12300 SW 69TH AVENUE i
ADDRESS:
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CITY OF TIGARD BUILDING INSPECTION DIVISION 1 MST
24-Hour inspection Lisle: 639-4175 Business Line: 639-4171
BLIPDate Requested l�� �a�31 AM - ^PM _ BLp _
Location / 3LI `� -" ` Suite MEC
Contact Person CU<i!�. c 446(�-Ph 3 1 -` _7 PLM
Contractor _ Pkv SWR
BUILDING ---� Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS _.
Fig Drain SGN
Crawl Drain Inspection Notes:
Slab _�-_-- -- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulatinn
Dr) ,,all N, u,+qg — -- - -
K F.,.- :All
Fire Sprinkler
IFi,A Alarm
5usp'd Ceiling
Roof
Misc: S -
Final
PASS PART FAIL ---- -- -
PLUMBING
Post&Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL _
MECHANICAL
Post& Beam - --
Rough In
Gas Line --- - - - - -.
Smoke Dampers
Final --
PASS PART FAIL
ervic _
Rough In
UG/Slab
Low Voltage
rL Fire Ala m
v� sinal_
PASS PART FAIL
�- Sl E
Backfill/Grading - --
`c Sanitary Sewer
Storm Drain [ J Reinspection fee of$ roquheri hefore nmd inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ )Please call for reinspection RE -_- [ J Unable to inspect-no access
Fire Supply Lire
ADA
Approach/Sidewalk `j C
Other
Date /-` L Inspector_ I E
� xt
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the joh site.
J �►R SEWER CONNECTION PERMIT
CITY OF TIG
DEVELOPMENT SERVICE PERMIT#: S`NR1999-00271
7► . / DATE ISSUED: 12,'22/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 68�17
BITE ADDRESS; 12300 SW 69TH AVE l PARCEL: 2S101AA 04900
SUBDIVISION: WEST PORTL^,ND HEIGHTS Y�� ZONING: MUE
BLOCK: LOT: 022 JURISDICTION: TIG
TENANT NAME: MONEGO
USA NO- FIXTURE UNITS:
CLASS OF WORK: NEW DWELLING UNITS: 1
TYPE OF USE: SF NO. OF BUILDINGS:
INSTALL TYPE: LTPSWR IMPERV SURFACE:
Remarks: Connect existing house to newly installed sewer lateral. Existing septic tank to be pumped, filled
and inspected or removed and inspected.
Owner: -
-- FEES
MONEGO. JOSEPH A/uHERYL A +
�
MONEGO, JAMES A Type By Date Amount Receipt
12300 SW 69TH AVE iNSP DEB 12/22/99 $35.00 99-32.0616
TIGARD, OR 97223 PRMT DEB 12/22/99 '2,300.00 99-320616
Phone: Total $2,335.00
Contractor:
ACI MECHANICAL USA INC
12300 SW 69TH AVE
TIGARD, OR 97223
Phone: 598-4798
Reg M LIC 137663
PLM 3-243PB
Required Inspections
Sewer Inspection
Septic Tank Filled
rx
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This Applicant agrees to comply with all the rules and regulations of the Unified Sewage Agency. The permit expires
W 180 days from the date issued. The total amount paid will be forfeited if the permit expires. The Agency does not
guarantee the accuracy of the side sewer laterals. If the sewer is not located at the measurement given,the installer
shall prospect 3 feet in all directions from the distance given. If not so located the installer shall purchase a"Tap and
Side Sewer" Permit and the Agency will install a lateral. ATTENTION: Oregon law requires you to follow rules adopted
by the-Oregon Utility Notification Center. These rules are set forth in OAR 952-001-0010 through OAR 952-001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling(503) 246-1987
, 1
�ued by: "_. / Permittee Signature: —
Call (503) 6 9-4175 by 7:00 P.M. for an inspection needed the next business day
Tenant Name A"/ v Accumulativd Sewer Tally This SWR#: =,«-Ii/"199-oa,:�-2 j
Address:/1300 6�,- This PLM#:/ekf1199-
Fixture Value, Previous # Previous Credits Capped Fixtures Fixtures Now Naw
Value Capped off value added # added total #s total
Cnunt off #s count value vulues
Baptistry/Front 4 --. -- --
Bath- Tub/Shower 4 — ---•-
-Jacuz/Whpl _ 4 —
Car Wash . Each Stall 6
- Drive Through 16 —
Cuspidor/Water Aspirator 1 _
I
Dishwasher - Commer 4 _ -- —
Domest 2
Drinking Fountain 1
Eye Wash 1
Floor Drain/sink 2 inch 2
3 inch 5 —
4 inch 6
Car Wa:.h Drain 6
Garbage Disposal 16
Dom (to 3/4 HP) _
Comm (to 5 HP; 32 _ — —
Ind (over 5 HP) 48 —
Ice Machine/Refrigerator Drains 1
Oil Sep(Gas Station) 6
Recreational Vehicle Dump Station 16 -- —
Shower Gang (Per Head) I
Stall 2
Sine - Bar/Lavatory 2 — -
__ - Bradley 5 _
Commercial 3 I ---- —
Service 3
Swimming Pool Filter I —
VNasher, Clothes 6 —
Water Extractor 6
} W:ter Closet, Toilet 6 ---
�h incl 6 -- —
TOTALS �fPrIC. e
cc
Total Ixture values: divided by 16 = EDU
W
_J
HISTORY Ce,k,Q� c Tjot3 -rc ��-
PLM# EDU# SWR# PI-M# ECU# SVJR# —
PLM# EDU# SWR# PLM# EDU# SWR#
PLM# EDU# SWR# PLM# EDU# SWR#
r'LM# EDU# SWR# PLM# FDU# SWR# _,
CITYO F T I G A R® PLUMBING PERMIT
DEVELOPMENT SERVICES 01910PERMIT#: PLM1999-00443
13'75 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 f TE ISSUED: 12/22/99
PARCEL: 2S101AA-04900
SITE ADDRESS: 1300 SW 69TH AVE
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT: 022 JURISDICTION: TIG
CLASS OF WORK: NEW GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS:
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES_ _ LAUNDRY TRAYS: SF PAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB/SHOW-RS: SEWER LINE: 100 ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: tt
Remarks: Installation of less than 100'of sewer line service. To connect to newly installed sewer lateral. Existing septic
system is to be pumped, filled and inspected or removed and inspected.
