Plans (79) U)
• OFFICE COPY
4t CITY OF TIGARD
N
a) REVIEWED FOR CODE COMPLIANCE
Approved: ]
D OTC: I ]
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o Permit#: rr c c j c} - C)C)
Address: 1 c,cq.4 0 7 ar A
7 Suite#: —
Bi, Date: 9 - 0 - ic.
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THE ACTIVATION OF A DUCT
o VALIDITY OF PERMIT SMOKE DETECTOR SHALL
m THE ISSUANCE OF A PERMIT
ry BASED ON CONSTRUCTION ACTIVATE A VISIBLE AND
o DOCUMENTS AND OTHER AUDIBLE SUPERVISORY
o DATA SHALL NOT PREVENT SIGNAL AT A CONSTANTLY
-4' THE CODE OFFICIAL FROM
ATTENDED LOCATION 1
K REQUIRING THE CORRECTION
OMSC 606.4.1
OF ERRORS. OSSC 105.4
Site Equipment Survey Details
Yea Built Tons Location Manufacturer ModelCZIIIIIIIII
Rate Total Rating Updated On
1 1995 12.5 LENNOX GCS24-1603-270-1G 5695H02984 17 4/24/2018
2 1995 12.5 LENNOX GCS24-1603-270-1G 5695H04472 12 5/14/2019
3 2006 3.0 CARRIER 580FEV036074ABGA 1906G20317 19 5/14/2019
Site #2666 TIGARD, OR Page 2 of 7 Surveyed on 5/14/2019 2:10:04 PM
Location Information Pictures Pictures
Location Contact CHRIS
Equip.Staging Area NOT REQUIRED
Does Bldg Owner Accept Curb A YES
Is Crane Required? Yes
List All Permits Required MECHANICAL,
ELECTRICAL ,
Structural Engineering No
Roof Covering Condition? FAIR
EMS Controls Present No
Roof Layout Image
Condensate Drains Req. DRAIN TO ROOF
Addl.Items to be Replaced NONE
Type of Roof Access? INT.FIXED LADDER
Site Notes ROOF ACCESS
THROUGH DSW,NEED
24 HOUR NOTICE TO
CLEAR LADDER
ACCESS
Miscellaneous Equipment
EFs Being Replaced NONE
Mini Split Systems NONE
#of Split Systems NONE
Crane Information
Special Crane Requirements NA
Overhead Power Lines No
Street Closures No
Airport Location UNKNOWN
Site #2666 TIGARD, OR Page 3 of 7 Surveyed on 5/14/2019 2:10:04 PM
R
Unit#2: Unit Info Unit#2: Unit Elec.Information Pictures IINIIBIIIIIGMZMIIIIIIIIIIIIIM
Repair Evaluation No Electrical Disconnect Condition? FAIR l
Unit#2: Unit Information Unit Nameplate Voltage 460/3 '''''f:-.''' " tEhroux
Unit Number 2 Unit Min Circuit Amps(MCA) 40.00000 ;.'6"=7,
Unit Catalog#if Applicable NA Maximum Circuit Breaker(MOCP 50 '
Area Served BACK OF SALES Electrical Disconnect Location? EXTERNAL FUSED x$ i
FLOOR New Disconnect Required? Yes a
Cooling Capacity in Tons 15.00000 Wire Size Up To The Unit 8 . ,
#of Cooling Stages 2 <_' _ ' '�
Breaker Labeled Yes Model#Nameplate Picture Control Wiring/Board Pic
Type of Refrigerent R22 Unit Breaker Size at Main Panel 50
Heating Type NATURAL GAS How Does Elec.Wiring Enter Un THROUGH BOTTOM 0 '-�
Heat Capacity 0 Is there a GFCI Outlet? Yes —� t .�
#of HeatingStages 1 _ _ s
g Electrical Upgrades Required No �; _•- � _ --~��
Blower Motor Horsepower STICKER HAS BEEN Unit#2: Disconnect Info
REMOVED FROM
MOTOR Fuses in the Disconnect 30
Existing Condensate Condition? FAIR
GFCI Option EXTERNAL TO UNIT WI
Condensate Disposal? DRAINS ON ROOF _
Unit#2:Tstat Controls Curb/Curb Adapter Picture
DIRECTLY Overall Picture of Unit
How many thermostat wires are 6
Condensate Stands NO ��
Unit#2:Gas Heat Info Fr
Unit Orientation DOWNFLOW �;
Does Unit Serve a VAV System? No Incoming Gas Pipe Size 3/4" r-- 1
Pressure Regulator in the gas lin YES
Economizer/OA Intake NO Gas Shutoff Valve at the unit? YES ! �
Outdoor Air Control ECONOMIZER s
Is Gas Drip Leg Installed Correct No
Is Power Exhaust Installed? No List gas related issues NO PROPER DRIP LEG
Humiditrol Installed? No
Coil Corrosion Protection NO CORROSION
COATING VISIBLE Gas,Elec,Condensate E <—Click?,Curb Layout
Unit Notes MODEL STICKER IS
UNREADABLE
,' ill !.
