Permit CITY OF TIGARD BUILDING PERMIT
111 41 ° COMMUNITY DEVELOPMENT Permit#: BUP2009 -00131
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/19/2009
Parcel: 1 S136CA01601
Jurisdiction: Tigard
Site address: 11665 SW PACIFIC HWY
Subdivision: Lot: 0
Project: Keybank
Project Description: Limited TI.
Owner: FEES
HALL, DONALD W & GRACE L & Description Date Amount
HALL, JOHN G ET AL, BY FIRST AMERICAN Permit Fee - COM 07/15/2009 $911.26
REAL ESTATE TA, 8435 N STEMMONS Plan Review 07/15/2009 $592.32
PHONE: Plan Review - Fire Life Safety 07/15/2009 $364.50
12% State Surcharge - Building 08/19/2009 $109.35
Contractor: Metro Const. Excise Tax - Commercial 08/19/2009 $232.80
HOWARD S CONSTRUCTION Use
WRIGHT W
425 NW 10TH AVENUE #200
PORTLAND, OR 97209
PHONE: 503 - 546 -6180
FAX: 503- 546 -6181
Specifics:
Type of Use: COM
Class of Work: ALT
Dwelling Units: 0
Stories: 2 Height: 0 ft
Bedrooms: 0 Bathrooms: 0
Value: $194,000
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,210.23
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors: No
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, • i - is suspended for more the 180
days. ATT • • • . • - • • - -w requires you to follow the rules adopted by the Oregon Utility Notification Center. Tho e rules ar= rth in OAR
952 -00 /010 through OAR 95 -.01 .110. o may obtain a copy of the rules or direct questions to OUNC by call'246.669 ` 1.800.332.2344.
r
Issue. By: Permittee Signature: •
•
Call 503.639.4175 by 7:00 a.m..for an Inspection that b . bless 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.
•
Building Permit Application A S ,
Commercial RECEIVED Received
FOR OFFICE USE ONLY
1111 '1 City of Tigard Date/B : ;, Permit No.: J A •Zd 41
13125 SW Hall Blvd., Tigard, OR 97223 Plan Re6'ie I , ;]a�j' 9
Phone: 503.639.4171 Fax: 503.598.1960 J U L 15 2009 Date /B : Other Permit: ; I Q Oc34 6
TIGARD Inspection Line: 503.639.4175 Date Rea 7- :;: � '`� ®See Page 2 for
Internet: www.tigard- or.gov CITY OF TIGARD Notified/Method: 46 • •• e '���� Supplemental Information
BUILDING DIVISION L-fvL
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
I Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
dwelling Er b Valuation: $
❑ 1- and 2-family g t,ommercial /industrial
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION T number of floors:
j Job site address: 1 ( C (p Cj SW Pac j.F j M 1nA/ . New dwelling area: square feet
City/State/ZIP: 11 aura j Or... crI 2.2..3
Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Key n C. - - (j C�t71X'r� . Covered porch area: square feet
oN Cross street/directions to job site: Deck area: square feet
st 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.
Lirwifed tenant irnprnvemenf. Valuation: $ Igq.,000
Existing building area: (0'C,0-1 square feet
New building area: square feet
❑ PROPERTY OWNER 14 TENANT Number of stories: 2
Name: 1r� n IL Type of construction: (I S
Address: 2 Orrtari o SF • Lt Flood- Occupancy groups:
City/State/ZIP: Glevni ond, OR LL. 115 Existing: $— g))51 nC e$
Phone: ( ) Fax: ( ) New:
❑ APPLICANT NI CONTACT PERSON NOTICE
Business name: _ _ _ Jacob S All contractors and subcontractors are required to be •
Contact name: Chris SdetranIC licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 2a) e . ibrockci St suit 1 150 jurisdiction in which work is being performed. If the
City/State/ZIP: COI urn 19 US, OH L. 215 applicant is exempt from licensing, the following reasons
(( apply:
Phone: ((OIH) y 2 1--77 I. -I &)v Fax:: (WI y) 1 437• �3o
E -mail: CA/ ri c5 • Sch an (( e Jacok, s • co rrl
49_ CONTRACTOR
Business name: 0,115'.' • 51 � t// 9 ` -t' �. BUILDING PERMIT FEES*
Address: ` r (Please refer to fee schedule)
City/State /ZIP: Structural plan review fee (or deposit):
Phone: ( ) ax: ( ) FLS plan review fee (if applicable):
CCB lic.: /6 l /'l 6-b Total fees due upon application: 4 a 8 2
L Amount received:
Authorized signature: � 0 This permit application expires if a permit is not obtained
` C' /� (DI within 180 days after it has been accepted as complete.