FEES
Owner:
—' --� Type By Date Amount Receipt
MONEGO, JOSEPH AJCHERYL A + PRMT DEB 12/22/99 $38.00 99-320616
MONEGO, JAMES A 5PCT DEB 12/22/99 $3.04 99-320616
12300 SW 69TH AVE PRMT DEB 12/22/99 650.00 99-320621
TIGARD, OR 97223 5PCT DEB 12/22/99 $4.00 99-320621
Phone 1: Total $95.04
Contractor:
ACI MECHANICAL LISA INC
12300 SW 69TH AVE
TIGARD, OR 97223 REQUIRED INSPECTIONS
Phone 1: 598-4798 Sewer Inspection
#: LIC 137663
Misc. Inspection
Re
g #: Final Inspection
PLM 3-243PB
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR.
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 me re
than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth in OAR 952-0001-0010 through OAR 952-0001-0080.
You may obtain copies of these rules or direct questions to OUNC by calling (503) 246 1987.
I�ued By: Permittee Signature:
--r
Call (503)6�394115 by 7:OC P.M. for an inspection needed the next business day
CITY OF TIGARD Plumbing Pert-nit Application Plan Check
13126"SW HALL BLVD. Commercial and Residential Recd By ,
TIGARD, OR 97223 Date Recd
(503) 6394171 Dile to P.E.
Print or Type Date to DST
Permit#/.
Incornplete or illegible applications will not be accepted Related SWR#
Called
Name of Development/Project FIXTURES (individual) QTY PRICE AMT
Job ;x'1t►K 11.50
Address Street Address I Suite Lavatory 11.5u
300 S U) A U L- Tub or Tub/Shower Comb, 11.50
Bldg# City/State Zip Shower Only 11.50
Ti r,p, U 9'�QQ-3 Water Closet/Urinal (Specify) 11.50
Name
ot.e C1� +- Savwes
Mor%04 0 Dishwasher 11.50
Owner Mailing Address Suite Urinal 11.50
P0 ZOx 901 Garbage Disposal 11.50
City/State Zip Phone
_ -Tr4o k �+1 0 9 01 SIP-4-71r-
Name
9 P-4�9>� Laundry Tray 11.50
Name - Washing Machine/Laundry Tray (Specify) 11.50
a CZ Inc.- Floor Drain/Floor Sink 2" 11.50
Occupant Mailing Address suite 3" 11.50
ixaoo std GO-' f}ue 4" 11.50
City/State Zip Phone
_ a (�t; q ?as � S 93'-`/7 9 S' Water Heater O conversion O like kind 11.50
Nitfrie Gas piping requires a separate mechanical permit.
CZ /A'- kah CA Ld S ,_„c. MFG Home New Water Service 28.00
14 Contractor MaRing Address Suite MFG Home New San/Storm Sewer 28.00
i as o0 sci Co 9 ' Aue, Hose Bibs / 11.50
Prior to permit Clty/State Zip Phone Roof Drains 11.50
issuance,a copy , 4ra OR 9 9Q a3 b'98- ?5,V Drinking Fountain 11.50
of all licenses are Or on Con t.Cont.Board LIc.# Exp.Date
required if 13-7G43 8-11- 01 Other Fixtures(Specify) 15.00
expired in COT Plumbing Lic.# exp.Date
database 3 -3SGa RR I 3-31- 60
Name
Architect _ Sewer-1st 100' 38.00 '
Or Malling Addrerrs Suite Sewer-each additional 100' 32.00
Engineer City/Slate ZIP Phone Water Service-1st 100' 38.00
Water Service-each additional 200' 32.00
Describe work to be dune: Storm i3 Rain Drain-1 at 100' 38.00
New O Repair O Replete with like kind. Yes 0 No Storm&Reln Drain-each additional 100' 32.00
Residential O Commercial O
Additional description of works Commercial Back Flow Prevention Device 32.00
x,-,s4oall Lthe- tFr" SResidential Backflow Prevention Device' 19.00
0'b---' ��' S Catch Basin 11.50
Are you capping,moving or replacing any fixtures? Insp.of Existing Plumbing or Specially Requested 50.00
Yes O No O Inspections perthr Jt1
If yes,see back of form to Indicate work performed by Rain Drain,single family dwelling 45.00
fixture. FAILURE TO ACCURATELY REPORT FIXTURE C. ase Traps 11.50
WORK COULD RESULT IN INCREASED SFWER FEES. QUANTITY TOTAL
I hereby acknowledge that I have read this application,that the Information IsomePlc or riser diagram Is required It Quentily Total Is >9
given Is correct,that I am the owner or authorized agent of the owner,and
_ that plans submitted are in compliance with Oregon State Laws. *SUBTOTAL Ct
Sig ature ql Ownet/Aggnt Date
8%SURCHARGE
o to Person N e Phone
a,,, 0\0n4 �r� _ � "PLAN REVIEW 26%OF SUBTOTAL
1 JATH HOUSE$17W.00 Required only It fixture Sty.total Is>9
2 BATH HOUSE$250.00 TOTAL
3 BATK HOUSE$285.00
(This fee Includes all plumbing fixtures In the dwelling and rho first *Minimum permit 19a Is$50+8%surcharge,except Residential Backflow Prevention
100 feet of sanitary sewer storm sewer and water service) Device,which Is$25+8%surcharge
All New Commercial Buildings require plans with isometric or riser diagram and
r plan review.
