Permit ` C ITY OF TIGARD BUILDING PERMIT
71
PERMIT #: BUP2007 -00451
COMMUNITY DEVELOPMENT DATE ISSUED: 10/2/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
PROJECT: SELECT COMFORT
Project Description: TI
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 2,489 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: 2,489 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 65 BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: . MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: Y SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 140,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC TIMBERWOLFF CONSTRUCTION INC
BY THE MACERICH COMPANY 1659 ARROW ROUTE
9585 SW WASHINGTON SQUARE RD UPLAND, CA 91786
TIGARD, OR 97223
Phone: Contact #: PRI 909- 949 -0380
Reg #: LIC 121743
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] PIn Rv 8/27/2007 $478.60 .
[FLS] FLS PIn Rv 8/27/2007 $294.59
[BUILD] Permit Fee 10/2/2007 $736.30
[TAX] 8% State Surcha 10/2/2007 $58.90
(additional fees not listed here)
Total $1,736.39
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 thes= es o ect questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issu - • By: _� / j' , , ` Permiftee Signature:
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.
6 I a gZZ CO ( kY k St k
Building Permit Applic . i l CEtV
City of Tigard ry 1 DateB • o 7 �, Permit No.: • a // s7
•
13125 SW Hall Blvd., Tigard, OR 97 3J 2 7 2001 Plan Revie LIMN"
:: Phone: 503.639.4171 Fax: 503.598.1960 Date/B . i em � rrmt:
er Pe
A h D
, , Inspection Line: 503.639.4175 CITY OF T I GABD ®See Attac Checklist for
TIG
Internet: www.tigard- or.gov BUILDING DIVISION I s(� , . , • jmo L � Supplemental hed In fo rm ation
TYPE OF WORK / ' EQUIRED 4 TA: I- AND 2= FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
0 Addition/alteration /replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling ® Commercial/industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other. Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: ;94'2 At,3 114 rJoraN 1 New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldgJapt. no.: K06 Project name: Select Comfort Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: washington Square Mall I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
tenant alteration of existing space Valuation: 140,000.00
111! Existing building area: 2489 square feet
New building area: square feet
❑ PROPERTY OWNER . 0 TENANT Number of stories: 1
Name: Select Comfort Type of construction: I N
Address: 6105 Trenton Lane North Occupancy groups:
City/ State/ZIP: Plymouth, MN 55442 Existing: M
Phone: (763)551 -5220 Fax: (763)694 -3352
New: M
0 APPLICANT 0 CONTACT PERSON NOTICE
Business name: PPS All contractors and subcontractors are required to be
Contact name: Amy Diekevers licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 75 - 60 St SW jurisdiction in which work is being performed. If the
City/ State/ZIP: Wyoming, MI 49548 applicant is exempt from licensing, the following reasons
apply:
Phone: (800) 285- 7866 x2 Fax: : (616) 493 -9351
E -mail: amyd @precisionpermits.com
Tit CONTRACTOR ` .
Business name: 7, � � /, R � „ , 4 G - BUILDING PERMIT FEES*
Address: /� 5—, •G d �
' (Please refer to fee schedule) -
7irrQk' i it 7e,-' Structural plan review fee (or deposit): 1.4 L lop
City/State/ZIP: �/°4 ,,,ey GA 917 rib
FLS plan review fee (if applicable): aq_ / J
Phone: ( 901.. 77 9 — e, a Fax: (» 9 95 9 — F.f, c — `
CCB lic.: /a,/ 7,.
Total fees due upon application: — 77 6 , I
Amount received:
Authorized signature: or
i , , This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: (4 - D i ! r V(l'> I Date: 3 _�(�_ 07 • Fee methodology set by Tri- County Building Industry
Service Board.
