Permit CITY OF TIGARD BUILDING PERMIT
• COMMUNITY DEVELOPMENT Permit #: BUP2013 -00075
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/06/2013
.................. _............. .
Parcel: 1 S136DB00201
_ Jurisdiction: Tigard
Site address: 11565 SW PACIFIC HWY
Project: Fred Meyer Subdivision: 2000 - 025 PARTITION PLAT Lot: 2
Project Description: Replace emergency generator
Contractor: COCHRAN INC Owner: FRED MEYER INC
7550 SW TECH CENTER DR #220 STORE #375
TIGARD, OR 97223 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI, OH 45202
PHONE 503 - 234 -6564 PHONE:
FAX 503 - 238 -2098
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee - Additions, Alterations, 05/06/2013 $804 75
Demolition
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Building 05/06/2013 $96 57
Dwelling Units: 0 Plan Review 04/08/2013 $523 09
Stories: 0 Height: 0 ft DC Provision Review, COM TI - Ping 05/06/2013 $67 00
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - LRP 05/06/2013 $10 00
Value: $60,000 Info Process /Archiving - Sm $0.50 (up to 05/06/2013 $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 $1,508 91
Required: Required Items and Reports (Conditions)
1 Bolts in Concrete
Fire Sprinkler. 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 - . _ • - 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 • NTION Orego law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules =re set forth in OAR
952 -9%1 -0010 through OAR 95 0 -r'9g You may obtain a copy of the rules or direct questions to OUNC by calling 503 232 1987 or 1 800 332 23 4,
lss ed By: j' t Permittee Signature: - el ", ! /CA /
fJ ' v
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.
B1iililing Permit Application , j .( c( c,t a-(
Commercial RECEIVED FOR OFFICE USE ONLY
City of Tigard Received 0 /
Date/By , 7 , Permit No •
^ :k / �q 0�5-----
Q
° 13125 SW Hall Blvd., Tigard, OR 97A p R 0 O 2013 Plan Review
C : Phone 503 718 2439 Fax 503 598 1960 Date /By • ♦' r ' ..Other Permit `441/2- n ` jo/ 3 .0po 9 4
TIGARD
Inspection Line B 03 4175 CITY OF TIGARD Date Ready /By // � lu t ® See Page 2 for
Internet: www ti and - ov Notified/Method. Supplemental Information
BUILDING DIVISION n-f-e .4..1 f
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
® 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: 11565 SW PACIFIC HIGHWAY SOUTH New dwelling area: square feet
City /State/ZIP: TIGARD, OREGON 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.• Project name: TIGARD FRED MEYER Covered porch area: square feet
Cross street/directions to job site: SW 71 AVE 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.
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.
REPLACE EMERGENCY GENERATOR AND AUTOMATIC TRANSFER SWITCH Valuation• $$60,000.00
Existing building area: square feet
New building area: square feet
❑ PROPERTY OWNER ❑ TENANT Number of stories:
Name: Type of construction:
Address: Occupancy groups:
City /State /ZIP: Existing.
Phone: ( ) Fax: ( ) New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES'
Business name: COCHRAN INC (Pleaunjcrtojecscheduk)
Structural plan review fee (or deposit):
Contact name: MICK HEMPHILL
Address: 7550 SW TECH CENTER DRIVE FLS plan review fee (if applicable):
Total fees due upon application:
City /State/ZIP. TIGARD, OREGON 97223
Phone: (503) 234 -6564 Fax: : (503) 238 -2098 Amount received: 3p`;%S a
E - mail: MHEMPHILL @COCHRANINC.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES'
Com . : al and residential prescriptive installation of
CONTRACTOR roof -top mou I PhotoVoltaic Solar Panel Syste
Business name: COCHRAN INC Submit two (2) sets : roof plan with connec •: retails
and fire department acc- along wit - 2010 Oregon
Address. 7550 SW TECH CENTER DRIVE SUITE 220 Solar Installation Specialty : • • ecklist.
City /State/ZIP: TIGARD, OREGON Permit fee (include an r 'e $180.00
and as • nistrative fees .
Phone (503) '234 - 6564 F . (503) 238 -2098 State surcharge (12% of permit fee): $21.60
CCB lic.: 72942
c Total fee due upon application: $201.60
Authorized signature. jytet( l/ V This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Mick Hemphill Date: April 11, 13 * Fee methodology set by Tri- County Building Industry
Service Board
I \Building \Permits \BUP -COM PermitAppdoc 02/24/2011 440- 4613T(I I /02 /COM/WEB)
Building Division
. Development Code Provision Review
TIGARD Commercial Projects - No Associated Land Use Case
Building Permit No: u_P Aot 3 - 00076" ❑ Expedited Review
Project Name: 0-VD ►M > -V 2
Site Address: 1( 5 1e y Nc.. i / c-1� � , Suite /Bldg #:
Plans Routed: / l
Original Plan Submittal Date: `/(g[') Routed By:
1st Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact ►4 s!4 1U at (503) 718 -Lq q or 40' @tigard- or.gov)
Proposal: re - - 44-4- I vt7 - e4. -
Zoning 4.6-"
Permitted Use Yes /El No ❑
Land Use Required: Yes ❑ No'O
Notes: Ai 74.i re (I" 6 4,/, .
Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building: '7
I: \CURPLN\Masters\Development Code Provision RevievaDCPR_COM NoLandUse.doc Rev 01/16/13
FOR OFFICE USE ONLY — SITE ADDRESS:
This form 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
7
Transmittal Letter
T i :cA iz,D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard- or.gov
TO: 1 1- DATE RECEIVED:
DEPT: BUILDING DIVISION RE CEIV ED
FROM: M ;CIL {4 v1p\Ai l APR 2 4 2013
t' CITY QF FIGARO
COMPANY:
(QUAr TI C 'U; Q DIANN
PHONE: 9) 1 (9 - 1 (; By.
RE: I I5(OS SC- - C-‹Jr C Nw ��� — 000 — L r
(Site Address) (ermtt umber)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: 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.
x Other (explain): Ark) ) a \ C(ANd ,Q
REMARKS:
FOR O FICE USE ONLY
Routed to Permit Technician: hate:
Fees Due: ❑ Yes o Fee Description: Amount Due:
Special
Instructions:
Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done
Applicant Notified: Date: Initials:
1 \Building\ Forms \TransmittalLetter - Revisions.doc 05/25/2012
e
CITY OF TIGARD vqgllIll.IIIIIIIplliipllr
BUILDING DIVISION PERMIT #: 50 P 2 o f -j —
•
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ef3ef:)e) !7
Phone: (503) 639-4171 �`'�
Inspection Requests (24 Hrs.): (503) 639-4175 - `'f��
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /ISZ f I F IC N y/ CLASS OF WORK:
SUBDIVISION: LOT#: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
2 / r---weit-c_____
Corrections/Comments/Instructions:
1
ii ''S 111#RTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 4-/j - /3 Phone #: (503) 718- 2‘'j