Permit .4 CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00874
! -1, . .7�� DEVELOPMENT I ' SERVICES 503 - 639 -4171 DATE ISSUED: 11/8/2005
13125 PARCEL: 2S112DB - 00300
SITE ADDRESS: 07233 SW KABLE LN 500 ZONING: I - L
SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. LOT : 005 JURISDICTION: TIG
Project Description: TI
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st WIO SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES JOHANSEN ELECTRIC INC
15350 SW SEQUOIA PKWY #300 -WMI 10948 SE VALLEY VIEW TERR
PORTLAND, OR 97224 CLACKAMAS, OR 97015 -000
Phone: 503 - 624 -6300 Phone: 503 - 698 -3417
FEES Reg #: LIC 51539
SUP 2053S
Description Date Amount ELE 3 - 243C
[ELPRMT] ELC Permit 11/8/2005 $53.50
[TAX] 8% State Surcharge 11/8/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 fo mn -. than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are t forth in • R 9 001 -0010 through OAR 952 001 -0100. You may obtain copies of thes= • - or direct quest.ns to OUNC at
503 -24 -6699 or 1-800- 2-
Issue: ;, _ / , //� J am::! j Permittee Sign P /r 1 / . /� CC, -- U
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
- • NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EL • y . =!.•t>��i ��-�� DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7 :00 a.m. for an inspection 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.
From
Ig mn Leifsen 503 - 698 -2486 To: City of Tigard Date: 11/7/2005 Time: 3:51:52 PM Page 2 of 3
EP£ctr Per Application, EN ED- IOU 01:1 l SE ON I.)
City of Tigard II A t Received p
DateB : // �i • Permit No.:E/48 5 DO Q 7 �
13125 SW Hall Blvd„ Tigard, OR 97223 nnr Plan Review
O' "S'
Phone: 503.639.4171 Fax: 503.598.1960 s(t� `� 2 '+: �,1�- �'Ij + `' Date/B Other Permit:
Inspection Line: 503.639.4175 tt�' ,.J • „ Date Ready/By: ES Page 2 for
Internet: www.cimgard.or.us Notified/Method: Supplemental Information
• r
.. - r CHAR D Supple
`ss�, )tl ..a. , /,�:.i 3� ,�� x `�
� {` • 1 �ee •� "s ,f 5 �.�: � '�S�z- +,�°� a � y [�.� .�e„"7�'�'°'B' �t�n" i �; -�8 z3tt. i °g ( ±,se -A { + -,�-a
±'":a'i l . t },h is =�%'. gi > o itiiii i .:..... n.... : i {..:. _ :s `vV ... r*`fmgi,r5.3....,_ i .4 4 ._yt h' 4 ... ;01 T. .1. Aril niv , F t{I t '• ti q °r 7,=ziF '
❑ New construction ® Additin att"eiation /replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'l ❑Hazardous location
;� 4x , a „ t a .,a,, - ,, 1 ❑Service over 320 amps - rating ❑Buildn over 10,000 s . ft.,
g 4
�,.�,��� � � 4 '� � � ° � '�1 ��1�a 6;'�yt��,�t�' �'� of 1- and 2- family dwellings 4 or more new residential
❑ 1 - and 2 - family dwelling El Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or more
❑ Multi family ❑Master builder ❑Other:
S ri � x s y if k� , �E 1 f y t f �- ['Occupant load over 99 persons ['Manufactured structures or
r ( u { a t ,a ❑Egress/lighting plan RV park
`�� �� . {. +�: r. -- o,_._ _._ .... t�3.�.,f�t. !.,_;,i�t.r, t • w�. .l , _ �..rt.�;�- ,z«r "a - ,:. .v,La � a..r.�
Job no.: Job site address: 7233 SW Kable In ❑Health -care facility ❑ Other:
Submit 2 sets of plans with any of the above.