I:\ BuildinglPermits )BUP- PermitApp.doc 03/21 /06 440- 4613T(I 1 /02/COM/WEB)
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RECORDING REQUESTED BY
BNI FORM 288
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NOTICE OF COMPLETION
NOTICE IS HEREBY GIVEN THAT: `
1. The undersigned-is OWNER of the interest or estate below in the property hereinafter described. ,
2. The FULL NAME of the undersigned is • r P- Cc t 1'
3. The FULL ADDRESS of the undersigned is • • 1_ ` ∎ &— : & • t •
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4. The NATURE OF THE INTEREST or ESTATE of the undersigned is: In fee.
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5. The FULL NAMES and FULL ADDRESSES of ALL PERSONS, if any, WHO HOLD SUCH INTEREST or ESTATE with
the undersigned -as CO- OWNERS are:
o NAMES ADDRESS
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6. The full names and full addresses of the predecessors in interest of the undersigned, if the property was transferred
subsequent to the commencement of the work or improvement herein referred to:
1\11-F\-- NAMES ADDRESS
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7. A work of improvement on the property hereinafter described was COMPLETED o (d f,( zp ^7
8. .The NAME^{�c
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ORIGINAL CONTRACTOR, if any, f or such work of improvement is • r �
T \' ' LC )W e, Orr 05 ," , n ?�(� i / s or� t N r0 ila
9. The street address of said property is ` Q C Q j / <
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10. The property on which said work of improvement was completed is in the City of — t -
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• County of , State. of Californi d -de_ scribed a follows
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, . VERIFICATION .
I, the undersigned, say: I ` %• - --�. -
am, the y� 11 1 tt'` ,-4- _ r N'- , , , si
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owner of the aforesaid interest in th property described above; .. /
I have read the foregoing notice and know the contents thereof, and t •facts stated therein are true of my own knowledge.
I declare under penalty of perjury under the Laws of the State of California that th fore •ng is true and correct. .
Executed on „,,NG v LA ` 20v T a f ► 1,—) 3 ?"\.
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(Place Where Signed)' `� ` ‘ .6\
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CML FORM 288 - ®2007 - A BNI BUILDING NEWS FORM PREPARED BY GIBBS. GIDEN. LOCHER & TURNER. LLP - WWW.GGLT.COM
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Form 5a Project Name: Select Comfort, Tigard, OR Page: 1
LIGHTING - GENERAL
1. Interior Exceptions (Section 1313.1)
El No Interior Lighting. The building pla ions do not call for new or altered interior lighting.
Skip to item 5, Exterior building Lighting `.4 a , below. (( ��
Exceptions l7 Exceptions. 1. The building or part of th= building uaU foV xception from code lighting
Discussion of qualifying requirements. Applicable code exception is nurrtl3 GPO
exceptions in instructions G .
section. 2. Lighting equipment that qualifies for an excepj � ddd"150t neral lighting and is separately
controlled. Applicable code exception is numb &.." n \NC? V 2.1
Areas of the building and equipment that quail an exceptions:
Plans /Specs
Show compliance by including a Sales area plug in lamps type TB1 and plug in headboard strips type S1
drawing sheet, detail number,
and /or specification section and
subparagraph. 2. Local Shut -off controls (Section 1313.3.1.1)
❑ 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:
j Exception. The building or part of the building qualifies for an exception.
Applicable code exception is Section 1313.3.1.1, Exception: 4
Portions of the building that qualify: Retail spaces
3. Automatic Shutoff Controls (Section 1313.3.1.2)
0 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)
O 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 -ing 5. Exterior Lighting (Section 1313.5)
Lighting ❑ Complies. The plans do not call for use of incandescent or mercury vapor lamps for use on building exterior.
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 loading of Article 680 of the 2002 National Electrical Code.
areas with or without canopies.
Clock Switches shall be
astronomic (seasonal 6. Exterior and Canopy Lighting Controls (Section 1313.3.2)
correcting) type with separate ❑ Complies. The building plans and specifications include photoelectric and /or clock switches on all exterior
programs for each day of the lighting systems which are designed and programmed to extinguish lights when daylight is present, as
week and shall store energy to required by Section 1313.3.2.
maintain timekeeping during
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).
