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Permit
CITY OF TIGARD BUILDING PERMIT IS COMMUNITY DEVELOPMENT Permit #: BUP2009 -00202 [ GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 01/29/2010 Parcel: 1S1260000300 Jurisdiction: TIGARD Site address: 9483 SW WASHINGTON SQUARE DR AO6B Subdivision: Lot: 0 Project: Pac Sun Project Description: TI Owner: FEES PPR WASHINGTON SQUARE LLC Description Datel Amount 2235 FARADAY AVE STE #O Permit Fee - Additions, Alterations, 01/29/2010 $2,851.51 CARLSBAD, CA 92008 Demolition PHONE: 12% State Surcharge - Building 01/29/2010 $342.18 Plan Review 10/30/2009 $1,853.48 Plan Review - Fire Life Safety 10/30/2009 $1,140.60 Contractor: Metro Const. Excise Tax - Commercial 01/29/2010 $466.80 HORIZON RETAIL CONSTRUCTION Use 1458 HORIZON BLVD RACINE, WI 53406 PHONE: 262 - 638 -6008 FAX: 262 - 331 -0452 Specifics: Type of Use: COM Class of Work: ALT Dwelling Units: 0 Stories: 1 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $389,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $6,654.57 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: No Manual Pull Stations: Yes 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 • 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 s pended for/ or- - 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules ark, -t •rth in /BAR 952 - 001 -001 ough OAR 9 001 -01 • • You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 ' • • or 1.: • •.332/ 44. Issued Permittee Signature: \ _ CaII 503.639.4175 by 7:00 a.m. for an inspection that bu ness • . 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 Commercial ' . ; ' F " ; �:a;� t i° r +. t + k' *� O OI I ICI15 OBI try r ur � f fir City of Tigard ' " �r 4 � t Received n r� a " " "' Date /B /I, .tom • 4 i M Permit No.:. w9as,C�T 'to /sfJ� 13125 SW Hall Blvd., Tigard, OR 972 3r Plan Review u' • w -, Phone: 503.639.4171 Fax: 503.598.11460 I 0 0 2009 Date /B : in Other Permit: '"T = A Inspection Line: 503.639.4175 Dat Ready/BT ®See Pa e 2 for " TIGARD g � . Internet: www.tigard - or.gov V 1 3F TIGARD Notified/Method: //Z, AP O MeM Supplemental Information i:ib.1I1_k.d ° i / /z.� %, r d TYPE OF WORK v 1 ° r REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Pennit 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 VommercialA n striol- Valuation: $ ❑ Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: 9i/g3 JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: cc I , a1 ill n� 1'1 New dwelling area: square feet rI� Lt� � 9�a, �� City /State /ZIP: 77 G Ale c3 7 � 2 ?� C� Garage /carport area: square feet Suite/bldg. /apt. no.:A , 0 6 e Project name: ! 'P4 5I/pJ Covered porch area: square feet Cross street/directions to job site: / / �/ Deck area: square feet K C a/ fl /a,/► art lot/ -Cr L P� T o/j /4n_, Other structure area: square feet lI V REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: W a �'t 4M 6 • J i (f RPM 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 map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this applicati n. �l • -reli t/Ci ' G/ I a f i oh 6?0,7 /n 9 ,ace Valuation: $ �$ , OQV Existing building area: u square feet NOW building area: y 0 0 .-11 — square feet ❑ PROPERTY OWNER TENANT Number of stories: ' Name: [ 4 c 1 fi c- 5 v ti/J v) e ci r Type of construction: lc h Address: . 31.. -0 E . m f / D ✓h q 4 ✓ � Occupancy groups: /)/[ City / State/ZIP: An ei/Y1 C/� (a t 7'' Existing: //�- ` Phone: ( ' 7! v w/ y .- y y�r 3 Fax: ( ) New: 7/1 - APPLICANT -CONTACT PERSON NOTICE Business name: - P1 7 5 All contractors and subcontractors are required to be Contact name: �/ �a J e licensed with the Oregon Construction Contractors Board / under ORS 701 and may be required to be licensed in the Address: 75 6 0 fA it ` i jurisdiction in,which work is being performed. If the City /State/ZIP: W Yo m /lV, / Y 95'V c/ 7 applicant is exempt from licensing, the following reasons I `g, / l ` 2 apply: Phone: ) azf35 ( c7 9�Ot / , Fax:: (t / ,/& y ! p TT , F 5/ E -mail: /)/f'I d 0 /Oh D -eFnif i . Co yi t o k ofe�ef� true p , .CONTRACT' OR Business name: t4 RI p., (L . &A) 2ue t'0 si BUILDING PERMIT FEES* Address: (Please refer to fee schedule) City / State/ZIP: Structural plan review fee (or deposit): FLS plan review fee (if