Permit (178) i � CITY OF TIGARD BUILDING PERMIT
' ; - COMMUNITY DEVELOPMENT Permit #: BUP2011 -00134
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439
Date Issued: 07/12/2011
Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15570 SW PACIFIC HWY
Project: Safeway Subdivision: 1997 -016 PARTITION PLAT Lot: 2
Project Description: TI
Contractor: BOOCO CONSTRUCTION CO Owner: TRC MM LLC
PO BOX 30149 5973 AVENIDA ENCINAS STE 300
PORTLAND, OR 97294 -0835 CARLSBAD, CA 92008
PHONE: 503 - 262 -6570 PHONE:
FAX:
FEES
Specifics:
Description Date Amount
Type of Use: COM DC Provision Review, COM TI - Ping 06/24/2011 $256.00
Class of Work: ALT DC Provision Review, COM TI - LRP 06/24/2011 $38.00
Dwelling Units: 0 Permit Fee - Additions, Alterations, 06/24/2011 $1,407.95
Stories: 1 Height: 0 ft Demolition
Bedrooms: 0 Bathrooms: 0 12% State Surcharge - Building 06/24/2011 $168.95
Value: $150,000 Plan Review 06/24/2011 $915.17
Plan Review - Fire Life Safety 06/24/2011 $563.18
Info Process /Archiving - Lg Sheet (over 06/24/2011 $6.00
Floor Areas: 11x17)
Metro Const. Excise Tax - Commercial 07/12/2011 $180.00
Total Area: 0 Use
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,535.25
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Yes Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
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 the 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 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature:
Cal , 5r 175 by 7:00 a.m. for the next available inspection date.
This permit card sha I 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.
"hi
Building Division
•
Development Code Provision Review
T I GARD Commercial Projects - No Associated Land Use Case
Building Permit No: A 011— C1 U i3 t 1 ❑ Expedited Review
Plan Submittal Date:
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact , ( at 503 - 718 - 2 or al @ tigard or.gov)
Jam' Coning
C 6 Permitted Use Yes ,2( No ❑
❑ Land Use Required: Yes ❑ No� (explain below)
Notes: - ic(v.'/1? / f 6z..e G fi r/ -�i <</ /fit / _ � `J�'� + 1' ✓4G ia� '�
?J v 64-, i CU�� :mss' _
l
Approved ❑ Not Approved Date: 7-/-
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert @tigard - or.gov)
Notes:
Routed back to Building Division Date:
I: \CURPLN
1, Y
Building Permit Application
Commercial FOR OFFICE USE ONLY
- City of Tigard Received Dateiv : ��= Permit No.:.k. fi it — .l
il
. ° 13125 SW Hall Blvd., Tigard, OR 97223 ��� Plan Revie
Phone: 503.718.2439 Fax: 503.598.19 Date /B :
� ♦ IN. Other Permit:
TIGARD Inspection Line: 503.639.4175 Date Ready /By: �� See Page 2 for •
Internet: www.tigard- or.gov Q o Notified/Method: 7 �t1M Supplemental Information
• J .A% CD .si o e. w, k
TYPE OF WORK Ov 0 1 REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ De' Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
® Addition/alteration/replacement ❑ Ot3 equipment, materials, labor, overhead, and the profit for the
CATEGOR Y OF CONSTRUCTION work indicated on this application.
❑ 1- and 2- family dwelling Z 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 address: 15570 SW Pacific Hwy Tigard, OR 97224 New dwelling area: square feet
City/State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Safeway Pharmacy Remodel Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL-USE CHECKLIST
Subdivision: 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.
Remodel of existing Pharmacy waiting area including one (1) new restroom. Valuation: $$150,000.00
Includes; Plumbing, HVAC, Electrical and Fire Sprinklers Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ® TENANT Number of stories:
Name: Safeway Stores, Inc. Type of construction:
Address: 16300 SE Evelyn Street Occupancy groups:
City/State /ZIP: Clackamas, OR 97015 Existing:
Phone: (503)780 -7505 Fax: (503)657 -6496 New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES *
Business name: BooCo Construction, Inc. (Pkivla►to fee sehedale�
Structural plan review fee (or deposit):
Contact name: Kyle Herbel
FLS plan review fee (if applicable):
Address: PO Box 30149 ,
Total fees due upon application:
City/State /ZIP: Portland, OR
Phone: (503) 262 -6570 Fax: : (503) 262 -6651 Amount received:
E -mail: klh @booco.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name: BooCo Construction, Inc. Submit two (2) sets of roof plan with connection details
and fire department access, along with the 2010 Oregon
Address: PO Box 30149 Solar Installation Specialty Code checklist.
