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Permit CITY OF TIGARD BUILDING PERMIT I COMMUNITY DEVELOPMENT Permit #: BUP2012 -00068 T t GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/28/2013 Parcel: 1 S136CD04200 Jurisdiction: Z (,R'LD Site address: 7700 SW DARTMOUTH ST Project: Tigard Retail Center, Retail #1 Subdivision: PALMER ACRES Lot: 1 -3, PLl Project Description: New 12,000 square foot retail store. SHELL ONLY Contractor: ENGINEERED STRUCTURES INC A CORP OF IDAHO Owner: PACIFIC REALTY ASSOCIATES 3330 E LOUISE DR STE 300 ATTN: N PIVEN MERIDIAN, ID 83642 15350 SE SEQUOIA PKWY #300 PORTLAND, OR 97224 PHONE: 208 - 362 -3040 PHONE: 503 - 624 -6300 FAX: 208 - 362 -3113 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: NEW Type of Const: Vg Permit Fee - COM - New Construction 05/28/2013 $4,774.09 Occupancy Grp: M Occupancy Load: 401 Plan Review 05/28/2013 $2,615.77 Plan Review - Fire Life Safety 05/28/2013 $1,609.70 Dwelling Units: 0 Park - Commercial and Industrial 05/28/2013 $7,090.10 Stories: 1 Height: 32 ft DC Provision Review, COM New - Bldg 05/28/2013 $129.00 Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM New - Ping 05/28/2013 $129.00 Value: $982,800 DC Provision Review, COM New - LRP 05/28/2013 $38.00 12% State Surcharge - Building 05/28/2013 $572.89 Info Process /Archiving - Lg $2.00 (over 05/28/2013 $82.00 Floor Areas: 11x17) Total Area: 12000 Metro Const. Excise Tax - Commercial 05/28/2013 $1,179.36 Accessory Struct: 0 Use Tig -Tual School CET - Non Residential 05/28/2013 $6,480.00 Basement: 0 Plan Review 05/28/2013 $487.39 Carport: 0 Plan Review - Fire Life Safety 05/28/2013 $299.94 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $25,487.24 Required: Required Items and Reports (Conditions) Fire Sprinkler: Yes Parapet: 1 Special Inspection (see plans) Fire Alarm: Yes Protected Corridors: No Smoke Detectors: Yes 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 B - / OP �,! -�� / Permittee Signature: Call 503.639.4175 by 7:00 a.m. for the next available inspecti to. 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 Applicatio ll . Commercial ��A t FOR OFFICE USE ONLY City of Tigard APR 1 1 2012 Received Date/By y // / Z Permit No , Pa0/2 - ob8 • II 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ► w . .i • d g � Phone: 503.718.2439 Fax: 503598y OF TlGA^ ^'* D Date/By: i� / .. a her Permi . T I G A R D Inspection Line: 503.639.4175 rc Date Ready /By. lur is ® See Page 2 for Internet: www.tigard - or.gov BUILDING DIViSiON Notified/Method: �j 1 1.' 01 Supplemental Information TYPE OF WORK REQUIRED' t ATA: 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 ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ I- and 2- family dwelling ® Commercial /industrial Valuation: S ❑ 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: 77 op 5,(A)---0 pray p-tp u j 74- New dwelling area: square feet City /State /ZIP: Tigard, OR 97223 Garage/carport area: square feet Suite/bldg. /apt. no.: I Project name: Walwwit- LZ E-rg I L ft- / Covered porch area: square feet Cross street/directions to job site: SW Dartmouth & SW 72 "" Ave 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.: 3 4 !o t f a,pj0 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 vplication. Construction of an approximate 12,000 SF Outparcel Building (Retail 1) Valuation: � Existing building area: square feet New building area: 12000 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: I Name: Walmart Stores, Inc. (Steve Dyer) Type of construction: VB Address: 2001 SE 10 St. Occupancy groups: City/State /ZIP: Bentonville, AR 72716 F xisting: Phone: (479)273 -4567 Fax:( ) New: M ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* Business name: BCRA, Inc. (Please refer to fee schedule) Structural plan review fee (or deposit): $2,555.00 Contact name: Joe Rydman FLS plan review fee (if applicable): 1572. Address: 2106 Pacific Ave, Suite 300 Total fees due upon application: $4,127.00 City /State/ZIP: Tacoma, WA 98402 Amount received: 4127. Phone: (253) 627 -4367 Fax: : (253) 672 -4395 E -mail: jrydman(a)bcradesign. corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commer 'al and residential prescriptive installation of CONTRACTOR roof -top m. ted PhotoVoltaic Solar Panel Syst Business name: EE/J (o' i ij ft-t�4 i 71 rt. Q es /IJ Submit two ( ets of roof plan with conne details / and fire departme . ccess, along wi ' • e 2010 Oregon Address: 5330 E. Kll,,,, 6 t 'a,1, 6. 3 Solar Installation Sp • . • lly C. • ecklist. City /State /ZIP: kikf a f ,�,0 v 34yy Permit fee (incl �� an review $180.00 and ... mis . ' ve fees): Phone: ("Of ) 3 4 A .3e410 Fax: (06 342,- 3// 3 State surc i :e (12% of perm[ - - ): $21.60 CCB lic.: 7 'T «I b otal fee due upon application: $201.60 Authorized signature:. This permit application expires if a permit of obtained within 180 days after it has been accepted as I mplete. Print name: 12t`'�'�' Date: tjp ( * Fee methodology set by Tri County Building Industry Service Board. 1:\Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(1 I /02 /COM/WEB) - A /2- Ear Building Division g 7700 Development Code Provision Review T [ G A R D Commercial Projects with Approved Land Use Building Permit No.: l J F go/ 2.-600 l S Land Use Casefile No.: — P73 Aoo g " 0400 1 Routed Plans: Submittal Date: 4 /// / Submittal Date: /017/2- • Submittal Date: To the Applicant: Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the Building Division. Only checked (✓) items are approved. Items not approved and those listed in the notes must be revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section. STAFF: please only mark those items on the left side that are approved. ' Planning Review (contact 7A f at 503 -718- y or @tigard - or.gov) .12-Land Use Approval L Building Plans Match Approved Plan: Yes .I7 No ❑ Ei - Maximum Building Height '/s" Conditions Met • Notes: Original Plan: Approved .0 Not Approved ❑ Date: y /6 - 17 - Revision 1: Approved ❑ Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: Engineering Review (contact Mike White at 503 - 718 -2464 or MikeW @ tigard - or.gov) ❑ Actual Slope: ❑ PFI Permit # ❑ Conditions tt ,i4L. Notes: Original Plan: Approved h Not Approved ❑ Date: 4 2 4 12 Revision 1: Approved ❑ • Not Approved ❑ Date: Revision 2: Approved ❑ Not Approved ❑ Date: (Review Continues on Page 2) Page 1 of 2 r i City Arborist Review (contact Todd Prager at 503 - 718 -2700 or todd @tigard- or.gov) IL1 %treet Trees p' Protected Trees Notes: Original Plan: Approved ❑ Not Approved Itd Date: y'r?Co Revision 1: Approved Not Approved ❑ Date: 1t7 Revision 2: Approved ❑ Not Approved ❑ Date: Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or abert@tigard- or.gov) ❑ Planning Okay to Issue Permit ❑ Arborist Okay to Issue Permit ❑ Engineering Okay to Issue Permit Notes: Original Plan: Date Sent to Applicant: Revision 1: Date Sent to Applicant Revision 2: Date Sent to Applicant / Okay to Issue Permit: Yes 6 ' No 4111 i 1// Date Routed to Building. .. s7 9 / Page 2 of 2 Albert Shields From: Albert Shields Sent: Thursday, April 26, 2012 11:35 AM To: 'Icole @beradesign.com'; 'snguy @pacland.com' Cc: Gary Pagenstecher; Todd Prager Subject: RE: Walmart BUP2012 -00067 and SIT2012 -00006 Attachments: Albert Shields.vcf Loretta and Shawn, please see Todd's email below regarding a required cover memo and