applicable): Phone: ( ) Fax: ( ) CCB lic.: Total fees due upon application: Amount received: Authorized signature: �� T his permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Z. Da al e, Date: / 0 / ..2,0 f Fee methodology set by Tri County Building Industry Service Board. I: \Building\Permits\BUP -COM PermitApp.doc 10 /01/09 440- 4613T(11 /02/COM/WEB) '`' Building Division it i s A A ccessibilit w y: Barrier Removal Improvement Plan T.LG ART 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, q excluding painting and wallpapering. [1] $ 3 3 1 ©0 0 MULTIPLIER (25% barrier removal requirement): x .25 TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ R7 ,250 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: $ J . a ' 000 (c) An accessible route to the altered area: $ YO/ Q 00 (d) At least one accessible restroom for each sex or a single unisex restroom: $ / f 0 00 (e) Accessible telephones: $ ,Ri 000. (f) Accessible drinking fountains: and, $ / 0000 (g) When possible, additional accessible elements such as storage and p alarms: $ /� S0 • TOTAL (shall equal line [2J of Valuation Computation): $ ? 1 7/ j ✓ * I: \Building \Permits \BUP -COM PermitApp.doc 06125/08 • „.. ,.„,t,,,,..„,„.„.- ,-,,,, I II ® Building Division Y Plan Submittal Requirements ' 'GAR Commercial & Multi-Family - New, Additions or Alterations 1. SITE PLAN (fully dimensional, drawn to scale) labeled with: A. ❑ map & tax lot # ['project name Er site address Q suite number ❑ zoning [• applicant name(c�}j phone number B. North arrow. l ''ll �� L C. Scale (architectural or engineering only). T Ik A) Ct7 ∎-e-/ 5A e ( D. Street names. E. Setbacks. F. Parking, including disabled access. G. Finished floor elevations. 2. EROSION CONTROL PLANS AND DETAILS. 14)a 3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of plans required based on submittal type (no redlines or tape -ons accepted). All details listed below shall be incorporated into the plans: A. Scale (architectural or engineering only). B. Foundation plan. C. Floor plan(s). D. Cross sections. E. Reflective ceiling plan. F. Seismic bracing detail for suspended ceiling. G. Roof plan. H. Exterior elevations. I. Structural calculations, plans, details and specifications. J. Accessibility barrier removal worksheet. K. Deposit - based on valuation of project. 4. EXTRA SET OF THE FOLLOWING: A. Two (2) copies of site plan to include vicinity map. B. One (1) copy of erosion control plan with details. C. Fire Department Building Survey, and full set of architecture drawings. I: \Building \Permits \BUP -COM PermitApp.doc 06/25/08 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. BUILDING DIVISION TIGARD TRANSMITTAL LETTER a TO: OAN DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED 1 DEC 10 2009 FROM: q n1:6; _( 1 �C� b'Y1 C_, CITY OF TIGARD COMPANY: BUILDING DIVISION PHONE: By: RE: 61 Wa\n, \ Y\G ACV\ as: . b'P200 Q( -- ©O 2 72.., (Site are s) � ermit/Case Number) QQQ tkLr\ (Project name or su division name and lot number) • ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. K Revisions: c n ot. (D Q Cross section(s) and details. Wall bracing antlfbr lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR OF ICE SE ONLY Routed to Permit Techni�cia Date: 12-i 17 � O7 Initials Fees Due: El Yes [ _ Fee Description: Amount ue: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I: \Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07 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. IN BUILDING DIVISION TIGARD TRANSMITTAL LETTER a TO: 011n DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED FROM: rn G DEC 15 2009 CITY OF TIGARD COMPANY: BUILDING DIVIS ON PHONE: By :- -- RE: (Site LAG 3 �-l�a %fir % ,p2 ooS - CO DO a- Site Address ) emit/Case Number) C r\ (Projecrname or sub 'vision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: _ Description: Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. )C Other (explain): Li : r• _y • it i ,Ls \ I.. l .I. !