Permit P.
JUN City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT E:
IN � � 22015
e: Ike uest for Permit Action
.1.1(_i A R I;) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • .ti .'3.� _ _ R.I)
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TO: CITY OF TIGARD J.1
Building Division
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13125 SW Hall Blvd.,Tigard,OR 97223 ' 4PAS qii
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits @tigard-or.gov
FROM: yr Owner [l Applicant ❑ Contractor ❑ City Staff
Check(✓)one Se? e.
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REFUND OR Name: �� u
INVOICE TO: (Business or Individual) fz t t�^'� N� A v'r 1 P"c tz•N�5 L1.-C,
Mailing Address: •I C 4O' e+4 t1* OF Tke AINAtit.1 C.1K, $E el/3
City/State/Zip: N jtN "t' 4-d NY k2. '4 8
Phone No.: ( I2) 491 -214®
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
•
X, CANCEL/VOID PERMIT APPLICATION. ,�
■ REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
-0 3 INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). rtP
❑ REMOVE/REPLACE CON'T'RACTOR ON PERMIT (do not cancel permit). u�
Permit #: J Lk 0,q b 14 — bd�'7 T
Site Address or Parcel #: '140 SW tAJ f sfrtt N re:t4 . Too
Project Name: Ee.* 41)1T-t5 &tIE-iL"t('
Subdivision Name: Lot#:
EXPLANATION: e,- 'M Or V J t - FfA 7 eeeN e j r7'L
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Signature: ( Tk,M+i¢----• Date: y(,"/."/.2,e1.9
Print Name: IVY / ,,., /4.N(
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Refund Policy S2)3 ✓ ,2&-S-- I5 Y/ L.,zs ,. = , t-----s , /0e.2...7-2/9-A16
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
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Route to S s Admin: Date 'O� ' Route to Records: Date (��7� B �•,
Refund Processed: Date B Invoice Processed: Date , /eia B j
Permit Canceled: Date 42,4920111i�,/ •.arcel Ta:Added: Date B
1:\Building\Forms\RegPcrmitAction_09 314.doc
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Building Permit Application 6/ef//.S
Commercial t - FORROFi IC E IrsE,OrI,
Received
City of Tigard 'S i PennitNo.: �f 9
111- `J g1 DateB : �� �� �L.( � /`7
- a 13125 SW Hall Blvd.,Tigard,OR 97223 S
C'FAV Plan Revi '
Phone: 503.718.2439 Fax: 503.598.1960 Date/By: ... . MOB Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready/- 2 Jur. Vi See Page 2 for
Internet www.tigard-or.gov N�� 9 Z0V Notified/Methnd: /t7` 14 1/i Supplemental Information
—trot' t.a.,f orvam 1/-"n e
TYPE OF WORKiTy! `�N�„ARD REQUIRED DATA:1-AND 2-FAMILY DWELLING 4
❑New construction ❑DDmolt' '0Y tt QV IS ION fees*are based on the value of the work performed.
1 ��� G p 0 ap�� Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ■l'1 equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application. '
Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
I=1 Accessory building ❑Multi-family Number of bedrooms: 6
❑Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:9000 SW Washington Square Rd New dwelling area: square feet :
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:n/a Project name:Embassy Suites GR Renovat t Covered porch area: square feet ('n
Cross street/directions to job site:SW Hall Blvd to SW Fliander Ln,tq Deck area: square feet
SW Washington Square Rd t`�'t�(4 U . Other structure area: square feet
T)
��,1�, REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 0— Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S126BC01500 �.� �� Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the V
DESCRIPTION OF WORK work indicated on this application. (/
As a part of a maintenance upgrade in the existing guest rooms and corridors, Valuation: $$295,995.00 . lc, :
the Owner proposes conversion of twelve sleeping units for accessible access. Existing building area: 210k square feet
The Owner is also modifying the existing vending and guest laundryareas. New building area: 210k square feet
® PROPERTY OWNER ❑ TENANT Number of stories: nine
Name:AWH Partners,LLC(Steve Hanratty,Representative) Type of construction: I-A
Address: 1040 Avenue of the Americas Occupancy groups:
City/State/ZIP:New York,NY 10018 Existing: A-2,B and R-1
Phone:(212)459-2940 Fax:(646)448-8182 New: A-2,B and R-1
`L; ❑ APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
fr Business name:David Kennedy Architect ,\ � (Please refer to fee schedule)
taGEJ N Structural plan review fee(or deposit): $1,488.00
� S'� Contact name:David Kennedy Rlu Fr .r,3€L'S
� FLS plan review fee(if applicable): $916
,p 0 Address: 1540 SW Davenport St 9/A- •� 4- /637
/ r7 City/State/ZIP:Portland,OR 97201 Total fees due upon application:
s} ,nru�tt�p paffit�ar6.•
Phone:(503)764-2398 Fax::(503)914-18 ett%-1 Amount received: aL�o(j,; e
t
kennedyarchitect.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail:david@david
Co ercial and residential prescriptive installation of
CONTRACTOR _ , roof-'top . ted PhotoVoltaic Solar Panel System.