I ldetsltormstplumapp doe 101`1199
Y
PLEASE CC MPLETE:
Fixture Type Quantibi by Work Performed
New Moved Replaced Removed/Capped
Sink
--- -- -- —
Lavatory
Tub or Tub/Shower Combination
Shower Only _
Water Closet
Dishwasher
Urinal _
Garbage Disposal
Laundry Room Tray
_Washing Machine
Floor Drain/Floor Sink 2" —
Water Heater_._
Other Fixtures (Specify) —
COM,. ENTS REGARDING ABOVE:
CJ
J
1\dalaVormMplum®pp doc toll"99
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CITY ��1C TIGARD ELECTRICAL PERMIT
PERMIT#: ELC1999-00725
DEVELOPMENT SERVICES DATE ISSUED: 12/03/1999
13125 SW Hall Blvd., Tir.:ird, OR 97223 (503) 639-4171 PARCEL: 2S101AA-04900
SITE ADDRESS: 12300 SW 69TH AVF
SUBDIVISION: WEST PORTLAND HEIGHTS ZONING: MUE
BLOCK: LOT : 022 JURISDICTION: TIG
Proiect Description: Re-connect only
RESIDENTIAL UNIT _ TEMP SRVC:/FEEDERS — MISCELLANEOUS
1000 SF OR LESS: 0 - 200 awo: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH_CIRCUITS _ ADD'L_ INSPECTIONS
0 - 200 amp: W/SERVIC:E OR FEEDER: PER INSPECTION:
201 - 400 ainp. 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: _ _ PLAN REVIEW SECTI )N
1000+ amp/volt: >=4 RES UNITS: _ > 600 4OLT NOMINAL: —�
Reconnect only: 1 SVC/FDR >= 225 AMPS__ _ CL NSS ARIEA/SPEC OCC:
Owner: Contractor:
MONEGO, JOSEPH A/CHERYL A + FRAHLER ELECTRIC '.,O
MONEGO, JAMES A 11860 SW GREENJRG RD
12300 SW 69TH AVE TIGARD, OR 97-..,.3
TIGARD, OR 972.23
Phone, Phonj: 63.-f-4627
Reg #: LIC 00037410
SUP 1816S
ELE 34-13C
FEES _ _ Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT BON 12/03/199E $53.50 99-320164 Elect'I Final
SPCT BON 12/03/199£ $4.28 99-30164
Total $57.78 ORIGINAL
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR 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 by the Oregon Utility Notification Center Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246.1987.
1
PERMITTEE'S SIGNATI IRE �, , / ISSUED BY:
" OWNER INSTALLATION_ONLY _
The installation is being made on property I own which is not intended for sale, lease, or rent.
is
J' OWNER'S SIGNATURE: DATE:_
COI TRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: ��'t __�______._— _ DATE:--..-
LICENSE
ATE: _.._LICENSE NO: _—_ _ -- ---- --- -------
Call 639-4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Plan Chec #
Electrical Permit Application Recd By -Z'I�
13125 SW HALL BLVD.
lZ
TIGARD OR 97223 Date Recd _
Date to P E.