Unit#2: Unit Controls Information 1 fti 41 i
Unit Controls Type THERMOSTAT
'llI4
Control Wiring Condition FAIR „ ; , i e , Q� s
Confirmed EMS Communication NO EMS INSTALLEDs s
Smoke Detector Location NO SMOKE DETECTOR
Type of Smoke Detector Shutdo NOT APPLICABLE
Unit Condenser Coil End Picture RTU Panel Breaker
Are any Control Wiring Upgrade No
Unit#2: Unit Curb Information
Is a Curb Adapter Existing? No
Are Burglar Bars Installed? NO
Base Curb Dimensions? 93.5 X 60.25
Site #2666 TIGARD, OR Page 4 of 7 Surveyed on 5/14/2019 2:10:04 PM
, a
Age Poor Drain Pan Good Condenser Coil Good w
Cabinet/Paint Fair Evap Motor Good w Compressor Good tio
Evaporator Coil Good w Duct System Good Heat.Exg.lBurners/Elec.Heat Good w
Unit Rating 12
Site #2666 TIGARD, OR Page 5 of 7 Surveyed on 5/14/2019 2:10:04 PM
6
Unit#3: Unit Info Unit#3: Unit Elec.Information Pictures Pictures
Repair Evaluation No Electrical Disconnect Condition? FAIR
Unit#3: Unit Information Unit Nameplate Voltage 460/3 � " $, ? ,,
Unit Number 3 Unit Min Circuit Amps(MCA) 8.00000
Unit Catalog#if Applicable NA Maximum Circuit Breaker(MOCP 15 ° ;
s
Area Served BACK OF HOUSE Electrical Disconnect Location? EXTERNAL FUSED "
Cooling Capacity in Tons 3.00000 New Disconnect Required? No }
#of Cooling Stages 1 Wire Size Up To The Unit 8
Type of Refrigerent R22 Breaker Labeled Yes "
Model#Nameplate Picture Control Wiring/Board Pic
Heating Type NATURAL GAS Unit Breaker Size at Main Panel 15
Heat Capacity 74000 How Does Elec.Wiring Enter Un FROM ROOF PENETRA ' mak` t . ,1q
#of Heating Stages 1 Is there a GFCI Outlet? Yes . _wow * �' "�• _� * _ .,.
Blower Motor Horsepower 2 Electrical Upgrades Required No
,
ExistingCondensate Condition? FAIR Unit#3: Disconnect Info s '
Condensate Disposal? DRAINS ON ROOF Fuses in the Disconnect 15 �h
DIRECTLY , � , ,� .t �:".
Condensate Stands NO GFCI Option EXTERNAL TO UNIT WI •
Unit Orientation DOWNFLOW ' " Overall Picture of Unit Curb/Curb Adapter Picture
Does Unit Serve a VAV System? No How many thermostat wires are 6
Economizer/OA Intake NO
Unit#3:Gas Heat Info
Outdoor Air Control ECONOMIZER Incoming Gas Pipe Size 1/2"
Is Power Exhaust Installed? No Pressure Regulator in the gas lin NO
Gas Shutoff Valve at the unit? NO 1-
Humiditrol Installed? No
Coil Corrosion Protection NO CORROSION Is Gas Drip Leg Installed Correct No
COATING VISIBLE List gas related issues GAS HAS NOT BEEN R
Unit Notes UNIT IS RATED BY GAS
HOWEVER,GAS HAS Gas,Elec,C•ndensate E" <--Click?,Curb Layout
NOT BEEN RUN TO
THE UNIT AND IS all •I
BEING USED AS _
fl
COOLING ONLY ���� /��@ Z
Unit#3: Unit Controls Information , ' -, i Ili
s$ . o
Unit Controls Type THERMOSTAT '. ` ■€'•�' 'OP'IN- s
Control Wiring Condition FAIR ,_' ;; :fes r p
Confirmed EMS Communication NO EMS INSTALLED % '"
Smoke Detector Location NO SMOKE DETECTOR i.„,!..'• �' , °1AI fs
Type of Smoke Detector Shutdo NOT APPLICABLE Unit Condenser Coil End Picture RTU Panel Breaker
Are any Control Wiring Upgrade No
Unit#3:Unit Curb Information;
Is a Curb Adapter Existing? No
Are Burglar Bars Installed? NO
Base Curb Dimensions? 38.5 X 68.5
Site #2666 TIGARD, OR Page 6 of 7 Surveyed on 5/14/2019 2:10:04 PM
Age Poor Drain Pan Fair Condenser Coil Fair 40,
Cabinet/Paint Fair Evap Motor Fair Compressor Fair
Evaporator Coil Fair Duct System Fair Heat.Exg./Burners/Elec.Heat Fair
Unit Rating 19
Site #2666 TIGARD, OR Page 7 of 7 Surveyed on 5/14/2019 2:10:04 PM