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Permit Building, Permit Application --g—l0 IS C,ommerciai -` FOR OFFICE 1lSE ONLY • ;yy- • Received Q �2 ' _-/ Perm it No�(Cp2r�2(7-{iO 2� City of Tigard Date/By: ,, /r —_—_ r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Related Permit: e C_ Phone: 503-718-2439 Fax: 503-598-1960 Data/By /0'a �ij.�^.�_/ -- inspection Line 503-639-3175 Date Ready/By: / / It ® See Page 2 far TIG(eRIT Notdtcd/Methee,//IliGr t) cc Supplemental Information > Internet: www.ligard-or.gov I_ o r 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 Li Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTION'-: work indicated on this application. r -- -- -.-.. -- -'-- _.-. Valuation: $ I I I 1-anti 2 family dwelling ®Commercial/industrial --- ---- -- - ---- ------ --- Number of be rooms: L]Accessory building ❑Multi family _ --- ------ -- I Master builder hb Other r Number of bathrooms: - JOB SI°TIt INFORMATION AND LOCATION Total number of floors: lob site address: 15570 SW Pacific Hwy New dwelling area: square feet : City;State/ZIP:Tigard, OR 97224 Garage/carport area: square feet Suiic/bldg/apt k: Project name:King C 0 �j( /,ITS , G Covered porch area: square feet Cross street/directions to job site: I Deck area: - _-- ---- --square feet ______ 1S..�W Durham rd 8c ITWy 99 Other structure area: sauarc feet I - REQUIRED DATA:A C OMAH RCLAL USE r IIEC Ki eT [Subdivision:1997-016 Partition Plat. 1 Lot If: Permit fees"arc based on die value of the work p r c rmed. III III _- --_-S 110DC'0220 --'-- - -- - --_ - -- Indicate the value(rounded to the).carat do in of:litn�a'fax p'pan:eI t`��, equipment,materials,labor,overhead,and the profit for the DESCRIPTION 011 'WORK work indicated on this application - = _ ----. _::---- - -;- - ---'-------DEMOLITION OF EXISTING VVE Valuation: 530,000 LLS FARGO BRANCH INSIDE OF f nesting builder ire r: 370 square feet ' SAFEVVAY APPROX. 370 SF_F'A-CCH 81 .'HINT_NI_bN ACOUSTIC __. ___ -__ --_.._-.� I ILE CEILING GRID New buildin area: 370 square eel ® t 1201 CRTY OWNER ❑ TENANT---_--- Number oilstones:1 --- _ --_j Name:SAFEWAY Type of construction' :beret's. I5570 SW Pacific Hwy Occupancy groups I. r r_•la e11P. 1 Igard, OR 97224 Existing:B l Phone:t 503 1 598 6001 I Fax ( ) New:B {y'J AI:i LIC;iN7 :,,1 CON TACT PERSON i Utl'DCNC•1 Lr RrytI1 1 I Ci" f (Pl its rprn le e,, ____.ufc _—__. Business it , Prestige Home-- Construction e© Structural plan review fee for deposit): G� Contactname:Alex Cuelra _. _---_ --.- -- --------- - ---------..------- ------ FIS plan review fee(if applicable): .\ddress J74 NE ALOCLEK DR STE 412 ---- ---------.._..-. --- -- - --- - _--- -' Total fees due upon application C t Stier Z1P HILL [3OR0 OR 97124 --- -- - - ------ f -- -- -- —__ Amount ceived r c , ,le:1971 1 3 I! 6600 Fax: ( 1 L-- - -- ( PROT'04'(YI ru iC SOL\R PANEL S15fIMFL,yw ' I umii PRESTIGFHOMFCONST@HOTMAILCOM ---:- --_ -- 1.. >,._.__-. ._. _ -r ___.-.. - - ---- --_.--.-- Cnmmucral end residential prescriptive installation of COti'1 R lC"I OR roof-top man)vet f fotoVoltau•Solar ravel System. t Business name Prestige Hole Construction Submit two(2)sets of roof plan with connection tie nnIs and foe department iieeess,along with the 2010 Ore/ n C \I I i. 2074 NE ALOCt EK DR STE 412 co/wino / non ci cciilt colt checklist _____ ... ._._ _._ .__-.__ . _.-. . _.___ -- - 1 it /Sr to ZI .Hit LSBORO Permit Ito ern tudos plan reviewOR 97124F l 0_.._. - ._._-.. _. .__ and tc ministral ve lees): I ono (971 )31 1,0000 i i v:i ) State surcharge(12%of permit fee). $2 i o0 �cJ70.0?- I e 'B I r I10213 e upon application: Sal -n li �- p(C� rwd,oti't2cid stgnatu' Total lee d This permit at pr, tit on expires if a permit is nut a nit nut within 180 days Ater it has been accepted as en .plea. :'rint name'Alex Guerra _..