' Tenant Space Method (Form 5b) Space -by -Space Method (Form 5c)
.Lepo,�
5 -1
Compliance with OSSC, effective 01/01/05
v n
Form 5c Project Name: Select Comfort, Tigard, OR Page:
INTERIOR LIGHTING POWER - Space -by -Space Method
Lighting Power
1. Total Interior Lighting Power Budget from Worksheet 5b -1 (Sum of Column (I)) 3,842
Budget
2. Total length of track lighting (ft) -
Track Lighting
Power 3. Line 2 multiplied by 37.5 Watts /ft
4. Total amperage of circuit breaker(s) serving track lighting (amps) 60
5. Voltage of circuit breaker serving track lighting (volts) 120
6. Maximum wattage of track lighting (multiply line 4 by line 5) 7,200
7. Track Lighting Power (lesser value of line 3 or line 6)
8. Total Interior Lighting Power from Worksheet 5b -1 (Sum of Column (m)) + 3,235
Building's Lighting 9. Total Adjusted Lighting Power (line 7 + line 8) = 3,235
Power
10. Does design meet budget? Line 9 must be no greater than line 1. YES
r :44.14(_:%
5 -3
Compliance with OSSC, effective 01/01/05
Work: Project Name: Select Comfort, Tigard, OR Page: 1 i
LIGHTING SCHEDULE
(a) (b) (c) (d) (e) (f)
Lum Luminaire Is Luminaire
ID Luminaire Lamp Ballasts Power From
I Description No. Description No. Description (watts) Table 5c
C2 Fluorescent T ,
8 - 4 foot 2- F32T8 -EE NO-55W - 2 F32T8 1 EE Normal Output. RS 55 YES
F2 1 Fluorescent T8 - 4 foot -1 3- F32T8 -EE NO-82W 3 F32T8 1 EE Normal Output. RS 82 YES
LT User Defined -= Decorative with 3 100W A -lamps - 3 100W A19 -- 300 NO
R1 1 Compact Fluorescent Triple or Quad - 2- CFTR42WGX24q -4- ELECT - 94W - 2 CFTR42WGX24q -4 1 Electronic 94 YES
User Defined Recessed Adjustable Downlight - 1 60 /PAR/HIR/S /SP1 U -- -- 60 NO
R2 _ _
R3 r Compact Fluorescent Triple 2- CFTR32WGX24q -3- ELECT -69W - 2 CFTR32WGX24q -3 1 Electronic 69 YES
R4 User Defined - RECESSED WALL WASH - 1 50W PAR FLOOD -- -- 50 NO
T1 Track Lighting - Track Lighting - -- - -- - 37.5 YES
T4 User Defined -1 MONOPOINT TRACK HEAD - 1 50PAR/HIR/S /SP10 - -- 50 NO
W1 User Defined . (1) GE F39BX /SPX30/R5 - 1 GE F39BX/SPX30 /R5 1 Electronic 41 NO
_ ". - - _ „„„„„„„„..„...„_,A
71 71
Lighting Forms- V2.3.xls
Worksheet 5b-1 Project Name: Select Comfort, Tigard, OR Page:
INTERIOR LIGHTING POWER
Space -by -Space Method Only
Skip to column (f) if using the Tenant Space Method
(a) (b) (c) (d) (e) Lu ID (9) (h) (i) 0) (k)
from Quantity of
Room ID (do Space Type Space Lighting Power Worksheet Luminaires (or Luminaire Lighting Room
not leave any Area (Table 13 - 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 Retail 1785 Retail - Other Merchandise Sales Area 2 3,570 LT - 1 300 ❑ 300 4,773
must be Retail - -- R1 _ 9 94 ❑ 846 -
identified. Retail - - R2 - 11 60 ❑ 660 -
Describe
luminaires for each Retail - -- R3 _j 9 69 ❑ 621 -
individual room in Retail - - R4 -I 2 50 ❑ 100 -
plans.