Phone (503)639-4171, x304 Date to DST
Inspection (503)639-4175 Print of Type Permit# I%lC ITI1--mq Z�
Fax (503) 598-1960 Incomplete or illegible will not be accepted Called
1. Job Address: [4. Complete Fee Schedule Below:
Name of Development 69th STREET IMPROVEMENTS Number of Inspections per permit allowed
Name(or name of business)_ J. MONEGO Service included: Items Cost Sum
Address 12300 SvJ 69th _. 4a. Residential-per unit
City/State/Zip� _ TIGARD, OR 97224 1000 sq.ft.or less $ 117.75 4
Each additional 500 sq.ft.or
portion thereof $ 2625 _ 1
Commercial ❑ Residential ❑ Limited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor Installation only: Dwelling Service cr Feeder $ 72.75
(Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders
information for COT data base). Installation,alteration,or relocation
Electrical Contractor FM-ILLR ELECTRIC GWPAM 200 amps or less $ 64.25 2
Address 11860 SW GREENBURG ROAD - 201 amps to 400 amps $ 85.50 2
Cit TIGARD State OR Zi 97223 401 amps to 600 amps _ $ 128.50 2
City p 601 amps to 1000 amps $ 192.50 2
Phone No. 503 639-4627 _ Over 1000 amps or volts - $ 363.75 2
Job No. 596BO Reconnect only �- $ 53.50 �J -- 2
Elec. Cont. lice. No. 34-13C Exp Date_ 10/01/00 4c.Temporary Services or Feeders
OR State CCB Reg. No. 37410 Exp.Date 07102101 Installation,alteration,or relocation
COT Business Tax or Metro No. 1987 Exp.Date 2 0. 00 zoo amps or less $ 53.50 2
201 amps to 400 amps $ 80.25
/ 401 amps to 600 amps $ 107.00 2
Signature of Supr. Elec'n1�'t `L.- Over 600 amps to 1000 volts,
License No._ 1816S Exp.Date 10/01/01 gee"V above.
4d.Branch Circuits
1J
Phone No. (50 639-46 7
L� New,alteration or extension per panel
a)The ee for branch circuits
2b. For owner Installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit _ $ 5 35
Address b)The fee for branch circuits
without purchase of service
City State Zip or feeder fee.
Phone No First branch circuit $ 37.50
Each additional branch circuit $ 5.35 _
The installation is being made on property I own which is not 4e.Miscellaneous
intended for sale, lease or rent. (Servi a or feeder not Included)
Each pump or irrigation circle $ 42.75
Owner's SignatureEach sign or outline lighting $ 42.75
-- - Signal circuit(s)or a limited energy
panel,alteration or extension _ $ 60.00
3. Plan Review section (if required):* Minor Labels(10) $ 107.00
CL Please check appropriate Item and enter fee in section 5B. 4f.Each additional Inspection over
4 or more residential ucits in one structure the allowable In any of the above
Per inspection $ %00
~ Service and feeder 225 amps or more
rn Per hour $ 50.00
�. System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
--i described in N E C Chapter 5 5. Fees:
j 5s.Enter total of above fees $
C * Submit 2 sets of plans with application where any of the above apply. 5%Surcharge(05 x total fees) $ 4.28 ,
U-1 Not required for temporary construction services. Subtotal $
-' bb.Enter 25%of line Be for
NOTICE Plan Review if required(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account#
AT ANY TIME AFTER WORK IS COMMENCED Total balance flue
I\(tits\farm%\c Icctric d0c
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling b.
Post/Beam Mach. Shear/Sheath Framing
Plbg.Und/Flr/Slab Pibg. Top Out Insulation lect.
Post/Beam Struct. a -in Gyp. 9d. -Bldg,
San. Sewer (' Gas Line Appr/Sd,, A Reins,
Other:
Date: _ A.M.,P.M. Entry,
Address: 1,2k- 3n ( 6r ' /1-
Tenant: __/I_ Ste:_ MST:
Con/Own: BUP:_. MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _
4
R:
r
1�
Inspector _ _ Date,
(�OVED —DISAPPROVED/CALL FOR REINSP. CF CO
CITY OF TIGARD MECHANICAL.
DEVELOPMENT SERVICES PERMIT
'SW Hall Blvd., Tigard,OR 97223 (503)639-4171 PERMIT #k. . . . . , . ; MEC96-0332'
DATE ISSUED: 11/19/96
PARCEL: 2S101AA--04-900
SITE ADDRESS— : 12-00 SW S91-H AVE
SUBDIVISION. . . . WEST POP'll-AND HEIGHTS ZONING: C-P
PI-OCK. . . . . . . . . . . . . . . . . . . . :22
Cl-ASS OF WORK. . :Al-l" FLOOR FURN. . . . 0 EVAP COOI-ERS- 0
TYPE OF USE. . . . :COM UNIT" Hv-'ATERS. . 0 VENT FANS. . . : I
OCCUPANCY GRID. . B VENTS W/O APPI-: 0 VENT SYSTEMS: 0
STORIES. . . . . . . . : 1. BOIL.ERS/COMPRESSORS HOODS. . . . . . . : 0
FUEI.- TYPES------ 0-3 HID. . . . : I DOMES. TNCIN: 0
: /EL-C/GAS/ 6-15 HP. . . . : 0 COMML.. TNCIN. 0
MAX I NIDU I : 171 BTU 1-5-30 HID. . . . : 0 REPAIR UNITS: 0
FIRE DAMPERS?— t4 30-50 HPI. . . . - 0 WOODSTOVES. . : 0
GOS PRE:-.*3;URE. . . : L 504- HP. — : 0 CLO DRYERS. . : 0
NO. OF UNITS--_-----_-_- AIR HANDLING UN I TS, OTHER UNITS. : 0
F-URN < 100K BTU: .1. C= 10000 cfm: 0 GAS OUTI-ETS. : I
TURN > =100K BTU: 0 > 10000 cfm: 0
Remar,l<s : REPL.ACE EXISTING El..-ECT BASEBOARD HEATING W/ FORCED AIR CAS I-]VAC
BUILDING FORMERL.y nccur,IED BY MODERN Pl-UMBTNG
Owner- FEES
ACI MECHANICAL- type amaunt by dnte I-ecpt
12300 SW 69- TH OVENUE PRM-1- $ 00 ,JSD I I/19196 9C, 13671 1
PLCK $ 6. 25 JSD 11/19/96 96-286711
TIGARD OR 972213 5PCT $ .1. 25 TSD 96--i:-"'8671 1
Phone #.- 598-4798
Crintr-actoi-:
COMPLETE HEATING &- COOLING
JAM17-S YOUNG
4500 WEST ROAD
I-nKE OSWEGO OR 9701*351 ----------------------------------------
Pfloyie #: 613/1 -65t,'..' $ 32. 50 'TOTAL
Reg #. 69427
REDUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the 13,-Rs Line Insp
Tigard Municipal Code, State of (Ire. Specialty Codes and all other Mechanir-al Insi
applicable laws. All work will he done in accordance with Final Tyispecti'an
approved plans. This permit will expire if work is not started
within IN days of issuance, or if work is suspended for more
thin 180 days,
C4
Call 4t, ins pit-tian 639-4173
Plan Check# - 7 :-
aITY OF TIGARD Mechanical Permit Application /� Recd By c 1,�'
-13125'SW HALL BLVD. `1 Commercial and Residential ' JfJ?I ,,
j /I Z- Date RecdP1-2-3 f
�-IGARD, OR 97223 / a C/ 1 Date to P E.
