Permit n CITY OF TIGARD BUILDING PERMIT
I'7 8 COMMUNITY DEVELOPMENT Permit#: BUP2015 00099
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/09/2015
Parcel: 1S136 DB02400
Jurisdiction: Tigard
Site address: 11642 SW PACIFIC HWY 100
Project: Spec Retail Subdivision: 2000-025 PARTITION PLAT Lot: 2
Project Description: New walls and change doors for TI
Contractor: OWNER Owner: CHAMPION, RONALD V&ROBERTA E
RON AND ROBERTS CHAMPION 16449 LEXINGTON CT
16449 LEXINGTON CT LAKE OSWEGO, OR 97034
LAKE OSWEGO, OR 97034
PHONE: 503-484-3611 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review,COM TI-Ping 04/09/2015 $75.00
Occupancy Grp: B Occupancy Load: 49 DC Provision Review,COM TI-LRP 04/09/2015 $11.00
Permit Fee-Additions,Alterations, 04/09/2015 $149.75
Dwelling Units: 0 Demolition
Stories: 2 Height: 0 ft 12%State Surcharge-Building 04/09/2015 $17.97
Bedrooms: 0 Bathrooms: 0 Plan Review 04/09/2015 $97.34
Value: $5,000 Plan Review-Fire Life Safety 04/09/2015 $59.90
Info Process/Archiving-Lg$2.00(over 04/09/2015 $6.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $416.96
Required: Required Items and Reports(Conditions)
Fire Sprinkler: No Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTE : Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 10 through•+R 952-0! •090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
/
Issu d By: Permittee Signature: k
41 i J
Call 503.639.4175 by 7:00 a.m.for the next available inspection 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.
Building Permit Application
Commercial RECEIVE'). I (IR cll III I I `,I (►vI 1
City of Tigard De 9�11r 521 PcrmitNo.: 4 �//5� l�
• 13125 SW Hall Blvd.,Tigard,OR 97
S r a Datem v%�� ./ �
Phone:SW Hall
Fax: 503.597 ': 9 2015 plug ocher Permit
T I c.n R I) Inspection Line: 503.639.4175 Date R.2 '-: Jut el See Page 2 for
Internet: www.tigard-or.gov CiTY Of Y I AHD Notified/Method: Supplemental Information
TYPN MINN I( DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ID Demolition 1, Permit fees'are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
ta Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
El 1-and 2-family dwelling laCommercial/industrial
Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder El Other:
Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 i to 4 2 Sw pA CI Fl C_ 1�0,t4 y New dwelling area: square feet
City/State/ZIP: fl G A 2 t) OR. 97 12 3 Garage/carport area: square feet
Suite/bldg./apt.no.: () j Project name: p 4W I NV ESTM ENT RgTAIL Covered porch area: square feet
Cross street/directions to job site: FROM 1 NTE12.SEUl CJN f—IF Deck area: square feet
99W AND SW 72;4P Av E J C1 o w esr ON Other structure area: square feet
9 9 W An 0 gut up IN C is ON sro- N SIDE REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot no.: Permit fees'are based on the value of the work performed.
1 Si 3�DB 0 24-00 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 application.
Valuation: $ 55'000
Con STR 1Cr TIEW WALLS AND CHAN6E -
Existing building area: G ( 5 square feet
1DtO2S OIL NEW IZE_MI I_ T E.NAR 1
New building area: gr square feet
PROPERTY OWNER ❑ TENANT Number of stories: 2,
Name: Rom ANA 'Qo BER.TA at AMP 1 ON Type of construction: y- B
Address: I Co 44,9 LElr+(N G T oN CT Occupancy groups:
City/State/ZIP: LAKE OSW SGO l 0 R 9 7 03 4 Existing: g
Phone:(503) 484 4_ 3c:.„ I I Fax:( ) New: M
APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: (�referrto fau�&�
Structural plan review fee(or deposit):
Contact name: CASEY BE itm AIZo
Address: FLS plan review fee(if applicable):
(Ce 4 2, 5 P A CI F1 G Ii W Y SU I TE I co Total fees due upon application:
City/State/ZIP: �I U ae D J ne 9. 7 2.2-7
qq Amount received:
Phone:(550 3) ! / 7_ 1 td O g Fax::( )
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: CASEYSBEKNAeI:)C' yAHOO. COM
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System.