Retail - -- T1 -j 48 38 O 1,800 -
Retail - - T4 ,i 4 50 O 200 -
Retail - -- W1 -j 6 41 ❑ 246 -
For track lighting Corridor 90 Conidor/Transition 0.5 45 R1 -1 2 94 ❑ 188 188
enter lineal feet in Stock 180 Active Storage 0.8 144 F2 2 82 ❑ 164 164
column column (g) .
Bathrooms 92 Restrooms 0.9 83 C2 2 55 ❑ 110 110
Column (k), enter - ❑
sum of column 0) - - - - ❑ - -
for each room only - - 1 - once at first entry - i ❑
for the room . See - - -j - ❑ - -
example in [
instructions. - - -S ❑ _
- - „ ' j - ❑ - -
-- - - - ❑ - -
- - -- -I - ❑ - -
— _ -- ' j - ❑ - -
- — _.j - ❑ - —
— — - - ❑ - —
— — - ❑ - —
— — _ _-1 - ❑ - —
— — _j - ❑ - —
— - €€ - ❑ - —
— — 'f - ❑ - -
- — -1 - ❑ - -
- — -[ - ❑ - --
- - ❑ - -
- — - ❑ - -
- — 71 - ❑ - —
— — - i - ❑ - _.
— — 'j - ❑ - -
- — 1 - ❑ - --
- -- ',j - ❑ - —
— — 'j - ❑ - -
-- — :1 - ❑ - --
- - _j - ❑ - -
- -- -1 ❑ - -
- - " - ❑ - -
- - -j - ❑ - -
p,147 Worksheet 5b -1 Total Budget 3,842 Wksht 5b -1 Total Lighting Power (excluding exempUtrack fixtures) 3,235
Other Pages Total Number of Additional Worksheet 5b I 0
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 3,842 3,235 2,147
5b -2
5b -3
Sum of additional 5b worksheets
/4`. > �, 3,842 3,235 2,147
to Total Budget (of all worksheets)
. Y S a p,.;
1
5 -5
Compliance with OSSC, effective 01/01/05
:, a
Form 5a Project Name: Select Comfort, Tigard, OR Page: 1
LIGHTING - GENERAL
•
1. Interior Exceptions (Section 1313.1) 1 01
❑ No Interior Lighting. The building plans and specifica i• c r d idt ' 11 fqpzyw or altered interior lighting.
Skip to item 5, Exterior building Lighting - General, bele' $+
Exceptions ❑ Exceptions. 1. The building or part of the building quali Wf r&h exc r4rom code lighting
Discussion of qualifying requirements. Applicable code exception is number: C `1. taG,
exceptions in instructions
section. 2. Lighting equipment that qualifies for an exception ition to general lighting and is separately
controlled. Applicable code exception is number:
2.1
Areas of the building and equipment that qualify for any exceptions:
Plans /Specs
Show compliance by including a Sales area plug in lamps type TB1 and plug in headboard strips type S1
drawing sheet, detail number,
and /or specification section and
subparagraph. 2. Local Shut -off controls (Section 1313.3.1.1)
❑ 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:
p Exception. The building or part of the building qualifies for an exception.
Applicable code exception is Section 1313.3.1.1, Exception: 4
Portions of the building that qualify: Retail spaces
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. l he
applicable code exception is Section 1313.3.1,2, Exception:
Portions of the building that qualify:
4. Daylighting Controls (1313.3.1.3)
t7 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 -ing 5. Exterior Lighting (Section 1313.5)
Lighting ❑ Complies. The plans do not call for use of incandescent or mercury vapor lamps for use on building exterior.
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 loading of Article 680 of the 2002 National Electrical Code.
areas with or without canopies.