revisions to the plan sets for the BUP and SIT permits. Please call if you have any questions. Albert Shields Albert Shields City of Tigard C,' 11 Program Development Specialist filbert®tigard- or.gov (503) 718 - 2426' »ork (503) 624 -3681 Fa; , From: Todd Prager Sent: Thursday, April 26, 2012 9:05 AM To: Albert Shields Cc: Gary Pagenstecher Subject: Walmart BUP2012 -00067 and SIT2012 -00006 Albert, I am reviewing the BUP and SIT for tree conditions at Walmart. The applicant needs to provide a cover memo explaining how Conditions 2, 4, 5, 6, 7, 8, 9, 10, and 11 are met. Revisions to the plan set are needed to show how these conditions are met. The detailed requirements are in each of the listed conditions. Thanks, Todd Prager, AICP, Cert. Arborist Associate Planner /Arborist City of Tigard I Community Development 13125 SW Hall Boulevard Tigard, Oregon 97223 www.tigard- or.gov Phone 1 503.718.2700 Email I todd @tigard- or.gov .LA! v ER E - m2 ils sent or received by City of Tigard employees are subject to public record laws. If requested. e - r1:r. 1 ARCHITECTURE RE CEIV E D � LAND USE PLANNING !, INTERIOR DESIGN GRAPHIC DESIGN BUIL �G 1 D 1 G� 20 1 � p visioN Date: April 10, 2012 x Transmittal To: City of Tigard Community Development Fax 13125 SW Hall Blvd. Tigard, OR 97223 Pages including this cover sheet Attn: Debbie Adamski Project: 5935 Outlot Building #1 x Phone 503.639.4171 We are sending you: I I Attached Under separate cover via the following items: COPIES DATE NO. DESCRIPTION 1 Outlot Building #1 - Commercial Application ecklist 2 Outlot Building #1 - Permit Application 2 Outlot Building #1 - Envelope Compliance Certificate ✓ / 2 Outlot Building #1 - Structural Calculations (Within Binder) s/ 2 Outlot Building #1 - Specifications (Within Binder) 3 Outlot Building #1 - Stamped Full Size Set of Drawing Documents THESE ARE TRANSMITTED as checked below: I I For approval Reviewed as submitted Resubmit For review For your use I Reviewed as noted Submit for distribution I I As requested Returned with response Return Corrected prints I X For review / comment I For Recording I FOR BIDS DUE PRINTS RETURNED AFTER LOAN FROM US If enclosures are not as noted, please notify us at once. Signed: Kathryn Jerkovich 2106 PACIFIC AVE, SUITE 300 TACOMA, WASHINGTON 98402 P 253 627 4367 F 253 627 4395 R � COMcheck Software Version 3.9.0 ivED i r,, , A PR r En ve l ope Comp Certificate ry, r ?012 ON Oregon Energy Efficiency Specialty Code Section 1: Project Information Project Type: New Construction Envelope Compliance Method: Simplified Trade -Off Project Title : WAL- MART #5935 Outlot Retail Building #1 Construction Site: Owner /Agent: Designer /Contractor: 7500 SW Dartmouth Street WAL -MART Bob Matulis Tigard. OR 97223 Bentonville, AR IHENDERSON ENGINEERS 8325 Lenexa Drive; Suite 400 Lenexa, KS Section 2: General Information Building Location (for weather data): Tigard, Oregon Climate Zone: 4c Building Type for Envelope Requirements: Non - Residential Vertical Glazing / Wall Area Pct.: 44% Building Type Floor Area Outlot Retail Building (Retail) 12409 Section 3: Requirements Checklist Envelope PASSES: Design 3% better than code. Climate- Specific Requirements: Component Name /Description Gross Cavity Cont. Proposed Budget Area or R -Value R -Value U- Factor U-Factor(a) Perimeter Roof 1: Insulation Entirely Above Deck 12409 - -- 30.0 0.032 0.048 Wall: Steel- Framed, 16" o.c. 8586 25.0 0.0 0.093 0.064 Window 1: Metal Frame:Double Pane with Low -E, Clear, SHGC 2649 - -- - -- 0.350 0.460 0.40, PF 1.00 Window 2: Metal Frame with Thermal Break:Double Pane with 1146 - -- 0.350 0.460 Low -E, Tinted, SHGC 0.40 Swing Door: Insulated Metal, Swinging 94 - -- - -- 0.600 0.700 Floor 1: Slab -On- Grade:Unheated 532 - -- - -- - -- - -- (a) Budget U- factors are used for software baseline calculations ONLY, and are not code requirements. In the following requirements, the relevant code section reference is shown in /). ' +' denotes that more details exist in the specified code section Checkboxes identify requirements that the applicant has not acknowledged as being met. Check marked requirements identify those the applicant acknowledges are met or excepted from compliance. 