Business name: 0 w N E� / �V`� Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: Total fee due upon application: $201.60
Authorized signature:(��^ This permit application expires if a permit is not obtained
----) g---\■/\---- . within 180 days after it has been accepted as complete.
Print name: CA 5 ( E .,1`I �s1CD Date: 4 - - S • Fee methodology set by Tri-County Building Industry
Service Board.
CSE ATrAcI1ED PUTOP_.IZATION)
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
• Building Division
Over-The-Counter (OTC) Plan Review & Permit Process
I I(, %iz I) Commercial Projects
For an OTC plan review,the applicant shall submit the following material and information:
✓1. Permit application must be completed,signed and must have the site address*and suite number,if
applicable,and must provide contractor and current licensing information (Oregon Construction
Contractors Board license and sub-trade license,if applicable)**.
✓ . Tri-County Commercial Application Checklist must be completed.
3. Applicant must submit two sets of plans that include:
✓(a) Scale (any standard architectural or engineering only).
(}o) Site plan.
Parking lot plan.
4 Floor plan showing existing walls,etc.
Floor plan showing the revisions.
(f) Sheet of details showing accessible parking stalls,access aisle,signage,curb ramp,interior wall
/ construction,etc.
✓ (g) Manufacture cut sheets for components in the system,i.e. fire alarm,sprinklers,mechanical
equipment,etc.
/(h) Accessibility(see item number 4 below).
✓4. An amount equal to 25%of the valuation of the work being done shall be budgeted for removal of
existing architectural barriers within the site and building(tenant space). The requirement for
accessibility upgrades is applicable to every permit,except for re-roofing and mechanical system
alterations,unless they affect the usability of the building or facility.
Submit the Barrier Removal Plan form showing the budget for bather removal. This form is
included in the Commercial TI Building Permit Application packet. Start at the public way and
describe each existing bather and the cost for its removal.
The plans submitted must show the accessible route,building interior and construction details for:
(a) Sidewalks,curb ramps,accessible parking with adjacent access aisle,signage,ramp,handrails and
a building/facility accessible entrance,and;
(b) Door hardware,doorway width,drinking fountain,sink accessibility in common use areas,i.e.
stairways (lunch room or classrooms)when no elevator is provided,receptionist area,counter
space,reach ranges and restroom facilities.
/5. Applicant must have funds/pay for permit at plan submittal.
"7* Address verification: It is recommended that applicant contact the building permit technicians at
503-718-2439 to verify site address prior t4 OTC appointment. If the site address and/or suite# do
not exist in the City's parcel database the applicant must contact the City's engineering department for
lassignment of a new address and/or suite#and pay$50.00 addressing fee prior I2 OTC appointment.
'olt License verification: Applicant may contact the building permit technicians at 503-718-2439 to verify
license information prior to OTC appointment.
I:\Building\Forms\OTC-COM-SubmittalCriteria.doc Rev.12/10/12 1
SERVICE AVAILABILITY:
Over-the-counter plan review is by appointment only. This service is provided six times weekly and can be
scheduled by calling the building permit technicians at 503-718-2439 for the next available time slot. Two 1-
hour time slots are available each day on Tuesday,Wednesday and Thursday at 10:00 a.m.and 2:00 p.m. .
Walk-in customers will be served with the next available appointment.
APPLICATIONS QUALIFYING FOR OVER-THE-COUNTER REVIEW:
Building.
• Interior modifications that do not involve a change of occupancy
All occupancies except H,I or facilities regulated by State Licensure
• Non-structural alterations of existing elements only
Mechanical:
• Replacement of existing equipment.
• Units weighing less than 400 pounds unless an engineer's calculations and plans for seismic restraint and
members supporting the equipment are provided.
Sprinklers:
• Modifications to existing systems. Plan review not required for 10 heads or less.
Fire Alarms:
• Modifications of existing system,no additional elements unless battery calculations,element cut sheets
including panel specifications,capacity rating and existing load are provided.