Clock Switches shall be 6 E and Canopy Lighting Controls (Section 1313.3.2
• )
astronomic (s PY g g (
correcting) type with separate ❑ Complies. The building plans and specifications include photoelectric and /or clock switches on all exterior
programs for each day of the lighting systems which are designed and programmed to extinguish lights when daylight is present, as
week and shall store energy to required by Section 1313.3.2.
maintain timekeeping during
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).
1 a7'=` i;a r Tenant Space Method (Form 5b) r. Space -by -Space Method (Form 5c)
• `� y
i
5 -1
Compliance with OSSC, effective 01/01/05
r v
Form 5c Project Name: Select Comfort, Tigard, OR Page:
INTERIOR LIGHTING POWER - Space -by -Space Method
Lighting Power
Budget 1. Total Interior Lighting Power Budget from Worksheet 5b -1 (Sum of Column (I)) 3,842
2. Total length of track lighting (ft) -
Track Lighting
Power 3. Line 2 multiplied by 37.5 Watts /ft
4. Total amperage of circuit breaker(s) serving track lighting (amps) 60
5. Voltage of circuit breaker serving track lighting (volts) 120
6. Maximum wattage of track lighting (multiply line 4 by line 5) 7,200
7. Track Lighting Power (lesser value of line 3 or line 6)
8. Total Interior Lighting Power from Worksheet 5b -1 (Sum of Column (m)) + 3,235
Building's Lighting 9 Total Adjusted Lighting Power (line 7 + line 8) = 3,235
Power
10. Does design meet budget? Line 9 must be no greater than line 1. YES
/'O o
S
5 -3
Compliance with OSSC, effective 01/01/05
Work; Project Name: Select Comfort, Tigard, OR Page: 1
LIGHTING SCHEDULE .
(a) (b) (c) (d) (e) (t)
Lum Luminaire Is Luminaire
ID Luminaire • Lamp Ballasts Power From
Type Description No. Description No. Description (watts) Table 5c
C2 Fluorescent T8 - 4 foot 2- F32T8 -EE NO-55W
-
i Ti""- " � 2 F32T8 1 EE Normal Output. RS 55 YES
F2 Fluorescent 8 4 foot 3- F32T8 -EE NO-82W 3 F32T8 1 EE Normal Output. RS 82 YES
LT F User Defined — Decorative with 3 100W A -lamps - 3 100W A19 -- -- 300 NO
R1 Compact Fluorescent Triple or Quad 2- CFTR42WGX24q -4- ELECT -94W 2. CFTR42WGX24q -4 1 Electronic 94 YES
—
R2 User Defined — - Recessed Adjustable Downlight 1 60 /PAR/HIR /S /SP1 U -- 60 NO
R3 ( Compact Fluorescent Triple - 2- CFTR32WGX24q -3- ELECT -69W_ 2 CFTR32WGX24q -3 1 Electronic 69 YES
R4 User Defined - RECESSED WALL WASH 1 '50W PAR FLOOD -- -- 50 NO
T1 Track Lighting -= Track Lighting __ __
37.5 YES
T4 User Defined MONOPOINT TRACK HEAD - 1 ' 50PAR/HIR/S /SP10 - -- 50 NO
W1 User Defined _ M - (1) GE F39BX /SPX30 /R5N 1 GE F39BX/SPX30 /R5 1 Electronic 41 NO
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LightingForms- V2.3.xls
Worksheet 5b -1 Project Name: Select Comfort, Tigard, OR 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 (9) (h) (i) G) (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 Retail 1785 Retail - Other Merchandise Sales Area 2 3,570 LT -1 1 300 ❑ 300 4,773
must be Retail -- - R1 -£ 9 94 ❑ 846 -
identified. Retail - - R2 .' 11 60 ❑ 660 -
Descdbe
luminaires for each Retail - - R3 -1 9 69 ❑ 621 -
individual room in Retail - - R4 2 50 ❑ 100 -
plans. (
Retail - - Ti �2 48 38 ❑ 1,800 -
Retail - - T4 -( 4 50 O 200 -
Retail - W1 2 6 41 ❑ 246
For track lighting Corridor 90 Corridor/Transition 0.5 45 R1 -j 2 94 ❑ 188 188
enter lineal feet in Stock 180 Active Storage 0.8 144 F2 -i 2 82 ❑ 164 164
column column (g) .