City/State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: ''SO Project name: Sears "`� wl,?' : `;',tom "n :t >r l .w l t
Ducriptton Qty. Fee. Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map /parcel no
Limited energy, residential 75.00 2
Y z :ssr sa .w-r n� YY+i x(f .-2/.. , a Limited energy, non- residential 75.00 2
s+ t >= , elk7A :,,+ :�;A: t II y x �. z ',.,. t:; F � 1 till Each manufactured or modular
1 I dwelling, service and/or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
`" t l ; r, z , ltr � x x s x xt,tr
� -� a� i � E� t �-� � �. ��,� � ��i �. �'�'�s� g 201 amps to 400 amps t 06.85 2
craw l .mN.,, c.: g0t . ,,. . .._a., -- tit1 ... �+ a ,. . v _ CtAi; ati . 41,
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP; Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) relocation
200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps f 133.75 2
Owner signature: Date: _Branch circuits-new, alteration, or extension, per panel
$ ..- 0 ` ; : .. :' i:!', ::I ` ' ji i { i > a �x t ... , I �. �i, ? a
' ir -
A. Fee for branch circuits with
�� fir- � ;' °``�`• 1v service or feeder fee, each
Business name: Johansen Electric Inc, branch circuit 6.65 2
B. Fee for branch circuits
Contact name: Charlynn Leifsen without service or feeder fee, 46.85 46.85 2
Address; 10948 SE Valley View Terr. each branch circuit
Each add'I branch circuit 1 6.65 _ 6.65 2
City/State/ZIP: Clackamas, OR 97015 Miscellaneous (service or feeder not included)
Phone: (503) 698 - 3417 Fax: : (503) 698 - 2486 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E - mail; johansenelect@msn.com Signal circuit(s) or limited -
IM ,ztrn ' ," a IE
te- MN " MM? s , I y energy eration, or
s.: 1,a �.�rr�� r � sl U� 1, �:..�� >W �� +. a ..,, m, ��� w�a� �....�t;�S 4,z5,� ? #3
extension. alteration,
Describe: Page 2 2
Business name: Johansen Electric Inc.
Address: 10948 SE Valley View Terr. Each additional inspection over allowable in any of the above
Per inspection 62.50
City/ State/ZIP: Clackamas, OR 97015 Investigation per hour (I hr min) 62.50
Phone: (503) 698 -3417 Fax: (503) 698 - 2486 Industrial plant per hour 73.75
+�`� .rOl� is � .65,KMANNUK:
CCB
c.: 51539 S Lie.: 2053S Subtotal 53.50
Suprv. Electrician signature, required: fie• ir�iw/ '
Su Plan review (25% p gn ( permit fee)
`� v- 7 . Date: 11 /7/05 State surcharge (8% of permit fee) • 4
i - ` 7- TOTAL PERMIT FEE 57.78
Authorized signature: , • This permit application expires if • permit is not obtained within LSO
days after it has been accepted as complete
Print name: 1 i IIIVA , Date:
11 /7/05 •' Le methodology sat by Tri�ounty Building Industry Service Board
umber of inspections per pewit alloed.
i:\ Building 'PnmitalELC- PermltApp.doc 12/03 440- 4615T(10/OLCOM/WEB
•
•
Form 4a Project Name: Sears Service Center Page: 1
SYSTEMS - GENERAL
Applicability Plans /Specs
Discussion of qualifying Show compliance by including a drawing sheet, detail number,
exceptions on page 4 -25 specification section and subparagraph.
1. Applicablity (Section 1317)
Is this form required?
O Form 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 insulation.)
❑ 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 ❑ -1 ❑ -2 ❑ -3
Area: Exception ❑ -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)
O 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,
combustion heating equipment, or heat - operated cooling equipment.
O Complies. All new HVAC equipment have efficiencies not less than those required by code.
