `" section other 135,000 240,000 9.5 EER 9.7 IPLV (4)
1, . than electric
161r h l resistance heat 240,000 760,000 9.3 EER 9.5 IPLV
pen- r.id�rsiioi 760,000 - 9.0 EER 9.21PLV
FNFRGY
FORMS
Condensing ng Unit 135,000 - 10.1 EER 11.2 IPLV (5)
OCT 2000
4-4 Forms & Worksheets (10/00)
,,
Worksheet 4j Project Name: RED ROBIN Page: 8
FURNACES & UNIT HEATERS - GAS & OIL -FIRED
Equipment Heating Proposed Proposed Proposed
Equip. Capacity Minimum Thermal Combust. Ref.
Discussion of Model Designation
equipment ratings ID (Btu /h) AFUE Efficiency Efficiency Line
and equipment
definitions on page
4 -19 MAU -1 CAPTIVE -AIRE NHMUA1 125,000 — — 100% 1
Required Indicate source of information
Documents- GAMA Consumer Directory, page:
tion x Product data (Attach data furnished by the equipment supplier, i.e., "cut sheets")
Highlight or otherwise indicate equipment selected on documentation provided D
Code
Required Heating Capacity
q (Btu /h) Minimum Rating
Efficiencies 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 (1)
Gas -Fired 225,000 - na na 80%
01? F, G O N Warm Air Furnaces, 0 225,000 78% 80% na (2)
Oil -Fired 225,000 - na na 81%
1r 1 i,
Warm Air Duct
ifs Furnaces, Gas -Fired 0 - na na 80% (
r Na .
mai Warm Air Unit 0 - na na 80% (
d, r7 Heaters, Gas -Fired
F. NF, T? Y
FORMS Warm Air Unit 0 - na na 80% (
OCT 2 0 0 0 Heaters, Oil Fired
(10/00) Forms & Worksheets 4 -
Form 5a Project Name: RED ROBIN Page: 15
LIGHTING - GENERAL
1. Interior Exceptions (Section 1316.1)
❑ No Interior Lighting. The building plans do not call for new or altered interior lighting. Skip to
Item 4, Exterior Building Lighting — General, below.
Exceptions ❑ Exception. The building or part of the building qualifies for an exception from code lighting
Discussion of requirements. The applicable code exception is Section _, Exception(s) .
qualifying excep- Portions of the building that qualify: ____ ______________
-------------
tions on page 5-7. -- _-- - -___ •
2. Local Shut -off Controls (Section 1316.1.2.1,1)
▪ Complies. At least one local shut -off lighting control for every 2,000 square feet of lighted floor
area and for all spaces enclosed by walls or ceiling height partitions. This control(s) is detailed in
Exceptions the building plans on drawing number E4.0
Discussion of U Exception. The building or part of the building qualifies for an exception. The applicable code
qualifying excep- exception is Section 1316.1.2.1,1, Exception . Portions of the building that qualify: _ _
Lions on page 5 -8.
3. Office Controls (Section 1316.1.2.1,2)
❑ Not an Office Occupancy over 2,000 square feet.
❑ Complies. All interior lighting systems are equipped with a separate automatic control to shut off
Exceptions the lighting and local override switching. These control(s) are detailed in the building plans on
drawing number_
Discussion of
qualifying excep- ❑ Exception. The building or part of the building qualifies for an exception. The applicable code
Lions on page 5-9. exception is Section 1316.1.2.1,2, Exception ____ . Portions of the building that qualify:
Definition
EXTERIOR 4. Exterior Building Lighting - General
BUILDING ❑ No Exterior Building Lighting. Skip the rest of this form.
LIGHTING is
lighting directed to ❑ Complies. Complete items 5 and 6 below.
illuminate the
exterior of the 5. Exterior Building Lighting Controls (Section 1316.1.2.2
building and g g g onro ( 1316.1.2.2)
adjacent walkways • ❑ Complies. The building plans require that all exterior building lighting is equipped with automatic
and loading areas controls described in Sec. 1316.1.2.2. These controls are detailed in the building plans on
with or without drawing number E2.2
canopies. - - - --
❑ Exception. The exterior building lighting is intended for 24 -hour continuous use.
r
6. Exterior Building Lighting Power (Section 1316.2.2)
❑ Complies. The plans do not call for incandescent lamps greater than 10 Watts for use in exterior
building lighting.
