Permit �t CITY OF TIGARD BUILDING PERMIT
''1 3 COMMUNITY DEVELOPMENT Permit#: BUP2015 00175
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/19/2015
Parcel: 25101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST
Project: Tigard Retail Center,Retail#2 Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Landlord work for future tenants in Walmart Outlot Retail Building#2.
Contractor: SIERRA CONSTRUCTION CO INC Owner: WAL-MART REAL ESTATE BUSINESS TR
19900 144TH AVE NE BY PROPERTY TAX DEPT STORE 5935-00
WOODINVILLE,WA 98072 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 425-487-5200 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 07/23/2015 $1,438.15
Demolition
Occupancy Grp: B Occupancy Load:
12%State Surcharge-Building 07/23/2015 $172.58
Dwelling Units: 0 Plan Review 06/18/2015 $934.80
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 06/18/2015 $575.26
Bedrooms: 0 Bathrooms: 0 DC Provision Review,COM TI-Ping 07/23/2015 $299.00
Value: $154,600 DC Provision Review,COM TI-LRP 07/23/2015 $44.00
Info Process/Archiving-Lg$2.00(over 07/23/2015 $80.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 07/23/2015 $2.00
11x17)
Total Area: 3865 Metro Const.Excise Tax-Commercial 07/23/2015 $185.52
Accessory Struct: 0 Use
Basement: 0 COT Address Fee 07/23/2015 $150.00
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,881.31
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 503.232.1987 or 1.800.332.2344.
Issued By: _ Perm ittee Signature:
//✓�/ i�� / �'
.� 39.4175 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 Application
Commercial FOR OFFICE USE ONLY
1 Received Permit No. /
City of Tigard DateB : / >� j /!a �/ 7
• 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Re �, �
Phone: 503.718.2439 Fax: 503.598.1960 DateB : r �/ r Other Permit:
T I(,A R n Inspection Line: 503.639.4175 U N S 2015 Date Ready :y: r See Page 2 for
Internet: www.tigard-or.gov Notified/Method: Le f/ Supplemental Information
i t 1 q _Valli r / M • ■
TYPE OF
�,A)ltl�,� DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction In 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.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: S
❑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:7500 SW Dartmouth St New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Landlord Work for Tenants Covered porch area: square feet
Cross street/directions to job site:SW 72"Ave Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2S101BA00101 Indicate the value(rounded to the nearest dollar)of all
DESCRIPTION OF WORK
equipment materials,labor,overhead,and the profit for the
work indicated on this application.
Landlord Work for Tenants in Walmart Outlot Retail Building No.2. Valuation: 55154,600.00
(� Exludes actual tenant improvement work/permit by tenants. Existing building area: 12022 square feet
See"Landlord Construction Requirements"on plans. New building area: 3865 square feet
le, ® PROPERTY OWNER ❑ TENANT Number of stories: 1
J Name:Walmart Stores,Inc.,Attn:Fabian Welch Type of construction: VB
Address:2001 Southeast 10'"St Occupancy groups:
City/State/ZIP:Bentonville,AR 72716-0550 Existing: M,Shell
Phone:(479)273-4741 Fax:( ) New: A-2,B,M
ilil%
',i ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name:BCRA,Inc. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Lorie Limson Cole
FLS plan review fee(if applicable):
Address:2106 Pacific Ave,Suite 300
City/State/ZIP:Tacoma,WA 98402 Total fees due upon application:
Amount received:
Phone:(253)627-4367 Fax::(253)627-4395
E-mail:LLimsonCole @bcradesign.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TBD Submit two(2)sets of roof plan with connection details
.5..e r 111 Lnnf.{rm efi a rr, 6,. T..c and fire department access,along with the 2010 Oregon
Address: J-7 6 u WO Ay e Sim 120 Solar Installation Specialty Code checklist.
City/State/ZIP: II/ Permit fee(includes plan review
S180.00
cKTf4.1CA I 0 R q! p-/y and administrative fees):
Phone:(19.3).2.S c-4 3/o I Fax:(5v3 )2 95- 143 47r State surcharge(12%of permit fee): $21.60
CCB lic.: i Z)06,6 F Total fee due upon application: $201.60
Authorized signature: / This permit application expires if a permit is not obtained
/ �. within 180 days after it has been accepted as complete.
