Permit 1��Y ✓ ' CITY OF TIGARD MECHANICAL PERMIT
A v ' r' * DEVELOPMENT SERVICES PERMIT #: MEC2003 -00049
c � J 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 2/6/03
PARCEL: 1S135DD-03301
SITE ADDRESS: 11945 SW PACIFIC HWY 242
SUBDIVISION: HOFFARBER TRACTS NO.1 ZONING: C -G
BLOCK: LOT: 002 JURISDICTION: TIG
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS: •
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: M VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
LPG 3 - 15 HP: COMM. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP:
•
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: R b ]Lo l ./ -
Owner: V U FEES
TIGARD PROPERTIES INC Description Date Amount
2106 SE OCHOCO ST [MECH] Permit Fee 2/6/03 $87.70
MILWAUKIE, OR 97222 [TAX] 8% StateTax 2/6/03 $7.02
[MECPLN] Plan Rev 2/6/03 $21.93
Phone: Total $116.65
Contractor: -
ROTH HEATING & COOLING
P.O. BOX 1265 •
CANBY, OR 97013 REQUIRED INSPECTIONS
Phone: 503 - 266 -1249 Heating Unt Insp
Misc. Inspection
Reg #: LIC 14008 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 Utility Notification Center. Those rules are set forth in OAR 952 -001 -00
Issued B y: �� JQ/l ,/ .!/I.IL di_771) Permiftee Signature: k
Call (503) 639 -4175 by 7:00 P.M. for inspections neede a next business day
V OFFICE USE ONLY
Mechanical Permit Application •
i tgDate received: "7'6 - fly Permi .. � ,,, -
t I; i` City of Tigard ,�� -:� `J g Project/appl. no.: Expire date:
City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 9722
Phone: (503) 639 - 4171 Date issued: By: Receipt no.:
Fax: (503) 598 - 1960 Case file no.: Payment type:
Land use approval: Building permit no.:
TYPE OF PERMIT
❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family ❑ Tenant improvement
❑ New construction XAddition/alteration/replacement ❑ Other:
.1013 SITE INFORMATION COMMERCIAL VALUATION SCHEDULE
Job address: // i q s S LAD - ': aL f - N,' Indicate equipment quantities in boxes below. Indicate the dollar
Bldg. no.: Suite no.: Z value of all mechanical materials, 9uipment, labor, overhead,
Tax map /tax lot/account no.: profit. Value $ S", 9 C .
Lot: Block: Subdivision: *See checklist for important application information and
Project name: ;ii L; G ; ese. RyinwesNan jurisdiction's fee schedule for residential permit fee.
City /county: 71 - ,,..d ZIP: 9 xi- _1 I & 2 FAv111.1' DWELLING PERMIT FEE SCIIEDUI.F
De ription and lo.tion of work on premises: AND CONINW 2ICAL /INDUSTRIAL. EQI ;IPMENTSCIIEDuI.E
( - � O Q C'.. A Fee (ea.) Total
Est. date of completion/inspection: Descri ..'on El Res. only Res. only
Tenant improvement or change of use: HVAC: ■ --
Air handling unit CFM
Is existing space heated or conditioned? ❑ Yes ❑ No Air conditioning (site plan required) -
Is existing space insulated? ❑Yes ❑ No , , , M1:1. , a _
1191;CFI AN'IC:11. CONTRACTOR Boiler/compressors
,■■
- ► State e boiler permit no.:
HP Tons BTU/H
Address: VI • O I I4N • .:.1/4. t Fire/smoke dampers/duct smoke detectors -
State: D ZIP: 9 , • eat pump (site p an requ :.) —
Phone: 24 ( - /2 <M E - mail: ns . /rep ace lac- 'timer : T 1 • I
CCB no.: / pp Including ductwork/vent liner ❑ Yes 0 No
ns • /rep re eaters - suspen. ■ --
City /metro lic. no.: // ,3 Z wall, or floor mounted
Name (please print): vG //)..try; / Vent for a N. liance other than furnace i
CONTACT PERSON Refrigeration: ■ --
Absorption units BTU/H
Chillers HP ME
Address: Compressors HP —
Environmental exhaust and ventilation: I
City: State: ZIP; Appliance vent
Phone: Fax: E -mail: Dryer exhaust —
OWNER Hoods, Type U II/res. kitchen/hazmat ■ __
hood fire suppression system
Name: f „ s . tX a w 4. Exhaust fan with single duct (bath fans) -
Mailing address: 1 ° 14 Sw co c..) Zq 4 " . r•ir.�Nii�i ,, , lin 4
City: -- P - . ,. State:0 2 ZIP: Z. Fuel piping and distribution (up to 4 outlets).