Bathrooms 92 Restrooms 0.9 83 C2 -1 2 55 ❑ 110 110 - -
Column (k), enter - - ❑
sum of column (j) - - -I - ❑ - -
for each room only - - - j -
❑ _ -
once at first entry
for the room . See - - -i - ❑ - -
example in j
instructions. . ❑ _ _
- - J - ❑ - -
- - . - 1 - ❑ - -
- - -( - ❑ - -
- - -f - ❑ . -
-. - 2] - ❑ - -
- - - 1 - ❑ - -
- , - -:{ - ❑ - - -
- - . #1 - ❑ - -
- - =1 - ❑ - -
- - -( - ❑ - -
- - :1 - ❑ - -
- - -i - ❑ - -
- - _1 - ❑ - -
- - -J - ❑ - -
- - 71 - ❑ - -
- -1 - ❑ - -
- - , . - ❑ - --
- - : 1 - ❑ - -
- - :1 - ❑ - -- .
- - - ❑ - -
- -- -( - ❑ - -
- - - I - ❑ - -
- - ,] - ❑ - -
- - 2] - ❑ - -
- -- A - ❑ - --
-- - -1 - ❑ - -
2,147 Worksheet 5b -1 Total Budget 3,842 Wksht 5b - Total Lighting Power (excluding exempt/track fixtures) 3,235
Other Pages Total Number of Additional Worksheet 5b' 0
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 3,842 3,235 2,147
5b -2
5b -3
Sum of additional 5b worksheets
i, ci - - 3,842 3,235 2,147
t. Total Budget (of all worksheets)
) t `" :i;`
V Axs..=
5 -5
Compliance with OSSC, effective 01/01/05
' CITY OF TIGARD • J/ N..
BUILDING DIVISION PERMIT #: • BLJP2007- 004.51 .
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2007
' Phone: (503) 639 -4171 h 0 Requests (24 Hrs.): (503) 639 -4175 :..' W ''' �.. p Inspection
INSPECTION WORKSHEET FOR DATE: 11/30/2007 TIME: 7 :00AM PAGE: 17
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD KOS CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI,
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TIMFJERWOLFF CONSTRUCTION INC • PHONE #: 909
Inspection Request Scheduled For: Date: 11/30/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
239 Final inspection 060580 -01 300.297 -8505 N
Corrections /Co - ments /Instructions: . (. ' ' c .k
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PASS ❑ PARTIAL APPROVAL • El CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Ins ector: Date: (( ) b v7 Phone #: (503) 718-
CITY OF TI G G ARD
BUILDING DIVISION PERMIT #: BUP2007- 0aeiGi
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/217007
Phone: (503) 639 -4171 ICI
Inspection Requests (24 Hrs.): (503) 639 -4175 I L .
INSPECTION WORKSHEET FOR DATE: 11/28/2007 TIME: 7:00AM PAGE: 8
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
. DESCRIPTION: TI
OWNER: WASHINGTON SQUARE I.LC, PHONE #:
CONTRACTOR: TIMBERWOLFF CONSTRUCTION INC PHONE #: 909'949 - 0380
Inspection Request Scheduled For: Date: 11/28/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 060413-03 909 -297 -8505 N
0 o /Comments / Instructions:
o o � 1 c..,?4_ -- P 5
-01°) iPt--IM 7,6 00 qt C - 1 - 7 ) .,..- f . )uc _ do Pie c
P. L tr? — oi L 3 (r.) _ VL2o .
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1
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❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
iiilFAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: ` ` /�: / Phone #: (503) 718 - 7
.
