Permit CITY OF TIGAR® BUILDING PERMIT
PERMIT #: BUP2005 -00479
DEVELOPMENT SERVICES DATE ISSUED: 10/17/2005
�`--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S12600-00300
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: T.I.(1506 st ft area space)
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: sf N: 5: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N : sf N: S: E: W:
OCCUPANCY GRP: B TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 15 BASEMENT: sf AREA SEP. RATED:
STOR: 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:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 82,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC JEM CONSTRUCTION INC
BY THE MACERICH COMPANY A CORP OF WA
9585 SW WASHINGTON SQUARE RD: 29506 8TH NE S
TIGARD, OR 97223 ROY, WA 98580
one: Phone: 253 - 843 -2765
Reg #: LIC 137160
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/20/2005 $419.80
[FLS] FLS PIn Rv 9/20/2005 $258.34
[BUILD] Permit Fee 9/20/2005 $226.04
[TAX] 8% State Surcharp 10/17/200f. $51.67
(additional fees not listed here)
Total $1,375.65
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 503-246-6699 or 1- 800 - 332 -2344.
Issued By: 2 Permittee Signature: 1:4/
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.
7/S wuk -,.- sA
Building Perm ��
it App� E�,, , FOR OFFICE USE ONLY
City of Tigard Date/By — Peimit No'BA t ,�i .05 9/ 79
g SEP 2 0 2005 Date /B "� i 'I�.J'R l
13125 SW Hall Blvd , Tigard. OR 9722 Plan Revi 1 f
Phone 503 639 4171 Fax 503 598 1960 �.' h �l�l I Date/By � pia 05 Othei Peimit
Inspection Line 503 639 4175 Date Rea. him EI See Attached Checklist for
Internet www ci tigard or us CITY OF TIGARD Notified /Method Lo i (0 C .': 'Fa r..., Supplemental Information
BUILDING DIVISION '�
TYPE OF WORK � REQ UIRED DATA: I- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition ' ermit fees* arc based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
® Addition /alteration/replacement ❑ Other: equipment. materials, labor. overhead. and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I - and 2- family dwelling ® Commercial /industrial
Valuation S
❑ 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: 9510 SW WASHINGTON SQUARE ROAD New dwelling area square feet
City /State /ZIl': TIGARD, OR 97223 Garage /carport area: square feet
Suite /bldg. /apt. no.: H01 Project name: REGIS Covered porch area. square feet
Cross street/directions to job site: SW HALL BLVD & GREENBURG ROAD (HWY 217) Deck area' square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision WASHINGTON SQUARE 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
DESCRIP'T'ION OF WORK work indicated on this application
REMODEL /EXPANSION OF EXISTING REGIS HAIR SALON Valuation. 5582,000.00
REPLACING CEILING TILE, WOOD -, TILE FLOORING, PAINTING, Existing building area. square feet
UPDATING FURNISHINGS, STORE FRONT, ETC. New building area 1506 square feet
❑ PROPERTY OWNER ® TENANT Number ofstoiies I
Name: REGIS CORPORATION Type ofconsnuction II -
Address: 7201 METRO BLVD Occupancy groups
City /State /ZIP: MINNEAPOLIS, MN 55439 Existing: B
Phone. (952)947.7777 Fax: (952)995.3347 New:
® APPLICANT ® CONTACT PERSON NO'T'ICE
Business name COMMERCIAL PERMI"1'S,INC. All contractors and subcontractors are required to be
Contact name BRIGITTE ARMS licensed with the Oregon Construction Contractois Board
under ORS 701 and may he required to be licensed in the
Address: 2620 63 STREET jurisdiction in which work is being performed If the
City /State / "ZIP FENNVILLE, MI 49408 applicant is exempt from licensing. the following reasons
apply
Phone- (269) 561.7284 Fax: : (269) 561.7285 COMMERCIAL, PERMITS is an expediting service, not
E hrigittc @starband.net a contractor."I'he actual work will be done by licensed
contractors, once they have been selected. All permits
CONTRACTOR will be pulled and paid for by licensed contractors.
Business name: 'FBI) F 0, e,t,54-- ,A l.
Address
City/State/Z11' BUILDING PERMIT FEES*
Phone ( ) Fax: ( ) Please refer to fee schedule.