Type: LPG NG Oil
Phone: S — 0/2/ Fax: '45 -WC E - mail: - ue .i.m: eac. ad.tuon• over4ou ets M
INGINEER Process piping (schematic required) M —_�
Number of outlets MI
t er app ce or equipment: I
Address: Decorative fir- .lace
City: - State: ZIP: Insert - type -
T ' o • . toy - pel et stove —
Other:
Phone: E - mail: _
Applicant's signature7 Date: 2 -S -o 3 Other: -
Name (print): 41k74 -
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Permit fee $ 0
G Visa 0 MasterCard Notice: This permit application Minimum fee $
Credit card number: / / expires if a permit is not obtained Plan review (at _ %) $
Expires within 180 days after it has been State surcharge (8%) —
a
Name of cardholder as shown on credit card accepted as complete. g ( ) "" $
$ TOTAL $ l I e, ( 5 .
Cardholder signature Amount 440 -4617 (6/00 /COM)
' 1
Form 4a Project Name: 67/41 LIA) Page: CD
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- Cl 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 X 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.
❑ 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 01 No Cooling. The building plans do not call for a new fan system with mechanical cooling.
may claim the same J 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
lions 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 ❑ 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)
Cl No Economizer. The building plans do not call for a new fan system with an economizer.
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 & 1313.1.3.2)
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-
lions on page 4 -16. 6. Control Capabilities (Sec. 1313.1.3.2.1)
2 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.
❑ Exception. The building qualifies for an exception to the deadband requirements. The applicable
code exception is Section 1313.1.3.2.1, Exception
ono) Forms & Worksheets 4 -1
ti
•
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.
❑ 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)
0—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: _
V 11. Duct Insulation (Section 1313.2.2 as 1313.3.2)
)<No Ducts. The building plans and specifications do not call for new HVAC ducts or plenums.
❑ 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.
Discus of ❑ Complies. ll
qualifying excep- es. 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.
❑ Exception. New piping qualifies for the following exception: Section 1314, Exception ___ .
13. Service Water Heating (Section 1315)
(12 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
(ions on page 4-18 the building that qualify:
4 -2 Forms & Worksheets (10/00)
•
Worksheet 4a Project Name: Page: 0
UNITARY AIR CONDITIONER - AIR COOLED
Equipment Proposed
Cooling Proposed
Seasonal or Part
Discussion of Equip. Capacity Steady State Ref.
equipment ratings ID Model Designation Btu /h Load Efficiency
and equipment
(Btu/h) Efficiency (EER) (SEER or IPLV) Line
definitions on page �vyt04
P�v - 6,4,10-.4,0 S'8 Sbo ,v / /0.0 S 3
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 Cooling Capacity (Btu /h) Minimum Rating
Required Equipment Type Equal to or Seasonal or Ref Line
Q Efficiencies greater than But less than Steady State Part Load
This schedule of Single Package D 65,000 na 9.7 SEER
I 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 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 65,000 135,000 10.3 EER 10.6 IPLV
without a 9.7EER 9.9 IPLV heating section 135,000 240,000 (2)
•
or with electric 240, 000 760, 000 9.5 EER 9.7 IPL V
• 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 (
Q..12._E..G...Q..N than electric
240,000 760,000 9.3 EER 9.5 I PL V
,� resistance heat
... °`•° , 760,000 - 9.0 EER 9.2 IPLV
P M ? '. ; ? 4 0 65,000 na 10.0 SEER
>:..H Split System
p 65,000 135,000 10.1 EER 10.4 IPLV
.> ���. a �,, ; with a heating
i_ section other 135,000 240,000 9.5 EER 9.7 IPLV (
` �'•'� than electric
"'�`
resistance heat
240,000 760,000 9.3 EER 9.5 IPLV
pee- rr ;�,nr;.,t 760,000 - 9.OEER 9.2 IPLV
I�...G_. Y _ Condensing Unit
FORMS Only 135,000 - 10.1 EER 11.2 IPLV (
OCT 2000 -
4 -4 Forms & Worksheets (10/00)
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 6394171
BUP
Received Date Requested -5" AM i PM BUP
•
Location - = Suite 2 T MEC -3 -61 /
Contact Person Ph ( ) s45- - 7 7(¢ PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
ELC
Foundation Access:
Ftg Drain e cue Oic s�L f 5 1id ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors l Y9 - (� y �/ c7C% //7 %�
Ext Sheath/Shear �J / `�
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
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
ECHANI
Rough -In
Gas Line
Smoke Dampers
13. PART FAIL
ELECTRICAL
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
Approach/Sidewalk Date 3 / 03 Inspector Ext
Other:
Final DO NOT REMOVE this inspection record from the job site.
PASS PART FAIL