__LDatc:10/13/20 j ` Fee methodology:net by fri-County BurlJing lndavtry Service Board. I(.But lu fig',fennits`BGP COM Perm App.doe Ret.0N21/2014 440-16I3-:(11102;-COivl/WEED re//s/� City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Commercial - No Land Use Building Permit #: Site Address: 15570 SW Pacific Hwy Suite/Bldg#: Project Name: Safeway (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: Demo existing Wells Fargo inside Safeway; new acoustic tile ceiling grid ExistingBusiness Activity: Sales-oriented retail Proposed Business Activity: Sales-oriented retail QVerify site address/suite# exists and active in permit system. El River Terrace Neighborhood: El Yes L'I No ElZoning: C-G ElPermitted Use: Id Yes U No U Spec Space ❑o Confirm no land use required. ❑e Business License: Exists: ElYes ❑ No,applicant was provided a business license application Notes: Approved by Planning: c� ` Date: 10/15/20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: El Approved ❑ Not Approved Building Permit Submittal Original Submittal Date: Site Plans: # Building Plans: # Building Permit#: me uilding ermit# above. Workflow Routing: ng [] Permit Coordinator uilding Workflow Sign-off: . off for Planning(include notes from planning review) Route Application Documents: Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: By Permit Technician: .-�¢-- 4jam f% ate: / i /� I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx Permit Coordinator R- 'ew ❑ Conditions "Met"prior to issua-cc of building permit ❑ Approved, NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Ap, cant: Revision Notice 2: Date Sent to ,pplicant: Revision Notice 3: Date Sent • Applicant: ❑ SDC Fees Entered: Wash ro Trans Dev Tax: , Yes ❑ N/A Tix d Trans SDC: I es ❑ N/A .rks SDC: ❑ Y. ❑ N/A O OK to Issue Permit Approved by Permit •ordinator: Date: 1:1Building\Forms\B I dgPermitRvwCOM_NoLandUse 111819.docx 1 Branden Taggart From: #Building Permit Technicians Sent: Monday, November 16, 2020 6:53 PM To: Prestige Home Construction LLC Subject: RE: King City In-Store -15570 SW Pacific Hwy: BUP2020-00222 Attachments: Invoice.pdf Hi Alex, The demolition permit for the former Wells Fargo, located at 15570 SW Pacific Highway, is ready to issue now. The balance due is$572.14, and I have attached an invoice above for you to reference. The permit fees can be paid online through our website: https://aca.accela.com/tigard/Default.aspx. From there, click on the Building tab, enter the permit number(BUP2020-00222) in the Record Number field, and click Search. Once paid, please notify us at TigardBuildingPermits@tigard-or.gov, and I will place this permit in our open Permit Center conference room for you to pick up between the hours of 8:00 a.m. and 5:00 p.m., Monday through Thursday. We are closed on Fridays. Thank you, Branden Taggart r n City of Tigard ®. Senior Permit Technician Community Development 13125 SW Tali Blvd Tigard,OR 97223 (503)718-2449 brandent@tigard-or.gov From:#Building Permit Technicians Sent:Thursday, October 15, 2020 1:59 PM To: Prestige Home Construction LLC<PrestigeHomeConst@hotmail.com> Subject: King City In-Store -15570 SW Pacific Hwy Hi Alex, Thank you for your recent permit submittal. This submittal has met the requirements needed to begin plan review. We will contact you for payment of a plan review submittal fee, if applicable, or when the permit is ready to issue. Please allow 4-8 weeks for processing. Building Division Monday-Thursday 8am-5pm City of Tigard; Community Development 13125 SW Hall Boulevard Phone: (503)-718-2439 Email: TigardBuildingPermitsna tigard-or.gov 1