CC13 Ile ��,�..��ff Fees due upon application 904.18
Authorized signature `r���d%, Amount received $904.18
Date received: 9/21/05
Print name. Sieob ` ii, er- �� Date r:,
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
I A13uddogVPet nuts \BUP- Pernui App doe 12/03 440 - 46131(11 /02 /COM /WEB)
q �a 60 5 -06
F orm 4a Project Name: Regis (Remodel) - Portland, OR Page: 1
SYSTEMS" - GENERAL 1. •
Applicability Plans /Specs
Discussion of qualifying SEP 2 0 2005 Show compliance by including a drawing sheet, detail number,
exceptions on page 4-14 specification section and subparagraph.
1. Applicablity (Section 1317pITY OF TIGARD
Is this form required? BUILDING DIVISION FILE COPY
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 El -1 ❑ -2 ❑ -3
Area: Exception ❑ -1 ❑ -2 ❑ -3
❑ Form Not Required. This project does not contain work required to comply with code.
2. Simple or Complex Systems (Section 1317.9 or 1317.10)
El 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)
El No New HVAC Equipment. The building plans do not call for new electrical HVAC equipment,
combustion heating equipment, or heat - operated cooling equipment.
❑ Complies. All new HVAC equipment have efficiencies not less than those required by code.
The following equipment efficiency worksheets are attached:
El -4a 0 -4b ❑-4c 0 -4d 0 -4e 0 -4r ❑ - 4g El - 0 - 0 -
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.
is Complies. The plans and specifications call for all air - handling ducts and plenums to be
insulated and sealed as reauired by Sections 1317.7 81317.8.
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 ❑ -2 ❑ -3 ❑ -4 ❑ -5 ❑ -6 ❑ -7 ❑ -8 ❑ -9 ❑ -10 ❑ -1 0-120-130-14
Attach relevant documentation for appropriate exception. The plans /specs show compliance in the
following locations:
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Form 4a • Project Name: Regis (Remodel) - Portland, OR Page: 2
SY STEMS - 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:
MP1
6.2 Off -hour Controls - Auto Setback or Shutdown (Section 1317.4.3)
O Complies. Systems must have at least one of the following features:
O 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.
O 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:
0 Programmable controls (1317.4.3.1 (1))
❑ Occupant sensor (1317.4.3.1 (2))
O Interlocked to a security system (1317.4.3.1 (3))
❑ Manually activated timers with 2 -hour operation max (1317.4.3.1 (4))
❑ Exception. The building qualifies for an exception to the requirement for automatic setback or
shutdown controls. The applicable code exception is Section 1317.4.3
Exception 0-1 0-2
The plans /specs show compliance in the following locations:
MP1
6.3 Control Capabilities (Sec. 1317.4.2.1)
O 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.
O 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:
MP1
6.4 Optimum Start Controls (Section 1317.4.3.2)
O Complies. Separate HVAC systems have controls capable of varying start-up time of system to
just meet temperature set point at time of occupancy.
❑ Exception. HVAC systems have a design supply air capacity not exceeding 10,000 cfm.
The plans /specs show compliance in the following locations:
MP1
6.5 Heat Pump Controls (Section 1317.4.4)
O 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.
" '',- The plans /specs show compliance in the following locations:
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S YSTEMS - GENERAL
7. Economizer Cooling (Section 1317.3)
is 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 0 -1 ❑ -2 0 -3 0 - 0 -5 0 -6
If Exception 3 is selected complete the following:
(a) Total cooling capacity of exempt units (Btu /hr)
(b) Total installed building cooling capacity (Btu /hr)
❑ Complies. Sum of exempt units rated at less than 54,000 Btu /hr is <240,000 Btu /hr or a/b
< 0.10 (10% of total building cooling capacity).
Unit Identifier of exempt units:
The plans /specs show compliance in the following locations:
MP1
8. Economizer Pressure Relief & Integration (Section 1317.3.1 and 1317.3.2)
❑ No Economizers Required. Project does not contain a new fan system requiring economizers.
El 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 0 -1 0 -2
The plans /specs show compliance in the following locations:
MP1
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
Allowable Hot Gas Bypass
' -. Rated Cooling Capacity Max Hot Gas Bypass
r✓ <240,000 Btu /hr 50%
`'" >240,000 Btu /hr 25%
❑ Exception. Unitary packaged system with cooling capacity no greater than 90,000 Btu /h
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STEMS - GENERAL
10. Shutoff Dampers (1317.4.3.3)
Cl Not Required. Shutoff dampers are not required on this project.
el 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 ❑ - ❑ -2 ❑ -3 ❑ -4 ❑ -5 ❑ -6
The plans /specs show compliance in the following locations:
MP1
10.1. Shutoff Damper Controls (Section 1317.4.3.3.1)
El 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:
MP1
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.
o 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:
VAV damper(s) are integral with the existing vav box (See sheet MP1)
11. Piping Insulation (Section 1314)
❑ 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.
