Permit (271) CITY OF TIGARD SITE WORK PERMIT
COMMUNITY DEVELOPMENT Permit#: SIT2014 00001
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/10/2014
Parcel: 2S115BA00102
Jurisdiction: Tigard
Site address: 16200 SW PACIFIC HWY P
Project: McDonald's Subdivision: DOVER LANDING Lot: B,WILL
Project Description: Site work for expansion of drive-thru window area.
Contractor: RICH DUNCAN CONSTRUCTION INC Owner: ARCHLAND PROPERTY I LLC
200 HAWTHORNE AVE SE A130 BY DOUBLE K VENTURES INC
SALEM,OR 97301 8255 SW HUNZIKER ST#101
TIGARD, OR 97223
PHONE: 503-390-4999 PHONE:
FAX:
FEES
Description Date Amount
Specifics:, Permit Fee-Site Work 02/10/2014 $648.02
Plan Review 01/14/2014 $421.21
Type of Use: COM 12%State Surcharge-Building 02/10/2014 $77.76
Class of Work: ALT Erosion Control w/Permit-Eng 02/10/2014 $150.00
Project Valuation: $70,000.00
Site Specifics:
Excavation Volume: 0 cu.yd.
Fill Volume: 55 cu.yd.
Impervious Surface: 32882 sq.ft.
Engineered Fill: No Soil Report Required: No
Paving: Yes Grading: No
Landscaping: Yes Site Prep: Yes
Storn Drains: No Retaining Wall: No
Fire Underground: No Accessible Parking: Yes
Fence:
Total $1,296.99
Required Items and Reports(Conditions)
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 estion OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued y: Permittee Signature:
l� 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 ApplicatiREcEivED
Site Work 1t►It (►111t l t ,t t I\I 1
City of Tigard JAN 1 3 2014 Raceivad
III i■ 13125 SW Hall Blvd.,Tigard,OR 9 D Review/�/ Permit No.'._ /T D r✓ 466o
�_ �� Iva /
Phone: 503.718.2439 Fax: 503.5 DF pGARD Date/By: Other Permit: r//t1)'j,O/3-Cal
t . ..,\,.t) Inspection line: 503.639.4175 + (�DIVISION kI i Date Readyl6y: rude. 65 See Pegs 2 for
Internet: www.tigard-or.gov ���'"DI�` O`e It){DID Notified/Method; Supplemental information
• ' ..
'. . '. :i'M OF Vnbl . . , :.. s4TAI YdV)211Alkity 1 W�7L ••
0 New construction ❑Demolition Permit fees*are based on the value of the work performed.
®Addidon/alteration/repLacement ❑Other: Indicate the value(rounded to the nearest dollar)of all
overhead,and the profit for the IC
.,.s. 44#00-# work indicated application
a e r
0 1-and 2-family dwelling ®Commercial/industrial Valuation; S
Accessory building Number of bedrooms: t,
❑ ry g ❑Multi family
❑Master builder ❑Other: Number of bathrooms: , r
- ..a'. .. .:';. ;1 `, b�Cd+']�'I i `rgJy'fn q - Total number of floors: U
Dii
Job site address:16200 Southwest Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Oarage/carport area: square feet ('n
Suite/bldgJapt.no.: p 1 Project name:McDonald's Covered porch area: square feet
Cross street/directions to job site:SW Durham RD&SW Pacific HWY Deck area: square feet
Other structure area: square feet
$410,31„_._. . a
Subdivision: J Lot no.: Permit fees*are based on the value of the work performed.
Tax map/panel no.:?,S11SRA00102 Indicate the value(rounded to the nearest dollar)of all
, .
_ equipment,materials,labor,overhead,and the profit for the
'�• ),Igif ii : r R 7 work indicated on this application.
deronsigr A77� a 1�'6UTW Cof
12)— t --0444.
