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Permit
II CITY OF TIGARD MECHANICAL PERMIT a : COMMUNITY DEVELOPMENT Permit #: MEC2012 -00212 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/14/2012 Parcel: 2S102BD00701 Jurisdiction: Tigard Site address: 12785 SW PACIFIC HWY Project: Burgerville Subdivision:RTH TIGARDVILLE ADDITION, AMENC Lot: 8 Project Description: HVAC modifications Contractor: PORTLAND MECHANICAL CONTRACTORS Owner: BENNETH, CATHERINE MCNICOL 2000 SE HANNA HARVESTER DR 3830 ROBIN CREEK LN MILWAUKIE, OR 97222 WEST LINN, OR 97068 PHONE: 503 - 656 -7400 PHONE: FAX: 503 - 655 -0620 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee 05/14/2012 $782.05 Class of Work: ALT Type of Const: VB Plan Review 05/14/2012 $195.51 Occupancy Grp: A-2 Occupancy Load: 12% State Surcharge - Mechanical 05/14/2012 $93.85 Stories: 1 Info Process /Archiving - Lg $2.00 (over 05/14/2012 $4.00 11x17) Project Valuation: $27,004.00 Info Process /Archiving - Sm $0.50 (up to 05/14/2012 $11.50 11x17) Fuel Air Handlers Fuel Types: Natural Gas Units < 10000 cfm: Gas Pressure: Units > 10000 cfm: Furnaces Boilers & Compressors Furnaces < 100K BTU: 0 -3 HP: Furnaces >= 100K BTU: 3 -15 HP: Floor Furnaces: 15 -30 HP: Unit Heaters: 30 -50 HP: Vents w/o Appliances: 50 or Greater HP: Air Conditioning: Heat Pump: Appliances Vent Fans: 3 Vent Systems: Total $1,086.91 Hoods: Comm Incinerators: Woodstoves: Gas Fireplaces: Required Items and Reports (Conditions) Clothes Dryers: Other Mech Units: Gas Outlets: Other Desc: Duct Work: 1 Fire /Smoke Dampers: 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, r if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility otification = ter. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or • ect questions to O \ ' g 503.232.1987 or 1.800.332.2344. c Iss d By: ilz. ��„ , Permittee Si nature: w � / Call 503.639.4175 by 7:00 a.m. for the next available inspects. n date. 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. Mechanical Permit Applic . ion -- FOR OFFICE USE ONLY Cl of Ti and e� Gl - ' � 6 Received n p LI `J g C `_ / . _ " Date/By: 1,, Of MOM Pe rmit No.: i C. /i • -es "- 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review 11 IIIM ' C .i Phone: 503.639.4171 Fax: 503.598.1 ?' • Inspection Line: 503.639.4175 HT 7 2012 Da te/By: �f T I G A R D Date ReadyBy: Juris: ® See Page 2 for Internet: www.tigard- or.gov , �. a �. ; , -� Notifi • ethod: N /'- Supplemental Information TYPE 0 • " WORK' ' " ' ' ' - / / COMM IAL FEE* SCHEDULE – USE CHECKLIST ❑ New construction ® Addition/alteration/replacement Mechanical permit fees' are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit. CATEGORY OF CONSTRUCTION Value: $ $27,004.00 RESIDENTIAL EQUIPMENT / SYSTEMS FEES* ❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building For special information use checklist. ❑ Multi - family ❑ Master builder ❑ Other: Description I Qty. 1 Ea. I Total JOB SITE INFORMATION AND LOCATION Heating/cooling Air conditioning Job site address: 12785 SW Pacific Hwy (requires site plan showing placement) 46.75 City /State /ZIP: Tigard OR 97223 Furnace 100,000 BTU (ducts/vents) 46.75 Furnace 100,000+ BTU (ducts/vents) 54.91 Suite/bldg. /apt. no.: I Project name: Burgerville #45 Tigard Heat pump 61.06 Cross street/directions to job site: Duct work 23.32 Hydronic hot water system 23.32 Residential boiler (radiator or hydronic) 23.32 Unit heaters (fuel -type, not electric), • in -wall, in -duct, suspended, etc. 46.75 Subdivision: I Lot no.: Flue /vent for any of above 23.32 Other: 23.32 Tax map /parcel no.: Other fuel appliances DESCRIPTION OF WORK Water heater 23.32 Gas fireplace 33.39 Install duct and gas piping for HVAC systems. Per drawing provided. Flue vent for water heater or gas fireplace 23.32 Log lighter (gas) 23.32 Wood/pellet stove 33.39 Wood fireplace /insert 23.32 ❑ PROPERTY OWNER ® TENANT Chimney /liner /flue /vent 23.32 Other: 23.32 Name: Burgerville #45 Environmental exhaust and ventilation Address: 12785 SW Pacific H Range hood /other kitchen Hwy equipment 33.39 City /State /ZIP: Tigard OR 97223 Clothes dryer exhaust 33.39 Single -duct exhaust (bathrooms, Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 23.32 ® APPLICANT ® CONTACT PERSON Attic /crawlspace fans 23.32 Other: 23.32 Business name: Portland Mechanical Contractors Fuel 1 In P g Contact name: Paul Hettervig $14.15 for first four; $4.03 for each additional Address: 2000 SE Hanna Harvester Drive Furnace, etc. Gas heat pump City /State /ZIP: Milwaukie OR 97222 Wall /suspended/unit heater Phone: (503) 656 -7400 I Fax: : (503) 655 -0620 Water heater Fireplace E -mail: paulh @pmc -g.com Range CONTRACTOR Barbecue . Business name: Same as above Clothes dryer (gas) Other: Address: MECHANICAL PERMIT FEES* City /State /ZIP: Subtotal Phone: ( ) Fax: ( ) Minimum permit fee ($90.00) Plan review (25% of permit fee) CCB lic.: 151807 —e , � State surcharge (12% of permit fee) ►� r f ' ' • Authorized signatur / ,, TOTAL PERMIT FEE �7f I 1�1 i Z This permit application expires if a permit is not obtained within 180 . • b days after it has been accepted red es complete. Print name: Paul Hettervi` Date: • Fee methodology set by Tri- County Building Industry Service Board I:\Building'Permits\MEC- PermitApp.doc 10/01/09 440-4617T (I 1/07JCOM/WEB) • Commercial Application Checklist City of Tigard APR 2 7 2012 ° 13125 SW Hall Blvd., Tigard, OR 97223 Phone: 503.718.2439, Fax: 503.598.1960 CIT'1 OF T :G. .D TIGARD Internet address: www.tigard- or.gov D:NC DMS Off EU1L�.. :�.::JI L IJ)v�'� P RO.IECT INFORMATION Project name: Burgerville #45 Date: 4/26/12 Address: 12785 SW Pacific Hwy I City: Tigard State: OR ZIP: 97223 Scope of work: Install duct and gas piping for HVAC system per drawings provided. Reference no.: Map and tax -lot no.: Contact person name: Paul Hettervig Company: Portland Mechanical Contractors Phone: 503 - 656 -7400 Fax: 503 - 655 -0620 Cellular phone: 503 - 804 -6569 E -mail: paulh©pmc-g.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 sroject 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 \Fortes \COM- Checklist.doc 04/26/12 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 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) 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 El 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 1:\Bu ilding \Forms \COM- Checkl ist.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 El P ❑ NA Exterior elevations 3.6 ❑ P ❑ NA Roof plans 3.7 El P ❑ NA Exterior wall sections and details 3.8 El P El NA Reflected ceiling plan(s) 3.9 El P ❑ NA Fire -rated construction details 3.10 El P El 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 El 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 El P ❑ NA Hazardous materials management plan (HMMP) 3.24 El 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:\Bu i lding \Forms \COM- Checkl ist.doc 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 �a. 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 1301- 5.2 ® Required Equipment schedule,L 5.3 El P V Site plan 5.4 ❑ P [ A Under -slab mechanical plan 5.5 ❑ NA Roof plan .1 5.6 �, 1;1 RCA Fuel gas piping plan tia.\ 5.7 P 6 HVAC equipment and duct plan(s) � 5.8 ❑ A Roof access details 5.9 P El Duct smoke detector plans 5.10 ❑ P Fire /smoke damper locations 5.11 El P NA Smoke control plan 5.12 V P ❑ ATA Outside air (OSA) table __,__ 5.13 NA Refrigeration equipment and piping plan 5.14 g P p Kitchen equipment plan rF 5.15 [ ft' NA Type I and/or Type II kitchen hood plan (see Section 7.0 - Mechanical Data) 1; abil -S . 5.16 I , P ❑� Fume /vapor hood plan r 1_ 5.17 i ._ ill Process piping/product and/or exhaust- conveying duct plan 5.18 El P R(NA Fire -rated construction details 5.19 ❑ 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 P ❑ NA Equipment manufacturers' catalog "cut sheets" or specifications 5.22 ❑ A Outside air (OSA) calculations 5.23 ❑ P Smoke - control calculations 5.24 ❑ P 1 V A Combustion air calculations • 5.25 ' ❑ NA Fuel gas piping sizing calculations . 5.26 1:1 NA Make -up air calculations 5.27 P ❑ Energy code compliance forms 5.28 1=1 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 ® 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:\ Building \Forms \COM- Checkl ist.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 i:\Building\Forms\COM-Checklistdoc SECTION 9.0 — ELECTRICAL DATA Construction documents Location (sheet number or spec section) 9.1 ® Required No. of sets of plans: 2 9.2 Z 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 ❑ 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 El 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 El 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 ❑ 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 0 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 /O1/WEB /COM) Tri -County Commercial Application Checklist 10 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties 1:\B u i l d ing \Forms \COM- Checkl i st. doc