'503) 639-4171, X304. �7 '' I ate to OST t
Print or Type r Permit a I' EC_ l' - G
"1 Called r/rti `C
D incomplete or illegible applications will not be accepted 11A(0l
Name of DevelopmentiProlectDer scription
Table 1A Mechanical Code On PRICE AMT
Job Street Address Suite# A) PermitFee 0 -0- 10.00
Address / (ImW q i�#h KIF
SidgA Cityistate Zip 8) Supplemental Permit 3.00
7/6412—b 11Y,;Q
Name for name of businessi 1 ) Furnace to 100.000 BTU 6.00
Owner 17L.L- /t;ESN p i C incl.ducts&vents (✓
Mailing Address 2) Furnace 100,000 BTU+
" p rc,4 r (/1'. incl.ducts&vents 7.50
O
Cdyislafe zip Pnane 3.) Floor Furnace 600
2 incl vent
Name for name of businessi 4.) Suspended heater,wall heater 600
or floor mounted heater
Occupant Mailing Address 5) Vent not incl.in 300
---rr
appliance permit
Citylslate Zip Phone 6.) Boder or comp,heat pump,air coed 600
to 3 HP: absorp unit to 1 OOK BTU
_ Name 7.) Boder or coma,heat pump,air Gond. 11 00
l M f 5 I �l r%0%r 3-15 HP absorp unit to 500K BTU
Contractor Mailing Address , 8) Boder or<,ofnp,heat pump,air Gond 1500
t (. '�F 1�. 15-30 HP:absorp unit 5-1 and BTU
Attach copy of /tyistate zip Phone 9) Boder or comp,heat pump,air Gond. 22.50
Current licenses 4 , (16.46c 70.1v 'fu 30-50 HP absorp unit 1-1 75 and BTU
JTV- Oregon Const Cont.Hoard tic 0 , a P 10) Boder or comp,heat pump,air Gond 37.50
(' t1 V-4 /'eta. 17 /17 G1 1'( G 0 `.
>50 HP,absorp unit 1.75 and BTU
COT ausness Tax or Metro 0
— 11 ) Air handling unit to 4.50
/O I' 'C 10,000 CFM
Architect Name 12.) Air handling unit 7.50
10,000 CTM+
of Mailing Address 13) Non portable 4 50
evaporate cooler
Engineer C tvistate zip Phone 14) Vent fan connected 3.00
to a single duct
Descnbe work New O Addition O Alteration Repair O 15) Ventilation systern not 450
to be done Residential O Non-residential Q� I included In aopliancn.permit
A(jaihonal Description of work --1 16) Hood served by mechanical exhaust —45-0
/-/rk/ '}4.5/Z qr, dA"A _ 171 Domestic incinerators 750
,
Fxisting�se of 18) Commercial of industnattype I 3000
budding or property. /'�L'/(I t A /SiA f-S= incinerator
19) Repair units _ 4 50
Pr,-posed use of 20) Woodstove 4 50
building or property
21) Clothes dryer.etc. 4.50
rype of fuel-oil O natural gas LPG O electric O 22) Other units 4.50
I hereby acknowiedge that I have read this application that the 2b) Gas piping one to fcur outlets 200 7 C,Q
informal on g en is correct,that I am the owner or authorized agent of `
the owner.1 1 plans submitted a in compliance with Oregon State 24) More than 4-per outlet (each) 50
i
laws. /
L<1 l! rt '� I
Signatunir�o Owner/Age pt r Date QTY.SUBTOTAL
( 1) 2 t .
'SUBTOTAL /C
f yrU( ./..?