PERMIT ISSUANCE:
Permits will be issued over-the-counter if all work is found to be in conformance with applicable codes
(minor red-lines allowed). If corrections are required,the applicant must obtain another appointment when
all required corrections are completed.
I:\Building\Forms\OTC-COM-SubmittalCriteria.doc Rev.12/10/12 2
SIGN ATURE_ APPV-O\1AL
From: Ron Champion <ronchamp52 @yahoo.com>
To: "caseysbernard @yahoo.com"<caseysbernard @yahoo.com>, "slaterarch @hotmail.com"
<slaterarch @hotmail.corn>
Sent: Fri, Mar 30, 2012 14:32:39 GMT+00:00
Subject: Re: Commercial building on Pacific in Tigard
Good morning.
If I understand your requirements, the following should be all you need. If not, please let me
know and-I will provide whatever other info you require.
I, as part owner of the commercial building on Pacific Highway in Tigard, authorize Casey
Bernard to sign for me for permits that apply to this project.
RON CHAMPION
25884 SW CANYON CREEK RD. #J302
WILSONVILLE, OR 97070
503/228-6868
ronchamp52@yahoo.com
Have a great day,
Ron `':�
Commercial Application Checklist
City of Tigard
� ' 13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503.718.2439,Fax:503.598.1960
`' I " Internet address:www.tigard-or.gov
I'RO,H:( I I\FOR\1 I ION
Project name: PNW INV E.STMENT RETAIL Date: 4- 8- ‘s
Address: 11G4-2 SW PACIFIC- 1-1 W Y 1 City: T1 v AR,D State: pg. ZIP: 972,23
Scope of work: CONST1ZU CT NEW WALLS AND CHARGE DOORS FOR MEW TEt4ANT
Reference no.: k 2851 Map and tax-lot no.: 1si 3 G b s 0 2 i-Od
Contact person name: Lt SA S -r Company: SLP.—'o
Phone: 3 coo- $17 37 Fax: P H ot-4E
Cellular phone: 3Q - 903_ G88G E-mail: USA.,C° a.fts-re_ a.c1-1+TE .TUR.e -curl
NOTES :ANI) I\STRt ( TIONS
• 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.
l'ItE-S1IINIFFI'Al. PROCESS
An applicant may request a pre-submittal meeting with representatives of the jurisdiction in which the project
will be built. The meeting may take place during the conceptual, schematic, or in-progress phase, or when the
applicant has completed plans.
INDEX OF CHECKLIST SECTIONS
1.0 General project data Page 2 7.0 Mechanical data(Types I and II
2.0 Civil data Page 2 kitchen-hood permits) Page 6
3.0 Architectural data Page 3 8.0 Plumbing data Page 7
4.0 Structural data Page 4 9.0 Electrical data Page 8
5.0 Mechanical data(new construction, tenant 10.0 Fire-suppression data Page 9
improvement, gas-piping permits) Page 5 11.0 Fire-detection and fire-alarm data Page 9
6.0 Mechanical data(additional or replacement 12.0 Re-roof installation data Page 10
rooftop-equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10
This checklist is for building department jurisdictions in Clackamas,Multnomah,and Washington counties.
440-2734(8/01/WEB/COM)
1:\Building\Forms\COM-Checklist.doc 03/16/15
110\ 1.0 (:I NFlt 1. PKO.11:( I I).VF:s.
Construction documents Location(sheet number or spec section)
1.1 ® Required No. of sets of plans: New: 1 TI: _2 J ✓
1.2 ® Required Cover sheet title block A- I
1.3 ® Required Cover sheet vicinity map A-
1.4 ® Required Cover sheet plan index
1.5 ❑ P ❑ NA Code summary
1.6 ❑ P ❑ NA Deferred submittal summary
1.7 Ef 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 l);Vl':A
Construction documents N /P+ 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 El NA Storm-water calculations
2.22 El 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
1:1Building\Forms\COM-Checklist.doc
sE( i'ION 3.0 — :Alu HITI.:('i'I R L DATA
Construction documents Location(sheet number or spec section)
3.1 ® Required Floor plan(s) _a-2 a-3
3.2 ® Required Transverse and longitudinal cross sections N/1A r.)
