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Permit .., ii- /3 , • 1 . ., fifr' , Community Development TIGARD Request for Permit Action TO: CITY OF TIGARD Building Division Services Coordinator 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2430 Fax: 503.598.1960 www.tigard - or.gov FROM: ❑ Owner ❑ Applicant ❑ Contractor ® City Staff (check one) REFUND OR Name: Freiheit & Ho Arachitects Inc INVOICE TO: (Business or Individual) Allison Allman Mailing Address: 10230 NE Points Dr, Suite 300 City/State /Zip: Kirkland, WA 98033 Phone No.: 425 - 827 -2100 PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): t1P /fl E.15 ® CANCEL PERMIT APPLICATION. ❑ REFUND PERMIT FEES (attach receipt, if available). /i INVOICE FOR FEES DUE (attach case fee schedule and explain below). a 5 0 / ❑ REMOVE CONTRACTOR FROM PERMIT (do not cancel permit). /17 p GI') (10 /C' D Permit #: BUP2008 -00046 Site Address or Parcel #: 9779 SW Washington Square Rd Project Name: Payless Shoe Source Subdivision Name: N/A Lot #: N/A EXPLANATION: Permit expiration date: 9/24/08. Applicant contacted twice to notify of expiration date and possible request for extension. Voicemail messages left for Allison Allman on 9/12/08 & i/21/08, no - •on -. Signature: , , 0 / � �! J 1 A. ,4_ d Date: 10/27/08 • • it pie R. Adamski Print Name: Refund Policy 1. The Director or Building Official may authorize the refund of: a) any fee which was erroneously paid or collected. b) not more than 80% of the land use application fee when an application is withdrawn or canceled before any review effort has been expended. c) not more than 80% of the land use application fee for issued permits. d) not more than 80% of the building plan review fee when an application is canceled before any plan review effort has been expended. e) not more than 80% of the building permit fee for issued permits prior to any inspection requests. 2. Refunds will be returned to the original Payer in the same method in which payment was received. Please allow 1 -2 weeks for processing refunds. FOR OFFICE USE ONLY Rte to S s Admin: Date B Rte to Bld: Admin: Date //© B _Ai,y�? Refund Processed: Date NAZI. By Invoice Processed: Date By Permit Canceled: Date ___,25 j B !ate arcel Ta• Added: Date B Receipt # Date Method Amount $ I:\ Building \Forms \RegPemvtAction.doc Rev 07/26/07 CITY OF TIGARD 3/26/2008 Fees Associated With 4:37:35PM 13125 SW Hall Blvd. TIGARD Tigard, OR 97223 503.639.4171 Case #: BUP2008 -00046 Fee Start End Revenue Created Type Date Date Dept Description Account Number By Date Amount Due PLCK 1/1/1990 12/31/2020 [BUPPLN] Pln Rv 245- 0000 - 433000 BB 2/19/2008 391.24 0.00 FIRE 1/1/1990 12/31 /2020 [FLS] FLS Pln Rv 245- 0000 - 433020 BB 2/19/2008 240.76 0.00 PRMT 1/1/1990 12/31/2020 [BUILD] Permit Fee 245- 0000 - 432000 DAN 3/3/2008 606.70 606.70 SURI 12/31/2007 12/31/2020 [TAX] 12% State Surcharge 100 - 0000 - 207020 DAN 3/3/2008 72.80 72.80 PLC2 1/1/1990 12/31/2020 [BUPPLN] Addl Pin Rv 245- 0000 - 433000 DAN 3/3/2008 3.12 3.12 FIR2 1/1/1990 12/31/2020 [FLS] Addl FLS PInRv 245- 0000 - 433020 DAN 3/3/2008 . 1.92 Total Due: $684.54 Page 1 of 1 CaseFees_rpt CITY OF TIGARD 11711! 13125 SW Ilall Itlwl. "Tigard, OR )7223 503.639.4171 TIGARD Receipt #: 27200800000000000525 Date: 02/19/2008 Line Items: Case No *Iran Code Description Revenue Accou No Amount Paid BUP2008 -00046 [BUPPLN1 Pin Rv 245-0000-433000 391.24 BUI'2008 -00046 [FLS] FLS Pln Rv 245-0000-433021) 240.76 Line Item Total: $632.00 Payments: Method Payer User II) Acct. /Check No Approval No. Ito+v Received Amount Paid Check FREIHEIT AND HO BB 18528 By Mail 632.00 ARCHITECTS, INC. I'avuicul 'Total: $632.1111 P AC) P b-"A-/3 LoeAl2,7! qat-ctv7L — 4t.c4.4.4 el 6d, i)+4,0 54w_ (,\ 4p/I 1w P G G` - � 7 to /;` / 02/19/2008 15:19 FAX 4258286899 � F R E I H E I � H0 a 002 %-F:`e � _ 1- Off, c —a - Irma.' Building Permit Ap F - L i V- t FOR OFFI( I. l '12 ONLY of Tigard City Received • h' g Datem 2- ' t i i 0 _• '' SA?" 1 3125 SW Hall Blvd., Tigard, ORjQZ21$ ! L' Plan Revi 91} Date/i3 ` � ��'� I Phone: 503.639.4171 Fax: 503. 60 D : S t � Other Permit TIGARD Inspection Line: 503.639 J �5 i Lsj tk RD Date Ready : y: ®See Attached Chceldiet for Internet: www.tigarckm v 1111 1 Y k..) Notified/Method: , i �'�� suppkmentat Information n ,_ WORK I SPA ' 1► F_ K REQUIRED DATA 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 ® 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: S ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 19 JOB SITE 1NFORMATION AND LOCATION Total number of floors: Job site address: WASHINGTON SQUARE MALL, SPACE D -11 New dwelling area: square feet City /State/ZIP: TIGARD, OR Garage/carport area: square feet - Suite/bldg. /apt. no.: Dl l Project name: PAYLESS SHOE SOURCE Covered porch area: square feet Cross street/directions to job site:95115 SW WASHINGTON SQUARE ROAD 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. Indicate the value (rounded to the nearest dollar) of all Tax ma p parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application_ INTERIOR TENANT IMPROVEMENT IN EXISTING MALL SPACE Valuation: $99,967.00 Existing building area: 2,062 square feet New building area: 2,062 square feet ❑ PROPERTY OWNER .18] TENANT Number of stories: 1 Name: PAYLESS SHOESOURCE CORPORATE HEADQUARTERS Type of construction: III B Address: 120 S.E. 6TH STREET, BLDG #2, SUITE 102 Occupancy groups: City/State/ZIP: TOPEKA, KS. 66603 Existing: MERCANTILE Phone: (785)233 -5171 Fax: ( ) New: MERCANTILE 0 APPLICANT l CONTACT PERSON NOTJCE _ , Business name: FREIHEIT & HO ARCHITECTS, INC., P.S., P.C. All contractors and subcontracts are required to be Contact name: ALLISON ALLMAN ,( bCl licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 10230 N.E. POINTS DR, SUITE 300 jurisdiction in which work is being performed. If the applicant is exempt from licensing, the following reasons City / State/ZIP: KIRKLAND, WA 98033 apply: Phone: (425) 827 -2100 Fax: : (425) 828-6899 E -mail: aallman @fhoarch.com CONTIIAC I OR Business name: T.B.D. BUILDING PERMIT FEES* Address: (Pkose re er lo fee sckedule) Structural plan review fee (or deposit): 391.24 City / State/ZIP: Phone: ( ) Fax: ( ) FLS plan review fee (if applicable): 240.76 CCB lic.: Total fees due upon application: 632.00 Amount received: Authorized signature. j l f {. � O , 2C4 T his perm application expires if a permit is not obtained ✓✓ 1 within 180 days after it has been accepted as complete. Print name: ALLISON ALLMAN Date: 2/18/08 Fee methodology set by TriCounty Building Industry Service Board. 1:\Buitdin#Permit BtJP- PermitApp.doc 03/21/06 440 - 46137( 11/02/COM/WEB) Form 5a Project Name: Payless ShoeSource - Tigard, Oregon Page: LIGHTING - GENERAL 1. Interior Exceptions (Section 1313.1) Fictrz.'i ❑ No Interior Lighting. The building plans and specifications do not call for new or altered interiorlip1:01g. Skip to item 5, Exterior building Lighting - General, below. ' 7 - an Exceptions ❑ Exceptions. 1. The building or part of the building qualifies for an exception fror { iQi li Discussion of qualifying requirements. Applicable code exception is number: i J ,ARC exceptions in instructions jT section. 2. Lighting equipment that qualifies for an exception - in addition to ger lyigktti is~s t aralty , t �, controlled. Applicable code exception is number: '(�" X�( < t .• i31 lei Areas of the building and equipment that qualify for any exceptions LJ 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) p 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 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: Portions of the building that qualify: 3. Automatic Shutoff Controls (Section 1313.3.1.2) i 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 are 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. 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 - 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 ❑ Exception. The building plans indicate luminaires with incandescent or mercury vapor lamps, but are illuminate the exterior of the specified for use in or around swimming pools, water features, or other locations subject to requirements building and adjacent of Article 680 of the 2002 National Electrical Code. walkways and loading areas with or without canopies. ' Clock Switches 6. Exterior and Canopy Lighting Controls (Section 1313.3.2) shall be astronomic (seasonal ❑ 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 I maintain timekeeping during power outages. 7. Connected Lighting Power (Section 1313.4) YES Complies. The lighting power does not exceed the power allowance established in either the Tenant Space Method (Form 5b) or the Space -by -Space Method (Form 5c). CTenant Method (Form 5b) L•'Space -by -Space Method (Form 5c) nt . 5 -7 V2.4.3 - Compliance with 2007 OSSC Form 5c Project Name: Payless ShoeSource - Tigard, Oregon Page:l INTERIOR LIGHTING POWER - Space-by-Space Method Lighting Power 1 Total Interior Lighting Power Budget from Worksheet 5b -1 (Sum of Column (I)) 3,849 Budget 2. Total length of track lighting (ft) Track Lighting Power 3. Line 2 multiplied by 50 Watts /ft 4. Total amperage of circuit breaker(s) serving track lighting (amps) 5. Voltage of circuit breaker serving track lighting (volts) 6. Maximum wattage of track lighting (multiply line 4 by line 5) 7. VA rating of the inline current limiter or the low voltage transformers 8. Track Lighting Power (the lesser value of line 3. 6 or 7) Building's 9. Total Interior Lighting Power from Worksheet 5b -1 (Sum of Column (m)) + 3,701 Interior 10. Total Adjusted Lighting Power (line 8 + line 9) = 3,701 Lighting Power 11. Does Interior Lighting Design Meet Budget? Line 10 must be no greater than line 1. YES Exterior Canopy Parking Garage 12. Do Exterior Canopies Meet Budget (Worksheets 5c)? N/A Lighting Power 13. Does Parking Garage Meet Budget (Worksheets 5c)? N/A 14. Does Each Space With Retail Display Lighting Meet Budget (Worksheets 5d)? N/A Retail Display Lighting Power 15. Is The Total Retail Display Lighting Additional Power Less Than 17,500 W (sum of line 9 on Worksheets 5d)' N/A 16. Does Retail Display Lighting Meet Budget? N/A or /159 5 -3 Compliance with OSSC. effective 01/01/05 V WO .. Prop. Name.I Payl &loaSOUrce - T •i rd. O on�_I Page. LIGHTING FIXTURE SCHEDULE (see Table 5c in instructions for default luminaire power(. I.1 pI Icl Idl 01 10 Ld. Lws. r O “nilwW Lem, Bad•b P r A Flwun TO - I bd • 2-rms ECT I042V'2 -1 2 _. ELxk.eo Npmd Od ®® a F........ 18.4 bd • I-FYIIFLECT 11411.N 4 11•332211•. E. =M® BI F5 r1 TO -I bd • 2F3275ELECT 2 IIMIZEIM. 0 ...... ^ ' . 04. OS M••• AY1 i Um Mimi • IT1ne s -■ •m N I Umrden■ . 14a•5r1ar1 -.. _ -. 0•:= K 1 EaecvPanaa.1 - wtaaws _ 2.T111W0011.ELECT4SW -. 2 mamomi. ELxl.enc ®® O CagW1lhmewEm JSHIAMD11016ECT ""' - 2 •=3310 ESSIOSO Mtn® .2 UM died • 2.0404555W L11 -. IEZI• AL12A N.r D.be1 2440.630HW -■ 1E1•1111= n D FLOn•d leer Lery.TS • 1F2175EL E I: r ions • I •••••11•1 Eba. Pro O* Sdn ©i PA1 U.n O.b.d ••1.40W1bb1.0 - . ••=/• PA2 user •betl - -. J I Sn.bpn - ©' PA5 Urll.red • ,ACWHiopen -■ =MIME BF1A fLOn••d i5 -I Lwr • 1�F5YIa11NialC�YY - I �.L+enM.EO.O %E LSC.Ot. RS MIEN _ --- .._ - - -- �. ....RR.Omol Odpl. RS M� Y16 FEaar.aw Sam l6.2 bd IilTaflECT a�aw - I MaliMli a MM•1•11.��� �.� -- . =� == • U��. EMI -� I -- • �. ■■ • �. ..�. �� -.�■ ■■ • •.�. ■•■ MEMO - -�1� ∎� IlinT MEI -.. am •INIMMI • 1111.• 1111= - ■1. =II • • ii �C =ME= •I•IMIMMIMMIMI • �• 1CC MEINIIIIIIMMI 1111.11•1•■1111111111111111111111W • MI•1■MMIMMIMIIM•••• I I NM • �1 �� • BIIIIIIIM 1 I Mil. ri -�1� == • =:�== 11 MIN — • .—.i -- - =5� -= • Worksheet 5b -1 Project Name. Payless ShoeSource - Tigard. Oregon 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) U) (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) ( fighting) (Watts) Fixtures (g) x (h) Power Each room Sales 1766 Retail • Other Meichandise Sales Area 2 3,532 A 23 62 ❑ 1,426 1.426 must be -- — AM1 • 8 37 ❑ 296 - identified. -- — AM2 7 12 70 ❑ 840 — Descnbe luminaires for each individual -- — AM • 1 70 ❑ 70 — room in plans. __ — D • 9 30 ❑ 270 — -- — PA1 • 1 2 40 ❑ 80 — -- — PA2 •l 1 40 ❑ 40 - -- — PA3 •l 2 40 ❑ 80 — Fortracklighting -- — SF1A 9 35 ❑ 315 -- enter lineal feet in __ — SF1B • 1 22 ❑ 22 — column column (g) . Office 245 Office - enclosed 1.1 270 B zi 1 114 ❑ 114 114 Column (k). enter -- -- B1 . --i. 1 62 ❑ 62 - sum of column (j) for -- — L 1 26 ❑ 26 — each room only once _ at first entry for the Restroom 53 Resbooms 0.0 48 H •[ 1 60 ❑ 60 60 room . See example -- _ .I - ❑ - - in instructions. .l - ❑ - _ — — .1 - ❑ .. — — C - ❑ - - - _ ❑ - - -- -- • I - ❑ - -- - ❑ - __ .. — - ❑ - -- - 1 ❑ - - J - ❑ - - - ❑ - - - J - ❑ - — - — - ED - - -- - • ❑ - - - - - ❑ • -- - - - - ❑ - - -- -- - - ❑ - - - - - - ❑ - - -- - - ❑ - - -- - - ❑ - -- - - - ❑ - -- - - - ❑ - - -- - - ❑ - - -- - • - ❑ - -- - - ❑ - -- 2.064 Worksheet 5b -1 Total Budget 3,849 Wksht 5b-1 Total Lighting Power (excluding exempt/track fixtures) 3,701 Other Pages Total Number of Additional Worksheet 5b 0 List the additional worksheets nece- ssary to catalog all luminaires in building (I) Ian) (n) Lighting Power Budget: Space Proposed Buiding Lighting by -Space only (Total of Power (Total of column (k). Area Sqft. (riot required Worksheet Number column (e)) excluding exempttrack) for Tenant Method) 5b -1 3.849 3,701 2.064 5b -2 5b -3 Sum of additional 5b worksheets • ^"'•' Total Budget (of all worksheets' 3,849 3.701 2064 v. , 5-5 V2.4.1 - Compliance with 2007 OSSC ,• FREIHEIT & HO ri ARCHITECTS, INC., P.S. TRANSMITTAL DATE: February 18, 2008 TO: PERMIT CENTER BUILDING 13125 SW HALL BLVD. TIGARD, OR 97223 ATTN: DAN NELSON RE: PAYLESS SHOESOURCE #4841 / WASHINGTON SQUARE MALL I TIGARD, OR PROJECT NUMBER: A07 -706 WE ARE SENDING YOU: CONSTRUCTION DOCUMENTS FOR PLAN REVIEW THESE ARE TRANSMITTED: FOR YOUR APPROVAL REMARKS: Dan, Here are the plans, Building Permit Application, Building permit fee (amount due at the time of submittal), and Energy Calculation Forms for Payless Shoesource for an existing space in the Washington Square Mall in Tigard. If you need any additional information, please let me know. Please send us a receipt for the application fee when you have a chance. Thank you. Sincerely, FREIHEIT & HO ARCHITECTS, INC., P.S. Allison Allman CC: File 10230 NE POINTS DRIVE SUITE 300 KIRKLAND, WA 98033 P: 425.827.2100 F: 425.828.6899 WWW.FHOARCH.COM FREIHEIT & HO ARCHITECTS, INC., P.S. TRANSMITTAL DATE March 20, 2008 RECEIVED ?:4 2 1 (JUd TO: PERMIT CENTER BUILDING CITY OF TIGARD 13125 SW HALL BLVD. B TIGARD, OR 97223 ATTN: DAN NELSON RE: PAYLESS SHOESOURCE #4841 I WASHINGTON SQUARE MALL / TIGARD, OR PROJECT NUMBER: A07 -706 WE ARE SENDING YOU: STRUCTURAL REVIEW LETTER STRUCTURAL CALCULATIONS THESE ARE TRANSMITTED: AS REQUESTED FOR YOUR REVIEW AND APPROVAL REMARKS: Dan, Here are the Structural Calculations for the Payless Shoesource for an existing space in the Washington Square Mall in Tigard. If you need any additional information, please let me know. Thank you. Sincerely, FREIHEIT & HO ARCHITECTS, INC., P.S. Allison Allman CC: File 10230 NE POINTS DRIVE SUITE 300 KIRKLAND, WA 98033 P: 425.827.2100 F: 425.828.6899 WWW.FHOARCH.COM