Contact Person Name Phone 5%SURCHARGE � r�
—_ 4
I
PLAN REVIEW 257/6 OF SUBTOTAL }�
I TOTAL a'
l idst\mechpmt doc (rev 7196) 'Minimum permit fee is 525+5%surcharge
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10368
WORK ORDER '
P.O. Box 30087 Complete
Portland, Oregon Industrial
Waste
97294
Removal
D l� tic Tank Cleaning
UTY SepSump
Line Cleaning ,
I
I
I
(503) 252-6144
Customer P.O. # _Date
A
Billing Name
Address
__—__- - -_----Job Site#
City State Zip Code
Ordered By Phone#_' -q POe 4
Job Location
Service Call. $_
Labor
Pumping gallons"., $
Misc_ $ —_
1
Conditions of tank/Distribution Box
TOTAL CHARGES
F� River City Environmental Inc.!a In no way responsible for damage to the septic tank or lids on the system
TERMS: Net 10 days. 1V7% per month will be charged on past due accounts. (18% per annum)
� I I
J /
Customer's Signature: C'
1
Service Driver's Signaturds{� t . . .tom Time - _ Dater_
TERMS AND CONDITIONS ON RI=VER§E SIDE REDEFMABLr IN MULTNOMAH COUNTY.
l
FORM NO. R11-825 REV. 1
Supersedes Form No.H11-B.25 Rev.0
PlkCKAGE U-NITS
4
10 SEER
GAS HEAMELECTRIC
COOLING PACKAGE
UNITS
RRKA- SERIES
V
Nominal Sizes 11h to Th Tons
[5 to 12 kW]
tM
rr
imal
6
� � c
YX L
rnlh-•r•Numhr Vim
ENGINEERIN( FEATURES
RRKA- Series Gas t �at/Electric Cooling Package Units
1. All Models feat re Copeland®Compliant Scroll®compressors for maximum efficiency and quiet operation.
2. Louvered cone nser compartment for protecting the coil against yard hazards and/or weather extremes.
3. One-piece top ith a deep flange to help keep water out of the unit.
4. Supply and ret -n air openingG feature a one-inch tall flange to prevent water migration into the ductwork.
5. Access panels ave"weep holes" and channels to further help manage water run-off.
6. Side and dowr fischarge options available on all models. Option Code 589 for side discharge from factory.
7. Easily accessil 3 blower section complete with slide-out blower. All units feature a system matched
ivtultiFle)el coil \ ith low static pressure drop and excellent cooling capacities.
L3. Refrigerant coi iections are conveniently located for easy service diagnostics.
9. Condenser an( evaporator coils feature enhanced fins for better heat transfer and ritled copper tubing for
greater Oficien i.
10. Inside the eas� accessible furnace compartment is the draft inducer motor. This motor is specially designed for
quiet reliable c iration. In addition to the draft inducer motor, the in-shot gas bumers and manifold efficiently
regulate the flc of gas for combustion. These new gas/electric units also feature direct-spark ignition and
remote flame s isors for added reliability and efficiency.
11. All units featurr in internal trap on the condensate line eliminating the need for installing an on-site
external trap.
12. Integral gasket g on the base rails is standard on those units shipped from thG factory in the downflow
configuration,
13. Easily accessil 3 control box.
,14. Single point wii Ig makes installation even easier.
15. Our,new gas/e ctric package units feature a tubular heat exchanger design.Tubular heat exchangers are
more efficient , d durable than older-style clamsholl heat exchangers. The heat exchanger is backed by a
10 year limited arranty.
ACCESSORY QUIPMENT ROOFCURB ADAPTERS
See accessory specification sheet Form No. X11-1137 for
IVCdd retrofit applications.
Rootcurbs
RXSG-AAA08(8'1203 mml Height) RXPX-BACCA20 RXPX-BACCA2-2
RKA RXSG-AAA 14(14'(356 mm)Height) RXRX BACDB20 RXRX BACDB22 For applying
RXSG AAA24(24'(610 mml Height) RXPX-BACCA21 RXPX-BACCA23 new units to
SuppiP,Return
diftfusers iRKA RXRN-BD15 RXRX-BACDB21 RXRX-BACDB23 old roofeurbs.
Economizers RXRE-CAA30(3 Position)
RKA
(Downflow ONLY) RXRO-CAM101Fully Modulating)
Fresh Air Damper IRK„ RXRF-FAB1(Motorized-35%) COPELANQae COMPLIANT
RXRF FAA1 (Fixed-35%)
RectangularSCROLL COMPRESSOR
RXMC-CA02 '
Round Transition
n 4RKA (16 ( O6 mm)Ducts)
(Downflow) RXMC-CA03(18'(457 mml Ducts) All of our residential package
Filter Kit iRKA RXRY 801 units—regardless of efficiency
Low Ambient Control IRKA R_KRZ-At8 level—feature the Copeland
High Pressure Control iRKA AXAB-A02 Compliant Scroll Compressor.
Low Pressure Control iRKA RXAC-A02 The scroll compressor uses a
o o Round
d Transition Rectangular
t �RKA RXMC-BA01 more advanced technology
to
than traditional reciprocating
compressors. They have fewer
moving parts, And they are
quieter, more efficient, and
longer lasting.