_ REMARKS: FOR OFFICE VSE ONLY Routed to Permit Technici : Date: (2./ I `7 / c Initials Fees Due: ❑ Yes No Fee Description: Amount ue: $ $ $ $ $ Special Instructions: Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: I: \Buildin Forms \TransmittalLetter - Revisions.doc 4/4/07 Commercial Application Checklist City of Tigard 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.639.4171, Fax: 503.598.1960 °' Internet address: www.tigard - or.gov Z01EC`I I IN FORM I:ION � I Project name: Pacific Sunwear - Washington Square Mall Date: 10 -23 -2009 Address: 9585 Washington Square Road - City: Tigard State: ZIP: 97223 Space #A -06B Oregon Scope of work: Interior Buildout of Mall Space Reference no.: Map and tax -lot no.: Contact person name: Jason Hunt Company: Abbot Studios Phone: (614) 461 - 0101 ext. 246 Fax: Cellular phone: E - mail: jhunt @abbotstudios.com INUITS ',AND': : INS I'R II O'S • The purpose _ _ .. ...... .. p rp 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. U In the checklist, "NA" means that the information does not apply. U 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. `' " - 112E - 1 L..PROCESS::. i 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 C1-IECKLIST S ECT IONS I °! 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 10/26/09 PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com City of Tigard, Oregon 0 13125 SW Hall Blvd. 0 Tigard, OR 97223 ' ,, ' , g' December 2, 2009 life ®Q .-b r RE: TENANT IMPROVEMENT TROARD Project Information Building Permit: BUP2009 -00202 Construction Type: 2 -B Address: 9483 SW Washington Sq. Occupancy Type: M Area: 4003 Sq. Ft. Stories: 1 Name: Pac Sun Sprinklers: Yes The plan review was performed under the State of Oregon Structural Specialty Code (OSSC) 2007 edition; 2007 Oregon Fire Code. Please respond to conditions below. 7 - 1) Please provide engineered design for the sheetrock ceiling supports, including seismic struts, taking into consideration the approximate 17 -20 ft. of interstitial space between the ceiling and the roof. Please include all Y calculations for engineered designs with all submittals. OSSC106.1 2) Provide calculations and construction details (including seismic bracing details for non full height partitions) for all walls showing all fasteners. Note: The roof structure is approximately 30' above the finished floor. OSSC 106.1 1T Please provide calculations and construction details for the cash wrap ceiling area showing any soffits or special panels. Section 1613 or ASCE 7. OSSC 1613.1 When responding, provide an itemized letter stating in what way each numbered issue has been addressed in the revision. When submitting revised drawings or additional information, please attach a copy of the enclosed City of Tigard, Letter of Transmittal. The letter of transmittal assists the City of Tigard in tracking and processing the documents. Respectfully, . ... 10 4,.,„,, . ,,, , y , a-. Dan Nelson Senior Plans Examiner (503) 718 -2436 dann @tigard- or.gov Phone: 503.639.4171 0 Fax: 503.684.7297 o www.tigard - or.gov 0 TTY Relay: 503.684.2772 f : S ECTION I' :(1 EN 4PROJECT DATA r t: - Construction documents Location (sheet number or spec section) 1.1 ® Required No. of sets of plans: New: 1 TI: 2 X 1.2 ® Required Cover sheet title block A000 1.3 ® Required Cover sheet vicinity map A000 1.4 ® Required Cover sheet plan index A000 1.5 ❑ P ❑ NA Code summary A000 1.6 ❑ P ❑ NA Deferred submittal summary 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 department or fire district building survey report 1.24 ❑ P ❑ NA Material safety data sheets (MSDS) 'SEC TION :Ilr. C1� II��DATA; . E 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 /01iWEB /COM) Tri -County Commercial Application Checklist 2 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties :\Building \Forms \COM- Checklist .doc PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com SECT IO 7.0 ..;A.1ZCH171 l l UR i DATA ..,. a �_ r ?, r, Construction documents Location (sheet number or spec section) 3.1 ® Required Floor plan(s) A100 3.2 ® Required Transverse and longitudinal cross sections A500 3.3 ® Required OSSC Chapter 11 accessibility requirements A100 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 ❑ P ❑ NA Energy code compliance forms /calculations 3.21 ❑ P ❑ NA Material safety data sheets (MSDS) 3.22 ❑ P ❑ NA Hazardous materials inventory statement (HMIS) 3.23 ❑ 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 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 \Forms \COM- Checklist.doc PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com ,7- SECTION 4 :0 STRUCTURAL DA I 1 Construction documents Location (sheet number or spec section) 4.1 ® Required Structural cover sheet S100 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 PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com 4SEGTION1.5.0 t NI ECHAI\ ICAL .DATA 1( \c�� conSt� uctlon t_inant ;imps o�'cmc nt : g is piping (icy mils) Construction documents Location (sheet number or spec section) 5.1 ® Required Floor plan M100 5.2 ® Required Equipment schedule M100 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 NR 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 /OI /WEB /COM) Tri- County Commercial Application Checklist 5 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties :\Building \Forms \COM- Checklist.doc PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com S ECHO N 6_0 LCHANIC.AL DATA (' <1ddtti nit r,` replacement tooth p ,tmtall tioi n pern itti) Construction documents Location (sheet number or spec section) 6.1 ® Required Roof plan NR 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 0 Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds NR 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 EC 1710N 11 11CC11AN1CAI 1)A'l A ,("1} and Alpe 11rl.ttehe ''hood'= :puniits),.� ;, , 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 :\Building Worms \COM- Checklist.doc PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com SECTION 8 11,= PLUMBING 1)AT4 t: `" Construction documents Location (sheet number or spec section) 8.1 ® Required Floor plan(s) P100 8.2 ® Required Piping and material schedule P100 8.3 ® Required Equipment layout plan P100 8.4 ® Required Fixture schedule P100 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 i:\ Building \Forms \COM- Checklist.doc PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com S EC7 ION, 9:0 LLECTR DATA ; : .,. a '.s , .._ - r .'_ - , .,> Construction documents Location (sheet number or spec section) 9.1 ® Required No. of sets of plans: 2 X 9.2 ® Required Floor plan(s) E100.E200 9.3 ® Required Electrical load calculations E100 9.4 ® Required One line diagram E300 9.5 ® Required Feeder riser diagram E300 9.6 ® Required Available fault current information E300 9.7 ® Required Panel schedule(s) E300 9.8 ❑ P ❑ NA Site electrical plan 9.9 ❑ P ❑ NA Fire -rated construction details 9.10 ❑ P ❑ NA Lighting plan 9.11 ❑ P ❑ NA Emergency power system and emergency lighting plan 9.12 ❑ P ❑ 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 /0!/WGB /COM) Tri- County Commercial Application Checklist 8 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties i:\Bu ilding \Forms \COM -Check list.doc PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com - SECTIO 10:0 F IR> SUPPRESSIO `U'AT� s ' :« j 'f 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 ❑ NA Hydraulic calculations 10.23 ❑ P ❑ NA Specialty fire suppression system information SLC I ION 1 1 I1 I IRC :1)C3 CC ION;:; ANU ALARM 0A1 A -,' 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 /0! /WEB /COM) Tri -County Commercial Application Checklist 9 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties i:\Building \Forms \CO M -Check list.doc PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com • SECT ION 1 2 '( ` l z.Rh I2Q01 'INST ALL,`A7:ION �DAT� .�_,_.. 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 SECIION 1x:11 aUR1S1)IC1 ION AL , 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 \Forms \COM- Checklist.doc PDF Creator - PDF4Free v2.0 http: / /www.pdf4free.com CITY OF TIGARD S f - 2Uo'9- DO� ;�. BUILDING DIVISION PER #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Poy Inspection Requests (24 Hrs.): (503) 639- 4175 -1.11. c—�T INSPECTION WORKSHEET WORKSHEET FOR DATE: V� // v TIME: PAGE: SITE ADDRESS: ,P3 16/64 <S5 . CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: p OWNER: �°'� 6 56--/L--- PHONE #: 64 — • CONTRACTOR: /h-z.- PHONE #: 33 / - 0 YrZ Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 9 (9.-) ( "Correeti s /Comm n /Ins ctions: (- < J 7S ,�i L` cl s 5--zA (e 7) .,X C.,,i.‘ -S -- 41110 t i [PASS ❑ PARTIAL APPROVAL ❑ CANCEL. n NO ACCESS ❑ FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 3 / '// Phone #: (503) 718- (..) Z Z Lti 1