Permit t
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2005 -00449
� i� DEVELOPMENT SERVICES DATE ISSUED: 10/20/2005
�`- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09315 SW WASHINGTON SQUARE RD ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I. (1,083 sq ft area)
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 1,083 sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N : sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 1,083 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 30 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:Y
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: N PARKING:
VALUE: $ 49,500.00
Owner: Contractor:
WASHINGTON SQUARE LLC WESTWOOD CONTRACTORS INC
•
BY THE MACERICH COMPANY 777 MAIN STREET #950
9585 SW WASHINGTON SQUARE RD FORT WORTH, TX 76102
Phone: '1 03-63- 8865
Phone: 503 - 877 -3800
FEES Reg #: LIC 67464
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/7/2005 $306.02 Structural welding
[FLS] FLS Pin Rv 9/7/2005 $188.32 Special inspection (see pla
[PKSDC] COM & IND F 10/20/200E $510.00
[BUILD] Permit Fee 10/20/200E $470.80
(additional fees not listed here)
Total $1,575.30
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if'work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
calling 503 -246 -6 9 or 1- 800 - 332 -2344.
Issued By: Permittee Signature:X /i/ a dJ_i f I cvvT'L�-
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
, .
,
7e3/...5"- 445A I'— cA -
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...„, . ..,.
Building Permit Application FOR OFFICE USE ONLY
City of Tigard n . Reeeled 9 _ 7 _
67 Permit 1\r qitA l ?r,Z 0 0 S
13125 SW Hall Blvd., Tigard, OR 97223 10 Pbn Review iiipiA0 4 Other Perout
Phone: 503.639.4171 Fax: 503.598.1960 z>, • Nis
, , 4 **lt 1 1Date:13c . 7
Inspection Line: 503.639.4175 . CV ' 07 20 ,1,- - II . Date Rea4 By . See Attached Checklist for
Internet: www.ci.tigard.or.us ii ew......
W otifiediM ... , • Supplemental Information
CITY OF T GA.' Ii
_ _ . .
AO ' .04,W.irdik: i .
Aittl,git-4 s ION :_ -....2/ , _ ,..:,:', . :. iiplicriRF.111iikri. 1 =$IND;2:F-Al:N.111110 , -
0 New construction 0 Demolition Permit fees* are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
Egi Addition/alteration/replacement ID Other equipment, materials, labor, overhead, and the profit for the
(..; i f ,...i .,,,,,,,, ,, ;;___::;,,,: ,:,,: yi work indicated on this application.
El 1- and 2-family dwelling 1:0 Commercial/industrial Valuation: $
Number of bedrooms:
El Accessory building El Multi-family
El Master builder El Other: Number of bathrooms:
93 /$ 7 ' '.10k'SITE-!--INFORAIATION'Aisrp Loct:rioN : ..::::. : -..,-::,, =,., -.., Total number of floors:
_
)101D-site addieb-s ?2/5" 3T WAAtee Ittryi ID f ‘ )2-
\ (AVIL-- S ,:,, New dwelling area square feet
City/State/ZIP: 1 / ()P., 9 --Vg1,./f3 Garage/carport area: square feet
Suite/bldg./apt. no.: 10,3 I Project name: - - ---,,, _ Covered porch area: square feet
Cross street/directions to job site: - Deck area: square feet
Other structure area square feet
._.
:REC)ITIRED:DATA:COMENIERCIA-LiSECHECKLI$T
Subdivision: \/ V i 9 An / re . Lot no.: Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
Tax map/parcel no.:
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF iiroitk , -z = - 7_ . ' , ::•:;z - -! ,. ',:: work indicated on this application.
--i I Valuation: $ q 9 5t)0
la it 71 To b- f lci, c ) u)poi.c.c. (A, yi lo II /
, , Existing building area: square feet
NO uputuV 10 LLA ) 1 4 triA7/ I Flo Clint vQ.4,())utrol.
