Permit CITY OF TIGARD BUILDING PERMIT
1,1,_..: ., COMMUNITY DEVELOPMENT Permit#: BUP2016 00352
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/15/2017
T t t Parcel: 2S 101 BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 190
Project: Spec Space Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: Landlord work for future tenant,Verizon.
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: VB Permit Fee-Additions,Alterations, 02/15/2017 $1,105.95
Demolition
Occupancy Grp: M Occupancy Load: 95 12%State Surcharge-Building 02/15/2017 $132.71
Dwelling Units: 0 Plan Review 12/29/2016 $718.87
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 02/15/2017 $442.38
Bedrooms: 0 Bathrooms: 0 Address Fee 02/15/2017 $50.00
Value: $100,000 DC Provision Review,COM TI-Ping 02/15/2017 $224.00
Info Process/Archiving-Lg$2.00(over 02/15/2017 $52.00
11x17)
Floor Areas: Info Process/Archiving-Sm$0.50(up to 02/15/2017 $10.00
11x17)
Total Area: 2844 Metro Const.Excise Tax 02/15/2017 $120.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,855.91
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet: 1 Structural Welding
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 503.232.1•= or 00.332.2344.
Issued By: f Permittee Signature: ,��A,_f
....
11 503.639.4175 by 7:00 a.m.for the next available inspec on date.
This permit card shall be kept in a conspicuous place on the job site unti ompletion of the project.
Approved plans are required on the job site at the time of each inspection.
Bufldina Permit Application IVED,
Commercial FOR OFFICE USE ON t.)
Received /� i Permit Noibu/ 1� �QQ 35,,
City of Tigard DEC 2 9 2016 Date/By: !�
1 s. 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revigw•-- r ; ether Permit:
Phone: 503.718.2439 Fax: 503.59 } �°OF "I AD Date/By: l Page 2 for
Date Ready/: loris. ® See
k;; Inspection Line: 503.639.4175 LD £ I �4 Note Re/ ethod:` Supplemental Information
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a value of the work performed.
❑New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
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/% t, 'r"�„/ rr�.,, , �.r%, � s”:� F. , fValuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
❑Accessory building 0 Multi-family
Number of bathrooms:
0 Master builder 0 Other:
AAY y #��. # a#I '' fTotal number of floors:
Job site address:7700 SW Darmouth St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:190 I Project name:Land tk-fnrSIIffe���zCovered porch area: square feet
Cross street/directions to job site:SW 72'Ave � Ta '• --- Deck area: square feet
Other structure area: square feet
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Subdivision: I 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.:2S101BA00101 equipment,materials,labor,overhead,and the profit for the
'o ' eV ,t � work indicated on this application.
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Demising of interior space for future tenant. Scope of work excludes actual
Existing building area: 12022 square feet
tenant improvements/permits by tenant.
New building area: 0 square feet
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Name:Walmart Stores,Inc.,Attn:Denise West Type of construction: VB
Address:2001 SE 10`h St. Occupancy groups:
City/State/ZIP:Bentonville,AR 72716-0550 Existing: M,shell
Phone:(479)204-3354 Fax ( ) New: A-2,B,M
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Business name:BCRA,Inc. Structural plan review fee(or deposit): $474.14
Contact name:Kathryn Jerkovich FLS plan review fee(if applicable): 291.78
Address:2106 Pacific Ave,Suite 300 Total fees due upon application: 765.92
City/State/ZIP:Tacoma,WA 98402 Amount received:
Phone:(253)314-0230 I Fax::( ) # -TL*
E-mail:kjerkovich@bcradesign.com Commercial and residential prescriptive installation of
#44 ., roof-top mounted Photo Voltaic Solar Panel System.
s r j�° /� /� p Submit two(2)sets of roof plan with connection details
Business name:Vtl, O� ►CUT t_cix-- and fire department access,along with the 2010 Oregon
Address: 1 59 50 �,2q NKLI>J mi l L b.e- Solar Installation Specialty Code checklist.