G Complies. All new piping serving a heating or cooling system or part of a circulating service
water heating system complies with the requirements of the Code, Section 1314.1.
❑ Exception. New piping qualifies for exception: Section 1314.1, Exception ❑ - ❑ -2
12. Occupancy Ventilation
❑ 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.
❑ Exception. HVAC systems have a design supply air capacity not exceeding 10,000 cfm.
The plans /specs show compliance in MP1
the following locations:
The plans /specs show compliance MP1
f , �►,.
�;, ,_'r on the following pages:
0
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YSTEMS - 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.
o No High Occupancy Systems. Project does not contain an HVAC system as described above.
14. 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:
15. 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 1317.10.3.1, Exception
The plans /specs show compliance in the following
locations:
16. 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.
o Complies. All new water heaters, hot water storage tanks or service hot water distribution
systems comply with the requirements of the Section 1315.
❑ Exception. The applicable code exception is Section: Exception:
Portions of the building that qualify:
The plans /specs show compliance in the following locations:
MP1 .
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YSTEMS - GENERAL
17. Swimming Pools, Spas and Hot Tubs (Section 1315.5)
El 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.
18. Fume Hoods (Section 1317.2.1.)
El 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:
19. Parking Garage Ventilation (Section 1317.2.3)
El No Enclosed Garages. The building plans and specifications do not call for enclosed Group S -2
parking garages with a ventilation exhaust rate greater than 30,000 CFM.
❑ Complies. The plans and specifications call for carbon monoxide sensing devices as required by
Section 1317.2.3.
❑ Exception. Open parking garages.
20. Kitchen Hoods (Section 1317.11)
El Not Regulated. The plans /specs do not call for any new kitchen hoods with exhaust capacity
greater than 5,000 cfm each.
❑ Complies. All new kitchen hoods with a total exhaust capacity greater than 5,000 cfm have at
least 50 percent of the required makeup air; (a) unheated or heated to no more than 60 °F; and (b)
uncooled or evaporatively cooled.
The plans /specs show compliance in the following locations:
r,,J
21. Outside Heating Systems (Section 1317.12)
El 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.
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Form 2a 'Project Name: Regis Page:
SUMMARY RECEIVFf
Project 1. Project Regis SEP 2 0 NOS
2. Project Address Washington Square Mall
3. City/Town Portland, Oregon 5. County CITY OF TIGARD
4. Building, Gross Area (ft 1,515 6. No. of floors BUILDING DIVISION
Chapter Type ID Description Attached
Attached Building Envelope Form 3a Building Envelope - General ❑
Forms and 3b Prescriptive Path - Zone 1 FILE COPYD
Worksheets 3c Prescriptive Path - Zone 2 ❑
check boxes to ❑
indicate attached 3d Simplified Trade -off (use CodeComp software)
forms and Worksheet 3a Wall U- factors ❑
worksheets
3b Roof U- factors ❑
3c Floor U- factors ❑
Systems Form 4a Systems - General
4b Complex Systems ❑
Worksheet 4a Unitary Air Conditioners - Air Cooled ❑
4b Unitary Air Conditioners - Water Cooled ❑
4c Unitary Heat Pump - Air Cooled ❑
4d Unitary Heat Pump - Water Cooled ❑
4e Unitary AC & Heat Pump - Evaporatively Cooled ❑
4f Packaged Terminal Air Conditioner - Air Cooled ❑
4g Packaged Terminal Heat Pump - Air Cooled ❑
4h Water Chilling Packages - Water and Air Cooled ❑
4i Boiler - Gas -fired & Oil -fired ❑
4j Furnaces and Unit Heaters - Gas and Oil -fired ❑
Lighting Form 5a Lighting - General
5b Interior Lighting Power - Occupancy Method
5c Interior Lighting Power - Space -by -Space Method ❑
Worksheet 5a Interior Lighting Power ❑
5b Lighting Schedule ❑
5c Interior Control Credits ❑
Applicant 7. Name Rebecca Jemander 10. Telephone (952) -820 -2772
8. Company Dunham Associates 11. Date 9/12/2005
9. Signature
Attached No of Pages Description of Document
Documen-
tation
cam
Form 2a Oregon Lighting Forms.xls 9/12/2005
Form 5a 'Project Name: Regis Page:
LIGHTING - GENERAL
1. Interior Exceptions (Section 1316.1)
Exceptions ❑ No Interior Lighting. The building plans and specifications do not call for new or
Discussion of qualifying altered interior lighting. Skip to item 4, Exterior building Lighting - General, below.
exceptions on page 5-7. ❑ Exception. The building or part of the building qualifies for an exception from
code lighting requirements. The applicable code exception is Section:
Exception(s)
2. Local Shut - off controls (Section 1316.1.2.1,1)
GI Complies. At least one local shut -off lighting control for every 2,000 square feet of
Exceptions lighted floor area and for all spaces enclosed by walls or ceiling height partitions
Discussion of qualifying This control(s) is detailed in the building plans on drawing number:
exceptions on page 5-8. ❑ Exception. The building or part of the building qualifies for an exception. The
applicable code code exception is Section 1316.1.2.1.1, Exception:
Portions of the building that qualify:
3. Office Controls (Section 1316.1.2.1,2)
Exceptions o Not Applicable. Contiguous office floor area is not over 2,000 square feet.
Discussion of qualifying ❑ Complies. All interior lighting systems are equipped with a separate automatic
exceptions on page 5 -9. control to shut off the lighting and local override switching. These control(s) are
detailed in the building plans on drawing number.
❑ Exception. The building or part of the building qualifies for an exception. The
applicable code exception is Section 1316.1.2.1,2, Exception:
Portions of the building that qualify: I
4. Exterior Building Lighting - General
Definition D No Exterior Building Lighting. Skip the rest of this form.
❑ Complies. Complete items 5 and 6 below.
EXTERIOR BUILDING
LIGHTING
is lighting to
illumina te a the 5. Exterior Building Lighting Controls (Section 1316.1.2.2)
illuminate e exterior
of the building and ❑ Complies. The building plans require that all exterior building lighting is equipped
adjacent walkways
and loading areas with with automatic controls described in Sec. 1316.1.2.2. These controls are detailed
or without canopies.
in the building plans on drawing number. I
❑ Exception. The exterior building lighting is intended for 24 -hour continuous use.
6. Exterior Building Lighting Power (Section 1316.2.2)
❑ Complies. The plans do not call for incandescent lamps greater than 10 Watts
for use in exterior building lighting.
❑ Exception. The building plans indicate luminaires with incandescent lamps greater
than 10 Watts, but they are 5 percent or less of the total installed exterior lamps.
Total number of exterior lights:
Total number of exterior incandescent lights:
�1
Form 5a Oregon Lighting Forms.xls 9/12/2005
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Form 5b Project Name: Regis Page:
INTERIOR LIGHTING POWER - Occupancy Method
Lighting (a) (b) (c) (d) (e) (f)
Budget Ceiling Floor Area Max Power Lighting
Group Occupancy Use Height (sq ft) Density Power Budget
(W /sq ft) (W )
Retail or Retail lighting, department stores, drug
Merchandise M stores, markets, etc. Any 1,515 varies 5,151
(Group M only)
under 15ft n/a -
A IF V
Other Occupancy/ 15ft or more n/a -
Use Types
See page 5 -11 for under 15ft n/a -
instructions B V V
15ft or more n/a -
under 15ft n/a -
E 'V V
15ft or more n/a -
under 15ft n/a -
F V V
15ft or more n/a -
under 15ft n/a -
H V' V
15ft or more n/a -
under 15ft n/a -
I V V
15ft or more n/a -
under 15ft n/a -
R V V
15ft or more n/a -
1. Total Interior Lighting Power Budget (Watts) for building. 5,151
Track 2. Total length of track lighting (ft) 70
Lighting 3. Line 2 multiplied by 37.5 Watts /ft 2,625
Power 4. Total amperage of circuit breaker(s) serving track lighting (amps) 80
5. Voltage of circuit breaker serving track lighting (volts) 120
6. Wattage of circuit breaker serving track lighting (line 4 x line 5) 9,600
7. Track Lighting Power (lesser value of line 3 or line 6) 2,625
Building's 8. Track Lighting Power (line 7) 2,625
Lighting 9. Total Interior Lighting Power from Worksheet 5b + 2,520
Power 10. Total Control Credit from Worksheet 5c - -
11. Total Adjusted Lighting Power = 5,145
(line 8 + line 9 - line 10)
12. Does design meet budget? Line 11 must be no greater than line 1. YES
f
Form 5b Oregon Lighting Forms.xls 9/12/2005
•
Form 5c •ProjectName: Regis Page:
INTERIOR LIGHTING POWER - SPACE BY SPACE METHOD
Maximum Number of Luminaires Luminaire Description Areas Where Used
Deemed -to- (a) (b) (c) (d) (e) (f) (g) (h)
Satisfy Luminaire Minimum Luminaires Lamp Ballast N/A
Approach Space Types Pattern Spacing or per ft # Type # Type () Space /Room #(s)
See p. 5 -13 for
Grid 6'x'8' 0.021 2 F32T8 1 M 0
instructions. Grid 6'x'8' 0.021 2 F40T12 1 E 0
Ballast types used Classrooms Grid 6'x'8' 0.016 3 F32T8 1 E 0
in this form:
Cont. rows 6' apart 0.042 1 F32T8 1 E 0
M = ent Magnetic Cont. rows 10' apart 0.025 2 F32T8 1 E 0
E = Electronic Corridors
Single row 6' o.c. N/A 1 F32T8 1 E 0
Single row 10' o.c. N/A 2 F32T8 1 E 0
Grid 6'x'8' 0.021 2 F32T8 1 M 0
Office(s) Private Grid 6'x'8' 0.021 2 F40T12 1 E 0
Grid 6'x'8' _ _ 0.028 2 F32T8 1 E 0
Grid 6'x'8' 0.21 2 F32T8 1 E 0
Office(s) Open Grid 8'x10' 0.013 3 F32T8 1 E 0
Grid 8'x10' 0.013 3 F40T12 1 E 0
Restrooms Grid 6'x'8' 0.021 1 F32T8 1 E or M 0
Grid 8'x10' 0.013 2 F32T8 1 E or M 0
Reception Grid 6'x'8' 0.021 2 F32T8 1 M 0
Storeroom(s) Grid 6'x'8' 0.021 1 F32T8 1 E or M 0
Grid 8'x10' 0.013 2 F32T8 1 E or M 0
Calculation
Approach (a) (b) (c) (d) (e) (f) (g) (h)
Identify and Max. Power Lum. Lamp Ballast Lum. # of Total Budget
describe Room ID Area (sq ft) Density (W /sq ft' ID
luminaires in plans. # Type # Type Power Lums. Load (b) x (c )
"Lum" is
abbreviation for 1.5 0 0
Luminaire
Space Type aassrooms ■ PASSED
1.5 0 0
Space Type Lobbies V PASSED
2 0 0
Space Type Conference rooms PASSED
,f',. 1.5 0 0
��/'1 Space Type Reception areas PASSED
Form 5c Oregon Lighting Forms xis 9/12/2005
t
Worksheet 5a Project Name: Regis Page:
LIGHTING SCHEDULE
ID is the (a) (b) (c) (e)
identification I D Type Lam / Ballast Description Power W
number or letter YP P ( )
used in your plans
or specification 16/7C2 Incandescent V' 34 Watts V 34
•Enter the 16/7A1 Incandescent V 50 Watts V 50
number and type of 16/7C1 Incandescent `V 40 Watts V 40
lamps in the
luminaire. See 16/7A3 Oft Rapid Start T8 V 2 -F32T8 1 -ELECT V 62
Table 5b for typical
lamp codes NONE V V
Enter the V Wattage
number and type of V V Wattage
ballasts in the
luminaire. For V V Wattage
fluorescent and
high intensity V Wattage
discharge lamps, V V Wattage
typical
abbreviations are: V V Wattage
MAG STD for V V Wattage
Magnetic Standard
Wattage
MAG EE for V Energy Efficient Wattage
Magnetic V V Wattage
ELECT for V V Wattage
Electronic
V V Wattage
See Table 5b for V V Wattage
other ballast
abbreviations V v Wattage
Wattage
Wattage
Wattage
V Wattage
V Wattage
v Wattage
Wattage
Wattage
User Defined Fixtures - Cut Sheets must be included to verify wattage of complete luminaire
ID Fixture and Lamp Description Power
C e ?t*Lr"S'
Worksheet 5a Oregon Lighting Forms.xls 9/12/2005
e . .
Worksheet 5b ' Project Name: Regis Page:
INTERIOR LIGHTING POWER Worksheet No 5b -1
Enter the (a) (b) (c) (d) (e) (f)
quantity for every
non -exempt Room or Quantity of Luminaire Lighting Power
luminaire. Do not
consider track Sheet No. Room or Plans Designation Luminaire ID Luminaires* Power (Watts) (d) x (e)
lighting on this Sales Sales 16 V 9 34 306
worksheet Track
lighting is Sales Sales 16/7M V 37 50 1,850
accounted for on
Form 5b Dispensary Dispensary Room 16/7!3 V 2 62 124
" Additional Stockroom Stockroom 16 /7C1 • 6 40 240
pages may be V 0 0
necessary if
building has more V 0 0
rooms than there
are lines in this V 0 0
form V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
I. 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
V 0 0
IF YOU DO NOT HAVE ENOUGH SPACE FOR ALL YOUR FIXTURES, USE ADDITIONAL PAGES RIGHT
Worksheet 5b-1 Total 2,520
Other Pages
List the additional escr P tion (optional) W No. Di Worksheet Totals
worksheets necessary 5b-1 2,520
to catalog all
luminaires in building 5b-2
5b-3 -
f'.��. 5b-4
Total Interior Lighting Power (of all worksheets) 2,520
Worksheet No 5b -1
Worksheet 5b Oregon Lighting Forms xis 9/12/2005
CITY TIGARD
BUILDING DIVISION PERMIT #: BUP2005 0O'179
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 101/7/2005
Phone: (503) 639 -4171 yI�I
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' °__..
INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12AM PAGE: 155
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H -1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
PROJECT NAME: REGIS
DESCRIPTION: T.I.(1506 st ft area space)
OWNER: WASHINGTON SQUARE LLC, PHONE #:
CONTRACTOR: JEMI CONSTRUCTION INC PHONE #: 253-843-2765
Inspection Request Scheduled For: Date: 11/14/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
275 Framing 021048 -01 253-606-5924 N
Corrections /Comments /Instructions:
i i) IP- %
X11. I
/Wiwi V V —
I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • ❑ CALL FOR INSPECTION ❑ ADDITIONAL F ,ES ASSESSED
ir , , A
tt ' Inspector: Date: 41111 Phone #: (503) 718-
CITY TIGARD
BUILDING DIVISION PERMIT #: �� -
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 �I1I+�
Inspection Requests (24 Hrs.): (503) 639 -4175 s' "'
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: c3.51 �-..; CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: Q�,_
DESCRIPTION: t `0----- 4 S H=9S(4__
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: - Pour Time:
Code # Inspection Description Confirm # Contact # Message
TNI2-(TI(Ok_C- cC
Corrections /Comments /Instructions: 1S 60c. 594
•
i
I P - 7 ; „I
111 .4
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ AD DITIONAL F ES ASSESSED
� r i � _
Inspector: Date: _ L l \ ` �' -- Phone #: (503) 718 -
CITY OF TIGARD e q P
BUILDING DIVISION PERMIT #: o?0v5 -00 y 7%
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 j�1
Inspection Requests (24 Hrs.): (503) 639 - 4175 °:
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7E /0 //0/1 • S c2. ieL) • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: /ca — / 2 — OS Pour Time:
Code # Inspection Description Confirm # Contact # Message
Z 81 RS3- Co b - �'a `i
Corrections /Comments /Instructions:
WAMMINEW
jir
ASS n P ARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 2 t
Inspector: Date: ( ` J J Thone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: BUP2005~00479
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/17/2005
Phone: (503) 639 -4171 VP
Inspection Requests (24 Hrs.): (503) 639 -4175 "
INSPECTION WORKSHEET FOR DATE: 12116/2005 TIME: 7:06AM PAGE: 7 5
SITE ADDRESS: 09510 SW WASHINGTON SQUARE RD H - 1 CLASS OF WORK:
SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE:
■
PROJECT NAME: REGIS
DESCRIPTION: I •1.(1505 st ft area space)
OWNER: WASHINGTON SQUARE LLC, PHONE #: 1
CONTRACTOR: JEM CONSTRUCTION INC PHONE #: 263 -843 -2765
Inspection Request Scheduled For: Date: 12/1€12005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
299 Final inspection 023602 -01 263.60E-5924 N
Corrections /Comments/ Instructions:
----- ( 1 if\
".--- 4 6 k , _Y, I'
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INNSPECTION ❑ ADDITIINAL FEES ASSESSED
411 ,iik I
Inspector: Date: G 1 4 Phone #: (503) 718 -