CITY OF TIGARD v tl
BUILDING DIVISION PERMIT #: 13UP20Q7 -O04 51
13125 SW Hall Blvd.; Tigard, OR 97223 DA TE ISSUED: 101212007
Phone: (503) 639 -4171 /�c 'w. +l
Inspection Requests (24 Hrs.): (503) 639-4175 61 f : �..
INSPECTION WORKSHEET FOR DATE: 11/16/2007 TIME: 7:0 PAGE: I
SITE ADDRESS: 09422 SW WASHINGTON SQUARE RD K06 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TIMBERWOLFF CONSTRUCTION INC • PHONE #: 909 - 949 -03B0
Inspection Request Scheduled For: l Date: 111107/2007 - Pour Time:
Code # /Inspection Description Confirm # Contact # Message
287 Suspended ceiling 069843.02 903 297 -8505 N
•
Corrections /Comm nts /Instructions 1
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li) PASS ` PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
, • FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
•
Inspector: V( (A/ Date: l Phone #: (503) 718- /A 1
■•
CITY OF TIGARD
BUILDING DIVISION
1 . � PERMIT #: 13iJP20137- Ott €.►1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2007
Phone: (503) 639 -4171 � �'�„ i,.,�,� f ,,,
Inspection Requests (24 Hrs.): (503) 639 -4175 'a���
1
INSPECTION WORKSHEET FOR DATE: 11/14/2007 TIME: 7:02AM PAGE: v8
SITE ADDRESS: 09422 SW WA SIII NGTON SQUARE RD KOG CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SEI.,E{ T COMFORT
DESCRIPTION: -fl
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TIMBERWOLFF CONSTRUCTION INC PHONE #: 909 949
Inspection Request Scheduled For: Date: 11/14/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 059550.02 908297 -8505 N
Corrections /Comments /Instructions:
C7RerajAc_e_-)• Q/4,4 , o/ Z (iii)
.: ' 0) - (52)L. C e 91 65J.
.
Pm/A' 0 V1 C- 0 - ) - 0 0 6 ' 1 s "1 .) A/0 ,
p tl it 't D s Rlike 2 CO —1 0 v 529 CSeVA-c-los )
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illtl-ge i . A ... _. ■__ _al —:—... ' 4
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II 4
1.10-A1 Ce-t- - - T 401 0Nr
❑ S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: vt,,_ Date: 14/ 4/6 7 Phone #: (503) 718- Z-
CITY OF TIGARD , +'
BUILDING DIVISION PERMIT #: PAJP2007 -00.1 1
13125 SW Hall Blvd., Tigard, OR 97223 . DATE ISSUED: 100J2007
I Phone: (503) 639 -4171 -,t 4p1 tl1
Inspection Requests (24 Hrs.): (503) 639 -4175 ., �_.I.
. , INSPECTION WORKSHEET FOR DATE: 10130/2007 . TIME: 7:02AM PAGE: 30
SITE ADDRESS: 091122 SW WASHINGTON SQUARE RD K0E CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: SELECT COMFORT ,
DESCRIPTION: TI
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: TIMBERWOLFF CONSTRUCTION INC PHONE #: B09- 94110380
Inspection Request Scheduled For: Date: 10/31112007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
•
276 Framing 058615 -06 909-297 -8505 N
Corr-ctio . /Comm -nts /Instructions:
i I,, 1 / 7 j(; • `^'t s ) . ..
`' F I 0— 00571 C-C 1 ) ' 5. 2 r (Pi-Q k o
, , , V I / V 2 o a 7 - 60 (43 ( ( f) L.L. ((7i i, d /3a @ )
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❑ PASS fr' PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
1 � Z
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kit
Inspector: C ��� Date: / 0 / Phone #: (503) 718- 2,4