J`37 Permit fee(includes plan review $180.00
City/State/ZIP: N_l O Q_ LA 111 � 5 l 9.. and administrative fees):
Phone:(i, a1 a(p^ 3010 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lie.: L$a$ v,ft, Total fee due upon application: $201.60
This permit application expires if a permit is not obtained
Authorized signature: ,- within 180 days after it has been accepted as complete.
/� * Fee methodology set by Tri-County Building Industry
Print name:
Ie�/ aw `"r LiI —Date .Z�J� ('`7 Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
'I!PiCOMMUNITY DEVELOPMENT DEPARTMENT
II
T I c A R o Building Permit Review — Commercial - No Land U s e
Building Permit #: lJ Q201 (p -00 5
Site Address: -7 S3 AgJ Suite/Bldg#: /90
Project Name: /1) /mart Sive-PSS )nc.. (451-e— p� �
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review//
Proposal: 777- o QrAlar-C. 7 1)91et?cr LLxi-k &41
Existing Business Activity: &?c95 Cvf'.Art ya'-h/1
Proposed Business Activity: s C" S iocc <C�=ettdAe,-t -T'0,1-C j-1>T Val
Verify site address/suite# exists and active in permit syst
A'' ver Terrace Ne. hborhood: CI Yes No
Ig/Zoning: C Ci' (AO
)
ermitted Use: El Yes El No Spec Space
( nfirm no land use required.
Business License:
Exists: Yes El No,applicant notified to obtain business license
Notes:
Approved by Planning: ._ st• „,,; Date: /a. _n f
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: /a-/i2.9//)
Site Plans: # 5
Building Plans: #, 6
Z
Building Permit#: Enter building permit#above.
Workflow Routing: E--Planningrmit Coordinator Building
Workflow Sign-off: 2-- n-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Not: : ft AllEt /• '' i` _ t, / — a' 4 ' CIP".2_
By Permit echniciaFT eit4 _.� ; Date: / d9 /4,
I:\Building\Forms\BldgPernritRvw COM_NoLandUse 060116.docx
r
•
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:
SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes !„. /A
Tigard Trans SDC: ❑ Yes V N/A
Parks SDC: ❑ Yes P N/A
D OK to Issue Permit
i.,--------
Approved
Approved by Permit Coordinator: /!fate: '/2-7249//k
5 5 E 5 S e-> L AID E/ pliiq 1_,A 7 A-/e'7— 14-S ( --EATE,2 F�t
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I:\Building\Forms\B1dgPermitRvw_COM_NoLandUse 070915.docx
,#
W 2106 Pacific Avenue,Suite 300
�, Tacoma,WA 98402
l T(253)627-4367
Date: January 3, 2016 From:
•••..+� ` To: City of Tigard x Transmittal (mail/cover)
'`�-•^ — 113125 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
1 12/23/16 T.I. Drawings for LL Work
These are transmitted as checked below:
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
X For review/comment For Recording Prints returned after loan from us
For bids due
Remarks:
Attached is the permit package for the landlord scope of work for the Verizon,Suite 190,
Outbuilding 1. Please let me know if you have questions or need additional information.
If enclosures are not as noted, please let me know.
SIGNED: Kathryn Jerkovich
BCRADESIGN.COM
k
2106 Pacific Avenue Suite 300 RECEIVED
Tacoma,WA 98402 2
T{253)627-4367 DEC 9 2016
> CITY OF 1 Af Ij
BUILDING DI!/ISIOIy
Date: December 23, 2016 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
2 12/23/16 T.I. Drawings for LL Work
2 09/04/15 Energy Calculations
These are transmitted as checked below:
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
X For review/comment For Recording Prints returned after loan from us
For bids due
Remarks:
Attached is the permit package for the landlord scope of work for the Verizon,Suite 190,
Outbuilding 1. Please let me know if you have questions or need additional information.
If enclosures are not as noted, please I:44me know.
i
SIGNED: Kathryn Jerkov . ' If
BCRADESIGN.COM