Permit 11 CITY OF TIGARD BUILDING PERMIT
•"! _ • COMMUNITY DEVELOPMENT Permit#: BUP2012-00233
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/09/2013
Parcel: 2 S 101 CA00200
Jurisdiction: TIGARD
Site address: 7904 SW HUNZIKER RD
Project: Agilyx Subdivision: 1994-025 PARTITION PLAT Lot: 2
Project Description: Process equipment re-tooling,structural foundation for CSS skid,future foundation will be deferred to a later date.
3/3/2014: Increase project valuation from$14,498 to$121,014 for installation of structural steel,piping and
processing equipment.
Contractor: US METAL WORKS Owner: AGILYX CORPORATION
36370 INDUSTRIAL WAY 7904 SW HUNZIKER ST
SANDY, OR 97055 TIGARD, OR 97223
PHONE: 503-668-8036 PHONE: 503-217-3160
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Metro Const.Excise Tax-Commercial 03/03/2014 $145.22
Use
Occupancy Grp: F-1 Occupancy Load: Info Process/Archiving-Lg$2.00(over 03/03/2014 $42.00
Dwelling Units: 0 11x17)
Stories: 2 Height: 0 ft Info Process/Archiving-Sm$0.50(up to 03/03/2014 $7.00
Bedrooms: 0 Bathrooms: 0 11x17)
Value: $121,014 Permit Fee-Additions,Alterations, 03/03/2014 $1,238.83
Demolition
12%State Surcharge-Building 03/03/2014 $148.66
Floor Areas:
Plan Review 03/03/2014 $805.24
Plan Review-Fire Life Safety 03/03/2014 $495.53
Total Area: 0 Info Process/Archiving-Lg$2.00(over 01/09/2013 $20.00
Accessory Struct: 0 11x17)
Basement 0 Info Process/Archiving-Sm$0.50(up to 01/09/2013 $7.50
Carport: 0 11x17)
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,909.98
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes 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. 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. 2.1987 or 1.800.332.2344.
di/
Issued By: / x Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
Thls 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.
• tfuildin2 Permit Application
Commercial �. toR t,f•1-1( 1: 1 SE ON1.1
City of Tigard � `% DateB� Permit No.• , , z Z3
■ 13125 SW Hall Blvd.,Tigard, 3 ,� Plan Revi
■ �������' Other Permit:
Phone:SW Hal Blvd., Fax: 503�98�19�`3 ZO�� DateB ,iA�,
l I c.n R D Inspection Line: 503-639-4175 'Lu Date Remy: : leris. ® See Page 2 for
Internet: www.tigard-or.gov Ca Y of 1 i( ' Notified/Method: Supplemental Information
1 1 °Q • REQUIRED DATA: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
0 Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling 'Commercial/industrial Valuation: �Pill��/��/ • U�/
❑Accessory building ❑Multi-family Number of bedrooms: (0��!(iN!}L
❑Master builder ❑Other: Number of bathrooms: Q` ' l/16 ti 9k
JOB SITE INFORMATION AND LOCATION • Total number of floors: _ O9.4L 1/all of y
Job site address: 7 f O y 5 l.. Iri Vh 7 i P er New dwelling area: square feet irkfri
City/State/ZIP: 14 yAr d a p g /Z 2 3 Garage/carport area: square feet
Suite/bldg./apt.no.: 7 Project name: Cu,uC 54- Covered porch area square feet
i'
Cross street/directions to job site: ur, ..?..k. c r- / k,ksii s TL, Deck area: square feet
i
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.: 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 application.
Z s,51ra//C4,1"OK 4,S-7r ti 1ul cad s-i-c. I Valuation: $
r.f p 11 1 h. q i p(0 c e3 r.-4 7 7x4) Existing building area square feet
1 d _� I New building area: square feet
❑ PROPERTY OWNER TENANT Number of stories:
Name: A g i I y x Type of construction:
i
Address: t)0 6 5 w h t 1,1%13 u 3 Occupancy groups:
City/State/ZIP: p C o_v u 4-o r- QR ! 7 00 8 Existing:
Phone:(5/3) . '7 L 1 3 0 Fax:( )
�.,/ New:
l�
❑ APPLICANT C-ONTACT PERSON BUILDING PERMIT FEES*
Business name: I YxA (Please refer tots seksial i
Structural plan review fee(or deposit):
Contact name: S.+t u L/' w d tAS at-'
G FLS plan review fee(if applicable):
Address: 7 J p /f St✓ t.1 r V% i )c tel.-
City/State/ZIP: 4 C�A ,,.c f. e i• 9 7 2 23 Total fees due upon application:
Phone:5o3) S 9 7 G y 0 Fax::( ) Amount received:
E-mail: ® PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
,53 C uG (Z�a ef.S On a. ,• i YX C dr'"•' Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: S r_� C/ S � ' O� �- Submit two(2)sets of roof plan with connection details re% and fire department access,along with the 2010 Oregon
Address: 3 6 3 ) O 1.it,L(u5 Frl`&.1 w G�y Solar Installation Specialty Code checklist.
City/State/ZIP: S 0.40 y Of 7 0 r» Permit fee(includes plan review $180.00
and administrative fees):
Phone:(S03) 6 b g go 3 4 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: 2vfr(j / i Total fee due upon appication: $201.60
Authorized signature: .� 0 ` J�/J This permit application expires if a permit is not obtained
jG {�jy,/� within 180 days after it has been accepted as complete.
Print name: St-eve. A d t_rs t'.4/ Date: 1 3 yd./ I ' Fee methodology set by Tri-County Building Industry
J Service Board.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/11/2012 440-46131(11/02/COM/WEB)
`. .• •
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
III ■
• Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
I I G A IZ D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $ 75 V) O O 0
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ I $7� 5 0 0
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
L\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
._
4' Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T 1 G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 3
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard,Washington
County, and Tualatin Valley Fire& Rescue),if applicable.
1:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
" Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
I"l G n k D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map& tax lot# El project name ❑ site address ❑ suite number
❑ zoning El applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/02/2013
FOR OFFICE USE ONLY—SITE ADDRESS: 796`71 t ‘ L
This foam is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
114 ■ : • _ ittal Letter
1 ; ,,,\k 1) 13125 SW Hal Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: / DATE RECEIVED:
DEPT: BUILDING DIVISION RECEIVED
e,
FROM: 54-e An d. /S o.-r
FEB 13 2014
CITY OF TIGARD
COMPANY: /4 f; t,Yx BUILDING 01u1
PHONE: 6.0_3 — S70 - O 6 0 -MAW
RE: 7$ 0 y C w 14 un F. c A ems. 5 f hA) /7. --Dd 35
(Site Address) (Permit Number)
Ct/C/ eS "I''
(Project name or subdivision name and lot number)A t/
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: I Copies: I Description:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS:
FOR OFFICE U§E ONLY
Routed to Permit - - ician: Date: 2 , 1+ Initials:
Fees Due: I! 'es ❑No Fee Description: Amount ue:
l uI CD/t.) — f $
$
$
$
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\Buil ding\Forms\TransmittalLetter-Revisions.doc 05/25/2012
•
•
CITY OF TIGARD BUILDING PERMIT
.' - j� _- COMMUNITY DEVELOPMENT Permit #: BUP2012 -00233
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/09/2013
Parcel: 25101 CA00200
Jurisdiction: TIGARD
Site address: 7904 SW HUNZIKER RD
Project: Agilyx Subdivision: 1994 -025 PARTITION PLAT Lot: 2
Project Description: Process equipment re- tooling, structural foundation for CSS skid, future foundation will be deferred to a later date
Contractor: GROW CONSTRUCTION LLC Owner: AGILYX CORPORATION
7900 SW HUNZIKER ST 7904 SW HUNZIKER ST
TIGARD, OR 97223 TIGARD, OR 97223
PHONE: 503 - 597 -2425 PHONE: 503 - 217 -3160
FAX:
•
Specifics: FEES
. - Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee - Additions, Alterations, 01/09/2013 $301.85
Demolition
•
Occupancy Grp: F -1 Occupancy Load: 12% State Surcharge - Building 01/09/2013 $36.22 .
Dwelling Units: 0 Plan Review 11/21/2012 - $196.20
Stories: 2 Height: 0 ft Plan Review - Fire Life Safety 01/09/2013 $120.74
Bedrooms: 0 Bathrooms: 0 Info Process /Archiving - Lg $2.00 (over 01/09/2013 $20.00
Value: $14,498 11x17)
Info Process /Archiving - Sm $0.50 (up to 01/09/2013 $7.50
11x17)
Floor Areas:
Total Area: 0
•
Accessory Struct: 0
Basement: 0 - , . . .
Carport: 0 .
Covered Porch: 0 ,
Deck: - 0
Garage: 0
Mezzanine: 0
Total $682.51
Required: Required Items and Reports (Conditions)
Fire Sprinkler: Yes 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 wor is suspended for more the 180
days. ATTENTION: 'Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatio• ' - 4iiiiire rule 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 13.232.1987 • . 44.
Issued A lLP-I tt PI Permittee Signature:
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date. 1
This permit card shall be kept In a conspicuous place on the job site until completion he project
•
Approved plans are required on the Job site at the time of each Inspec n.
•■ Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received p ermit No.:
��,, Date /B • (' 1 I !1 k eolena e191,1,3
° 13125 SW HaII Blvd., Tigard, OR 97223,1OV 2 1 2012 Plan Revie / 1 ` I
Phone: 503.718.2439 Fax: 503.598.1960 Date /By / Other Permit:
T I G A RD Inspection Line: 503.639.4175 CITY OF TIGARD Date Rea y y: //j� � -� ' lig See Page 2 for
Internet: www.tigard- or.gov
BUILDING DIVISION Notified/Method: : ' 'Z
6(704 D� w ( n c.. (1 O Supplemental Information
'V iVfr
TYPE OF WORK REQUIRED DATA: 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
(E1 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: $
❑ 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: 7904 SW Hunziker Street New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Agilyx Everest Project Covered porch area: square feet
Cross street/directions to job site: Wall St. (Private) and Hunziker St. Deck area: square feet
at end of road Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: 200 Permit fees* are based on the value of the work performed.
Tax map /parcel no.: 2S1 OICA 0 0,)-01) 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 application.
Process equipment re- tooling Valuation: $14,498.00
Structural foundation for CSS skid Existing building area: 24030 square feet
future foundation will be deferred to a later date New building area: same square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 2
Name: Agilyx Corporation Type of construction: II -A
Address: 7904 SW Hunziker Street Occupancy groups:
City /State /ZIP: Tigard, OR 97223 Existing: B, F -1
Phone: (503)217 -3160 Fax: (503)217 -3161 New: same
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: Agilyx (Please refer to fee schedule)
Structural plan review fee (or deposit):
Contact name: Eric Christenson
FLS plan review fee (if applicable):
Address: 7904 SW Hunziker Street
City /State /ZIP: Tigard, OR 97223 Total fees due upon application:
Phone: (503) 217 -3160 Fax: : (503) 217 -3161 Amount received: Q 4 p
E -mail: ehristenson@agilyx.com
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel System.
Business name:1B' ' � ��e.tun Submit two (2) sets of roof plan with connection details
/�,p _ and fire department access, along with the 2010 Oregon
Address: - 3 q y1) &�( 2( !C0 Solar Installation Specialty Code checklist.
City/State /ZIP: - Q _ Q3 Permit fee (includes plan review $180.00
and administrative fees):
Phone: (57) .6 . Fax: ( ) State surcharge (12% of permit fee): $21.60
CCB lic.: , 9 ( qq )-- of 30 ('f.. Total fee due upon application: $201.60
Authorized sign This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: ejl.4 /G W, to 0,14,,s p ,' D70 Date: ///2 /// Z * Fee methodology set by Tri- County Building Industry
Service Board.
I: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(I 1/02 /COM/WEB)
o
•
Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation, alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty -five per -cent (25 %).
VALUATION: Total of all renovation, alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25% barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section, priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible, additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
1: \Building \Permits \BUP -COM PermitApp.doc 03/03/2011
1•
'
'PI _ Building Division
Plan Submittal Requirements
T 1 GARD Commercial & Multi- Family - New, Additions or Alterations
1. SITE PLAN (fully dimensional, drawn to scale) labeled with:
A. ® map & tax lot # ® project name ® site address ® suite number
® zoning ® applicant name ® phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking, including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape -ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit - based on valuation of project.
4. EXTRA SET OF THE FOLLOWING:
A. Two (2) copies of site plan to include vicinity map.
B. One (1) copy of erosion control plan with details.
C. Fire Department Building Survey, and full set of architecture drawings.
I: \Building\ Permits \BUP -COM PermitApp.doc 03 /03/2011
Building Division
Plan Submittal Requirement Matrix
TIGARD Commercial & Multi- Family - New, Additions or Alterations
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan required showing location and square
footage of all buildings to be demolished)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington
County, and Tualatin Valley Fire & Rescue), if applicable.
I: \ Building \Permits \BUP -COM PermitApp.doc 03/03/2011
•
• Commercial Application Checklist
City of Tigard
° 13125 SW Ha11 Blvd., Tigard, OR 97223
Phone: 503.718.2439, Fax: 503.598.1960
TIGARD Internet address: www.tigard - or.gov
PROJECT INFORMATION
Project name: Agilyx Everest Project Date: 11/16/12
Address: 7904 SW Hunziker Street City: Tigard State: OR ZIP: 97223
Scope of work: Tenant improvements - equipment alterations
Reference no.: Map and tax -lot no.: 2S1 01CA - Lot 200
Contact person name: Eric Christenson Company: Agilyx Corporation
Phone: 503 - 217 -3160 Fax: 503 - 217 -3161
Cellular phone: (503) 705 -9900 E -mail: echristenson @agilyx.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 project submitted.
PRE - SUBMITTAL PROCESS
An applicant may request a pre - submittal meeting with representatives of the jurisdiction in which the project
will be built. The meeting may take place during the conceptual, schematic, or in- progress phase, or when the
applicant has completed plans.
INDEX OF CHECKLIST SECTIONS
1.0 General project data Page 2 7.0 Mechanical data (Types I and II
2.0 Civil data Page 2 kitchen -hood permits) Page 6
3.0 Architectural data Page 3 8.0 Plumbing data Page 7
4.0 Structural data Page 4 9.0 Electrical data Page 8
5.0 Mechanical data (new construction, tenant 10.0 Fire - suppression data Page 9
improvement, gas - piping permits) Page 5 11.0 Fire - detection and fire -alarm data Page 9
6.0 Mechanical data (additional or replacement 12.0 Re -roof installation data Page 10
rooftop- equipment installation permits) Page 6 13.0 Jurisdictional requirements Page 10
This checklist is for building department jurisdictions in Clackamas, Multnomah, and Washington counties.
440 -2734 (8/01 /WEB /COM)
I: \Building \Forms \COM- Checklist.doc 11/21/12
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 of 7
1.3 ® Required Cover sheet vicinity map 1 of 7
1.4 ® Required Cover sheet plan index 1 of 7
1.5 ® P El NA Code summary 1 of 7
1.6 ® P ❑ NA Deferred submittal summary
1.7 ® P El NA Professional stamp and signature ALL
1.8 ® P ❑ NA Fire and life- safety plan 3 of 7
1.9 El P ® NA Landscape plan
1.10 ❑ P ® NA Landscape specifications
Supporting documents Notes
1.20 El P ❑ NA Land -use or planning actions
1.21 ❑ P ❑ NA Required fire -flow calculations
1.22 El P El 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 El NA Storm -water calculations
2.22 ❑ P ❑ NA Site retaining -wall structural calculations
2.23 El P El 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 ❑ Required Floor plan(s)
3.2 ❑ Required Transverse and longitudinal cross sections
3.3 ❑ Required OSSC Chapter 11 accessibility requirements
3.4 ❑ P ❑ NA Interior elevations
3.5 ❑ P ❑ NA Exterior elevations
3.6 ❑ P ❑ NA Roof plans
3.7 ❑ P ❑ NA Exterior wall sections and details
3.8 ❑ P ❑ NA Reflected ceiling plan(s)
3.9 ❑ P ❑ NA Fire -rated construction details
3.10 ❑ P ❑ NA Energy code compliant construction details and
specifications
3.11 ❑ P ❑ NA Door schedule
3.12 ❑ P ❑ NA Glazing schedule
3.13 ❑ P ❑ NA Furniture plan
Supporting documents Notes
3.20 ❑ P ❑ NA Energy code compliance forms /calculations
3.21 ❑ P ❑ NA Material safety data sheets (MSDS)
3.22 ❑ P ❑ NA Hazardous materials inventory statement (HMIS)
3.23 ❑ P ❑ NA Hazardous materials management plan (HMMP)
3.24 ❑ P ❑ NA Written fire and life- safety evacuation plan for area
of rescue assistance
3.25 ❑ P ❑ NA Active and passive smoke - control information
440 -2734 (8 /01/WEB /COM) Tri- County Commercial Application Checklist 3
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
is \Building \Forms \COM- Checklist.doc
SECTION 4.0 — STRUCTURAL DATA
Construction documents Location (sheet number or spec section)
4.1 ® Required Structural cover sheet 4 of 7
4.2 ® P ❑ NA Foundation plan 5 of 7
4.3 ❑ P ❑ NA Under -slab mechanical plan
4.4 El 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 El NA Roof framing plan
4.8 ❑ P ❑ NA Structural elevations
4.9 ® P ❑ NA Structural details and cross sections 6 of 7
4.10 ❑ P El NA Standpipe information
4.11 ❑ P ❑ NA Special inspector /structural observation matrix
Supporting documents Notes
4.20 ❑ P ❑ NA Geotechnical /soil engineer report
4.21 El P El NA Site - specific seismic hazard report
4.22 ❑ P ❑ NA Design narrative
4.23 ® P El NA Structural calculations
440 - 2734 (8 /01/WEB /COM) Tri- County Commercial Application Checklist 4
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
I:\ Building \Forms \COM- Checklist.doc
SECTION 5.0 — MECHANICAL DATA (New construction, tenant improvement, gas piping permits)
Construction documents Location (sheet number or spec section)
5.1 ® Required Floor plan 4 of 7
5.2 ® Required Equipment schedule Narrative
5.3 ® P El NA Site plan 1 of 7
5.4 ❑ P El NA Under -slab mechanical plan
5.5 ❑ P ❑ NA Roof plan
5.6 ❑ P ❑ NA Fuel gas piping plan
5.7 El P El NA HVAC equipment and duct plan(s)
5.8 ❑ P El 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 El P ❑ NA Type I and /or Type II kitchen hood plan
(see Section 7.0 — Mechanical Data)
5.16 El P El NA Fume /vapor hood plan
5.17 ® P ❑ NA Process piping/product and /or exhaust - conveying
duct plan 7 of 7
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 Calcs
5.21 El P El NA Equipment manufacturers' catalog "cut sheets"
or specifications
5.22 ❑ P ❑ NA Outside air (OSA) calculations
5.23 El 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-Checklist.doc
SECTION 6.0 — MECHANICAL DATA (Additional or replacement rooftop installation permits)
Construction documents Location (sheet number or spec section)
6.1 El Required Roof plan
6.2 El P ❑ NA Roof framing plan
6.3 El P ❑ NA Fuel gas piping plan
6.4 El P ❑ NA Roof access details
Supporting documents Notes
6.20 El Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
6.21 El P El NA Equipment manufacturers' catalog "cut sheets"
or specifications
6.22 El P El NA Fuel gas piping sizing calculations
6.23 ❑ P El NA Energy code compliance forms
SECTION 7.0 — MECHANICAL DATA (Type I and Type II kitchen hood permits)
Construction documents Location (sheet number or spec section)
7.1 El Required Site plan
7.2 El Required Floor plan(s)
7.3 El 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 El NA Fire -rated construction details
7.8 ❑ P ❑ NA Fire suppression details
Supporting documents Notes
7.20 El Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
7.21 El Required Make -up air calculations
7.22 El P El NA Equipment manufacturers' catalog "cut sheets"
or specifications
7.23 El P El NA Hood /grease extractor listing documentation
7.24 El P ❑ NA Hood /grease duct sizing calculations
7.25 ❑ P ❑ NA Fire suppression information
440 -2734 (8 /0I/WEB /COM) Tri- County Commercial Application Checklist 6
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
I:\ Building \Forms \COM- Checklist.doc
SECTION 8.0 — PLUMBING DATA
Construction documents Location (sheet number or spec section)
8.1 ® Required Floor plan(s) 4 of 7
8.2 ® Required Piping and material schedule 7 of 7
8.3 ® Required Equipment layout plan 4 of 7
8.4 ® Required Fixture schedule 7 of 7
8.5 ❑ P El NA Site utility plan
8.6 ❑ P El NA Building cross section
8.7 ❑ P ❑ NA Rise diagram
8.8 ❑ P ❑ NA Roof plan
8.9 ® P El NA Back flow prevention location 7 of 7
8.10 ❑ P ❑ NA Irrigation plan
8.11 El 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 El P El 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 El NA Sanitary system calculations
8.25 ❑ P El NA Irrigation demand calculations
8.26 El P ❑ NA Roof drain and storm water calculations
440 -2734 (8 /01/WEB /COM) Tn - County Commercial Application Checklist 7
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
i:\ Building \Fors \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
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 El P ❑ NA Fire -rated construction details
9.10 ❑ P ❑ NA Lighting plan
9.11 El P ❑ NA Emergency power system and emergency lighting plan
9.12 El P ❑ NA Under -slab electrical plan
Supporting documents Notes
9.20 ® Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
9.21 El P ❑ NA Energy code compliance forms and calculations
for lighting
9.22 ❑ P ❑ NA Emergency power system specifications
9.23 ❑ P ❑ NA Feeder riser information
9.24 El P ❑ NA Lighting equipment manufacturers' catalog
"cut sheets" or specifications
440 - 2734 (8 /01/WEB /COM) Tri- County Commercial Application Checklist 8
For use in building department jurisdictions in Clackamas, Multnomah, and Washington Counties
1:\Building\Forms \COM- Checkl ist.doc
SECTION 10.0 - FIRE SUPPRESSION DATA
Construction documents Location (sheet number or spec section)
10.1 ❑ Required Floor plan(s)
10.2 ❑ Required Sprinkler piping plan(s)
10.3 ❑ P ❑ NA Site plan
10.4 ❑ P ❑ NA Standpipe information
10.5 ❑ P ❑ NA Back flow prevention information
10.6 ❑ P ❑ NA Reflected ceiling plan(s)
10.7 ❑ P ❑ NA Transverse and longitudinal cross sections
10.8 ❑ P ❑ NA Fire -rated construction details
10.9 ❑ P ❑ NA Specialty fire suppression system plans
and list of systems
Supporting documents Notes
10.20 ❑ Required Structural calculations for vertical loads and lateral
loads for equipment weighing over 400 pounds
10.21 ❑ Required Equipment manufacturers' catalog "cut sheets"
10.22 ❑ P ❑ NA Hydraulic calculations
10.23 ❑ P ❑ NA Specialty fire suppression system information
SECTION 11.0 - FIRE DETECTION AND ALARM DATA
Construction documents Location (sheet number or spec section)
11.1 ❑Required Floor plan(s)
11.2 ❑ P ❑ NA Site plan
11.3 ❑ P ❑ NA Reflected ceiling plan(s)
11.4 ❑ P ❑ NA Transverse and longitudinal cross sections
11.5 ❑ P ❑ NA Wiring schematic
11.6 ❑ P ❑ NA Elevator recall information
11.7 ❑ P ❑ NA Operational matrix
11.8 ❑ P ❑ NA Fire -rated construction details
11.9 LI 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 ❑ Required Roof plan
12.7 ❑ P ❑ NA Parapet and scupper cross section(s)
Supporting documents Notes
12.20 ❑ Required Pre -re -roof inspection report
12.21 ❑ Required Roofing system listing information
12.22 ❑ Required Roofing manufacturer's catalog "cut sheets"
12.23 ❑ P ❑ NA Structural calculations
12.25 ❑ P ❑ NA Structural engineer's report
SECTION 13.0 — JURISDICTIONAL – SPECIFIC REQUIREMENTS
Construction documents Item Location (sheet number or spec section)
13.1 ❑ P ❑ NA ❑ Required
13.2 ❑ P ❑ NA ❑ Required
13.3 ❑ P ❑ NA ❑ Required
13.4 ❑ P ❑ NA ❑ Required
13.5 ❑ P ❑ NA ❑ Required
13.6 ❑ P ❑ NA ❑ Required
13.7 ❑ P ❑ NA ❑ Required
13.8 ❑ P ❑ NA ❑ Required
13.9 ❑ P ❑ NA ❑ Required
13.10 ❑ P ❑ NA ❑ Required
440 -2734 (8 /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
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
7904 SW HUNZIKER RD, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
Scheduled
BUP2012-00233
Chip Barnett
Violation Summary:
Inspector Contractor
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
7904 SW HUNZIKER RD, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
BUP2012-00233
Chip Barnett
Violation Summary:
Inspector Contractor