BEFORE PURCHASIN( THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY IMFORMATION AVAILABLE
FROM YOUR RETAILF
2
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J z m LD M Cl)Oji N N CV
W a a K r
INDOOR All FLOW PERFORMANCE (230 VOLTS)
�. ,
'd ";Heeti
sn
mr f+1p tllo volts ;.
ry A BTUM 61101 t ,:lwl
ikM►J hof :[kPa]
l u•B(.151 " 0.7[.17]
1.5 (5.281 Low ! 40,000(11.72) 771 [364) 751 [354] 725 342 691 326 645 304 i 584 2r6 546 2581
Low [ ] [ ) 1 (204) I ( )
Low 1 60.000[17.581 9 x 7 Blower/ (253) x242) (230} (217
High L 40,000[11.721 1/4 HP(1861 (189) (181)
2.0 17.091 High P 60,000[17.58) 2 Speed Motor High 968[466; 254[450] 920[434) 873 j4121 825[389( 753[355] 680(3211
80.0();1123.45) (351) (335) (318) (298) (277) (258) (238)
2 5 [8.79) w Low 1168[551) 1135[5361 1105[522) 1071 [505) 1025[484) -962( 541 873 t4 121
40'000 ill 721 10 z 9 Blower/ (411) (396) 982) (368) (3521 (3 4) (313)
30 110551 Med 11 60.000 117.581 1358 641 1338 63i 1305 616 1265 597 1214 573 1152 544 1076 15081
( ) 1/2_HP(373j Med [ J ( ] [ 1 ( 1 [r 1 ( I
_ 80,000 123.45) 3 Speed Motor (4"'8) (486 471
100,000129.31] ) (453) (432) __(408) (382)
3.5 f12.31j High L Hig 1648[..8] 1588[749] ;5?1 [723] 1473[6951 1411 (6661 13.11 (633] 1262[5961
(5 ) 571 548 528 504) d80) (455)
IROW FO i
Low L. ao,000(11.72)
1.5 [5.281 675319
I ow [ ] 657[310] 634[299)
,000 602(284] 560(2641 505 12381 435[2051
Low H 60 (17.581 g x 7 BIGWt.N (221) (214) (203) (191) (171) (163) (149)
High Lt 40,000 111.12) 1/4 HP 1186)
2 0 [7.031 High Hi 60,000 117.581 2 Speed Motor Mgh 857[404) 844[3981 827[3901 802[3791 764(3611 710 f 335 634[299)
80,000(23.451 (316) (300) (286) (272) (257)
_ (239) (217)
2.5 (8.791 Low Lr 1011 477 995 470 970 458 936 442 893 421 842 397 782 369
40,000 11.72 Low 1 1 ( ] ( ] 1 ] [ ] O 1 (270) J
[ 1 10 x 9 Blowe'/ (335) (328) 321) _ (311) (301) (287
3.0[10.55) Med La 60,000(17.56) 1/2 HP 373 1193[5631 1166[550] 1145(540) 1123(530] 1094(516] 1052[4961 991 (46AJ
80,000[23.451 ( ) Med X435) 416 402
100,000(29.31] 3 Speed Motor ) (392) 301) (367 (346)
3.5[12.311' High Lo High 1514(7151 1461 16901 1415[6681 1370[647) 1322(624) 1266[5971 1197[5651
NOTE Effect of electric sl heat on airflow performance,Is negligible. 538) 514 493) (473) 454) 434 (412)
OINN.DISBHARGL I'7E8St1RE DROP(AOD TO R
[ J _ ^[-- 600(283] _ 01 (.0021 1,0100[47.002) 1200[566j 1400¢
CFM Us
81
Pressure Drop li es W.0 kPa) pp (6611
_ _1 02[.ao51 0410101
MINIMUM R 4 Mf I OEO.FILTER SI +
Nominal CoolingCa 4,
p Y Tons(kWJ 1.5[5.,�8J 2.0[7.031 2.518.79) _ 3.0[10.551 ' 3,[12.311
Minimum Filter Size- ches 16 x 20 x 1 20 x 20 x 1 24 x 24 x 1
(mmJ 1406x508x251 [508x508x25 24x24x1 i 24x24x1
] (610x51Ux251 [610x610x251 1610 x610x251
MODEL IDENTIFICATION
RR K A - A_ 036 J K_ 10 E
R=RHEEM T------:IGNITION SYSTEM
PRODUCT CLASSIFICAI 1- - - E=ELECTRIC
R=ROOFTOP x=Et ECTRIC No.
EFFICIENCY DESIGNATI -- "HEATING CAPACITY
K=10 SEER 04- 40.000
06= 60.000
DESIGN SEniES __ 08= 80,000
A=1ST DESIGN 10=100.000
FUTURE TECHNICAL VAI .TIONS _ `----DRIVE PACKAGE
ri K=DIRECT DRIVE
---ELECTRICAL DESIGNATION
cr7 J=20&'230V-t PH--60 Hz.
C=208/23OV-3 PH--60 Hz.
.- ----_- -'- -
--COOLING CAPACITY(STUH)(kWJ
018 18,000(5.281 036=;,8,000(10 551
( 1 W Designates Metric inversions 024=24,000[7.031 042=42,000 112 311 030=30,000(8.791
GENERAL 1 =RMS OF LIMITED WARRANTY*
Rheem will furrusl replacement for any part of this product Heat Exchanger.. ....................................... .Ten(10)Years
which fails in norm Ise and service within the applicable Condenser Coil and Evaporator Coll leaks
periods stated, in: ordance with the terms of the limited caused by factory defects.......................
warranty.
