Permit ' 's� ��` . BUILDING PERMIT
CITY OF TI BARD PERMIT #: BUP2004 -00577
A
. DEVELOPMENT Tigard. SERVICES 1 639 -4171 DATE ISSUED: 1/11/2005
SITE ADDRESS: 09432 SW WASHINGTON SQUARE RD K -2 PARCEL: 1S12600 -00300
SUBDIVISION: WASHINGTON SQUARE ZONING: C -G
BLOCK: LOT: JURISDICTION: TIG
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: 31 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: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : Y HNDICP ACC:Y
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 68,000.00
Remarks: TI
Owner: Contractor:
WASHINGTON SQUARE LLC HITT CONTRACTING
BY THE MACERICH COMPANY 2704 DORR AVE.
9585 SW WASHINGTON SQUARE RD FAIRFAX, VA 22031
TIGARD OR 97223
one
Phone: 703- 846 -9000
Reg #: LIC 154387
FEES REQUIRED INSPECTIONS
Description Date Amount Mechanical Permit Require
[BUPPLN] PIn Rv 12/13/2004 $370.02 Electrical Permit Required
[FLS] FLS Pin Rv 12/13/2004 $227.70 Mechanical a Required
Meccal l Insp
[TAX] 8% State Surchari 1/6/2005 $45.54 Framing Insp
[BUILD] Permit Fee 1/6/2005 $569.26 Gyp Board Insp
Sprinkler Rough -In
Total
$1,212.52 Sprinkler Final
Final Inspection
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: C. JI P CAA- - . ' .r /jt,�)
Permittee of /
Signature: �� / IL i' t / / 4 11
Call 63 75 by 7 •.m. for .inspection the next business day
/xp $ w wa-641>r 1 g (24,
Building Permit a tV1,( ;9i7D FOR OFFICE USE ONLY \
City of Tigard Received / / Q
-v—,, ." (> Date /By /,, / I. Permit No A c2Ot9 i.1`, 13125 SW Hall Blvd , Tigard, OR 9/22'3 u 1- ' Plan Review
Other Permit G S f
Phone 503.639.4171 Fax 503 598 1960 • I� I Date /By•
Inspection Line 503 639.4175 �6 OF VGA6lD r. I Date Ready /By: Juris 2 See Attached Checklist for
Internet: www.ci.tigard or us Notified/Method: / / C, Supplemental Information
ElU9LD G DIVISlO`�l
TYPE OF WORK REQUIRED 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
X 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
CI Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
U.
g4 . JOB SITE INFORMATION AND LOCATION Total number of floors.
Job site address: New dwelling area: square feet
City /State /ZIP • --� f c,,, , -72_23 Garage /carport area: square feet
Suite /bldg. /apt. no. ' Project name K.) A'�1 Covered porch area: square feet
Cross street/directions to job site: Deck area • square feet
Other structure area: square feet
� REQUIRED DATA: COMMERCIAL - USE CIIECKLIST
Subdivision: wa. sk i N Cue ro.') .S AAA
v re, Ivy A, k Lot no. Permit fees* are based on the value of the work performed
Indicate the value (rounded to the nearest dollar) of all
Tax map /parcel no : equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
1__ Valuation S ( g 000
,� -1-016 , - - A4kr�li o -1 s +u ' lkj C-1 LA de.. n on Par - - ∎-k on t
- ucA E"Ak WM A � n (.4 1 an' d. p ur1b1,J�6r Existing building area: '� 9 g square feet
New building area square feet
❑ PROPERTY OWNER g TENANT Number of stories: I
Name: r ,j e i Type of construction: + I „ A'
Address: A03,?, Ean-1�.�-/IQ. (-k (e. -i.J NkAt ( G ( o _ I Occupancy groups: M `"
City /State /ZIP: � - S n \ VA a01 Ci I / Existing: N1
Phone: ( ) Fax: (-1o3) 1,433_. 1.. t New.
❑ APPLICANT i4' CONTACT PERSON NOTICE
Business name: All contractors and subcontractors are required to be
Contact name / � t� --OW�I licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 1 3602 d5e ezAck jurisdiction in which work is being performed If the
City /State /ZIP: J applicant is exempt from licensing, the following reasons
1n70(Abe d5-e. k 1/ AA l °la apply •
Phone: (703 ) q a36_Z I Fax: • (703) 09 I —s-S.5.0 /elk/ . 379. Qom
E - mail: t- 1 . 1011■/-elfl 6-nG1C-A-eil c -'. a2 '7. 7r2
CONTRACTOR _--rpBD
T 597. -7.9- Business name
/ -if CO - BUILDING PERMIT FEES*
Address:
Please refer to fee schedule.
City /State /ZIP.
Fees due upon application
Phone: ( ) Fax.( )
Amount received
CCB tic.:
Dale received -
Authorized signature 3/ This permit application expires if a permit is not obtained
7 � 0.f "' within 180 days after it has been accepted as complete.
Print name: vAri Lower_ Date: 121 to 104 * Fee methodology set by Tri- County Building Industry
Service Board.
I \Budding \ Permits \BUP- PermiApp doc 12/03 440- 4613T(1 I /02 /COM/WEB)
N.3z Rci ate c-05 77
Form 5a Project Name: µi„ b,, 54 Page:
LIGHTING - GENERAL BCC
1. Interior Exceptions (Section 1313.1) CJTITCY
Exceptions ❑ No Interior Lighting. The building plans and specifications do n &bef. ii taniTorr
Discussion of qualifying 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
section.
code lighting requirements. Applicable code exception is number:
2. Lighting equipment that qualifies for an exception - in addition to general lighting and is
separately controlled. Applicable code exception is number:
Areas of the building and equipment that qualify for any exceptions:
Plans /Specs
Show complince by 2. Local Shut -off controls (Section 1313.3.1.1)
including a drawing
sheet, detail number. Complies. At least one local shut -off lighting control for every 2,000 square feet of
and/or spercetron lighted floor area and for all spaces enclosed by walls or ceiling height partitions.
section and
subparagraph. This control(s) is detailed in the building plans on drawing number: 1 1.'1.2
❑ 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)
g 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)
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
L
is ighting
directed to Section 1313.3.1.3.3.
illuminate the exterior Compliance details in plans /specs:
of the building and
adjacent walkways
and loading areas with 5. Exterior Lighting (Section 1313.5)
or without canopies.
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 shall lamps, but they are specified for use in or around swimming pools, water features, or other
be astronomic locations subject to the requirements of Article 680 of the 2002 National Electrical Code.
(seasonal correcting)
type with separate
programs for each day 6. Exterior and Canopy Lighting Controls (Section 1313.3.2
of the week and shall py g g 1 )
store energy to Al Complies. The building plans and specifications include photoelectric and /or clock
maintain timekeeping switches on all exterior lighting systems which are designed and programmed to
dunng power outages
extinguish lights when daylight is present, as required by Section 1313.3.2.
7. Interior Connected Lighting Power (Section 1313.4)
IS 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).
5-1
` 1
•
Form 5c Project Name: Page:
INTERIOR LIGHTING POWER - Space -by -Space Method
Lighting
Power (1. Total Interior Lighting Power Budget from Worksheet 5b (Sum of Column (I)) 12 2
Budget
2. Total length of track lighting (ft) Z Z
Track 3. Line 2 multiplied by 37.5 Watts/ft S25
Lighting 4. Total amperage of circuit breaker(s) serving track lighting (amps) !,L•p
Power 5. Voltage of circuit breaker serving track lighting (volts) /2 0
6. Maximum wattage of track lighting (multiply line 4 by line 5) 4 /-B0 0
7. Track Lighting Power (lesser value of line 3 or line 6) 2 s
Building's 8. Total Interior Lighting Power from Worksheet 5b (Sum of Column (m)) + / 3 SO
Lighting 9. Total Adjusted Lighting Power (line 7 + line 8) 2.1'7 Y
Power 10. Does design meet budget? Line 9 must be no greater than line 1. Y,131 No
1r 1�
5-3
1
Y
Worksheet 5'roject Name:
LIGHTING SCHEDULE
ID is the identification
number or letter used (a) (b) (c) (d) (e) (f7
in your plans or Lamp Ballasts Luminaire
specification. Lum. Power From
ID Luminaire Description No. Description No. Description (watts) Table 5b?
Enter the number and
type of lamps and A Z ' k v 2- F3 2 TS ���. ❑
ballasts in the � r�Nl Co
luminaire. See Table 5b 6061 i 4 .' L r - t -- •2 �g //ltii I 1 E LE c. C. o ❑
for typical lamp and
ballasts description C. � R.I4C l — ! v 1
T / /JGdr'O - ,2.0 0 ❑
abbreviations. �^
G I / f a-- *I c1 4 - 2 /.Jct1.., ► ov ❑
User Defined Fixtures - C' 2' r + G � I , JLv 1, 0 . - zi0 d ❑
Cut Sheets must be r2 Veer 89.3%.51 / WC/4N°. S O ❑
included to verify
wattage of complete ❑
luminaire.
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
e'�, ❑
K ❑
lea,. rs
0
CI
5-4
Worksheet 5b Project Name: /■,I.,XTFt lid - i s t n)E' - j Page:
INTERIOR LIGHTING POWER Worksheet No 5b, Page _ of _
IF YOU DO NOT HAVE ENOUGH SPACE FOR ALL YOUR FIXTURES, PRINT ADDITIONAL
Space-by -Space Method Only
Skip to column (f) if using the Tenant Space
(a) (b) (c) (d) (e) ( f) (9) (h) (I) (i) (k)
Room
Space Type Space Lighting Luminaire Lighting Total
Area (Table 13- Type Power Budget Luminaire Quantity of Power Exempt Power Ltg.
Room ID (ft H) LPD (b) x (d) ID Luminaires' (Watts) ? (g) x (h) Power
Each room pO / $ (Z - Trot L S. 0 I(4780 Ova, I l 3( ❑ S740 57(0
must be
identified. +' 2 — SC7 ❑ 60 O 600
Describe 002 ZSO W of 1 . ° I 5 3 2 R 3 sg o nil -
luminaires for ❑
each
individual ❑
room in ❑
plans.
0
0
For track lighting ❑
enter lineal feet in ❑
column column (g)
and enter N/A In ❑
column (h). Track
lighting power is ❑
accounted for on
Form 5b or Form ❑
5c. ❑
Column (k), enter ❑
sum of column (j) ❑
for each room only ❑
once at final entry
for the room . See ❑
example In
Instructions ❑
El
Worksheet 5b-_ Total Budget 221 Z Worksheet 5b- Total Lighting Power! 13$4)
Other Pages
(m)
List h�ad�ditional Worksheet Number Lighting Power Budget: Space -by- Proposed Buidting Lighting
necessary to Space only (Total of column (e) Power (Total of column (k)
catalog all 5b-1
luminaires in
building 5b-2
f' �•,. 5b-3
{ 3 5b-4 or sum of additional worksheets
1/ 1 otal budget
7 (of all worksheets)
5-5
CITY OF TIGARD 24 -Hour
BUILDING Inspection Line: (503) 639 -4175
INSPECTION DIVISION Bu$iness Line: (503) 639 -4171 MST L/ °7
� BUP /3Q 6 - Qt 9 s7
Received Date Requested AM PM BUP — i r
Location 13D— Z () r S ( Suite / < MEC
Contact Person Ph (703_, . 9-9 - - 73 6.5 PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner � -2/X ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing 4,'
Insulation
Drywall Nailing , �
Fire Al erg E M� 1 NI • wit
Fire Alarm
Susp'd Ceiling
Roof MEI U41
Oti—
r - ASS PART FAIL
:LU = ING
& Beam
41161 Under Slab _
Water S
Water Service
Sanitary Sewer 1
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fire Alarm
Final fl Reinspection fee of $ ' e• before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE fl Please call r reinspe • ion RE: ► Unable to inspect — no access
Fire Supply Line / $'4�
ADA Approach/Sidewalk Date l:J ✓ map or Ext
Other:
Final DO NOT REMOVE this Insp; ctlon record from the job site.
PASS PART FAIL
•