Print name: (h S e, f1t� J� Date: / * Fee methodology set by Tri-County Building Industry
f Service Board.
1: \Building\Permits \BUP -COM PermitApp.doc 2/23/07 440- 4613T(11/02 /COM/WEB)
•
. p
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] $ 1q`-k, 000
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ 44?) i Goo
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 $ 0
(b) An accessible entrance: $ Co. O
(c) An accessible route to the altered area: $ 14 , 000
(d) At least one accessible restroom for each sex or a single unisex
restroom: $ 9.0 , 000
(e) Accessible telephones: $ O
(f) Accessible drinking fountains: and, $ o 'L X 00 - 0
(g) When possible, additional accessible elements such as storage and
alarms: Accessible Teller Line. $ 36,
TOTAL (shall equal line [2] of Valuation Computation): $ 11, 000
I: \Building \Permits \BUP -COM PermitApp.doc 10/30/07
Commercial 'Application Checklist
City of Tigard
I II 13125 SW Hall Blvd., Tigard, OR 97223
Phone: 503.639.4171, Fax: 503.598.1960
TIGARD Internet address: www.tigard - or.gov
PROJECT INFORMATION
Project name: Ke j P n -r ax d Date:
Address: I Co (a G S W p L N W y City: 79 and State: p R, ZIP: 97 2 C
Scope of work: Teno..nt rern ode)
Reference no.: Map and tax -lot no.:
Contact person name: Chris cx11 ran Company: J S
Phone: (01 A-4 31. -4 300 Fax: Co I` 37. ` ,Q L/
Cellular phone: E -mail: Ghri 5. rc• l K- e 3cwobg. C. orn -
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 •ro'ect 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)
I:\ Building \Forms \COM- Checklist.doc 07/08/09
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 [3 P ❑ NA Code summary
1.6 ❑ P ❑ NA Deferred submittal summary
1.7 ❑ P ❑ NA Professional stamp and signature
1.8 0 ❑ NA Fire and life- safety plan
1.9 ❑ P El NA Landscape plan
1.10 ❑ P NA Landscape specifications
Supporting documents Notes
1.20 ❑ P Et NA Land -use or planning actions
1.21 ❑ P 12f NA Required fire -flow calculations
1.22 ❑ P 2 NA Fire - hydrant flow -test report
1.23 ❑ P [3 NA Fire department or fire district building survey report
1.24 ❑ P D 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 2 NA Utility -vault location and details
Supporting documents Notes
2.20 ❑ P a NA Geotechnical/soil engineer report
2.21 El P Uf NA Storm -water calculations
2.22 ❑ P [j' NA Site retaining -wall structural calculations
2.23 ❑ P ['NA "Assurance of Compliance" with environmental rules ....