The following equipment efficiency worksheets are attached:
❑ -4a ❑ -4b ❑ -4c ❑ -4c ❑ -4e ❑ -4f ❑ -4g ❑ -4Y ❑ -4 ❑ -4
4. Duct Insulation and Sealing (Sections 1317.7 & 1317.8)
O No 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)
O No 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:
0 - 1 0 - 2 0 - 3 0 -4 ❑ -s 0 - 6 0 - 7 0 - 8 0 - 9 0 - 1 0 0 - 1 0 -12 0 -1: 0 -14
Attach relevant documentation for appropriate exception. The plans /specs show compliance in the
following locations:
4 -1 compliaa'o with oss& i l /G1 /G6
Form 4a Project Name:Lears SeFvice Center Page: 2 ]
SYSTEMS - GENERAL
6. HVAC Controls (Section 1317.4)
6.1 System Thermostat /Zone Controls (Section 1317.4.1)
El Complies. 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 ❑ - ❑ -
Portions of the building that qualify:
The plans /specs show compliance in the following locations:
6.2 Off - hour Controls - Auto Setback or Shutdown (Section 1317.4.3)
El Complies. 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 served.
❑ 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.
HVAC systems with equipment shutdown are equipped with at least one of the following:
❑ Programmable 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:
6.3 Control Capabilities (Sec. 1317.4.2.1)
❑ Complies. 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 0 - ❑ -
Portions of the building that qualify:
The plans /specs show compliance in the following locations:
6.4 Optimum Start Controls (Section 1317.4.3.2)
el Complies. 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:
6.5 Heat Pump Controls (Section 1317.4.4)
1 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 to minimize the
use of supplemental heat as defined in Section 1317.4.4. 9 ,. ;0 ;y".r„ The plans /specs show compliance in the following locations:
',i
j
4 -2 Compliance wieSIM9V ctive 01/01/0°.
Form 4a Project Name: Sears Seivice Center Page: 3
SYSTEMS - GENERAL
7. Economizer Cooling (Section 1317.3)
❑ No Cooling. The building plans do not call for a new fan system with mechanical cooling.
• 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 ❑ -s ❑ -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 Btu /hr 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:
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 each fan system that will relieve the extra air introduced by the economizer.
El 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 ❑ - ❑ -2
The plans /specs show compliance in the following locations:
9. Hot 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
a �..... Allowable Hot Gas Bypass
v M11
a , Rated Cooling Capacity Max Hot Gas Bypass
\: /;° <240,000 Btu/ hr 50%
>240,000 Btu /hr 25%
❑ Exception. Unitary packaged system with cooling capacity no greater than 90,000 Btu /h
4 -3 rnmrlianra with nCSC` ` 113- 4T'I'H(11 /(l
, Form 4a Project Name: Sears Service Center Page: 4
SYSTEMS - GENERAL
10. Shutoff Dampers (1317.4.3.3)
❑ Not Required. Shutoff dampers are not required on this project.
• 0 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
applicable code exception is Section 1317.4.3.3 Exception ❑ -1 ❑ - 2 ❑ -3 ❑ -4 ❑ -5 ❑ -6
The plans /specs show compliance in the following locations:
10.1. Shutoff Damper Controls (Section 1317.4.3.3.1)
17 Complies. 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:
10.2. Motorized Damper Leakage (1317.4.3.3.2)
El 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:
11. Piping Insulation (Section 1314)
O 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 ❑ - ❑ -2
12. Occupancy Ventilation
0 Complies. Mechanical ventilation systems provide the required amount of ventilation is indicated
in plans /specifications as specified in Chapter 4 of the Oregon Mechanical Specialty Code.
O Complies. Natural ventilation systems provide required amount of ventilation as certified by a reg-
istered architect or engineer as specified by Section1203.4.1, Exception. Attach worksheet 4m.
The plans /specs show compliance in
the following locations:
The plans /specs show compliance on
:° ° the following pages:
,,‘"
4 -4 rnmpJiance with OSAP tiSlts 1f01rr15
Form 4a Project Name: 'Sears Service Center Page: 5
SYSTEMS - GENERAL
13. High Occupancy Ventilation (Section 1317.2.2)
O 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%
recovery effectiveness.
❑ No High Occupancy Systems. Project does not contain an HVAC system as described above.
14. Exhaust Air Heat Recovery (Section 1318.3)
O Not Regulated. HVAC system does not have: 1) design supply air cap. of >10,000 cfm, and 2)
min. outside air supply >70 %, and 3) at least 1 exhaust fan rated at 75% of min outside air supply.