Print name:Lorie Lims s C,le Date: 41//b I c * Fee methodology set by Tri-County Building industry
f Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
!PI 4' COMMUNITY DEVELOPMENT DEPARTMENT
Building Permit Review — Commercial - With Land Use
I J( 1 I I/
Building Permit #: B 1 Po�S --� l
-is—
Site Address: 75Oto SW bskC cr2 ,Th (SI, Suite/Bldg#:
Project Name: T;jr-.V- /2e-17+ ; I C' f-- if tC' ; / P�
( Name commercial business occupying the space. I vacant,enter Spec Space.)
Planning Review /�/ /A f / //
Proposal: IR (t rr( l /C 7� n/3 /i1 % X67/,,,,„..--/- OtC l7'�7�
[V Verify site address/suite# exists and activ 1 permit syste .
ril a,' 'ver Terrace Plan District, . ❑ Yes V No
∎C and Use Case#: PZiE c2oi3- .3
U Plans Match Approved Land Use:, �/
r Site Plan /U'iandscape Plan ther:
f 4Jrban Forestry Plan ,q,ievation Plan /
[ " uilding Height: Mayrnum Height L/5 Actual Height 15'72,
! onditions Met: I /Pnor to Submittal ❑ Prior to Permit Issuance)
fa Business Licen .
Exists: LVJ Yes ❑ No,applicant notified to obtain business license
/Public Facilities Improvement(PFI) Permit:
Required: ❑ Yes,applicant was notified �I No Applied For: ❑ Yes ❑ No,stop intake
Notes:
Approved by Planning:� — ,,. .s Date:
6/0.7c2//S-
Revisions
(after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 6A105 —
Site Plans: # y
Building Plans:
Building Permit#: ,_,.,te [�.nter building permit#above.
Workflow Routing: L7 planning nt#gmeering l}rmit Coordinator ceding
Workflow Sign-off: ❑ aign-off for Planning(include notes from planning review)
Route Application Documents: ding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: `�_ ` :te: ‘/1fA
I:\Buil ding\Forms\BldgPermitRvw_COM_WithLandUse 040115.docx
Engineering Review
❑ Slope at building pad:
❑ PFI Permit#: —O--
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments) per engineering conditions of approval and plat(not typical on SDR/CUP)
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Afr-No
Assess Water Quantity Fee in-lieu: ❑ Yes Z No
LIDA Facility on lot: ❑ Yes ,a-1\10
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: lilt I 1GC w, Date: t7 2 j l c
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
it OK to Issue Permit
Approved by Permit Coordinator: CIA - a Ca" Date: 6 '°1 -1-5—
1:113uilding\Forms\BldgPermitRvw_COM_W ithLandUse_040115.docx
W 2106 Pacific Avenue,Suite 300
RECEIVED
Tacoma,WA 98402
T(253)627-4367
JUN 18 2015
CITY OFTIGARD
Date: June 17, 2015 From:
To: City of Tigard x Transmittal (mail/cover)
13125 SW Hall Blvd Transmittal (hand delivery)
Tigard, OR 97223
E-mail
Phone: 503.718.2439
Fax:
Attn: Building Permit Counter Pages including this cover sheet
Project: Walmart Tigard Outlot Buildings
BCRA Job No. 14217
We are sending you:
x Attached: Under separate cover via :
COPIES DATE NO. DESCRIPTION
4 06/15/15 Complete Drawing Set: Architectural,Structural, Fire, Plumbing,
Mechanical, Electrical
4 06/15/15 Complete Specifications
4 06/11/15 Energy Calculations
1 06/16/15 56547 Plan Review Check for$1510.06
1 06/16/15 Building Permit Application
These are transmitted as checked below:
X For approval Reviewed as submitted Revise & Resubmit for review
For your use Furnish as corrected Submit items below
As Requested Returned with response Return_corrected prints
For review/comment For Recording Prints returned after loan from us
For bids due
Remarks:
Please email me at LLimsonCole @bcradesign.com or call 253-627-4367 to confirm receipt of this
permit submittal package and if you have any questions or need additional information. Thanks.
If enclosures are not as noted, kindly notify us at once.
•
SIGNED: Lore Limson Cole, Senior Project Manager
BCRADESIGN.COM
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
7500 SW DARTMOUTH ST, TIGARD, OR, 97223
Commercial - Building
299 Final inspection
PASS - No C of O
October 28, 2015 at 10:34:32
AM
BUP2015-00175
Chip Barnett
Violation Summary:
Inspector Contractor