Permit I ltl CITY OF TIGARD BUILDING PERMIT
I, ••- ■∎ ,1{- COMMUNITY DEVELOPMENT Permit#: BUP2015-00290
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/02/2015
Parcel: 25101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 120
Project: Great Clips Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: TI for new tenant.
Contractor: CREEKSIDE CONSTRUCTION Owner: WAL-MART REAL ESTATE BUSINESS TR
13525 SW 21ST BY PROPERTY TAX DEPT STORE 5935-00
BEAVERTON, OR 97008 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 503-789-7781 PHONE:
FAX: 503-591-7522
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg DC Provision Review,COM TI-Ping 11/02/2015 $88.00
Occupancy Grp: B Occupancy Load: 11 Permit Fee-Additions,Alterations, 11/02/2015 S317.06
Demolition
Dwelling Units: 0 12%State Surcharge-Building 11/02/2015 $38.05
Stories: 0 Height: 0 ft Plan Review 10/12/2015 $206.09
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/12/2015 $126.82
Value: $15,500 Info Process/Archiving-Lg$2.00(over 11/02/2015 $8.00
11x17)
Floor Areas:
Total Area: 1044
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck. 0
Garage: 0
Mezzanine: 0
Total $784.02
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: No Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
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 ... .ccordance 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
jays. ATTENTI• •: 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••R 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: / / Permittee Signature: Da,....._-
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.
I uildih2 Permit Application y A
►
`
a,� ; ,
Commercial �1t�, FOR OFFICE USE ONLY
Received
City of Tigard Z��� DateB : f 0 � � Permit No.: i /, i .
14
° 13125 SW Hall Blvd.,Tigard,OR 97223 �\ A. y
Plan Revie 7
0 Phone: 503.718.2439 Fax: 503.598.1960Q Date/B : i! lu >tl Other Permit:ph , : 11 ,
T I G A R D Inspection Line: 503.639.4175 �)g l£1:116 M° Date Ready/By: ! ® See'"t211",
Internet: www.tigard-or.gov c A�i ,1C ^1®� Notified/Method: '/ / //'� /�, Supplemena normation
TYPE OF wx, 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.
❑ 1-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:7500 SW Dartmouth New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 120 Project name:Great Clips Covered porch area: square feet
Cross street/directions to job site: 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.
Finish tenant improvement including paint,flooring and equipment installation. Valuation: $ �S��`+
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:Creekside Construction (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Dan Bradley
Address: 13525 SW 21 st FLS plan review fee(if applicable):
City/State/ZIP:Beaverton,OR 97008 Total fees due upon application: / 330/ 9/
Phone:(503)789-7781 Fax::( )
Amount received:
E-mail:dmcbradley @gmail.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Creekside Construction Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 13525 SW 21 st Solar Installation Specialty Code checklist.
City/State/ZIP:Beaverton,OR 97008 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)789-7781 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:111475
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:Dan Bradley Date: 10/12/15 * Fee methodology set by Tri-County Building Industry
Service Board.
1:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
I R
IriCity of Tigard
° COMMUNITY DEVELOPMENT DEPARTMENT
II i
il� ' Building Permit Review — Commercial - No Land Use
Tel �R' Building
Building Permit #: ezin lc,_U['.29d
Site Address: 7500 S Lc} -frnu,,, 1' Suite/Bldg#: la a
Project Name: C_r-t.d.k- C-4 i Ps
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T 1 r h ex:,c Sa-10 n i YY1au, ,-, i„A o Vag� S 7c,c.�. 61-1 ✓t,e�
cI,Ci^A ,.ercio-( 42 i,--. 1 d.∎ 1.
Existing Business Activity: j c a w 4- — 0 eJ b + (d ti5)
Proposed Business Activity: T e.,j pvvc.( se✓vi(Q..c- f)ap ,S'c-1 a"'
eISI-Verify site address/suite # exists and active in permit system.
W.-River Terrace Neighborhood: ❑ Yes .r No
Zoning: t.e.' C.--G I'D
.kt"Permitted Use: Yes ❑ No ❑ Spec Space
ir-Confirm no land use required.
,V- Business License:
Exists: lArYes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: 0, a ex,,, ,,,__.- Date: 10— /'l —15
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: /, /5
Site Plans: #
Building Plans: #
Building Permit#: —ter building permit# a ove.
Workflow Routing: arming ermtt Coordinator ding
Workflow Sign-off: g-Si'n g -off for Planning (include notes from planning review)
Route Application Documents: al original permit application, site plans, building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: "--e...'-"'c_—_ Date: /0j/0—
I:\Building\Forms\BldgPermitRvw COM NoLandUse 070915.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved, NOT Released: Date:
`
Notes: G'V Q / ( etr—t"
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:
❑ SDC Fees Entered: Wash Co Trans Deer Tax: ❑ Yes
Trans SDC: ❑ Yes P/A
Parks SDC: ❑ Yes 7N/A
713K to Issue Permit /
Approved by Permit Coordinator: �� Date: /e/121/5
•
I:\Building\Forms\BldgPennitRvw_COM_NoLandUse_0709I5.docx
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 120, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00290
Chip Barnett
Violation Summary:
Inspector Contractor