City/State /ZIP: Portland, OR Permit fee (includes plan review
$180.00
and administrative fees):
Phone: (503) 262 -6570 Fax: (503) 262 -6651 State surcharge (12% of permit fee): $21.60
CCB lic.: 167702 f)J(lf I ( Total fee due upon application: $201.60
Authorized signature: /fl// This permit application expire a permit is not obtained
within 180 days after it has b accepted as complete.
Print name: Kyle Date: 6/17/11 * Fee methodology set by Tri -County Building Industry
Service Board.
I:\Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440 4613T(11/02/COM /WEB) '
Commercial Application Checklist
City of Tigard
13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.718.2439, Fax: 503.598.1960
TIGARD Internet address: www.tigard - or.gov
PROJECT INFORMATION
Project name: Safeway #1478 Pharmacy Remodel Date: 6/16/11
Address: 15570 SW Pacific Hwy City: Tigard State: OR ZIP: 97224
Scope of work: Remodel Existiryharmacy waiting area and add one (1) new rest room.
Reference no.: Map and tax -lot no.:
Contact person name: Kyle Herbel Company: BooCo Construction, Inc.
Phone: 503/262 -6570 Fax: 503/262 -6651
Cellular phone: 503/348 -9949 E -mail: klh @booco.com
NOTES AND INSTRUCTIONS
• The purpose of this checklist is to help define a complete submittal package for the scope of work. Plan
review will not take place until a complete package is submitted.
• This checklist can be used for all commercial construction projects, including new construction, additions,
alterations and tenant improvements.
• For complex projects, applicants should use the "location" space to note the item's location and page
number from the plans or the specification book.
• It is not necessary to duplicate submittal information, even if it is asked for in multiple sections.
• In the checklist, "Required" means that the applicant must provide this information for plan review.
• In the checklist, "P" means —
• if checked by the applicant — the information is provided for the plan review.
• if checked by the plans reviewer — this information is required for the plan review.
• In the checklist, "NA" means that the information does not apply.
• Choose only those sections of the checklist that apply to your scope of work. Section 1.0, "General Project
Data," must be included with each project submitted.
PRE - SUBMITTAL PROCESS
An applicant may request a pre - submittal meeting with representatives of the jurisdiction in which the project
will be built. The meeting may take place during the conceptual, schematic, or in- progress phase, or when the
applicant has completed plans.
INDEX OF CHECKLIST SECTIONS
1.0 General project data Page 2 7.0 Mechanical data (Types I and II
2.0 Civil data Page 2 kitchen -hood permits) Page 6
3.0 Architectural data Page 3 8.0 Plumbing data Page 7
4.0 Structural data Page 4 9.0 Electrical data Page 8
5.0 Mechanical data (new construction, tenant 10.0 Fire - suppression data Page 9
improvement, gas - piping permits) Page 5 11.0 Fire - detection and fire -alarm data Page 9
6.0 Mechanical data (additional or replacement 12.0 Re -roof installation data Page 10
rooftop- equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10
This checklist is for building department jurisdictions in Clackamas, Multnomah, and Washington counties.
440 -2734 (8 /01/WEB /COM)
1:\ Building \Forms \COM- Checklist.doc 06/16/11
SECTION 1.0 — GENERAL PROJECT DATA
Construction documents Location (sheet number or spec section)
1.1 ® Required No. of sets of plans: New: 1 TI: 2
1.2 ® Required Cover sheet title block
1.3 ® Required Cover sheet vicinity map
1.4 ® Required Cover sheet plan index
1.5 ® P ❑ NA Code summary
Plumbing, HVAC, Electrical
1.6 ❑ P ® NA Deferred submittal summary Firesprinkler, Refrigeration
1.7 ® P ❑ NA Professional stamp and signature
1.8 ❑ P ® NA Fire and life- safety plan
1.9 ❑ P ® NA Landscape plan
1.10 ❑ P ® NA Landscape specifications
Supporting documents Notes
•
1.20 ❑ P ® NA Land -use or planning actions
1.21 ❑ P ® NA Required fire -flow calculations
1.22 ❑ P ® NA Fire - hydrant flow -test report
1.23 ❑ P ® NA Fire depat lucent or fire district building survey report
1.24 ❑ P ® NA Material safety data sheets (MSDS)
SECTION 2.0 — CIVIL DATA
Construction documents Location (sheet number or spec section)
2.1 ® Required Site plan
2.2 ® Required Site utility plan
2.3 ® Required Grading plan
2.4 ® Required Erosion - control plan
2.5 ❑ P ® NA Utility -vault location and details
Supporting documents Notes
2.20 ❑ P ® NA Geotechnical /soil engineer report
2.21 ❑ P ® NA Storm -water calculations
2.22 ❑ P ® NA Site retaining -wall structural calculations
2.23 ❑ P ® NA "Assurance of Compliance" with environmental rules ....