Business name:To Be Determined Submit two(2) • of roof plan with connection detail
����''Y, — 7 and fire department a . s,along with the I •regon
Address: Solar Installation Specialty..de ch tst.
City/State/ZIP: Permit fee(includes pl.' 'ew
$180.00
and admini ,. ive fees :
Phone:( ) Fax:( ) State surcharge( 'o of permit fee): '.21.60
CCB lie.:
Total e due upon application: $201.60
Authorized Signature: a This permit application expires if a permit is not obtained,„ within 180 days after it has been accepted as complete.
Print name:David A Kennedy Dat .19.2014 0 Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) I
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v Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE(ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering. [1] $ 295,995
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 73,999
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $ 91,560
TOTAL(shall equal line [2]of Valuation Computation): $ 91,560
I:\Building\Permits\BUP-COM PermitApp.doc 03/03/2011
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City of Tigard
a COMMUNITY DE VELOPMENT DEPARTMENT
C
Building Permit Review — Commercial - No Land Use
T!1 G.AR D
Building Permit #: 12 j u.p,9-6 14-db a---7 171
Site Address: (woo 5W Wash i nc n Square KO_ Suite/Bldg#:
Project Name: EHOOSSV Su t+e,5 T
(Name of coma •reial business occupying the space. I f vacant,enter Spec Space.)
r
Planning Review '
Proposal: '�'(�O'� impro\ e )err}is - 0 ex1s4in rooms curl Gorr1c\cK5 kiN
Existing Business Activity: C.6Yfly V(CA Oa \o r
Proposed Business Activity: Sam 9
Verify site address/suite # exists and active in permit system.
N4�ning: MUC �
I rmitted Use: Yes ❑ No ❑ Spec Space (�
Confirm no land use required. r
N\
Notes:
Approved by Planning: ^ / 1 m LZVA06teln Date: i ( 1142111 Li
/v
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: (l o'�-c/l4
Site Plans: # ,J/-
Building Plans: # "j
Building Permit#: I;Lelliiter building permit# above. _,�
Workflow Routing: �f lanning I Hermit Coordinator L - iuilding
Workflow Sign-off: .ign-off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: C'..L.Oe .•�- Date: ii/ -c/i 7
I:\Building\Forms\BldgPermitRvw_COM_NoLandUsc_071514.docx
■
Permit Coordinator Review
❑ Conditions Met-Prior to Issuance of Building Permit
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
OK to Issue Permit /
Approved by Permit Coordinator: / Dater
.,I:\Building\Forms\BldgPerniit Rvw_COM_NoLandUse_071514.docx
:, .: City of Tigard • COMMUNITY DEVELOPMENT
Building Division
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tiaard-or.gov
•TIGARD
INVOICE
TO: AWH Partners LLC Customer ID: C15-0001
Attn: Rick Erickson Invoice No.: INV2015-00002
1040 Avenue of the Americas, Ste 9B Invoice Date: 06/18/2015
New York, NY 10018 Date Due: 07/18/2015
'°Case No. . -Site Address .. Subdivision::Lot"#or Project:Name ,:Amount Due.::.
BUP2014-00274 9000 SW Washington Square Embassy Suites Guestroom $343.00
Rd Remodel
Invoice Total: $343.00
® Please see attached fee schedule for description of fees due.
(Detach and return this portion with payment.)
Case No.: BUP2014-00274 Customer ID: C15-0001
Site Address: 9000 SW Washington Square Rd Invoice No.: INV2015-00002
Project: Embassy Suites Guestroom Remodel Invoice Date: 06/18/2015
Date Due: 07/18/2015
Invoice Total: $343.00
Amount Paid:
Office Note: Copy of receipt to Dianna Howse
Please mail payment to:
City of Tigard, Building Division
Attn: Dianna Howse
13125 SW Hall Blvd.
Tigard, OR 97223
1:A Building\Accounting\Invoice.doc 01/14/2011
iirli CITY OF TIGARD FEE AND PAYMENT HISTORY
I1
13125 SW Hall Blvd.,Tigard OR 97223
- • 503.639.4171
TIGARD
BUP2014-00274 - 9000 SW WASHINGTON SQUARE RD, TIGARD, OR 97223
Revenue Payment
Fee Description Account Number Fee Amount Invoiced Paid Date Paid Method Receipt# Due
Plan Review 230-0000-43106 $1,488.36 $1,488.36 $1,488.36 11/20/14 Credit Card 198488 $0.00
Plan Review-Fire Life Safety 230-0000-43108 $915.92 $915.92 $915.92 11/20/14 Credit Card 198488 $0.00
DC Provision Review, COM TI-Ping 100-0000-43112 $299.00 $299.00 $299.00
DC Provision Review, COM TI-LRP 100-0000-43117 $44.00 $44.00 $44.00
Totals for Fees $2,747.28 $2,747.28 $2,404.28 $343.00
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
198488 Credit Card Chad E Cooley 11/20/2014 $2,404.28
Total Payments: $2,404.28
Balance Due: $343.00
CO Software
InteMcheck rior Lighting Version 3.9.4 Compliance
Certificate
2014 Oregon Energy Efficiency Specialty Code
Section 1: Project Information
Project Type:Alteration
Project Title: Embassy Suites Guest Room Renovation
Construction Site: Owner/Agent: Designer/Contractor:
9000 SW Washington Square Rd Steve Hanratty David Kennedy
Tigard,OR 97223 AWH Partners,LLC David Kennedy Architect
1040 Avenue of the Americas 1540 SW Davenport St
New York,NY 10018 Portland,OR 97201
212.459.2940 503.764.2398
shanratty@awhpartners.com david@davidkennedyarchitect.com
Section 2: Interior Lighting and Power Calculation
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts/ft2 (B x C)
Guest Tower Corridors(Common Space Types:CorridorlTransition)(Ceiling 32000 0.41 13120
Height 8 ft.)
Total Allowed Watts= 13120
Section 3: Interior Lighting Fixture Schedule
A B C D E
Fixture ID:Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
Guest Tower Corridors(Common Space Types:Comdor/Transition 32000 sq.ft.)
Compact Fluorescent'D':D:Custom Wall Sconce:Triple 4-pin 18W:Electronic: 2 200 36 7200
Compact Fluorescent'E':E:Recessed Downlight:Triple 4-pin 18W:Electronic: 2 24 36 864
Total Proposed Watts= 8064
Section 4: Requirements Checklist
In the following requirements,blank checkboxes identify requirements that the applicant has not acknowledged as being met.Checkmarks
identify requirements that the applicant acknowledges are met or excepted from compliance. Plans reference page/section'identifies where in
the plans/specs the requirement can be verified as being satisfied.
Lighting Wattage:
1. Total proposed watts must be less than or equal to total allowed watts.
Allowed Wattage:13120 Proposed Wattage:8064
Complies:YES
Mandatory Requirements:
2. Exit signs.Internally illuminated exit signs shall not exceed 5 watts per side.
Plans reference page/section:Existing Exit Signage to Remain
❑ 3. Daylight zone control.All daylight zones are provided with individual controls that control the lights independent of general area lighting
in the non-daylight zone.In all individual daylight zones larger than 350 sq.ft.,automatic daylight controls is provided.Automatic
daylight sensing controls reduce the light output of the controlled luminaires at least 50 percent,and provide an automatic OFF control,
while maintaining a uniform level of illumination.Contiguous daylight zones adjacent to vertical fenestration may be controlled by a
single controlling device provided that they do not include zones facing more than two adjacent cardinal orientations(i.e.,north,east,
south,west).Daylight zones under skylights shall be controlled separately from daylight zones adjacent to vertical fenestration.
Project Title:Embassy Suites Guest Room Renovation Report date: 11/17/14
Data filename:C:\Users\David\Documents\Embassy Suites Washington Square\Agency\Energy\Embassy Suite Wash Sq Guest Room
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Exception(s):
Retail spaces adjacent to vertical glazing(retail spaces under overhead glazing are not exempt).
• Display,exhibition and specialty lighting
❑ HID lamps 150 watts or less. \ '
J Spaces required to have occupancy sensors.
Plans reference page/section:
✓ 4. Interior lighting controls.At least one local shutoff lighting control has been provided for every 2,000 square feet of lit floor area and
each area enclosed by walls or floor-to-ceiling partitions.The required controls are located within the area served by the controls or are
a remote switch that identifies the lights served and indicates their status.
• Exception applies:Lighting in public areas such as concourses,stairways or corridors that are elements of the means of egress
with switches that are accessible only to authorized personnel.
Plans reference page/section:
❑ 5. Sleeping unit controls.Master switch at entry to hoteUmotel guest room.
Plans reference page/section:
✓ 6. Egress lighting.Egress illumination is controlled by a combination of listed emergency relay and occupancy sensors to shut off during
periods that the building space served by the means of egress is unoccupied.
Plans reference page/section: Existing Egress Lighting to Remain
• 7. Additional controls.Each area that is required to have a manual control shall have additional controls that meet the requirements of
Sections 505.2.2.1 and 505.2.2.2.
Plans reference page/section: N/A
✓ 8. Light reduction controls.Each space required to have a manual control also allows for reducing the connected lighting load by at least
50 percent by either
1)controlling(dimming or multi-level switching)all luminaires;or
2)dual switching of alternate rows of luminaires,alternate luminaires,or alternate lamps;or
3)switching the middle lamp luminaires independently of other lamps;or
4)switching each luminaire or each lamp.
Exception applies:The area is a corridor,storeroom,restroom,public lobby or sleeping unit.
Plans reference page/section:
✓ 9. Buildings larger than 2,000 square feet are equipped with an automatic control device to shut off lighting in those areas.This automatic
control device shall function on either:
1)a scheduled basis,using time-of-day,with an independent program schedule that controls the interior lighting in areas that do not
exceed 10,000 square feet and are not more than one floor;or
2)an occupant sensor that shall turn lighting off within 30 minutes of an occupant leaving a space;or
3)a signal from another control or alarm system that indicates the area is unoccupied.
• Exception applies:Sleeping units,patient care areas;and spaces where automatic shutoff would endanger safety or security.
Plans reference page/section:For safety concerns corridors are needed 24/7
• 10.Occupancy sensors in rooms that include daylight zones are required to have Manual ON activation.
Plans reference page/section: N/A
✓ 11 An occupant sensor control device is installed that automatically turns lighting off within 30 minutes of all occupants leaving a space.
Plans reference page/section: N/A
✓ 12Additional controls.An occupant sensor control device that automatically turns lighting off within 30 minutes of all occupants leaving a
space or a locally activated switch that automatically turns lighting off within 30 minutes of being activated is installed in all storage and
supply rooms up to 1000 square feet.
Plans reference page/section: N/A
✓ 13.Occupant override.Automatic lighting shutoff operating on a time-of-day scheduled basis incorporates an override switching device
that:1)is readily accessible,2)is located so that a person using the device can see the lights or the area controlled by that switch,or
so that the area being lit is annunciated,3)is manually operated,4)allows the lighting to remain on for no more than 2 hours when an
override is initiated,and 5)controls an area not exceeding 2,000 square feet. -
Plans reference page/section: N/A
• 14.Holiday scheduling.Automatic lighting shutoff operating on a time-of-day scheduled basis has an automatic holiday scheduling feature
that turns off all loads for at least 24 hours,then resumes the normally scheduled operation.
Project Title:Embassy Suites Guest Room Renovation Report date: 11/17/14
Data filename:C:\Users\David\Documents\Embassy Suites Washington Square\Agency\Energy\Embassy Suite Wash Sq Guest Room
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Plans reference page/section:N/A
• 15.Exterior lighting controls.Lighting not designated for dusk-to-dawn operation shall be controlled by either a combination of a
photosensor and a time switch,or an astronomical time switch.Lighting designated for dusk-to-dawn operation shall be controlled by
an astronomical time switch or photosensor.
Plans reference page/section:N/A
vt 16.Tandem wiring.The following luminaires located within the same area shall be tandem wired:
1.Fluorescent luminaires equipped with one,three or odd-numbered lamp configurations,that are recess-mounted within 10 feet
center-to-center of each other.
2.Fluorescent luminaires equipped with one,three or any odd-numbered lamp configuration,that are pendant-or surface-mounted
within 1 foot edge-to-edge of each other.
Plans reference page/section:N/A
• 17.Medical task lighting or art/history display lighting claimed to be exempt from compliance has a control device independent of the control
of the nonexempt lighting.
Plans reference page/section:N/A
• 18.Each dwelling unit in a building is metered separately.
Plans reference page/section:N/A
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Section 5: Compliance Statement
Compliance Statement The proposed lighting design represented in this document is consistent with the building plans,specifications and
other calculations submitted with this permit application.The proposed lighting system has been designed to meet the 2014 Oregon Energy
Efficiency Specialty Code requirements in COMcheck Version 3.9.4 o comply with the mandatory requirements in the Requirements
Checklist.
10)110 A> p weNNu)/ 1117.14.
714.
Name-Title 164CA PAL. Signature Date
.
Project Title:Embassy Suites Guest Room Renovation Report date:11/17/14
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