Permit cl a CI OF TIGARD . ��- BUILDING PERMIT
i a PERMIT #: BUP2008 -00316
COMMUNITY DEVELOPMENT DATE ISSUED: 10/2/2008
T l G A R D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 103 D D -01100
SITE ADDRESS: 13939 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: LOT: JURISDICTION: TIG
PROJECT: WALGREENS
Project Description: Solar electric system.
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N sf N: S: E: W:
OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 101,531.00
Owner: Contractor:
WALGREENS LOCAL ELECTRIC CO INC
200 WILMOT ST 9952 AE ASH ST SUITE B
DEERFIELD, IL 60015 PORTLAND, OR 97216
Phone: 847 - 914 - 2500 Contact #: PRI 503 - 256 -0045
FAX 503 - 771 -3584
Reg #: LIC 153034
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUPPLN] Pln Rv 9/12/2008 $398.57
[FLS] FLS Pln Rv 9/12/2008 $245.27
[BUILD] Permit Fee 10/2/2008 $613.18
[TAX] 12% State Surch 10/2/2008 $73.58
(additional fees not listed here)
Total $1,452.44
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. •ecialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if w• I is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you t• Ilow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 throe h OAR 952 1 81-0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
/ — I
Issued By �� /� ..--. Permittee Signature: Ala
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
tiQS I . 5` 39 P t -c cry
Building Permit,��plication �
Commercial C . FOR OFFICE USE ONLY l' R ecei ved �� — (,
City of Tigard 1 3r1 t � DateB Permit No.: A l b ' 4 4 .1k 4 : , I
Ill 13125 SW Hall Blvd., Tigard, OR 97223 Q occ D Plan Review
1 m
S ` P d
Phone: 503.639.4171 Fax: 503.598.1960 Other Permit:
ela a ' Date/B : di`j���l all
T I G A ti D Inspection Line: 503.639.4175 �U 0 [ `px Date Ready : ® See Page 2 for
Int www.tigard- or.gov GA ` � '`�® Notified/Method: b Ar s ���� , yDA Supplemental Information
ga`�p 9pc P. 1'ti t 're' v
TYPE OF RK 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
® 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: 13939 SW Pacific Hwy New dwelling area: square feet
City/State /ZIP: Tigard, OR 97224 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Walgreens Tigard Covered porch area: square feet
Cross street/directions to job site: SW Pacific Hwy at SW McDonald St Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Lot no.: Permit fees' are based on the value of the work performed.
Tax map /parcel no.: 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.
solar electric system to be installed on the roof of existing Walgreens Valuation $ I a'-[- 53 .
Existing building area: I 7 / 6 op square feet
New building area: square feet
❑ PROPERTY OWNER ® TENANT Number of stories:. i
Name: Walgreens (Corporate Office) Type of construction: .
Address: 200 Wilmot St. Occupancy groups:
City/State /ZIP: Deerfield, IL 60015 Existing:
Phone: (847)914 -2500 Fax: ( ) New:
® APPLICANT ® CONTACT PERSON NOTICE
Business name: SunEdison All contractors and subcontractors are required to be
Contact name: Kevin Swanson licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: 9952 SE Ash St. Suite B jurisdiction in which work is being performed. If the
City /State /ZIP: Portland, OR 97216 applicant is exempt from licensing, the following reasons
apply:
Phone: (503) 256 -0045 Fax: : (503) 771 -3584
E -mail: keswanson @sunedison.com
CONTRACTOR
Business name: Local Electric BUILDING PERMIT FEES*
Address: 9952 SE Ash St. Suite B (Please refer W fee schedule)
Structural plan review fee (or deposit): :31 g v ,�
City/State /ZIP: Portland, OR 97216
Phone: (503) 256 -0045 Fax: (503) 771 -3584 FLS plan review fee (if applicable): p1 1l5 • �� _
CCB lic.: 153034
Total fees due upon application: 5 Y3 • �f Y
Amount received: c2 3. 8-y .
Authorized signature:
-�Q This permit ap lication expires if a permit is not obtained
1_,. within 180 day fter it has been accepted as complete.
Print name: Derek Cropp Date � � ( $ * Fee methodology se Tri -County Building Industry
Service Board.
l:\Building\Permits\BUP -COM PermitApp.doc 2/23/07 440- 46I3T(11/02/COM/WEB)
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CITY OF TIGARD
BUILDING DIVISION #: 13UP20(ll3 0031ta
13125 SW Hall Blvd., Tigard, OR 97223 �' 1 DATE ISSUED: i0/2/2009
Phone: (503) 639 -4171 I ; �/
Inspection Requests (24 Hrs.): (503) 639 -4175 s ' o. "'I _ ..'
INSPECTION WORKSHEET FOR DATE: 12/4/2008 TIME: 7 :00AM PAGE: 30
SITE ADDRESS: 13939 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: WALGREENS
DESCRIPTION: Solar electric system.
OWNER: WALGREENS, PHONE #: 847- 914 -2500
CONTRACTOR: LOCAL ELECTRIC CO INC PHONE #: 503-256 -0045
i A 70 r-
Inspection Request Scheduled For: Date: 12/4/2008 Po i
Code # Inspection Description Confirm # Contact # Mes OK
299 Final inspection 078749 -01 503 - 256-0045 Y
Corrections /Comments/ tructio s: v( , , 2iso s
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(PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Zkot_---- 12 0 Phone #: (503) 71 8 - z 7