'Plans reference page /section' identifies where in the plans/specs the requirement can be verified as being satisfied Fenestration Product Rating: 1. [303.1.3] U- factors of fenestration products (windows, doors and skylights) are determined in accordance with NFRC 100 by an accredited, independent laboratory, and labeled and certified by the manufacturer or are determined using the commercial size category values listed in Chapter 15 of the 2009 ASHRAE Handbook of Fundamentals, Table No.4 and shall include the effects of the window frame. The temporary label afixed to the fenestration products must not be removed prior to inspection. Plans reference page /sectio• $heel A.3 0f Project Title: WAL- MART #5935 Outlot Retail Building #1 Report date: 04/10/12 Data filename: W:\Stores105500 to 05999 \05935 - TIGARD - OR \1392095935 Tigard OR 5935 -00 \000 \Outlot bldgs \Outlot Building Ecalcs\Outlot Retail Building 1 Envelope Only OREGON.cck Page 1 of 3 ✓ 2. [303.1.3] Solar heat gain coefficient (SHGC) of glazed fenestration products (windows, glazed doors and skylights) shall be determined in accordance with NFRC 200 by an accredited, independent laboratory, and labeled and certified by the manufacturer or be determined using the Solar Heat Gain Coefficients (SHGC) in Chapter 15 of the 2009 ASHRAE Handbook of Fundamentals, Table No.10. The overall values must consider type of frame material and operator for the SHGC at normal incidence. Plans reference page /section: $ rfSg(A302 Air Leakage, Insulation, and Component Certification: ✓ 3. [502.4.3] Sealing of the building envelope. Openings and penetrations in the building envelope are sealed with caulking materials or closed with gasketing systems compatible with the construction materials and location. Joints and seams are sealed in the same manner or taped or covered with a moisture vapor - permeable wrapping material. Sealing materials spanning joints between construction materials allow for expansion and contraction of the construction materials. Plans reference page /section: Spec Section 0.Z90_0 - f Sealers ✓ 4. [502.4.1 +] Window and door assemblies. The air leakage of window and sliding or swinging door assemblies that are part of the building envelope are determined in accordance with AAMANVDMA/CSA 101/I.S.2/A440, or NFRC 400 by an accredited, independent laboratory, and labeled and certified by the manufacturer. Plans reference page /section: $peg section pQf 10 - NM Doors_end Frernes ✓ 5. [502.4.2 +] Curtain wall, storefront glazing and commercial entrance doors. Curtain wall, storefront glazing and commercial - glazed swinging entrance doors and revolving doors are tested for air leakage in accordance with ASTM E 283. For curtain walls and storefront glazing, the maximum air leakage rate is 0.3 cubic foot per minute per square foot of fenestration area. For commercial glazed swinging entrance doors and revolving doors, the maximum air leakage rate is 1.00 cfm /ft2 of door area. Plans reference page/section: Spec-section 08411 - Storefront _ I t "6. [303.1.1 +] Building thermal envelope insulation. An R -value identification mark is applied (by