Valuation: .6200,000 74 0 �
Existing building area: 4,910 square feet
New building area: 27 square feet
`'P ';� i 1: ;►I+A*a•! ,'
±.4 i•y. ly�'a-;c: Number of stories: 1
Name:Jeff Chapman,McDonald's USA,LLC Type of construction: V-B
Address:12131 113th Avenue NE,4103 Occupancy groups:
City/State/ZIP:Kirkland,WA 98034 Existing: A2
Phone:(425)242.2421 Fax:(425)242-2498
New: No Change
!....;;;,117,---,',:""x
Business name:Freiheit&Ho Architects,Inc.,P.S.,P.C. All contractors and subcontractors are required to be
Contact name:Derek Smith licensed with the Oregon Construction Contractors Board
Address:5209 Lake Washington Blvd Suite 200 under ORS 701 and may be required to be licensed in the
ashingt jurisdiction in which work is being performed.If the
City/State/LIP:Kirkland,WA 98033 applicant is exempt from licensing,the following reasons
apply:
Phone:(425)827-2100 l Fax::(425)828-6899
E-mail:dsmith @FHOARCILcom - —'
. 5` / ''''
n• .,-,, \ _ /� . �y y.�}yt[��v�yt ..fir
-Birsinegs name:Tar ei C��t.�,.Yrr4 _ �f)II35rEt 'r/c i . /A)- iurui+'i�iT f�+' +S�►I=i .rn
- fiaridbok�t+$dttl �Address: a DO /Mi 7fd2n1 E Ad t 6-t- At 30
Structural plan review fee(or deposit):
City/StatefLlP: o }t...€,y v2 9 7 36 I
FLS plan review fee(if applicable):
Phone:(7Ci`i) 3 9c) c�" 7 g i ' I Fax:( )
CCB lie.: p58 3 , Total fees due upon application:
- Amount received:
Authorized signature:
1 — �— This permit application expires if a permit is not obtained
within 180 days after it bas been accepted as complete.
Print name:Der-lam L. SM ITK I Date:1/8/2014 * Fee methodology set by Tri-County Building Industry
F9-ek%Etr osp•µe A vu.H,re'-Th ,,.kr_.,r.S. /•L. Service Board.
I:\Build ngWerinits\Srf-PertnitApp.doc 10/01/09 , 440-4613T(11/02/COM/WEB)
' uilciing Permit Applicati
Site Work FOR FO
R OFFICE USE ONLY
City of Tigard JAN 1 3 2014 Received
y g Permit
Date/By: / /aj / l�� •• ► �/Tp'tL�/`r/Lld•G�/
13125 SW Hall Blvd.,Tigard,OR 9 Plan Review Other '
Phone: 503.718.2439 Fax: 503.5 OF TIGARD Date/By: /t1`,:1-13- t'4/3
Inspection Line: 503.639.4175 f A' Date Ready/By: tans: ® • . age 2 for
rlcnxn Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemen . nformation
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
El 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: $
r
CI Accessory building El Multi-family Aber o bedrooms:
❑Master builder ❑Other: of bathrooms: Z
JOB SITE INFORMATION AND LOCATION D .tal number of floors:
lob site address:16200 Southwest Pacific Highway 42 New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 fi(jy(}L Garage/carport area: square feet
Suite/bldg./apt.no.: p I Project name:McDonald's 1'r Covered porch area: square feet
Cross street/directions to job site:SW Durham RD&SW Pacific HWY C Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
M
U
Subdivision: f {��I IW..: Permit fees*are based on the value of the work performed. v
Tax map/parcel no.:25115BA00102 11/ t, Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK I' work indicated on this application.