❑ Complies. Heat recovery system increases outside air temperature by 20 °F (Climte Zone 1) or
30 °F (Zone 2) and has provision to provide bypass during air economizer mode.
❑ Exception. An HVAC system qualifies for an exception to this requirement. Applicable exception
from Section 1318.3 Exception0-1 0 - 2 0 0 0 0 0
The plans /specs show compliance in the following
locations:
15. Large Volume Fan Systems (Section 1318.4.2.4)
O 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:
16. Variable Speed Drives (Section 1317.10.3.1)
g 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)
F No 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:
c
The plans /specs show compliance in the following locations:
4-5 Ge w,th CCC T o491ro 01/01
( Form 4a Project Name: Sears service Center Page: 6
SYSTEMS - GENERAL
18. Swimming Pools, Spas and Hot Tubs (Section 1315.5)
Cl 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.)
0 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)
El 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.
21. Kitchen Hoods (Section 1317.11)
• 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 r °o fti nAEr� 22222 mains
Form 4b Project Name: Sears ,Service Center Page: 7
' COMPLEX HVAC SYSTEMS
Applic 1. Simple or Complex Systems (Section 1317.9, 1317.10 and 1318)
ability Note: This form is required for complex systems only. If your plans qualify as a simple system
Discussion of as defined by the code, this form is not required.
qualifying excep-
tions in
instructions 2. Air Transport Energy (Section 1318.4.2)
section. 121 Not Regulated. Each HVAC system does not have total fan nameplate horsepower of 7.5 HP
Fan Motor or greater (include sum of all supply, return, & exhaust fans operating at design conditions).
Energy ❑ Brake Horsepower Complies. The energy demand of all HVAC fan systems meets code
See Section
1318.4.2 for requirements. Complete and attach Worksheet 41.
maximum horse- ❑ Nameplate Horsepower Complies. Selected fan motors have nameplate ratings no larger
power allowed. than is allowed by Section 1218.4.2.3. (Complete Worksheet 4L.)
❑ Exception. Section 1318.4.2, Exception ❑ -1 ❑ -2 ❑ -3 ❑ -4
Portions of the building that qualify: _
The plans /specs show compliance in the following locations:
Cooling 3. Cooling Tower Fans (Section 1317.5.4.1)
Tower ❑ No Cooling Tower There is no cooling tower in this project.
Fans ❑ Complies. Cooling tower fans have control devices that vary flow by controlling leaving fluid
temperature or condenser temperature /pressure of the heat rejection device.
The plans /specs show compliance in the
following locations:
4. Simultaneous Heating and Cooling (Section 1318.2.1)
❑ No Cooling. The building HVAC system has no cooling.
121 Complies. Controls prevent reheating, recooling or mixing of mechanically heated and
mechanically cooled air.
❑ Exception. Code exception is Section 1318.2.1, Exception ❑ -1 ❑ -2 ❑ -3 ❑ -4 ❑ -5
If exception 1 is used, complete and attach Worksheet 4k
Portions of the building that qualify:
The plans /specs show compliance in the
following locations:
5. Electric Motor Efficiency (Section 1317.10.3 & Table 13 - T)
❑ 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.
❑ Complies. The efficiency of all regulated motors meets code requirements.
Exceptions ❑ Exception. Section 1317.10.3, Exception ❑ -1 ❑ -2
Discussion of
qualifying Portions of the building that qualify:
exceptions in
instructions The plans /specs show compliance in the
following locations:
6. VAV System Static Pressure Reset Controls (Section 1318.2.3)
M Not Regulated. The building plans or specifications do not call for a VAV system controlled by a
static pressure sensor or direct digital control of individual zone boxes.
❑ Complies. The system static pressure set point automatically resets to the lowest point possible
: - -_p.. while still providing the required air flow to the zones with the greatest demand.
,, ❑ Exception. Section 1318.2.3, Exception
^„��I The plans /specs show compliance in the
''' a+i -- following locations:
4-7 Comnlianr. p with cA#0 P 01 /01/05
Form 4b Project Name: Sears Service Center Page: 8
COMPLEX HVAC SYSTEMS
7. VAV Terminal Units (Section 1317.4.2.1)
RI Not Regulated. Project does not contain VAV terminal units.
