Permit ,y n CITY OF TIGARD BUILDING PERMIT
'F7 I ' COMMUNITY DEVELOPMENT Permit#: BUP2015-00319
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/16/2015
Parcel: 25101 BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 190
Project: Spec Space Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: Landlord work for future tenant.Demising of interior space. Scope of work excludes actual tenant
improvements/permits by tenant.
Contractor: GM NORTHRUP CORPORATION Owner: WAL-MART REAL ESTATE BUSINESS TR
15950 FRANKLIN TRAIL SE BY PROPERTY TAX DEPT STORE 5935-00
PRIOR LAKE, MN 55372 PO BOX 8050
ATTN MS 0555
BENTONVILLE,AR 72716
PHONE: 952-226-3090 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Vg Permit Fee-Additions,Alterations, 11/16/2015 $729.45
Demolition
Occupancy Grp: M Occupancy Load: 12%State Surcharge-Building 11/16/2015 $87.53
Dwelling Units: 0 Plan Review 11/16/2015 $474.14
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 11/16/2015 $291.78
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 11/16/2015 $40.00
Value: $50,000 11x17)
Info Process/Archiving-Sm$0.50(up to 11/16/2015 $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 $1,630.40
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-I. -9 i r ror. •AR 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:
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.
Building Permit Application �j
Commercial +� �, XV�:1lp FOR OFFICE USE ONLY
City of Tigard Recei Date/B ve:d
// f Pennit No.: 6,,,,..P,96/5-z: lg
II • 13125 SW Hall Blvd..Tigard,OR 5 ?015 Plan Review M. a
• Phone: 503.718.2439 Fax: 503.5 60 Date/I3 : Other Permit:
T I G A R I Inspection Line: 503.639.4175 r A Date Ready/:y: Juris: ® See Page 2 for
Internet: www.tigard-or.gov C%1Y(IF 111liA}tl) Notified/Method: L( Supplemental Information
D1[5 ., r -'(-mot L
TY ORK 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.
1:1 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building El Multi-family Number of bedrooms:
❑Master builder El Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7500 SW Darmouth St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: 190 Project name:Landlord wotk for suite Covered porch area: square feet
Cross street/directions to job site:SW 72nd 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.
Tax map/parcel no.: 2S101 BA00101 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.
Demising of interior space for future tenant. Scope of work excludes actual Valuation: $50,000
tenant improvements/permits by tenant. Existing building area: 12022 square feet
New building area: square feet
® PROPERTY OWNER I ❑ TENANT Number of stories: I
Name:Walmart Stores,Inc.,Attn: Fabian Welch Type of construction: VB
Address:2001 SE 10th St. Occupancy groups:
City/State/ZIP:Bentonville,AR 72716-0550 Existing: M,shell
Phone:(479)273-4741 Fax:( ) New: A-2,B,M
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name:BCRA,Inc. (Please refer to fee schedule)
Structural plan review fee(or deposit):
Contact name:Kathryn Jerkovich
FLS plan review fee(if applicable):
Address:2106 Pacific Ave,Suite 300
Total fees due upon application:
City/State/ZIP:Tacoma,WA 98402
Phone:(253)314-0230 Fax: :( )
Amount received:
E-mail:kjerkovich @bcradcsign.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive inst. . ton of
CONTRACTOR roof-top mounte• •s.toVoltaic Solar P - System.
Business name:G.M.Northrup Submit two(2)sets of •• plan .' connection details
and fire department access, . . g with the 2010 Oregon
Address: 15950 Franklin Trail S.E. Solar Installation Sped, •C.,•checklist.
City/State/ZIP:Prior Lake,MN 55372 Permit fee(i udes plan re 'ew $180.00
... administrative fee •
Phone:(952)226-3090 Fay:( 1 States • .rge(12%of permit fee): $21.60
CCB lie.: 12
I(72 -(?,..(10 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: Date: * 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)
IN a Building Division
Accessibility: Barrier Removal Improvement Plan
TIGARD
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five per-cent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER (25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains: and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL (shall equal line [2] of Valuation Computation): $
I:ABuilding\Permits\BUP-CON(PcrmitApp.doc 1)3/03/2(111
T 2106 Pacific Avenue,Suite 300
[ ) Tacoma,WA 98402
RECEIVEP
SEP 8 2015
CIT4�OFTIGARD
Date: September 4, 2015 From: BUILDIN ,T�IVISIO]!
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 09/04/15 CCD 1—Revised Architectural, Structural, Fire, Plumbing,
Mechanical, Electrical
4 09/04/15 Energy Calculations
1 City of Tigard Transmittal Letter
1 09/04/15 Change Narrative
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:
Attached are revisions to permit BUP 2015-00175 for the landlord's portion of the tenant
improvements. Please let me know if you have questions or need additional information.
If enclosures are not as noted, ki •I notify us at once.
SIGNED: Kathry► - tvi
BCRADESIGN.COM
try
•{+ t
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 190, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - No C of O
January 20, 2016 at 9:36:49
AM
BUP2015-00319
Chip Barnett
Violation Summary:
Inspector Contractor