(j New building area: 10 P)3 square feet
' P!iOPOrri'!0Wi4 ' 7 ' ' : l' :-: - : 1 - A -I': 0 S : :- i : : Number of stories:
Name: K1 CI ei2Akii L (n . konivu EA)0,i,ta 1.),6) Type of construction: If 1
Address: /10 ' 1 s
udth,o,y 13 lvcI . 4 . ib() Occupancy groups: VI 3__? OCC-
—
City/State/ZIP: a JL jf10 ) G4 . (N) Existing:
Phone: () ) Fax.( ) New:
Cf--AfEt.IIC .0T: S -, :.... -:, _:. . _ ':1- Iri-' ,-,:,- '."...=--- .,. ,: . ,." .:-' --; -;.- ir . - NOTICE
Business name: [, pj in. 1 . All contractors and subcontractors are required to be
Contact name: GERALD licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: ti/j/1261s--/ A ,S I-, q jurisdiction in which work is being performed. If the
applicant is exempt from licensing, the following reasons
City/State/ZIP: t orrcutri _ CA .... q()))
apply:
Phone: (310 ) , 5 ( d3 . ZA06 ( it)::) Fax: : ( )3de .61112
E-mail: 0 wi b EX Pdi SSPO fiel ik .( Ofi'l
i_ .....-.,-.-: _,7 ,-,-=----'," ;:.; '..•----,_, - ,---;= f.:::" ;',", ,
Business name:
Address: ' .'',."2 - - ' ', - ii0t
Please refer to fee schedule
1 : 4 City/State/ZIP:
P
t
c.:
CCB li FaX: ( ) Fees due upon application
Phone:( ( )
Amount received
—
a/ i Date received:
Authorized signature: , V j 0 t ?c P. 1 niii. 6s This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: [ fluid __ (1/ F iTrez in . d- s . I Date: . 6 ( .65- , = Fee me set by Tri-County Building Industry
Service Board.
I. \lhuldingTemtits\BUP-PerimtApp doe 12/03 440-4613T(11/021COMAVE13)
1 1( b (Af.D- - 00441
Form 2a Project Name: Page:
SUMMARY ,` _
r ,
Project 1. Project Name " / ?Cr .;
2. Project Address 6/ w :)t-
3. City/Town 5.'County :
4. Building, Gross Area (ft2) 6. No. of Floors
7. Construction Site Elevation Above 2,000 ft? ❑ YES ❑ NO
Attached Chapter Type ID Description Attach
Forms and Building Envelope Form 3a Building Envelope - General ❑
Worksheets 3b Prescriptive Path - All Climate Zones ❑
* CodeComp Report for Simplified Trade -off ❑
* In lieu of 3b * Floppy disc with .occ CodeComp file ❑
Check boxes to Worksheet 3a Wall U- factor ❑
indicate attached 3b Roof U- factor ❑
forms and 3c Floor U- factor ❑
worksheets 3d Window /Skylight Schedule ❑
Systems Form 4a Systems - General ❑
4b Complex Systems ❑
Worksheet 4a Unitary Air Conditioners - Air Cooled ❑
4b Unitary Air Cond. - Water & Evap Cooled ❑
4c Unitary Heat Pump - Air Cooled ❑
4d Unitary Heat Pump - Water Cooled ❑
4e Packaged Terminal A.C. - Air Cooled ❑
4f Packaged Terminal Heat Pump - Air Cooled ❑
4g Water Chilling Pkgs - Water & Air Cooled ❑
4h Heat Rejection Equipment ❑
4i Boiler - Gas -Fired and Oil -Fired ❑
4j Furnace & Unit Heaters - Gas and Oil -Fired ❑
4k Simultaneous Heating and Cooling ❑
41 Air Transport Energy ❑
4m Natural Ventilation ❑
Lighting Form 5a Lighting - General ❑
5b Interior Lighting Power - Tenant Method ❑
5c Int. Ltng. Power - Space -by -Space Method ❑
Worksheet 5a Lighting Schedule ❑
5b Interior Lighting Power ❑
Applicant 7. Name 10. Telephone
8. Company 11. Date
9. Signature
Attached No. of Pages Description of Documentation
Document-
ation
uompnance wan uoa�, enecnve u uiu uuo
Form 4a Project Name: Teavana - Northbrook Page: 1
SYSTEMS - GENERAL
Applicability Plans /Specs
Discussion of qualifying Show compliance by including a drawing sheet, detail
exceptions on page 4 -25 number, specification section and subparagraph.
1. Applicablity (Section 1317)
Is this form required?
El 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=1-i ❑ -2 1:1 -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 ❑ -4d ❑ - ❑ -4f ❑ -49 ❑ -4h ❑ -4i ❑ -4j
4. Duct Insulation and Sealing (Sections 1317.7 & 1317.8)
❑ 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)
El 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:
1=1 -1 0 -2 0 -3 ❑-4 0 -5 0 -6 0 -7 0 -8 0 -9 0 -10 0 -11 0 - 120 - 130 -14
Attach relevant documentation for appropriate exception. The plans /specs show compliance in
`':, the following locations:
�' 1�Flll k
4 -1 April 2005
Lompliance wan UbSt,, enecuve ul(Ui/ub
Form 4a Project Name: Teavana - Northbrook Page: 2
SYSTEMS - GENERAL
6. HVAC Controls (Section 1317.4)
6.1 System Thermostat /Zone Controls (Section 1317.4.1)
O 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 0-1 0-2
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)
❑ 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))
2 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 0 -1 0-2
The plans /specs show compliance in the following locations:
Sheet M -1 - Variable Air Volumne Schedule
6.3 Control Capabilities (Sec. 1317.4.2.1)
2 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 0-1 0-2
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)
❑ Complies. Separate HVAC systems have controls capable of varying start-up time of system to,
just meet temperature set point at time of occupancy.
p Exception. HVAC systems have a design supply air capacity not exceeding 10,000 cfm.
The plans /specs show compliance in the following locations:
Sheet M -1 - Variable Air Volumne Schedule
6.5 Heat Pump Controls (Section 1317.4.4)
3 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.
Ks The plans /specs show compliance in the following locations:
r
0
4 -2 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a 1 Project Name: Teavana - Northbrook Page: 3
SYSTEMS - GENERAL
7. Economizer Cooling (Section 1317.3)
o 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 ❑ -' ❑ -2 ❑ -3 ❑ -4 ❑ -5 ❑ -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
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)
a 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.
❑ 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 1=1-1 ❑ -2
The plans /specs show compliance in the following locations:
9. Hot Gas Bypass (Section 1317.5)
o 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
(1) Allowable Hot Gas Bypass
y Rated Cooling Capacity Max Hot Gas Bypass
r y <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 April 2005
Compliance with OSSC, effective 01/01/05
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Form 4a Project Name: Teavana - Northbrook Page: 4
SYSTEMS - GENERAL
10. Shutoff Dampers (1317.4.3.3)
GI Not Required. Shutoff dampers are not required on this project.
❑ 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 0 0-2 0-3 0-4 0-5 0-6
The plans /specs show compliance in the following locations:
10.1. Shutoff Damper Controls (Section 1317.4.3.3.1)
❑ 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)
❑ 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.
El 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 0-1 0-2
12. Occupancy Ventilation
o 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.
❑ 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
4. . the following pages:
j:
4 -4 April 2005
Compliance with OSSC, effective 01/01/05
Form 4a Project Name: Teavana - Northbrook Page: 5
SYSTEMS - GENERAL
13. High Occupancy Ventilation (Section 1317.2.2)
❑ 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.
2 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 ❑a
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)
O 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 Exception
The plans /specs show compliance in the following
locations:
17. Service Water Heating (Sec. 1315)
❑ 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:
eiv Portions of the building that qualify:
The plans /specs show compliance in the following locations:
4 -5 April 2005
uompnance wnn vatic., enec ve u vu uuo
Form 4a Project Name: Teavana - Northbrook Page: 6
SYSTEMS - GENERAL
18. Swimming Pools, Spas and Hot Tubs (Section 1315.5)
O 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.)