AT)T r<1507"►e1 Cp`C -1 t) i '2,t�c --rkietc Valuation: �r3 000:89' 7c OOC
I-' t1
Existing building area: 4,910 square feet
New building area: 27 square feet
® PROPERTY OWNER ❑ TENANT Number of stories: 1
Name:Jeff Chapman,McDonald's USA,LLC Type of construction: V-B
Address:12131 113th Avenue NE,#103 Occupancy groups:
City/State/ZIP:Kirkland,WA 98034 Existing: A2
Phone:(425)242-2421 ax:(425)242-2498 New: No Change
❑ APPLICANT ® CONTACT PERSON
NOTICE
Business name:Freiheit&Ho Architects, c.,P.S.,P.C. All contractors and subcontractors are required to be
Contact name:Derek Smith licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address:5209 Lake Washington Blv. E,Suite 200 jurisdiction in which work is being performed.If the
City/State/ZIP:Kirkland,WA 98033 applicant is exempt from licensing,the following reasons
apply:
Phone:(425)827-2100 Fax::(425)828-6899
E-mail:dsmith @FHOARCH.com
CONTRACTOR
Business name:TBD BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee(or deposit):
City/State/ZIP:
Phone:( ) Fax:( )
FLS plan review fee(if applicable):
CCB lic.:
Total fees due upon application:
Amount received:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Date: 1/8/2014 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\SIT-PermitApp.doc 10/01/09 440-4613T(11/02/COM/WEB)
Building Permit Number: 17-3/0/ DGCO/
III Building Permit Review *4)1'9 k) A/24:
Commercial Projects with Approved Land Use
1 i(, v l:I) ---_
Sits/Address: I (Da-00 �_0 pRC, , c 1Ni-w y J u , re Y
rify site address is valid.
Project Name : M c7 G-.q L.-7- 1 S RENITb E�.
Planning Review f
❑ Land Use Case Number: H HID 3/0 1 3 — 000`-f
Plans Match Approved Land Use:
gi Site Plan ❑ Landscape Plan
❑ Urban Forestry Plan Elevation Plan
Building Height: Maximum Height Actual Height
Conditions Met: ✓,(/�}- El Prior to Permit Submittal ❑ Prior to Permit Issuance
Approved by: �,/ Date:
Notes: FIQIiihvi Shf'e* 4). 0 --A,.2. 1 t 4tV,(l/ .��✓�1�.
�. ,.Z J:D/ - - .4....,.._,, `i /L.. /i..s3/i
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved'' F,-,..,
4
Revision 2 Approved Not Approved ❑ J 1—...a7 -
Revision 3 Approved ❑ Not Approved ❑
Building Permit Submittal
Original Plan Submittal: Date: By:
Site Plans: #
Building Plans: #
Create Case Record#: ❑ Enter case#above for Building Permit Number.
Workflow Routing: ❑ Planning ❑ Engineering LI Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning staff,including notes from planning review(page 1)
Route Application Documents: ❑ Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
❑ Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Reviewed By: Date:
Notes:
(:\Building\Forms\BldgPermitRvw_COM_W ithLandUse_123013.docx
.
Engineering Review— reviewed by: /4„1-.(---
❑ Actual Slope:
❑ PFI Permit#
❑ Conditions Met
Notes:
Approved by: Date: //2.76f
Revisions (after Building Submittal only) Reviewer Date
Revision 1 Approved ❑ Not Approved ❑
Revision 2 Approved ❑ Not Approved ❑
Revision 3 Approved ❑ Not Approved ❑
�P,e/rmit Coordinator Review
1 Lions Met-Prior to Issuance of Building Permit
IV
Not s:
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant
Revision Notice 3: Date Sent to A cant .,
Okay to Issue Permit- 10111 Date: /;r-Sif
1:\Building\Forms\BldgPermitRvw COM_WithLandUse_123013.docx
City of Tigard: Site Work Permit Checklist
Page 2-Supplemental Information
Commercial,Multi-Family and One-and Two-Family Dwellings:
No permit is required if fill is less than 50 yards (5 dump truck loads),or less than 3 feet deep and will
not be supporting a structure. If a building will be constructed on the fill, it must be engineered fill. If
fill is in a flood plain,drainage way,or wetland,the applicant must apply for a sensitive lands review
(SLR).
Please complete all items below,unless otherwise noted.
Excavation Volume: 0 cu. yds.
Grading Volume:
(Soils report required for>5,000 cu.yds.) 55 cu.yds.
Fill Volume:
(Fill exceeding 12"in depth shall be compacted to
90% of maximum density) 55 cu. yds.
Retaining structure? (Check one) ❑ Rock
❑ CMU
❑ Concrete
❑ Other:
*Total new impervious area including all buildings,
sidewalks, and paving: 0 sq. ft.
Site Utilities Plumbing Work:
Complete the Plumbing Permit Application for site utilities plumbing work.
Plans Required: See"Site Work Permit Application-Plan Submittal Requirements"attached.
The following must accompany this application:
❑ Site Plan with Vicinity Map showing ADA I ❑ *Parking(including ADA) and Lighting
compliance Plan
❑ Grading Plan and details ❑ *Landscaping Plan
❑ Erosion Control Plan and details ❑ Soils Report(if required)
❑ Retaining Structures ❑ Fire Line
*Does not apply to One-and Two-family dwellings.
Plan Submittal: Permit Fee:
TYPE OF SUBMITTAL #of Plans Valuation:• Permit Fee:
(New,Additions or Required at $.00 to$500.00 $51.09 minimum permit fee
Alterations) Submittal $500.01 to$2,000.00 $51.09 for the first$500.00 and
$2.69 for each additional$100 or fraction
Commercial 3 thereof,to and including$2,000.00.
$2.000.01 to 525,000.00 $91.44 for the first$2,000.00 and
Multi-Family R-1 Occupancy 3 $10.76 for each additional$1,000 or
fraction thereof,to and including
$25,000.00.
One-&Two-Family Dwelling 2 $25,000.01 to$50,000.00 $338.92 for the first$25,000.00 and
$8.06 for each additional$1,000.00 or
fraction thereof,to and including
$50,000.00.
$50,001.00 to$100,000.00 $540.42 for the first$50,000.00 and
$5.38 for each additional$1,000.00 or
fraction thereof,to and including
$100,000.00.
$100,000.01 and over $809.42 for the first$100,000.00 and
$4.49 for each additional$1,000.00 or
fraction thereof.
L\Building\Permits\SIT-PermitApp.doc 05/25/2012 2
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
16200 SW PACIFIC HWY P, TIGARD, OR, 97224
Commercial - Site Work
499 Final inspection
PASS - No C of O
SIT2014-00001
Chip Barnett
Violation Summary:
Inspector Contractor
.1'020/ -Ored 7
f 7-02?/`f — z /
COMcheck Software Version 3.9.2
Envelope Compliance Certificate
r
2010 Oregon Energy Efficiency Specialty Code
Section 1: Project Information
Project Type: Addition
Envelope Compliance Method: Simplified Trade-Off
Project Title : McDonald's Restaurant Remodel
Construction Site: Owner/Agent: Designer/Contractor:
16200 Southwest Pacific Highway Jeff Chapman Jamie Love
Tigard,OR 97224 McDonald's USA, LLC Freiheit&Ho Architects, Inc., P.S.,P.C.
12131 113th Ave NE 5209 Lake Washington Blvd. NE
Suite 103 Suite 200
Kirkland,WA 98034 Kirkland,WA 98011
(425)242-2421 (425)820-8264
jeff.chapman @us.mcd.corn jlove @fhoarch.com
Section 2: General Information
Building Location(for weather data): Tigard,Oregon
Climate Zone: 4c
Building Space Conditioning Type(s): Nonresidential
Vertical Glazing/Wall Area Pct.: 11%
\ Building Type Floor Area
Dining:Cafeteria/Fast Food 27
Section 3: Requirements Checklist
Envelope PASSES:Design 2%better than code.
Climate-Specific Requirements:
Component Name/Description Gross Cavity Cont. Proposed Budget
Area or R-Value R-Value U-Factor U-Factorai
Perimeter
Roof 1: Insulation Entirely Above Deck 27 --- 38.0 0.026 0.048
Exterior Wall 1:Wood-Framed. 16"o.c. 48 21.0 0.0 0.062 0.064
Exterior Wall 2:Wood-Framed. 16"o.c. 163 21.0 0.0 0.062 0.064
Window 2: Metal Frame with Thermal Break:Double Pane with 26 --- --- 0.400 0.460
Low-E, Clear,SHGC 0.45
Exterior Wall 3:Wood-Framed, 16"o.c. 68 21.0 0.0 0.062 0.064
Exterior Wall 4:Wood-Framed, 16"o.c. 27 21.0 0.0 0.062 0.064
Window 3: Metal Frame with Thermal Break:Double Pane with 7 --- --- 0.400 0.460
Low-E,Clear,SHGC 0.45
Floor 1: Slab-On-Grade:Unheated, Horizontal with vertical 2 ft. 27 --- 10.0
(a)Budget U-factors are used for software baseline calculations ONLY, and are not code requirements.
In the following requirements, blank checkboxes identify requirements that the applicant has not acknowledged as being met. Checkmarks
identify requirements that 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. 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
Project Title: McDonald's Restaurant Remodel Report date 12/03/13
Data filename: Y 1Architectural Projects\1214\XA12-402\1 DOCUMENTS\8 Energy Calcs112-402 Comcheck Form cck Page 1 of 3
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.
Exception(s):
Li Site-built fenestration products shall have a single certificate specifying glazing type,special coatings,spacers,gas fills,
center-of-glass and overall U-factor,and center-of-glass SHGC for every type of site built glass used.These certificates shall be
maintained on the jobsite and made available to the inspector.
Plans reference page/section:
2. 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.
Exception(s):
Site-built fenestration products shall have a single certificate specifying glazing type,special coatings,spacers,gas fills,
center-of-glass and overall U-factor,and center-of-glass SHGC for every type of site built glass used.These certificates shall be
maintained on the jobsite and made available to the inspector.
Plans reference page/section:
Air Leakage, Insulation, and Component Certification:
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:
❑ 4. 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 AAMA/WDMA/CSA 101/I.S.2/A440,or NFRC 400 by an accredited,independent laboratory,and
labeled and certified by the manufacturer.
Exception(s):
Site-constructed windows and doors that are weatherstripped or sealed in accordance with Section 502.4.3.
Plans reference page/section:
❑ 5. 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.
Exception(s):
Li Requirement is not applicable.
Plans reference page/section:
❑ 6. 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.
Li 7. Insulation mark installation. Insulating materials are installed such that the manufacturer's R-value mark is readily observable upon
inspection.
8. Insulation product rating.The thermal resistance(R-value)of insulation has been determined in accordance with the U.S.FTC R-value
rule.
D 9. Installation.All material,systems and equipment are installed in accordance with the manufacturer's installation instructions and the
International Building Code.
❑ 10.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.
Exception(s):
LI Requirement is not applicable.
Plans reference page/section:
Li 11.Loading dock weatherseals.Cargo doors and loading dock doors are equipped with weather seals to restrict infiltration when vehicles
are parked in the doorway.
Exception(s):
Requirement is not applicable.
Project Title: McDonald's Restaurant Remodel Report date: 12/03/13
Data filename:Y:\Architectural Projects\12\4\XA12-402\1 DOCUMENTS\8 Enerav Calcs\12-402 Comcheck Form.cck Pane 2 of 3
Plans reference page/section:
• 12.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 are
sealed with a gasket or caulk between the housing and interior wall or ceiling covering.
Exception(s):
Li Requirement is not applicable.
Plans reference page/section:
• 13.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.
Exception(s):
• Doors not intended to be used as a building entrance door,such as doors to mechanical or electrical equipment rooms.
• Doors opening directly from a sleeping unit or dwelling unit.
❑ Doors that open directly from a space less than 3000 sq.ft. in area.
13 Revolving doors.
• Doors used primarily to facilitate vehicular movement or material handling and adjacent personnel doors.
❑ Requirement is not applicable.
Plans reference page/section:
• 14.'Other'components have supporting documentation for proposed U-Factors.
Exception(s):
• Requirement is not applicable.
Plans reference page/section:
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 2010 Oregon Energy
Efficiency Specialty Code requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Requirements
Checklist.
Name-Title Signature Date
Project Notes:
Owner listed is the owners contact for this project.
Project Title: McDonald's Restaurant Remodel Report date: 12/03/13
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