❑ Complies. VAV terminal units are programmed to operate at the minimum airflow setting without
addition of reheat when the zone temperature is within the set deadband. Complete Worksheet 4k.
❑ Exception. Section 1317.4.2.1, Exception ❑ -1 ❑ -2
The plans /specs show compliance in the
following locations:
8. Supply - Air Temperature Reset Controls (Section 1318.2.5)
El Not Regulated. The building plans or specifications do not call for multiple zone HVAC systems.
❑ Complies. Multiple zone HVAC systems include controls that automatically reset the supply -air
temperatures in response to building loads or outside air temperature.
❑ Exception. The building qualifies for an exception to the supply -air reset controls requirement.
Applicable code exception is Section 1318.2.5, Exception ❑ -1 ❑ -2 ❑ -3
Portions of the building that qualify:
The plans /specs show compliance in the
following locations:
9. Chilled and Hot Water Temperature Reset Controls (Section 1318.2.4)
m Not Regulated. The building plans or specifications do not call for chilled or hot water systems with
a design capacity exceeding 300,000 Btu /hr.
❑ Complies. Chilled and hot water systems include controls that automatically reset supply water
temperatures by representative building loads or by outside air temperature.
❑ Exception. Section 1318.2.4, Exception 0 -1 0 -2
Portions of the building that qualify:
The plans /specs show compliance in the
following locations:
10. Separate Air Distribution Systems (Section 1318.2.7)
I21 Not Regulated. The building plans or specifications do not call for zones with special process
temperature or humidity requirements.
❑ Complies. Separate air distribution systems serve zones with special process temperature or
humidity requirements from those zones serving only comfort conditions, or supplementary control
provisions are included so primary systems are specifically controlled for comfort purposes only.
❑ Exception. Section 1318.2.7, Exception D-1 ❑ -2
Identify zones with special process
requirements:
The plans /specs show compliance in the
following locations:
11. Zone Isolation Controls (Section 1318.2.6)
RI Not Regulated. Building plans or specifications do not call for HVAC systems serving multiple
occupancies or floors with >240,000 Btu /hr cooling capacity, or >300,000 Btu /hr heating capacity.
❑ Complies. HVAC systems serving multiple occupancies or floors with >240,000 Btu /hr cooling
capacity, or >300,000 Btu /hr heating capacity are equipped with isolation devices capable of
automatically shutting off supply air to and from each isolated area. Each isolated area is controlled
independently and satisfies temperature setback (Section 1317.4.2) and optimum start control
requirements. Central fan system air volume is reduced through fan speed reduction.
The plans /specs show compliance in the
F..a following locations:
4 -8 April 2005
Compliance with OSSC, effective 01/01/05
Form,4b Project Name: Sears Service Center Page: 9
COMPLEX HVAC SYSTEMS
12. Humidity Controls (Section 1318.2.2)
O No Moisture Added to Building. The building plans do not call for means to add moisture to
maintain specific humidity levels.
❑ Complies. All new humidity control systems equipped with a humidistat when required. All
humidifier preheating devices have an automatic value to shut off preheat when humidification is
The plans /specs show compliance in
the following locations:
13. Hydronic System Controls (Section 1318.2.8)
O No Hydronic System. The building plans or specifications do not call for a new hydronic system.
❑ Complies. The hydronic system complies as follows:
13.1 Variable Flow Controls (Section 1318.2.8.4)
❑ System does not have a 10 hp or greater motor
❑ Complies. System has controls capable of varying pump flow
The plans /specs show compliance in
the following locations:
13.2 Three - Pipe System (Section 1318.2.8.1)
1Z System does not have a common return system (a three -pipe system) for both hot water
and chilled water.