O 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)
O 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)
O 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.
+f`?'. The plans /specs show compliance in the following locations:
22. Outside Heating Systems (Section 1317.12)
O 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 April 2005
Compliance with OSSC, effective 01/01/05
Worksheet 4k Project Name: Teavana - Northbrook Page: 7
Simultaneous Heating and Cooling
Additional pages may be necessary if building has more terminal units
than there are lines in this form. If needed use Add New Worksheet button
Complete this form for all terminal units with reheat to verify compliance with Section 1318.2.1 exception 1.
Terminal Unit (Variable Air Volume (VAV) Box) CFM Desim R 1.t nd - At I past One Mathnd most
Required Information Comply
Max. Ht CFM Ht. CFM Ht. CFM Maximum
Cooling Occupancy < or = to < or = to < or = to Airflow is
Terminal Unit ID or Sq. ft Area Airflow- Max. Heating Ventilation- 30% of 0.4 CFM Occupancy < or = to
Description/Location Served CFM Airflow -CFM CFM Max per sq. ft Ventilation 300 CFM
VAV - 1 1081 1300 400 300 NO YES NO NO
•
4 -21
Compliance with OSSC, effective 01/01/05
Form 5a Project Name: Teavana - Washington Square Page:
LIGHTING - GENERAL
1. Interior Exceptions (Section 1313.1)
❑ No Interior Lighting. The building plans and specifications do not call for new or altered interior lighting.
Skip to item 5, Exterior building Lighting - General, below
Exceptions ❑ Exceptions. 1. The building or part of the building qualifies for an exception from code lighting
Discussion of qualifying requirements. Applicable code exception is number
exceptions in instructions
section 2. Lighting equipment that qualifies for an exception - in addition to general lighting and is separately
controlled. Applicable code exception is number:
Areas of the building and equipment that qualify for any exceptions.
Plans/ Specs
Show compliance by including a
drawing sheet, detail number,
and /or specification section and
subparagraph 2. Local Shut -off controls (Section 1313.3.1.1)
B 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 the building plans on drawing number: E -1
❑ Exception. The building or part of the building qualifies for an exception.
Applicable code exception is Section 1313.3.1.1, Exception:
Portions of the building that qualify:
3. Automatic Shutoff Controls (Section 1313.3.1.2)
O Not Applicable. Office floor area is not over 2,000 square feet of contiguous office floor area or
permitted space is not over 5,000 square feet. No offices less than 300 square feet, meeting
or conference rooms, or school classrooms.
❑ Complies. All interior lighting systems are equipped with a separate automatic control to shut off lighting
during unoccupied periods. Offices less than 300 square feet, meeting and conference rooms, and school
classrooms shall be equipped with occupancy sensors that comply with Section 1313.3.1.2.1.
Compliance details in plans /specs:
❑ Exception. The building or part of the building qualifies for an exception. The
applicable code exception is Section 1313.3.1,2, Exception:
Portions of the building that qualify:
4. Daylighting Controls (1313.3.1.3)
El No classrooms or atriums with skylights or window to wall ratio greater than 50 %.
❑ Complies. All classrooms and atriums with window to wall ratio greater than 50% and /or skylights are
equipped with automatic daylight sensing controls, as required by Section 1313.3.1.3.1 and Section
1313.3.1.3.2. The daylight sensors specified comply with Section 1313.3.1.3.3.
Compliance details in plans /specs:
Exterior Build 5. Exterior Lighting (Section 1313.5)
ing Lighting O Complies. The plans do not call for use of incandescent or mercury vapor lamps for use on building extenor.
is lighting directed to illuminate ❑ Exception. The building plans indicate luminaires with incandescent or mercury vapor lamps, but are
the exterior of the building and specified for use in or around swimming pools, water features, or other locations subject to requirements
adjacent walkways and of Article 680 of the 2002 National Electrical Code.