3.3 ® Required OSSC Chapter 11 accessibility requirements ✓
3.4 ❑ P ❑ NA Interior elevations
3.5 ❑ P ❑ NA Exterior elevations
3.6 ❑ P ❑ NA Roof plans
3.7 El P El 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 El NA Hazardous materials inventory statement(HMIS)
3.23 ❑ P El 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:\Building\Forms\COM-Check)ist.doc
til:( TIO\ 4.1) — ti"I'IU C-FI I):vT.
Construction documents N/4 Location(sheet number or spec section)
4.1 ® Required Structural cover sheet
4.2 ❑ P ❑ NA Foundation plan
4.3 ❑ P El NA Under-slab mechanical plan
4.4 ❑ P ❑ NA Under-slab electrical plan
4.5 El P ❑ NA Under-slab plumbing plan
4.6 El 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 El P ❑ NA Standpipe information
4.11 El P El NA Special inspector/structural observation matrix
Supporting documents Notes
4.20 El P ❑ NA Geotechnical/soil engineer report
4.21 El P ❑ NA Site-specific seismic hazard report
4.22 El 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-Checkl ist.doc
SECTION 5.0 — MECHANICAL DATA (New construction, tenant improvement, gas piping permits)
Construction documents N Location(sheet number or spec section)
5.1 ® Required Floor plan
5.2 ® Required Equipment schedule
5.3 ❑ P ❑ NA Site plan
5.4 ❑ P ❑ NA Under-slab mechanical plan
5.5 ❑ P ❑ NA Roof plan
5.6 ❑ P ❑ NA Fuel gas piping plan
5.7 ❑ P ❑ NA HVAC equipment and duct plan(s)
5.8 ❑ P ❑ NA Roof access details
5.9 ❑ P ❑ NA Duct smoke detector plans
5.10 ❑ P ❑ NA Fire/smoke damper locations
5.11 ❑ P ❑ NA Smoke control plan
5.12 ❑ P ❑ NA Outside air(OSA)table
5.13 ❑ P ❑ NA Refrigeration equipment and piping plan
5.14 ❑ P ❑ NA Kitchen equipment plan
5.15 ❑ P ❑ NA Type I and/or Type II kitchen hood plan
(see Section 7.0—Mechanical Data)
5.16 ❑ P ❑ NA Fume/vapor hood plan
5.17 ❑ P ❑ NA Process piping/product and/or exhaust-conveying
duct plan
5.18 ❑ P ❑ NA Fire-rated construction details
5.19 ❑ P ❑ NA Equipment hanger/fastener details
Supporting documents Notes
5.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
5.21 ❑ P ❑ NA Equipment manufacturers' catalog"cut sheets"
or specifications
5.22 ❑ P ❑ NA Outside air(OSA) calculations
5.23 ❑ P ❑ NA Smoke-control calculations
5.24 ❑ P ❑ NA Combustion air calculations
5.25 ❑ P ❑ NA Fuel gas piping sizing calculations
5.26 ❑ P ❑ NA Make-up air calculations
5.27 ❑ P ❑ NA Energy code compliance forms
5.28 ❑ P ❑ NA Boiler information
440-2734(8/01/WEB/COM) Tri-County Commercial Application Checklist 5
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\Building\Forms\COM-Checkl ist.doc
SECTION 6.0 — MECHANICAL DATA (Additional or replacement rooftop installation permits)
Construction documents N 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 (Tv )e I and TN is II kitchen hood ermits)
Construction documents N/A 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
SE( .I ION 8.0 — PIT 11131\G DATA
Construction documents N /A 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 El NA Building cross section
8.7 ❑ P ❑ NA Rise diagram
8.8 ❑ P El 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
sE('I'lO\ 9.0 — ELECTRICAL I).V1':■
Construction documents Location(sheet number or spec section)
9.1 ® Required No. of sets of plans: 2
9.2 ® Required Floor plan(s)
9.3 ® Required Electrical load calculations
9.4 ® Required One line diagram
9.5 ® Required Feeder riser diagram
9.6 ® Required Available fault current information
9.7 ® Required Panel schedule(s)
9.8 ❑ P ❑ 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(8/01/WEB/COM) Tri-County Commercial Application Checklist 8
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
I:\Building\Forms\COM-Checklist.doc
SECTION 10.0-FIRE SUPPRESSION DATA
Construction documents n//i‘ 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
SECTION 11.0-FIRE DETECTION AND ALARM DATA
Construction documents NA 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 N�,A 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 El P ❑ NA Structural engineer's report
SECTION 13.0 — JURISDICTIONAL–SPECIFIC REQUIREMENTS