440 - 2734 (8 /O1/WEB /COM) Tri-County Commercial Application Checklist 2
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
1:\ Building \Fortes \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 ErP ❑ NA Interior elevations A. H01
3.5 ❑ P ❑ NA Exterior elevations A 2o1
3.6 ❑ P 13 NA Roof plans
3.7 ❑ P In NA Exterior wall sections and details
3.8 [ P ❑ NA Reflected ceiling plan(s) A -114
3.9 ❑ P ( ' NA Fire -rated construction details
3.10 ❑ P ❑' NA Energy code compliant construction details and
specifications
3.11 a P ❑ NA Door schedule A. cool
3.12 ❑ P 2 NA Glazing schedule
3.13 ❑ P ❑ NA Furniture plan A- 113
Supporting documents Notes
3.20 ❑ P p' NA Energy code compliance forms /calculations
3.21 ❑ P ❑ NA Material safety data sheets (MSDS)
3.22 ❑ P IS NA Hazardous materials inventory statement (HMIS)
3.23 ❑ P 13 NA Hazardous materials management plan (HMMP)
3.24 ❑ P If NA Written fire and life- safety evacuation plan for area
of rescue assistance
3.25 ❑ P ZNA Active and passive smoke - control information
440 - 2734 (8 /01/WEB /COM) Tri-County Commercial Application Checklist 3
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\Building\Fonns \COM- Checkl ist.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 El 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 El 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 /O1/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
•
• 1�
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 Q' NA Site plan
5.4 ❑ P a NA Under -slab mechanical plan
5.5 ❑ P a NA Roof plan
5.6 ❑ P 2 NA Fuel gas piping plan
5.7 0 P ❑ NA HVAC equipment and duct plan(s) M -If 2-
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 (3 NA Fume /vapor hood plan
5.17 ❑ P Q' NA Process piping/product and/or exhaust - conveying
duct plan
5.18 ❑ P cg NA Fire -rated construction details
5.19 Q P ❑ NA Equipment hanger /fastener details M - bD\
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 El 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 IT 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 ® 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
1:\Bui lding \Forms \COM- Checklist.doc
a 1'
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 E} NA Site utility plan
8.6 ❑ P I T NA Building cross section
8.7 Et- 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 Z 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
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440 - 2734 (8 /01/WEB /COM) Tri-County Commercial Application Checklist 7
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\Building \Forms \COM- Checklist.doc
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 Z Required Panel schedule(s)
9.8 ❑ P a NA Site electrical plan
9.9 ❑ P NA Fire -rated construction details
9.10 [l P El NA Lighting plan
9.11 0 P ❑ NA Emergency power system and emergency lighting plan e--II
9.12 ❑ P Et 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 6 -1 03
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
l: \Building \Fortes \COM- Checklist.doc
• .0
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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 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 [1 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 El P NA Operational matrix
11.8 ❑ P NA Fire -rated construction details
11.9 El 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- Checkl ist.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 Ep NA Structural calculations
12.25 ❑ P In NA Structural engineer's report
SECTION 13.0 — JURISDICTIONAL – SPECIFIC REQUIREMENTS
Construction documents Item Location (sheet number or spec section)
13.1 ❑ P S 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
l.•1 Building \Forms\COM- Checklist.doc
This form is recognized by most Building Departments in the Tri- County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
: ham
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4 ., BUILDING DIVISION Zacq . �‘ � I
l r5 0
.sr ' � TRANSMITTAL LETTER
TO: City of Tigard DATE RECEIVED:
DEPT: BUILDING DIVISION
i EcovED
A 0 C i 0 3 2009
FROM: y k J i - CITY OF TIGARD
COMPANY: Jacobs E : ineering BUILDING DIVISION
PHONE: f( ' 7 ' —6060
B(:
RE: 11665 SW Pacific y. BUP2009- Op/ 3
(Site Address) (Permit/Case Number)
Key Bank 2009 Branch ' dernization Program
(Project name or subdivision name a , lot number)
ATTACHED ARE THE FOLLOWING ITE , :
Copies: Description: opies: Description:
Additional set(s) of plans. 2 Revisions: Relocated Egress Door
•
Cross section(s) and details. Wall bracing and /or lateral analysis.
Floor /roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other (explain):
REMARKS: Drawings G -002 - Revised Egress Plan, AS -100 - Ex -rior Sidewalk and Stair,
A -111 - Revised Demolition Plan, A -113 - Revised New Work Plan,
A -114 - Revised Reflected Ceiling Plan, A -115 - Revised Finish Plan,
A -201 - Revised Exterior Elevations, A -601 - Revised Doors and Hardware
FOR OFFICE USE ONLY
Routed to Permi�t Technician: Date: (b(' i ICY7 nitials:\V �
Fees Due: [VYes ❑ No Fee Description: , A ount Due:
N L K\ . RQ 1 2 1 ELO $ C. co
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No [ Done
Applicant Notified: Date: IC). 3 , c 01 Initials: J
vt /�f w/✓ o�� v
lD/ 7
I: \Building\ Forms\ TransmittalLetter - Revisions.doc 4/4/07