loading areas with or without
canopies
Clock Switches 6. Exterior and Canopy Lighting Controls (Section 1313.3.2)
shall be astronomic (seasonal O Complies. The building plans and specifications include photoelectric and /or clock switches on all exterior
correcting) type with separate lighting systems which are designed and programmed to extinguish lights when daylight is present, as
programs for each day of the required by Section 1313.3.2.
week and shall store energy to
maintain timekeeping dunng
power outages
7. Interior Connected Lighting Power (Section 1313.4)
YES Complies. The interior lighting power does not exceed the interior power allowance established
in either the Tenant Space Method (Form 5b) or the Space - by - Space Method (Form 5c).
04:4 . 6. Tenant Space Method (Form 5b) ( 7 Space -by -Space Method (Form 5c)
5 -1
Compliance with OSSC, effective 01/01/05
Form 5b Project Name: Teavana - Washington Square Page
INTERIOR LIGHTING POWER - Tenant Space Method
Lighting (a) (b) (c) (d)
Budget ,
Occupancy/ Tenant or Building Type Floor Area Max Power Lighting Power
Use Types Table -13G
See instructions for desc- ( ) (sq ft) Density (W/ft Budget (W)
ription of occupancy types Retail 1,065 1 5 1,598
Lighting Power 1. Total Interior Lighting Power Budget (Watts) for Building. 1,598
Budget
Track Lighting 2. Total length of track lighting (ft) -
Power 3. Line 2 multiplied by 37.5 Watts /ft
4. Total amperage of circuit breaker(s) serving track lighting (amps) 30
' 5. Voltage of circuit breaker serving track lighting (volts) 120
6. Maximum wattage of track lighting (multiply line 4 by line 5) 3,600
•
7. Track Lighting Power (lesser value of line 3 or line 6)
8. Track Lighting Power (line 7)
9. Total Interior Lighting Power from Worksheet 5b -1 (Sum of Column (m)) + 1,446
Building's 10. Total Adjusted Lighting Power (line 8 + line 9) = 1,446
Lighting Power -
11. Does design meet budget? Line 10 must be no greater than line 1. YES
--r---
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f ,
5 -2
Compliance with OSSC, effective 01/01/05
Works Project Name: Teavana - Washington Square Page:
LIGHTING SCHEDULE
(a) (b) (c) (d) (e) (f)
Lum Luminaire Is Luminaire
ID Luminaire Lamp Ballasts Power From
Type Description No Description No. Description (watts) Table 5c
1 User Defined_ Low Voltage Downlight 1 20WMR16 1 Magnetic 20 NO
2 I Compact Fluorescent Triple 1-CFM 18W/GX24q-2-ELECT-21W 1 CFM 18W/GX24q -2 1 Electronic 21 YES
3 I Fluorescent T8 - 4 foot 2- F32T8 -ELECT NO-62W i 2 F32T8 1 Electronic Normal Output. RS 62 YES
4 Fluorescent T8 - 4 foot J 1 -F32T8 -ELECT NO -32W J 1 F32T8 1 Electronic Normal Output. RS 32 YES
5 l Fluorescent Rapid Start T8 - 3 foot ,- 1 -F25T8 -ELECT NO -27W i- 1 F25T8 1 Electronic Normal Output. RS 27 YES
6 I Fluorescent Linear Lamps T5 j- 1- F14T5- ELECT -18W I- 1 F14T5 1 Elect Program Start 18 YES
YY
7 Track Lighting Track Lighting __ -- -- -- 37.5 YES
8 I User Defined - Low Voltage Pendant 1 50MR16 1 Magnetic 50 NO
g User Defined - Low Voltage Pendant - 1 50MR16 1 Magnetic 50 NO
_. _ _
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LightingForms -V2.3 xls
Worksheet 5b -1 Project Name Teavana - Washington Square Page
INTERIOR LIGHTING POWER
Space -by -Space Method Only
Skip to column (f) if using the Tenant Space Method
(a) (b) (c) (d) (e) Lum)ID (g) (h) (I) (1) (k)
from Quantity of