GENERAL
(5)Years
Compressor.....................
..... ..Five(5)Years
.....................
Any Othor Part........................................... ....One(1)Year
'for Complete Details of the Limited warranty,Including Applicable
Tonne and Conditions,See Your Local Installer or Contact tot
Manufacturer tot a Copy.
A
UNIT DIME)•ISIONS
GAS HEAPEI-EC7RIC ANDCOMPROOR pSSORACCESS
1,00LING PACKAGE
y� FLUE EXHAUST
11°1e"
FURNACE/CONTROLS
1295.3 mm) ACCESS PANEL
COMBUSTION AIR
FILTER AC• SS INLET HOOD
PANEL(FOH
UNIT MOU' 'ED
FILTER AC SSORY)
FIELD POWER
WIRE ENTRANCE
OUTDOOR )IL (8 /mml FIELD CONTROL
PAOTECTI\ GRILLE WIRE ENTRANCE
LIQUID PRESSURE
23112' SERVICE PORT
5"
1e302mm1 SUCTION PRESSURE
1127 mm) 2231+" SERVICE PORT
(677.9 mm)
THREADED PVC CONDENSATE
DRAIN CONNECTION
(3l+"119.05 mm)N.P.T.) CC 2%
11209.7 mm) 50718"
?92.2 mm)
3112"
188.9mm(�\ 29%s21]
FLUE \ \ 1101 I;mmJ
EXHAUST
HOOD N
8°12" 4>'le"
CORNER
TOTAL TS 1219.1 mm) 1123.8 mm( " 854.11 mm
! I
UNIT WEIGHT %q�ed`" 1331+"
�e94'
1349.3 mm)
20%:2%
OAS
SUPPLY 4112"
ENTRANCE 1114.3 mm( 911"
(79.4 mm)
131+" i
(44.8 mm) SIDE RETURN
DUCT OPENING
/
EVAPORATOR
DUCT OPENING
495.3mm) \\
311+" /ta'" \ V� 2113" 331+"
(82.8 �A NollO P� 183.5 mml 195.2 mm) \�
I
CD (12.7 mm) \� Allis" )2b.b mm)
(123.8 mmJ
—, mm)
-40
11257.3 mm) ;�_'\� 4b1h•
INSIDE \ \� I11NS10E)
;12" )2b•b mn1�
)12.7 mm) 9
TYPICAL INS'I kLLATIONS
CONDENSATE DRAII ITO ';ERVICE ACCESS
IF REGI (ED
BY LOCAL CODES. SERVICE ACCESS �� PANELS.DO NOT
BY LOCAL C '?LOCK ACCESS.
PANELS.DO NOT
BLOCK ACCESS. ROOFTOP
SUPPLY PLENUM
CONDENSATE DRAIN INTO
� ROOFDRAIN IF REQUIRED
POWER BY LOCAL CODES.
SUPPLY
CONDUIT /
OAS SHUTOFF
VALVE'
BRANCH CIRCUIT k l
DISCONNECT Y
BRANCH CIRCUIT
DISCONNECT SUPPLY PLENUM
SUPPLY
i
\ /� CONDUIT GAS SUP^LY
UNION ` UNION
TRAP THERMOSTAT WIRE TRAP
GAS S TOFF /r CONDUIT
VALVE
THERMOSTAT WIRE �\
CONDUIT
SERVICE ACCESS
PANELS.DO NOT THROUGH
BLOCK ACCESS. �� THE
WALL
FILTER 4FlCTq
BRANCH CIRCUIT GRILL
DISCONNECT
6 THERMOSTAT W
CONDUIT �1
jo
CONDENSATE INTO II
ROOFDRAIN IF REOUI D POWER
BY LOCAL CODES, Jf SUPPLY l
CONDUIT
GAS SUPPLY \
\ UNION BIIANCH CIRCUIT
DISCONNECT
IAS SHUT-OFF VALVE TRAP
THERMOSTAT WIRE 1/ SLAB
r CONDUIT FLOOR
►0.. r POWER SUPPLY 1� \
CONDUIT
N UNION -GAS SUPPLY
> TRAP
SERVICE ACCESS PANELS
,.., OAS SHUTOFF vAItiF
ROOFTOP [W)NOT BLOCK ACCESS
03 IMPORTANT:UNII MUST RE LEVFI-TO
• PRI=VENT WATER MIGRATION
f.D
Lo
10
NOTES
a
H
Y
F—
J
r-y
00
c.7
W
J
a
c�
1-
L
r—,
_J
Cal
LO
111
J
le'Ire
proceeding th installation,refer AHEM,
to installation lnstrn tions packaged AIR CONDITIONING
W
each model,at iell as complying DIVISION
W all Federal,SIP , Provincial,and
Local codes,regule ms,and practices. pp Box 17010 Fort Smith,Arkansas 72917 7010
"7n keeping with ils F cy of continuous progress and product improvement, Rheem re'ierves the right to make changes without notice."
PRINTED IN U S A sloe aP
FOAM No, R11•e20 REV r
51-PO",des Form No RII.l79 Rev a
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77 -
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Jy
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.................................. ,�.1914y!..... o
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pd PLC N4S1N9
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76
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