440 -2734 (8 /01/WEB /COM) Tri- County Commercial Application Checklist 2
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
I:\ Bui lding\Forms \COM- Checklist.doc
SECTION 3.0 — ARCHITECTURAL DATA
Construction documents Location (sheet number or spec section)
3.1 ® Required Floor plan(s)
3.2 ® Required Transverse and longitudinal cross sections
3.3 ® Required OSSC Chapter 11 accessibility requirements
3.4 ® P ❑ NA Interior elevations
3.5 ❑ P ® NA Exterior elevations
3.6 ❑ P ® NA Roof plans
3.7 ❑ P ® NA Exterior wall sections and details
3.8 ® P ❑ NA Reflected ceiling plan(s)
3.9 ❑ P ® NA Fire -rated construction details
3.10 ❑ P ❑ NA Energy code compliant construction details and
specifications
3.11 ® P ❑ NA Door schedule
3.12 ❑ P ® NA Glazing schedule
3.13 ® P ❑ NA Furniture plan
Supporting documents Notes
3.20 El P ® NA Energy code compliance forms /calculations
3.21 El P ® NA Material safety data sheets (MSDS)
3.22 El P ® NA Hazardous materials inventory statement (HMIS)
3.23 El P ® NA Hazardous materials management plan (HMMP)
3.24 ❑ P ® NA Written fire and life- safety evacuation plan for area
of rescue assistance
3.25 ❑ P ® NA Active and passive smoke - control information
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For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\BuildingWorms\COM-Checklist.doc •
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SECTION 4.0 — STRUCTURAL DATA
Construction documents Location (sheet number or spec section)
4.1 ® Required Structural cover sheet
4.2 ❑ P ® NA Foundation plan
4.3 ❑ P ® NA Under -slab mechanical plan
4.4 ❑ P ® NA Under -slab electrical plan
4.5 ❑ P ® NA Under -slab plumbing plan
4.6 ® P ❑ NA Floor framing plan
4.7 ❑ P ® NA Roof framing plan
4.8 ❑ P ® NA Structural elevations
4.9 ❑ P ® NA Structural details and cross sections
4.10 ❑ P ® NA Standpipe information
4.11 ❑ P ® NA Special inspector /structural observation matrix
Supporting documents Notes
4.20 ❑ P ® NA Geotechnical /soil engineer report
4.21 ❑ P ® NA Site - specific seismic hazard report
4.22 ❑ P ® NA Design narrative
4.23 ❑ P ® NA Structural calculations
440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 4
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
I:\ Building \Forms \COM- Checklist.doc
SECTION 5.0 — MECHANICAL DATA (New construction, tenant improvement, gas piping permits)
Construction documents Location (sheet number or spec section)
5.1 ® Required Floor plan
5.2 ® Required Equipment schedule
5.3 ❑ P ® NA Site plan
5.4 ❑ P ® NA Under -slab mechanical plan
5.5 ❑ P ® NA Roof plan
5.6 ❑ P ® NA Fuel gas piping plan
5.7 ❑ P ® NA HVAC equipment and duct plan(s)
5.8 ❑ P ® NA Roof access details
5.9 ❑ P ® NA Duct smoke detector plans
5.10 ❑ P ® NA Fire /smoke damper locations
5.11 ❑ P ® NA Smoke control plan
5.12 ❑ P ® NA Outside air (OSA) table
5.13 ❑ P ® NA Refrigeration equipment and piping plan
5.14 ❑ P ® NA Kitchen equipment plan
5.15 ❑ P ® NA Type I and/or Type II kitchen hood plan
(see Section 7.0 — Mechanical Data)
5.16 ❑ P ® NA Fume /vapor hood plan
5.17 ❑ P ® NA Process piping/product and/or exhaust - conveying
duct plan
5.18 ❑ P ® NA Fire -rated construction details
5.19 ❑ P ® NA Equipment hanger /fastener details
Supporting documents Notes
5.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
5.21 ❑ P ® NA Equipment manufacturers' catalog "cut sheets"
or specifications
5.22 ❑ P ® NA Outside air (OSA) calculations
5.23 ❑ P ® NA Smoke - control calculations
5.24 ❑ P ® NA Combustion air calculations
5.25 ❑ P ® NA Fuel gas piping sizing calculations
5.26 ❑ P ® NA Make -up air calculations
5.27 ❑ P ® NA Energy code compliance forms
5.28 ❑ P ® NA Boiler information
440 -2734 (8 /01/WEB /COM) Tri- County Commercial Application Checklist 5
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\Building\Forms\COM-Checklist.doc
SECTION 6.0 — MECHANICAL DATA (Additional or replacement rooftop installation permits)
Construction documents Location (sheet number or spec section)
6.1 ® Required Roof plan
6.2 ❑ P ® NA Roof framing plan
6.3 ❑ P ® NA Fuel gas piping plan
6.4 ❑ P ® NA Roof access details
Supporting documents Notes
6.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
6.21 ❑ P ® NA Equipment manufacturers' catalog "cut sheets"
or specifications
6.22 ❑ P ® NA Fuel gas piping sizing calculations
6.23 ❑ P ® NA Energy code compliance forms
SECTION 7.0 — MECHANICAL DATA (Type I and Type II kitchen hood permits)
Construction documents Location (sheet number or spec section)
7.1 Z Required Site plan
7.2 ® Required Floor plan(s)
7.3 ® Required Kitchen equipment plan
7.4 ® Required Kitchen equipment and hood elevations
7.5 ❑ P ® NA Roof plan
7.6 ❑ P ® NA Cross sections through hoods, ducts and shafts
7.7 ❑ P ® NA Fire -rated construction details
7.8 ❑ P ® NA Fire suppression details
Supporting documents Notes
7.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
7.21 ® Required Make -up air calculations
7.22 ❑ P ® NA Equipment manufacturers' catalog "cut sheets"
or specifications
7.23 ❑ P ® NA Hood /grease extractor listing documentation
7.24 ❑ P ® NA Hood/grease duct sizing calculations
7.25 ❑ P ® NA Fire suppression information
440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 6
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
l: \Building \Forms \COM- Checklist.doc
SECTION 8.0 — PLUMBING DATA
Construction documents Location (sheet number or spec section)
8.1 ® Required Floor plan(s)
8.2 ® Required Piping and material schedule
8.3 ® Required Equipment layout plan
8.4 ® Required Fixture schedule
8.5 ❑ P ® NA Site utility plan
8.6 ❑ P ® NA Building cross section
8.7 ❑ P ® NA Rise diagram
8.8 ❑ P ® NA Roof plan
8.9 ❑ P ® NA Back flow prevention location
8.10 ❑ P ® NA Irrigation plan
8.11 ❑ P ® NA Fire -rated construction details
8.12 ❑ P ® NA Under -slab plumbing plan
Supporting documents Notes
8.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
8.21 ❑ P ® NA Equipment manufacturers' catalog "cut sheets"
or specifications
8.22 ❑ P ® NA Utility maintenance agreements
8.23 ❑ P ® NA Water supply calculations
8.24 ❑ P ® NA Sanitary system calculations
8.25 ❑ P ® NA Irrigation demand calculations
8.26 ❑ P ® NA Roof drain and storm water calculations
440 -2734 (8 /01/WEB /COM) Tri- County Commercial Application Checklist 7
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
is \Building \Forms \COM- Checklist.doc
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SECTION 9.0 — ELECTRICAL DATA
Construction documents Location (sheet number or spec section)
9.1 ® Required No. of sets of plans: 2
9.2 ® Required Floor plan(s)
9.3 ® Required Electrical load calculations
9.4 ® Required One line diagram
9.5 ® Required Feeder riser diagram
9.6 ® Required Available fault current information
9.7 ® Required Panel schedule(s)
9.8 ❑ P El NA Site electrical plan
9.9 ❑ P El NA Fire -rated construction details
9.10 El P ❑ NA Lighting plan
9.11 El P ❑ NA Emergency power system and emergency lighting plan
9.12 El P El NA Under -slab electrical plan