❑ Exception. The building plans indicate luminaires with incandescent lamps greater than 10 � .
Watts, but they are 5 percent or less of the total installed exterior lamps. Total number of exterior
lights _ Total number of exterior incandescent lights __ _ __.
(10 /00) Forms & Worksheets 5 -
Form 5b Project Name: RED ROBIN Page: 16
•
INTERIOR LIGHTING POWER - OCCUPANCY METHOD
(a) (b) (c) (d) (e) (f) (9)
Lighting Max
Budget Power Lighting Power
Floor Density Budget
Group Occupancy Use Area (ft (W /ft ((c -d) x e) + f
Retail or If area is less than 2,000 ft enter
Merchandise area in (c), this row 0 3.4 0
(Group M only) If area is between 2,000 and 6,000
M ft enter area in (c), this row 2,000 2.5 6,800
If area exceeds 6,000 ft enter 6,000 1.7 16,800
area in (c), this row
(a) (b) (c) (d) (e) (f) (9)
Other Occupancy/ Max
Use Types Floor Power Lighting Power
See page 5 -11 for Area Density Budget
instructions. Group Occupancy Use Ceiling Height (ft (W /ft d x e
under 15 ft 7,234 1.50 10,851
A RESTAURANTS 15 ft or more
under 15 ft
15 ft or more
under 15 ft
15 ft or more
under 15 ft
15 ft or more
1. Total Interior Lighting Power Budget (Watts). Add amounts in column (g) 10,851
Track 2. Total length of track lighting (ft) 0
Lighting
3. Multiply line 2 by 37.5 Watts /ft 0
4. Total amperage of circuit breaker(s) serving track lighting (amps) 0
5. Voltage of circuit breaker serving track lighting (volts) 0
6. Wattage of circuit breaker serving track lighting (multiply line 4 by line 5) 0
7. Track Lighting Power (enter smaller of line 3 or line 6) 0
Building's 8. Track Lighting Power from line 7 0
Lighting g g 9. Total Interior Lighting Power from Worksheet 5b + 10,471
J Power
10. Total Control Credit from Worksheet 5c - 0
Total Adjusted Lighting Power (Watts).
11. Add lines 8 and 9, subtract line 10 = 10,471
12. Does design meet budget?
Enter "YES" if line 11 is not greater than line 1. Otherwise redesign. YES I
5 -2 Forms & Worksheets (10 /00)
• Worksheet 5a Project Name: RED ROBIN Page: 17
LIGHTING SCHEDULE
Lum. ID is the (a) (b) (c) (d) (e) (f)
identification
number or letter
used in your plans Lamp' Ballast Luminaire
or specifications
'Enter the number Lum. Power
and type of lamps in ID Luminaire Description No. Description No. Description (Watts) 5b
the luminaire. See
Table 5b for typical LFO RECESSED CAN 1
lamp codes.
2 Enter the number LF1A 2 FT X 4 FT TROFFER 3 F32T8 1 ELECT 93 X
and type of ballasts
in the luminaire. For LF1 B 2 FT X 4 FT TROFFER 3 F32T8 1 ELECT 93 X
fluorescent and
high- intensity LF1C 2 FT X 4 FT TROFFER 3 F32T8 1 ELECT 93 X
discharge lamps,
typical ballast LF3 4 FT FLUORESCENT STRIP 2 F32T8 1 ELECT 62 X
abbreviations are:
MAG STD for LF4 RECESSED CAN 1 150W A21 0 NONE 150
Magnetic Standard
•MAG EE for LF7 RECESSED CAN 1 50W PAR30 0 NONE 50
Energy Efficient
Magnetic LF11 PENDANT LIGHT 1 50W PAR20 0 NONE 50
•ELECT for
Electronic LF13 MONOPOINT LIGHT 1 35W PAR20 0 NONE 35
See Table 5b for
other ballast LF14 MONOPOINT LIGHT 1 35W PAR20 0 NONE 35
abbreviations.
LF15 PENDANT 1 35W PAR20 0 NONE 35
LF16 PENDANT 1 35W PAR20 0 NONE 35
LF17 PENDANT 1 35W PAR20 0 NONE 35
LF18 PENDANT 1 35W PAR20 0 NONE 35
LF19 RECESSED CAN 1 50W PAR20 0 NONE 50
LF31 2 FT X 4 FT TROFFER 3 F32T8 1 . ELECT 93 X
CD
C
J
5-4 Forms & Worksheets (10/00)
Worksheet 5b Project Name: RED ROBIN Page: 18
INTERIOR LIGHTING POWER
'Enter the quantity (a) (b) (c) (d) (e) (f)
for every non-
exempt luminaire. Luminaire Lighting
Do not consider Room or Luminaire Quantity of Power Power
track lighting on this
worksheet. Track Sheet No. Room or Plans Designation ID Luminaires' (Watts) (d) x (e)
lighting is accounted
for on Form 5b. 101 ENTRY LF19 2 50 100
104 DINING LFO 6 10 60
104 DINING LF4 3 150 450
104 DINING LF11 15 50 750
104 DINING LF13 38 35 1330
104 DINING LF14 35 35 1225
104 DINING LF15 11 35 385
104 DINING LF16 9 35 315
104 DINING LF17 9 35 315
104 DINING LF18 9 35 315
104 DINING LF19 26 50 1300
104 DINING LF31 3 93 279
105 VESTIBULE LF7 1 50 50
105 VESTIBULE LF19 2 50 100
106 MENS LF7 3 50 150
106 MENS LF19 5 50 250
107 WOMENS LF7 3 50 150
107 WOMENS LF19 5 50 250
111 TEAM RESTROOM LF1C 1 93 93 r 113 COOK LINE LF1A 17 93 1581 CC•
e-*
113 COOK LINE LF1B 8 93 744
117 OFFICE LF1A 1 93 93 co
118 TRASH ROOM LF3 2 62 124
120 MECH. ROOM LF3 1 62 62
2 Additional pages
may be necessary if
building has more 1. Page Total. 10,471
rooms than there Total the amounts in column (f). Add the sum of all pages on Form 5b, line 8.
are lines on this
form.
(10 /00) Forms & Worksheets 5 -5
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: _03)639-4175
INSPECTION DIVISION Business Line: (503) 639 -4171 MST
BUP
•
Received Date Requested ° Z _ "I AM PM BUP
Location 0 //a ' 0,4 tap Suite 404/ MEC aid ZO — 5 1 1 /f
Contact Person Ph ( ) 9 r 4 I o?DDa - a 79
Contractor Ph r°� �) Z/62 3 l� SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Fire wall / 1-)AtiP
Fire Sprinkler Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service \ —
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
4 A ANICA
Post & Beam •
Rough -In
Gas Line
Smoke Dampers
IMP
tWP PART FAIL
EL TRICAL
Service
•
Rough -In
UG /Slab
Low Voltage
Fire Alarm •
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: 111 Unable to inspect - no access
Fire Supply Line
ADA '�( J 1
� \ ' ,� s ;
�
Approach/Sidewalk Date Inspector Ext
Other: ; r
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL
CITY OF TIGAR® 24 -Hour '
BUILDING Inspection Line: (503) 639 -4175 Z00 2 - co I'®
ins
INSPECTION DIVISION " Business Line: • (503) 639 -4171 BUP 2UU Z — b S z-7
Received bate Requested equested / ° 3 \� AM PM BUP
.Location /0/0 O l k Q RD Suite M a7 `(1
Contact Person Ph ( q)s "L(1 g- 3 ( Cl (P N 1 `2.6 d 2 - 0°
Contractor Ph ( SWR
Tenant/Owner ELC
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
s 'd Ceilin
Roo
Other:
F •.6_111i1
PART FAIL
I BING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
- Rain Drains
Catch Basin / Manhole /2-G 74 /& 44' tV C�'C
Storm Drain
I Shower Pan
Other:
Final -
PASS PART FAIL
MECHANICAL
Post pU -•r � c 9 � < u h -In
Gas Line
Smoke Dampers
Fi �
�,E'� PART FAIL
CTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE ❑ Please call for reinspection RE: ❑ Unable to inspect — no access
Fire Supply Line
ADA �f
Approach/Sidewalk Date / / 3 Ins pector '7 Ext
Other:
Final - DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL