Permit w .
CITY OF TI GARD BUILDING PERMIT
PERMIT #: BUP2005 -00131
a j.
— 13125 SW DEVEL I CES -639 -4171 DATE ISSUED: 8/3/2005
PARCEL: 1S12600-00300
SITE ADDRESS: 09512 SW WASHINGTON SQUARE RD H -2 ZONING: C -G
SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG
Project Description: TI plus restroom addition
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: ALT FIRST: 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: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: 18 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 : HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 90,000.00
Owner: Contractor:
WASHINGTON SQUARE LLC DAN KUYKENDALL ENTERPRISES INC
BY THE MACERICH COMPANY 115 S TRAVIS ST
9585 SW WASHINGTON SQUARE RD SHERMAN, TX 75090
TJUne: 8865 ARD, Ol03
o Phone: 903 - 870 -0091
FEES Reg #: LIC 93714
Description Date Amount .REQUIRED ITEMS AND REPORTS
[FLS] FLS Pln Rv 8/3/2005 $275.84
[BUPPLN] Pin Rv 4/4/2005 $448.24
[BUILD] Permit Fee 8/3/2005 $689.60 .
[TAX] 8% State Surchari 8/3/2005 $55.17
Total $1,468.85
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 questi. • OUN b
calling 503 - 246 -6699 or 1-800-332-2344.
Issued By: �s'iz...li t Permittee Signatur: .e., /
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.
y /a sw G �-a 1, f �vh CA 6 g1 1
. .
Building Permit Application Fo12 orrlo, USE ONLY
City of Tigard dl �® Dat , .11,f, 1�� Permit No.. y --66/3
13125 SW Hall Blvd., Tigard, OR 97 2 LLL....�... Plan Review r
Phone: 503.639.4171 Fax: 503 598.1960 �' I p ; "1 I / `► Other Permit:
Inspection Line: 503.639.4175 �- � 1 Date Ready/By: 3u ®See Attached Checklist for
Internet: www.ci.tigard.or.us ��� ®� 200 - - __ ... Notified/Method: 07'7 cr 1 Supplemental information
CITY OF T n IG , � 15 1 ®� A " � if,/ "r" Tp� 6,-
( UILIZIK fR� R QUIRED DATA: 1- 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
❑ Addition/alteration/replacement ® Other: Tenant Interior Finish 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 address15 /,2W Washington Square Road New dwelling area: square feet
City/ State/ZIP: Tigard, Oregon 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: H2 I Project name: Lids Covered porch area: square feet
Cross street/directions to job site: SW Greenburg Road - Washington Mall Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: 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 interior finish of existing retail space to a new retail clothing sales space inside a Valuation: $$90,000.00
covered mall. No change to use or structure. Existing building area: 606 (Lease) square feet
New building area: 606 (Lease) square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name: Hatworld / Lids - A divison of Genesco, Inc. Type of construction: 2 -B fully Sprinkled
Address: 14115 Murfreesboro Road Occupancy groups:
City/State/ZIP: Nashville. Tennessee 37217 Existing: Mercantile
Phone: (615)791 -4379 Fax: (615)794 -6703 New: Mercantile
❑ APPLICANT ® CONTACT PERSON
NOTICE
Business name: Studio T2 Design, Inc All contractors and subcontractors are required to be
Contact name: Thomas Toben licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 8010 State Line Road Suite 180 jurisdiction in which work is being performed. If the
City /State /ZIP: Leawood, Kansas 66208 applicant is exempt from licensing, the following reasons
apply:
Phone: (913) 649 -6037 I Fax: : (913) 648-7111
E -mail: tltoben @st2d.com
CONTRACTOR
Business name: Dan Kuykendall Enterprizes, Inc
BUILDING PERMIT FEES"
Address: 115 S. Travis Street
Please refer to fee schedule.
City/State/ZIP: Sherman Texas 75090
Fees due upon application $448.24
Phone: (903) 870 -0091 ext 201 I Fax: (903) 892 -1784
CCB lic.: 93714
Amount received 448.24
Date received: .
Authorized signatures ---:----
i _ ��' This permit application expires if a permit Is not obtained
. within 180 days after it has been accepted as complete.
Print name: Thomas Toben Date: 3/25/2005 * Fee methodology set by Tri-County Building Industry
Service Board.
i \ Building \Permits \BUP- Pemu1Appdoc 12/03 440-4613T( 1 1/02/COM/WEB)
•
Po as - 6 /3/
Form 5a Project Name: 'Lids - Washington Square I Page:I f
LIGHTING - GENERAL R P r r I I/ P
1. Interior Exceptions (Section 1313.1)
Exceptions ❑ No Interior Lighting. The building plans and specifications do not call for new or APR 0 4 2005
Discussion of ququ altered interior lighting. Skip to item 5, Exterior building Lighting - General, below.
exceptions In Instructions ❑ Exceptions. 1. The building or part of the building qualifies for an exception from CITY OF TIGARD
code lighting requirements. Applicable code exception is number: N
2. Lighting equipment that qualifies for an exception - in addition to general lighting and is
separately controlled. Applicable code exception is number: I '
Areas of the building and equipment that qualify for any exceptions:
Plans /Specs
Show COm b'" din 2. Local Shut -off controls (Section 1313.3.1.1)
e drawing sheet, detail
number, and/or spedfcatbn 9 Complies. At least one local shut -off lighting control for every 2,000 square feet of •
section and subparagraph. 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:
❑ Exception. The building or part of the building qualifies for an exception.
Applicable code exception is Section 1313.3.1.1, Exception: I
Portions of the building that qualify:
3. Automatic Shutoff Controls (Section 1313.3.1.2)
9 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 the 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)
2 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
Exterior skylights are equipped with automatic daylight sensing controls, as required by Section
Building 1313.3.1.3.1 and Section 1313.3.1.3.2. The daylight sensors specified comply with
Lighting lighting ir ected to Section 1313.3.1.3.3.
illuminate the exterior Compliance details in plans /specs:
of the building and
adjacent walkways
and loading canopies area' with
or without 5. Exterior Lighting (Section 1313.5)
c
O Complies. The plans do not call for incandescent or mercury vapor lamps for use
on building exterior.
Clock ❑ Exception. The building plans indicate luminaires with incandescent or mercury vapor
Switches shag lamps, but they are specified for use in or around swimming pools, water features, or other
��
',,,� „ locations subject to the requirements of Article 680 of the 2002 National Electrical Code.
type with separate
programs for each day
of the week and shell 6. Exterior and Canopy Lighting Controls (Section 1313.3.2)
store to ❑ Complies. building plans specifications P
maintain timekeeping 0 plies. The buildin tans ands ecifications include photoelectric and /or clock
during power outages switches on all exterior lighting systems which are designed and programmed to
extinguish lights when daylight is present, as required by Section 1313.3.2.
7. Interior Connected Lighting Power (Section 1313.4)
I 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).
CTenant Space Method (Form 5b) t3Space -by -Space Method (Form 5c)
5-1
•
•
Form 5c Project Name: Lids - Washington Square Page:12
INTERIOR LIGHTING POWER - Space -by -Space Method
Lighting
Power Budget I 1. Total Interior Lighting Power Budget from Worksheet 5b -1 (Sum of Column (I)) 1,252
2. Total length of track lighting (ft) -
Track 3. Line 2 multiplied by 37.5 Watts/ft
Lighting 4. Total amperage of circuit breaker(s) serving track lighting (amps) -
Power
5. Voltage of circuit breaker serving track lighting (volts) -
6. Maximum wattage of track lighting (multiply line 4 by line 5)
7. Track Lighting Power (lesser value of line 3 or line 6)
Buildings 8. Total Interior Lighting Power from Worksheet 5b-1 (Sum of Column (m)) + 1,182
Lighting Power 9. Total Adjusted Lighting Power (line 7 + line 8) = 1,182
10. Does design meet budget? Line 9 must be no greater than line 1. YES
5-3
Worksheet 5a Project Name: Lids - Washington Square Page:1 3 1
LIGHTING SCHEDULE
(a) (b) (c) (d) (e) (f)
Luml
D Luminaire Lamp Ballasts Luminaire Is Luminaire
Power From
Type Description No. Description No. Description (watts) Table 5c
Al I High Intensity Discharge - Metal Halide L I 1 -M50- ELECT -58W J 1 M50 1 Electronic 58 YES
B I Fluorescent T8 - 4 foot - 2 -F32T8 -ELECT NO-62W - 2 F32T8 1 Electronic Normal Output RS 62 YES
D User Defined - 35W PAR30 - 1 35W PAR30 42 NO
-- G - 1 Fluorescent U -Tube - T8 j 2 -FB31 T8/F32T8U -ELECT NO-62W J 2 FB31T8 /F32T8U 1 Electronic Normal Output 62 YES
fl Fluorescent U -Tube - T8 — 2- FB31T8/F32T8U -ELECT NO-62W • 2 FB31T8 /F32T8U 1 Electronic Normal Output 62 YES
] I
I
1
— I J J -
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--1 _-__1 ..7_1
1 d
— J -
j
—1
--1 J
—1 J
1 _
—1 _ -
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—1 A .r.i
--1 j____________
1 d
-1
(a) (b) (c) (d) (e) (f)
Luml
D Luminaire Lamp Ballasts Luminaire Is Luminaire _
Power From
Type Description i No. Description No. Description (watts) Table 5c
j]
J
]__ ____ __ __ _ ____ _ _ _ .
- -
—1 - _ - —
J J-
-
- - -- -- - - - - -- --
-
-- - -- -- - - -- --- - - - - --
] :j
J
(a) (b) (c) (d) (e) (f)
Lumi
D Luminaire Lamp Ballasts Luminaire Is Luminaire
Description Power From
Type No. Description No. Description (watts) Table 5c
J
-1 J J
- 1 J A I
d j
1 j J
I
—1 J J
J _1
-
J J
J J- - -
J J
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5-4
1 .
Worksheet 5b-1 Project Name: Lids - Washington Square Pager 4
INTERIOR LIGHTING POWER
Space-by-Space Method Only
Skip to column (f) if using the Tenant Space Method (0
(a) (b) (c) (d) (e) Lum ID (g) (h) (I) (j) (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 fL for track Power Exempt Power Total Ltg.
btanks) (9 (enter space type only once per room) LPD (b) x (d) ( lighting) (Watts) Fixtures (g) x (h) Power
Each room must SALES 440 Retail - Other Merchandise Sales Area 2 880 Al .1 10 58 ❑ 580 996
be Identified. SALES — — D 4 42 ❑ 168 —
Describe
luminaires for SALES — — G 4 82 ❑ 248 —
each individual SUPPORT 186 Rata - Other Merchandise Sales Area 2 372 H 2 82 ❑ 124 186
room M plans. SUPPORT — —
B 1 62 Et 62 —
— — - ❑ - •
— — - ❑ • —
- — ❑ - —
Fe track lighting mer e ❑ -
e
Meal feet In ookonn — —
ccer rn (g) . . - ❑ -
- — - ❑ - —
Cola= (k . enter awn — — - ❑ - —
of column g) for each
roan only case at test — — - ❑ - —
entry for the room . See
ernIntr r-weorrs — _ ❑ -
— — - ❑ - —
__ — - ❑ - —
— — - ❑ - —
. - ❑ - —
. - ❑ _ —
— — . - ❑ - —
. - ❑ _ —
— _ _ ❑ -
-_ — - ❑ - —
— _ - ❑ -
— — • ❑ - —
— _ - ❑ -
- _ - ❑ • —
— _ - ❑ -
- _ _ - ❑ -
— _ • ❑ - —
— _ - ❑ - —
— — - ❑ -
— — ❑ - —
— — - ❑ -
-- _ - ❑ - —
— - ❑ - —
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— — - ❑ - —
— — - ❑ - —
— — - ❑ • —
— — _ ❑ - —
— — - ❑ - —
Other Pops 626 Worksheet 5b Total Budget 1,252 Wksht 5b Total Lighting Power (excluding exempt/track fixtures) 1,182
un the additional -
worksheets neoeaeay to
catalog al luminaires In Wading Total Number of Additional Worksheet 5b I 0 J
tm)
(9 Worksheet Number Lighting Power Budget Spare -by Proposed Striding Lighting Power Area SOL ( required for
Space only (Total of column (a)) (Trial of column (k), excluding Tenant Method)
exemot/tackl
5b-1 1,252 1,182 628
5b-2
* :�, 5b-3
Sum of additional 5b worksheets
r Total Budget (of all worksheets) 1,252 1,182 628
5-5
CITY OF TIGARD
BUILDING DIVISION PERMIT #: 6OP2 _ &( %
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 . ^.-
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10 t7
SITE ADDRESS: l$-/z $k/ N S(. V A4Ze ,-z CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: L I S
DESCRIPTION: 7 i I L U S R eS7 I oo tl A-1;:t• I T7
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Zug' y(AMi TNSP. 0S 0 /
Corrections/Comments/Instructions:
E
.T „
a I
ikgriV
`j PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • / 1 I Date: q . U`' Phone #: (503) 718 -
CITY CIF TIGARD ,
BUILDING DIVISION PERMIT #: gUP2005 00131 •
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/3/2005
Phone: (503) 639 -4171 ake°` ' � � �� I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: g/22J2005 TIME 7:12AM PAGE: 80
SITE ADDRESS: CLASS OF WORK:
09512 SW WASHINGTON SQUARE RD H-
SUBDIVISION: WASHINGTON SQUARE L T #: TYPE OF USE:
PROJECT NAME: LIDS
DESCRIPTION: TI plus restroom addition
OWNER: WASHINGTON SQUARE LLC, PHONE # 503.639-8866
CONTRACTOR: PHONE #
DAN KUYKENDALL ENTERPRISES INC 903-870 -0091
Inspection Request Scheduled For: Date: 9/ 2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
287 Suspended ceiling 016319 -01 612-369-0157 N
Corrections /Comments /Instructions:
Wi V4 • g
1N
maw 47 -'"...
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED ' '2,((! - _
; 1 Inspector: , Date: 'Phone #: (503) 718 -