Supporting documents Notes
9.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
9.21 ❑ P ❑ NA Energy code compliance forms and calculations
for lighting
9.22 ❑ P ❑ NA Emergency power system specifications
9.23 ❑ P ❑ NA Feeder riser information
9.24 ❑ P ❑ NA Lighting equipment manufacturers' catalog
"cut sheets" or specifications
•
440 -2734 (8 /01/WEB /COM) Tri- County Commercial Application Checklist 8
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
1: \Building \Forms \COM- Checklist.doc
•
SECTION 10.0 - FIRE SUPPRESSION DATA
Construction documents Location (sheet number or spec section)
10.1 ® Required Floor plan(s)
10.2 ® Required Sprinkler piping plan(s)
10.3 ❑ P El NA Site plan
10.4 ❑ P ❑ NA Standpipe information
10.5 ❑ P ❑ NA Back flow prevention information
10.6 ❑ P ❑ NA Reflected ceiling plan(s)
10.7 ❑ P ❑ NA Transverse and longitudinal cross sections
10.8 ❑ P ❑ NA Fire -rated construction details
10.9 ❑ P ❑ NA Specialty fire suppression system plans
and list of systems
Supporting documents Notes
10.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
10.21 ® Required Equipment manufacturers' catalog "cut sheets"
10.22 ❑ P ❑ NA Hydraulic calculations
10.23 ❑ P ❑ NA Specialty fire suppression system information
SECTION 11.0 - FIRE DETECTION AND ALARM DATA
Construction documents Location (sheet number or spec section)
11.1 Required Floor plan(s)
11.2 ❑ P ❑ NA Site plan
11.3 ❑ P ❑ NA Reflected ceiling plan(s)
11.4 ❑ P ❑ NA Transverse and longitudinal cross sections
11.5 ❑ P ❑ NA Wiring schematic
11.6 ❑ P ❑ NA Elevator recall information
11.7 ❑ P ❑ NA Operational matrix
11.8 ❑ P ❑ NA Fire -rated construction details
11.9 ❑ P ❑ NA Standard electrical notes
Supporting documents Notes
11.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
11.21 ® Required Equipment manufacturers' catalog "cut sheets"
11.22 ® Required Installer certification information
11.23 ❑ P ❑ NA Battery calculations
11.24 ❑ P ❑ NA Sample fire alarm log book
.11.25 ❑ P ❑ NA Emergency power system specifications
11.26 ❑ P ❑ NA Monitoring station information
11.27 ❑ P ❑ NA Voltage drop calculations
440 -2734 (8 /01/WEB /COM) Tri- County Commercial Application Checklist 9
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\ Building \Forms \COM- Checklist.doc
SECTION 12.0 — RE -ROOF INSTALLATION DATA
Construction documents Location (sheet number or spec section)
12.1 ® Required Site plan or building location map
12.2 ® Required Occupancy classification
12.3 ® Required Type of construction
12.4 ® Required Minimum roof class required
12.5 ® Required Class of roofing to be installed
12.6 ® Required Roof plan
12.7 ❑ P ❑ NA Parapet and scupper cross section(s)
Supporting documents Notes
12.20 ® Required Pre -re -roof inspection report
12.21 ® Required Roofing system listing information
12.22 ® Required Roofing manufacturer's catalog "cut sheets"
12.23 ❑ P ❑ NA Structural calculations
12.25 ❑ P ❑ NA Structural engineer's report
SECTION 13.0 — JURISDICTIONAL – SPECIFIC REQUIREMENTS
Construction documents Item Location (sheet number or spec section)
13.1 ❑ P ❑ NA ❑ Required
13.2 ❑ P ❑ NA ❑ Required
13.3 ❑ P ❑ NA ❑ Required
13.4 ❑ P ❑ NA ❑ Required
13.5 ❑ P ❑ NA ❑ Required
13.6 ❑ P ❑ NA ❑ Required
13.7 ❑ P ❑ NA ❑ Required
13.8 ❑ P ❑ NA ❑ Required
13.9 ❑ P ❑ NA ❑ Required
13.10 ❑ P ❑ NA ❑ Required
440 -2734 (8/01 /WEB /COM) Tri- County Commercial Application Checklist 10
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
I: \ Building \Fonns \COM- Checkli st.doc