manufacturer) to each piece of insulation 12 inches or greater in width. Alternately, the insulation installers have provided a signed, dated and posted certification listing the type, manufacturer and R -value of insulation installed. Refer to code section for blown or sprayed insulation installation /settling depths and marker requirements. ✓ 7. [303.1.2] Insulation mark installation. Insulating materials are installed such that the manufacturer's R -value mark is readily observable upon inspection. ✓ 8. [303.1.4] Insulation product rating. The thermal resistance (R- value) of insulation has been determined in accordance with the U.S. FTC R -value rule. ✓ 9. [303.2] Installation. All material, systems and equipment are installed in accordance with the manufacturer's installation instructions and the International Building Code. 1/ 10.[502.4.4] Outdoor air intakes and exhaust openings. Stair and elevator shaft vents and other outdoor air intakes and exhaust openings integral to the building envelope shall be equipped with not less than a Class I motorized, leakage -rated damper with a maximum leakage rate of 4 cfm per square foot at 1.0 inch water gauge when tested in accordance with AMCA 500D. Stair and shaft vent dampers shall be capable of being automatically closed during normal building operation and interlocked to open as required by fire and smoke detection systems. Plans reference page /section: Spec section 07210_ Bui'di.rrg_ rt ulati ?r, • • 114502.4.5] Loading dock weatherseals. Cargo doors and loading dock doors are equipped with weather seals to restrict infiltration when vehicles are parked in the doorway. Plans reference page /section: N/A ✓ 12.[502.4.7 +1 Recessed lighting. Recessed luminaires installed in the building thermal envelope are sealed to limit air leakage between conditioned and unconditioned spaces. All recessed luminaires are IC -rated and labeled as meeting ASTM E 283. All recessed luminaires we sealed with a gasket or caulk between the housing and interior wall or ceiling covering. Plans reference page /section: N/4 ✓ 13.[502.4.6 +] Vestibules. Doors that separate conditioned space from the exterior are protected with an enclosed vestibule, with all doors of the vestibule equipped with self- closing devices. Vestibules are designed so interior and exterior doors to not operate simultaneously. Plans reference page/section: N/A ✓ 14.[103.2 +]'Other components have supporting documentation for proposed U- Factors. Plans reference page /section: N'A Section 4: Compliance Statement Compliance Statement: The proposed envelope design represented in this document is consistent with the building plans, specifications and other calculations submitted with this permit application. The proposed envelope system has been designed to meet the Oregon Energy Efficiency Specialty Code requirements in COMcheck Version 3.9.0 and to comply with the mandatory requirements in the Requirements Checklist. Project Title: WAL- MART #5935 Outlot Retail Building #1 Report date: 04/10/12 Data filename: W: \Stores \05500 to 05999\05935 - TIGARD - OR \1392095935 Tigard OR 5935 -00 \000 \Outlot bldgs \Outlot Building Ecalcs \Outlot Retail Building 1 Envelope Only OREGON.cck Page 2 of 3 8� 8ubMomh &-/ C�// ^- s ' // . Name Title Signature Date • _ Project Title: Outlot Retail Building #1 Report date: 04/10/12 Data filename Vx:\;mmms\05sVomuse89mooua'TIGmno'ORU3qoo9s835 Tigard On bldge\Outlot Building Ecalcs\Outlot Retail Building 1 Envelope Only OREGON.cck Page 3 of 3 Commercial Application Checklist APR 1 1 2012 City of Tigard CITY ■ 13125 SW Hall Blvd., Tigard, OR 97223 BU I LDING DIViS ;., Phone: 503.718.2439, Fax: 503.5981960 TI G n R D Internet address: www.tigard - or.gov Project name: Walmart Date: 4/10/2012 Address: SW Dartmouth Rd. & SW 72n Ave City: Tigard State: OR ZIP: 97223 Scope of work: Construction of an approximate 12,000 retail shell (Retail 1) Reference no.: Map and tax -lot no.: Map 1S136CD, Tax Lot 04200, 2S101BA, Tax Lot 00101; and 2S101AB, Tax Lot 01400. Contact person name: Joe Rydman Company: BCRA, Inc. Phone: 253 - 627 -4367 Fax: 253 - 627 -4395 Cellular phone: E -mail: jrydman @bcradesign.