Room ID (do Space Type Space Lighting Power Worksheet Luminaires (or Luminaire Lighting Room
not leave any Area (Table 13 -H) Type Budget 5a Column lineal ft for track Power Exempt Power Total Ltg
blanks) (ft) (enter space type only once per room) LPD (b) x (d) ( lighting) (Watts) Fixtures (g) x (h) Power
Each room Sales — — 1 23 20 ❑ 460 1
must be Sales — -- 2 7 21 ❑ 147
identified. Sales — — 4 4 32 ❑ 128 —
Descnbe
luminaires for each Sales — — 5 J 1 27 ❑ 27 —
individual room in Sales — — 6 2 18 ❑ 36 —
plans
Sales -- — 8 ,- 4 50 ❑ 200 —
Sales — — 9 4 50 ❑ 200 —
Stock — -- 3 - 4 62 ❑ 248 248
For track lighting — — - ❑ - _
enter lineal feet in
column column (g) — — - - ❑ —
— — _ ❑ - —
Column (k). enter — — - ❑ —
sum of column (i) — — °.I - ❑ - —
for each room only — —
❑
once at first entry — —
for the room See — — _ ❑ - —
example in :• I
instructions — — - - ❑
-- — - ❑ - —
— -- - ❑ - —
— - - ❑ - —
— — J - ❑ - —
J - ❑ - —
1 - ❑ - —
— — - ❑ - —
— — — - ❑ - -
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- — - ❑ - -
- — - - ❑ - -
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— — - ❑ - —
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— —
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- -- J - ❑ - -
- Worksheet 5b -1 Total Budget - Wksht 5b -1 Total Lighting Power (excluding exempt/track fixtures) 1,446
Other Pages Total Number of Additional Worksheet 5b I 0 ILI
List the additional
worksheets nece-
ssary to catalog all -
luminaires in (I) (m) (n)
building Lighting Power Budget Space Proposed Buiding Lighting
by -Space only (Total of Power (Total of column (k). Area Sqft (not required
Worksheet Number column (e)) excluding exempt/track) for Tenant Method)
5b -1 - 1,446 -
5b -2
5b -3
Sum of additional 5b worksheets
- r
_ `� "� Total Budget (of all worksheets; 1'446
5 -5
Compliance with OSSC, effective 01/01/05
( Ii R TIGARD
BUILDING DIVISION PERMIT #: BUP2005 -00449
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 �' "''
INSPECTION WORKSHEET FOR DATE: 11/22/2005 TIME: 7:02AM PAGE: 95
SITE ADDRESS: 09315 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: ffEAVANA
DESCRIPTION: T.I. (1,083 sq ft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503-639-8865
CONTRACTOR: WESTWOOD CONTRACTORS INC PHONE #: 503-677-3800
Inspection Request Scheduled For: Date: 11/22/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 022/8501 817 - 715 -1240 ❑Y
Corrections /Comments /Instructions:
4,
-r(
•
•
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FO' INSPECTION ❑ ADDITIONAL EES ASSESSED
dw' •
Inspector: Date: \\ Phone #: (503) 718 -
� ! CITY T R
CI ■ IR OE ■ IGA■ lD
BUILDING DIVISION PERMIT #: BUP200500449
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2005
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' i�l
INSPECTION WORKSHEET FOR DATE: 11/2/2005 TIME: TWAIN PAGE: 76
SITE ADDRESS: 09315 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: TEAVANA
DESCRIPTION: T.I. (1,083 sgft area)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639.8865
CONTRACTOR: WESTWOOD CONTRACTORS INC PHONE #: 503-877-3800
Inspection Request Scheduled For: Date: 11/2/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 020061 -01 817 - 7151240 N
Corrections /Comments/ Instructions:
Rok-t2 otk-4-- ORE__
•
flt\tr
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL �❑ CALL I OR INSPECTION El ADDITIONAL FEES ASSESSED
1/
Inspector: (( I Date: Phone #: (503) 718-