13.3 Two - Pipe Changeover System (Section 1318.2.8.2)
121 System is not a Two -Pipe Changeover System
❑ Complies. System is:
a. Designed to allow a deadband between changeover from one mode to the other
of at least 15 °F outside air temperature.
b. Designed to operate and provided with controls that will allow operation in one
mode for at least four hours before changing over to the other mode.
c. Provided with reset controls that allow heating and cooling supply temperatures
at the changeover point to be no more than 30 °F apart.
The plans /specs show compliance in
the following locations:
13.4 Hydronic (Water Loop) Heat Pump System (Section 1318.2.8.3)
❑ System is not a Hydronic (Water Loop) Heat Pump System
❑ Complies. Hydronic heat pumps connected to a common heat pump water loop with central
devices for heat rejection (e.g., cooling tower) and heat addition (e.g., boiler) have the
following:
a. Controls installed capable of providing a heat pump water supply temperature
deadband of at least 20 °F between initiation of heat rejection and heat
addition by the central devices (e.g., tower and boiler).
b. Closed- circuit tower (fluid cooler) has either an automatic valve
installed to bypass all but a minimal flow of water around the tower
(for freeze protection), or low- leakage positive closure dampers.
c. Open- circuit tower installed directly in the heat pump loop has an automatic
valve installed to bypass all heat pump water flow around the tower. Open -
circuit towers used in conjunction with a separate heat exchanger to isolate
the tower from the heat pump loop are controlled by shutting down the
circulation pump on the cooling tower loop.
d. A two- position valve at each hydronic heat pump for hydronic systems
having a total pump system power exceeding 10 hp.
M; z� The plans /specs show compliance in the following locations:
Aril 2005
4-9 Ca^ i ^cav'tbGeS ^,aG'!09!Q5
•
t
Worksheet 4a Pr'oject Name: Sears Service Center Page: i D
UNITARY AIR CONDITIONER - AIR COOLED
- Equipment (a) (b) (c) (d) (e)
Proposed Performance
Discussion of equipment Cooling Seasonal or Compliance
ratings and equipment Equip. ID Model Designation Capacity Steady State Part Load Schedule (A -E)
definitions on page 4 -19.
RTU 1 YSC060A4RMA001 G 60,000 N/A 9.7 SEER ance Schedule (A-
RTU 2 YSC060A4RMA001 G 60,000 N/A 9.7 SEER lance Schedule (A-
Required Indicate source of information
Document ❑ ARI Unitary Directory, Section AC, page:
ation
❑ ARI Applied Products directory, Section ULE, page:
❑ Product data (Attach data furnished by the equipment supplier, I.e., "cut sheets ")
Code Required Cooling Capacity (btu /hr) Minimum Rating
Efficiencies Compliance Seasonal or
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 9.4 IPLV
Table 13 -L. 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
`", ' -9 '7% 11 Resistance 240,000 760,000 9.3 EER 9.7 IPLV
\, .�Tei. -- 760,000 - 9.0 EER 9.4 IPLV
E Condensing Unit Only 135,000 - 10.1 EER 11.2 IPLV
4 -1
CITY OF TIGARD
BUILDING DIVISION .. . PERMIT #: ELC2005-00874
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/8/2005
Phone: (503) 639-4171
‘,...../4
Inspection Requests (24 Hrs.): (503) 639-4175 M i
INSPECTION WORKSHEET FOR DATE: 12/1/2005 TIME: 7:08AM PAGE: 34
SITE ADDRESS: 07233 SW KABLE LN 500 CLASS OF WORK:
ii
SUBDIVISION: SOUTHERN PACIFIC TIGARD IND. LOT #: 006 TYPE OF USE:
PROJECT NAME: SEARS
DESCRIPTION: TI
OWNER: PACIFIC REALTY ASSOCIATES, PHONE #: 503-6246300
CONTRACTOR: JOHANSEN ELECTRIC INC PHONE #: 603-6983417
Inspection Request Scheduled For: Date: 12/1/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199N Electrical final 022756-01 503704-1534 N
/ 5 .\--
Corrections/Comments/Instructions:
Pt/OP• AV-
, (4(
PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS
I I FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: en/L-a3 0---- Date: / 2 - Phone #: (503) 718- 2 VI/CI