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 ro'ect submitted. 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. INDIA OF ( III:( Is.iLl I Sl.( [IONS 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 04/10/12 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 G2.01 1.6 ® P ❑ NA Deferred submittal summary G2.01 1.7 ® P ❑ NA Professional stamp and signature All 1.8 ® P ❑ NA Fire and life - safety plan G2.01 1.9 ❑ P ❑ NA Landscape plan Refer to Civil 1.10 ❑ P ❑ NA Landscape specifications Refer to Civil Supporting documents ,votes 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 ❑ 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: \Building \Forms \COM- Checklist.doc SECTION 3.0 — ARCHITECTURAL DATA Construction documents Location (sheet number or spec section) 3.1 Z Required Floor plan(s) 3.2 ® Required Transverse and longitudinal cross sections 3.3 ® Required OSSC Chapter 11 accessibility requirements 3.4 El P ® NA Interior elevations 3.5 ® P ❑ NA Exterior elevations A7.01, A7.02 3.6 Z P ❑ NA Roof plans A6.01 3.7 ® P ❑ NA Exterior wall sections and details . A9.01, A9.02, A9.03 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 A3.01, A9.01, A9.02 3.11 ® P ❑ NA Door schedule A3.01 3.12 ® P ❑ NA Glazing schedule A3.02 3.13 ❑ P ® NA Furniture plan Supporting documents Notes 3.20 ® P ❑ NA Energy code compliance forms /calculations Attached 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 SECTION 4.0 — STRUCTURAL DATA Construction documents Location (sheet number or spec section) 4.1 ® Required Structural cover sheet S0.01 4.2 ® P ❑ NA Foundation plan S2.01 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 S2.04 S3.01, S3.02, S5.01, S5.02, S5.03, S5.11, S5.12, 4.8 ® P ❑ NA Structural elevations S5.13 4.9 ® P ❑ NA Structural details and cross sections S4.0 -S6.02 4.10 ❑ P ® NA Standpipe information 4.11 ® P ❑ NA Special inspector /structural observation matrix S0.01, S0.02 Supporting documents Notes 4.20 ® P ❑ NA Geotechnical /soil engineer report Refer to Civil 4.21 ❑ P ❑ NA Site - specific seismic hazard report 4.22 ❑ P ❑ NA Design narrative 4.23 ® P ❑ NA Structural calculations Attached 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 SO — MECHANICAL DATA (New construction, tenant improvement, gas piping permits) Construction documents Location (sheet number or spec section) 5.1 ® Required Floor plan M1 5.2 ® Required Equipment schedule M2 5.3 ❑ P ❑ NA Site plan Refer to Civil 5.4 ® P El NA Under -slab mechanical plan M1 5.5 El P ® NA Roof plan 5.6 ® P ❑ NA Fuel gas piping plan M1, M2 5.7 ® P ❑ NA HVAC equipment and duct plan(s) M1 5.8 ® P ❑ NA Roof access details A6.01, A6.03 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 El 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 M2 Supporting documents Notes 5.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds M2, Structural Calcs 5.21 ❑ P ❑ NA Equipment manufacturers' catalog "cut sheets" or specifications 5.22 ❑ P ❑ NA Outside air (OSA) calculations 5.23 ❑ P El 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 • Attached 5.28 ❑ P El 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 is \Bu ildina \Forms \COM- Checklist.doc SECTION 6.0 — MECHANICAL DATA (Additional or replacement roofto) 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 votes 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 (Tv )c I and Tv w II kitchen hood )ermits) 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 El 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 El NA Fire suppression details Supporting documents votes 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 El 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 /0I /W[13 /COM) Tri- County Commercial Application Checklist 6 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties I: \t3ui Idin s \F orms \COM- Checkl ist.doc SECTION 8.0 — PLUMBING DATA Construction documents Location (sheet number or spec section) 8.1 ® Required Floor plan(s) M1 8.2 ® Required Piping and material schedule M1 & Specs 8.3 ® Required Equipment layout plan M1 8.4 ® Required Fixture schedule M1 8.5 El P El NA Site utility plan Refer to Civil 8.6 El P ❑ NA Building cross section 8.7 El P El NA Rise diagram 8.8 ❑ P El NA Roof plan 8.9 ❑ P El NA Back flow prevention location Refer to Civil 8.10 El P El NA Irrigation plan 8.11 El P El NA Fire -rated construction details 8.12 ® P ❑ NA Under -slab plumbing plan M1 Supporting documents motes 8.20 ® Required Structural calculations for vertical loads and lateral loads for equipment weighing over 400 pounds Ml, M2, Structural Calcs 8.21 El P El NA Equipment manufacturers' catalog "cut sheets" or specifications 8.22 El P El NA Utility maintenance agreements 8.23 El P El NA Water supply calculations 8.24 ❑ P ❑ NA Sanitary system calculations 8.25 ❑ P El NA Irrigation demand calculations 8.26 El P El NA Roof drain and storm water calculations 440 -2734 (8 /01 /WEf3 /COM) Tri- County Commercial Application Checklist 7 For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties is \Buildine \ 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 Attached 9.2 ® Required Floor plan(s) E1 9.3 ® Required Electrical load calculations E2 9.4 ® Required One line diagram E2 9.5 ® Required Feeder riser diagram E2 9.6 ® Required Available fault current information E2 9.7 ® Required Panel schedule(s) E2 9.8 ❑ P ❑ NA Site electrical plan Refer to Civil 9.9 ❑ P ® NA Fire -rated construction details 9.10 ® P ❑ NA Lighting plan E1 9.11 ❑ P ❑ NA Emergency power system and emergency lighting plan E1 9.12 ❑ P ❑ NA Under -slab electrical plan E1 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 L\Bui (ding \Forms \COM -Check I ist.doc SECTION 10.0 - FIRE SUPPRESSION DATA Construction documents Location (sheet number or spec section) 10.1 ® Required Floor plan(s) M1 10.2 ® Required Sprinkler piping plan(s) M1, M2 10.3 ❑ P ® NA Site plan 10.4 ❑ P ® NA Standpipe information 10.5 ® P ❑ NA Back flow prevention information M2 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 N/A 10.21 ® Required Equipment manufacturers' catalog "cut sheets" Attached 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) E1 11.2 ❑ P ❑ NA Site plan Refer to Civil 11.3 ❑ P ® NA Reflected ceiling plan(s) 11.4 ❑ P ® NA Transverse and longitudinal cross sections 11.5 Z P ❑ NA Wiring schematic El 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 is \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 CO 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 El P ❑ NA ❑ Required 13.3 ❑ P ❑ NA ['Required 13.4 El 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- Checkl isl.doc Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 7700 SW DARTMOUTH ST, TIGARD, OR, 97223 Commercial - Building 299 Final inspection PASS - No C of O BUP2012-00068 Chip Barnett Violation Summary: Inspector Contractor