Construction documents Item N// 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 El P ❑ NA [' Required
13.6 ❑ P El NA ❑ Required
13.7 ❑ P ❑ NA El Required
13.8 ❑ P ❑ NA [' Required
13.9 ❑ P ❑ NA El 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
1:\Building\Forms\COM-Checkl ist.doc
City of Tigard
IIICOMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 G A K n Building Permit Review — Commercial - With Land Use
Building Permit #: ----F- LL 1" ao/ h - 9
Site Address: /11-i/j_ S l✓ R cInc itw< Suite/Bldg#:
Project Name: li/U k/ 1/4 yes r en
Project ,S
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: /4 Vic(c/ 7
i:3.Verify site address/suite# exists and active in permit s stem.
CI River Terrace Plan District: ❑ Yes a No
❑ Land Use Case#: %/l/o,2 /S- 600/i
❑ Plans Match Approved Land Use:
Site Plan an scape Plan ❑ Other:
1 rban Forestry Plan won Plan
❑ Building Height: Maximum Height Actual Height
❑ Conditions Met: /0/4 ❑ Prior to Submittal ❑ Prior to Permit Issuance
El Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
❑ Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified \Z<No Applied For: ❑ Yes ❑ No, stop intake
Notes:
Approved by Planning: ' Date: 7_f-7_
Revisions (after Building Submitt. only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: y//C.
Site Plans: #
Building Plans: # 3
Building Permit#: I TEnter building permit#above.
Workflow Routing: E-Planning g ❑-Perr ixLno]d+_na or a tuilding
Workflow Sign-off: 0-Sign-off for Planning(include notes from planning review)
Route Application Documents: 213uilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes: - AL l c C0( t.e..- L-444.14-16-3 , °I. ...AU c;„1.4 6-6
4' %_ _ — A,, ,/L2 t�u1sJ 4 Evt '1 I (.
� i
By Permit echnician: ( )CeSa4/A & .42 Date: 1/ /c
I:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_040115.docx
Engineering Review
❑ Slope at building pad:
❑ PH Permit#:
❑ Conditions "Met" or issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat(not -.ical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes ❑ No
Assess Water Quantity Fee in-lieu: ■ cs ❑ No
LIDA Facility on lot: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
i
Approved by Engineering: ID ate:
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved / ❑ Not Approved
Revision 2: ❑ Appr ed ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to ante of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Appli
Revision Notice 2: Date Sent to A.. cant:
Revision Notice 3: Date Sent to pplicant:
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Forms\BldgPermitRvw_COM_W ithLandUse 0401 1 5.docx
III
I III Building Division
Over-The-Counter (OTC) Building Permit
TIGARD Check List
Project Description: Ti
APPLICATION SPECIFIC INFORMATION
GENERAL INFORMATION _
Class of Work*: ( Occupancy Group: '� Type of Construction:
Type of Use**: Occupancy Load: Oregon Specialty Code: '20
SPECIFICS
Number of Stories: '7j Building Height: Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: _Covered Porch:
Basement: Garage: Deck:
Total Square Footage: _ Carport: Mezzanine:
SETBACKS
Sideyard Setback-Left Sideyard Setback-Front
Sideyard Setback-Right Sideyard Setback-Back
CONSTRUCTION
Exterior Walls: ,Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E: W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: F■ ' Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet:
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $ ) FEES DUE
$ --2,5,60 DC Prov Rvw,COM TI-Ping
$ 0 w DC Prov Rvw,COM TI-LRP
DC Provision Review Fee for COM TI(effective 7/1/2014) $ AV . Permit Fee-Add,Alt,Demo
Project Valuation Planning LRP $ s' 12%State Surcharge
Up to$4,999 $0.00 $0.00 $ -4i Plan Review,Structural
$5,000-$74,999 $75.00 $11.00 $ -e, Plan Review,Fire Life Safety
$75,000-$149,999 $187.00 $28.00 $ dr Iff. Info Proc/Arch,Lg(over 11x17$2.00)
$150,000 and over $299.00 $44.00 $ Info Proc/Arch,Sm(up to 11x17$0.50)
$ Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
$ Other:
Building Staff: $ Other:
Date/Time: $ 9,6 TOTAL FEES DUE
*TYPE OF USE: COM=commercial;CMS=commercial manufactured structure.
**CLASS OF WORK ACS=accessory;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new;
OTR=other(use for fences,decks,retaining walls,signs,awnings or canopies).
1:\Building\Forms\OTC_BUP_070114.docx
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
11642 SW PACIFIC HWY 100, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00099
Chip Barnett
Violation Summary:
Inspector Contractor
Dan Nelson
From: Lisa Slater <lisa @slaterarchitecture.com>
Sent: Thursday, April 09, 2015 11:59 AM
To: Dan Nelson
Cc: caseysbernard @yahoo.com
Subject: PNW Investment Retail
Attachments: 1202-A-02 (WITH RESTAURANT SF).pdf
Hello Dan,
Thank you again for your help this morning to get the permit approved for the owner. After I left the City, I went to the
site and took measurements at George's Giant Hamburgers. I drew in the walls and counters on the plan and did some
area calculations.There are three doors into the dining space, and counters with a salad bar and drink dispensers. As
you will see, I have designated a 36"wide circulation path from the doors into the restaurant, and in front of the serving
counters because in fact you could not provide seating in these areas.The remaining seating area plus the kitchen is less
than 50 occupants,therefore the fire rated wall is not required.
Please confirm your approval of this information so we can attach it to the approved plans for the inspector.Thank you
again.
Lisa Slater
Slater Architecture
360-817-2737
V17)_en
SL N ER
ARCHITECTURE
i < PROPOSED NO WORK e1)00 NE Livingston
TENANT PROPOSED Rd
c.m..
EASING GUARD RAL SPACE ,WA we Gee07
TO RENAN 1
I Pnon•:
(360)817-2737
EXTERIOR COVERED WALK I F•`
oe0)
O 817-2733
' 0 I••••
PROPOSED '►'•'.••••'.••OO`.`.`�%j.O��`.00`•'•'v'•`.'•'•! \S� �T
LOBBY ►.•.•...•.♦ ♦........•••.••
1•••....••� v ♦.Ii••.•♦• y`�' L5ASuTER
< 4 ►..••.•.f•. ►•.••••
O TENANT RETAIL 1b•••.❖D.•••�r∎ DINIMG ' !0.•.O❖.•.
VENDOR AND ►►•••••••••�••••, F•.�.••••�•� VANCOUVER.WA
SPACE 1096 SF .....•• 609 sF •.•••• s
EMPLOYEE AREA
1,P❖•••❖.•t OO••••••••! r)/
AT 30 SF/OCC 0 ►❖.••••••••- A T 1b SF/O CC ►.-.❖.•••! Epp 0�
■ 37 OCCUPANTS 0►.44:44•.�.��• = 41 OCCUPANTS''.4•Q�•�•!
h v ►.•••••♦ ♦.••
0 I.►•••••••••••❖i••••••♦ ♦••••.. .
• w 4 +••••••••.•.••••••••.••...•
HALL 0 / 1•••••••••.•••/i••••••.••..•
\,,,,,..\\\:..,:a
►,.••••••••••••••••••••••••.�11•••.•�•
��e n
b OFFICE / 10 O RECEPTION tr w . , 14)
♦•...••••
- a
a
b VAULT ROOM
0 0 0 I SERVI •••••••••••••••••••••••••••••••••••••••Oiiiiiiiiiiii
2 OC
CO TER ••••••••••••••••••••••••, U
\ •`•`•`•`•`�`�`•'•`••w'•`•`•`•`•• Z $ micilli
N •••.•.171:•••••••••
XI STI N G ••�i•i�����•�•�•�•�•�•�•�•
1 49'-O' ••.••••'►•••••••••••••••••• W 7 R:STAURAN STAURAN ��';:::::::::• O
Y ' (VERIFY EXISTING) ERVING ••••••••••••• Z•
SPACE C� NTER •.••❖.•••••••••••i
NORTH ► KITCHEN / \ ••❖••••••••••••••• LL
II)
MI Ai MAIN FLOOR PLAN /IN 413 SF `
SCALE. 1/4'•I•-Cr Z Q
AT 200 SF/OCC N 'I' A
2 OCCUPANT •
•-A - Z
/ 2 0- D
SYMBOL LEGEND FLOOR PLAN KEY NOTES
/
11/4*....j6'
R R
OOK AN KEY NOTE EXISTS.*EXTERIOR DOOR TO REMAIN.COORCINIATE W0H OWNER FOG •••••••••••••••••••
NEW HARDWARE. 080.RRT LOCKS APD GLAZNG ALTERATIONS / ♦••.•••.
t5ff NOTES THS 9EET1 0 A.••....•..
O PEW NON-LOAD-6EA5NG WALL CpSTRUCTIOW 2.4 STIRS AT IA'We / '�
r ••❖.❖••I Tin To aE REenov® Iil-I 1 I LAYER 5/6'GWT3 EACH SEE ••••••REMOVE NOSING DOOR AND FRARrE. POVDE PEW DOOR N E(ISTNG / C ❑ •••••`•`•`•C •`•`•`•••`•!I IX6rNG WALL CpV5TRL1CTK7N TO RB.NN • GA I T,(TO EE 3 p8N NSL`'A Aw r-AvRING ArMAEE TA°r17 / ••••• •••••••••••! ISSUE DATE•JAMS.PROVDE LEVER-TYPE HPf.DLE AND SEOR1TY LOCK PBR OVNE •••••• 4-8-I'J d•••••PEW WALL COP6IRLIOTION PROVOE NEW 3008 SOLD CORE V.\'X70 DOOR NnTH TNBY FRM£ `•`` ' REVISION
O (FIt45H P08 DWIERI.OOLY1 TO LWVE L6508-TYPE 1442065 7080 W. .•••••••••.•.••
COOGONATE VOTH OWPBR FOR DOORS THAT REQIE SECURTY LOCK / O O' ••••••••••••..♦
I.••••••••.••• •■
PROVIDE SEORITY BOPS ACROSS WNDOVV OPE.NG ON NSDE CF �.❖•••••••••❖.••••••••••'
O VR•DOW. MOI.M TO SOLD FRAAAI.G NB.E>�5 IPROVOE F NEE]®f / � - u ���•��•��������
-IOe NO. 1206
O PEW dSRAT 00)41 7 AND CASH REGSTER LOCATION.EXACT DESIGN —_-
6 APD LOCATION OF FUR4ENINGS PER OV4
O Nov RECEPTION°e t BY OW94(6 PERMIT SET
O REA008 PCRfgN OF WALL%cmm DASED.ROOK TO CENG
OFELD VERIFY TIAZT DOOR DOES NOT HAVE A CLOSER.CLOSER NOT T6 "'ENT.AS AN
gU,OA®FOR ADA ACfE5S TO RE5T000AR �s irE SOCWORTY
MAIN FLOOR _ _
MI NGT, cocower
gI EXSTF-G RESTAURANT - 1,644 SF As Ao RN
PROPOSED RETAIL SPACE - 1.840 SF
TOTAL MAIN FLOCK AREA • 3.484 SF
LOWER FLOOR 1 f EXISTING AUTO DETAILING - 1,159 SF SHEET NOS
EXSTING BARBER SHOP 184 SF
EXISTING VACANT SPACE - 2.141 SF
TOTAL LOWER FLOOR AREA • 3.484 SF
1A - 21
MAIN F,7r: