Permit CITY OF TIGAR71D BUILDING PERMIT
i . ': COMMUNITY DEVELOPMENT Permit#: BUP2017-00057
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/23/2017
T[C aFt 9 Parcel: 2S101BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 190
Project: Verizon Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: TI for Verizon Wireless store
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, 03/22/2017 $970.41
Demolition
Occupancy Grp: M Occupancy Load: 95
12%State Surcharge-Building 03/22/2017 $116.45
Dwelling Units: 0 Plan Review 03/09/2017 $630.77
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 03/22/2017 $388.16
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Lg$2.00(over 03/22/2017 $36.00
Value: $81,125 11x17)
Floor Areas:
Total Area: 12022
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,141.79
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. or 1.800.332.2344.
Issued B �
Y Permittee Signature: )0;7all 503.639.4175 by 7:00 a.m.for the next available inspectio da
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.
Builiiing zermit Application
Commercial FOR OFFICE USE ONL\
1""i t'' f x a ;K. Received --�� ��LL Permit No.: n
City of Tigard ' Date/By: C/ l 7 � J �u l'o7DC7—Ce-057
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Revie`ig` ..
:1-.",-''''"y
y
11 Phone: 503.718.2439 Fax: 503.598.19 /3h , 17
\ \
D her Permit:Date/By: i" I
�Inspection Line: 503.639.4175 Date Ready y: Juris I
® See
e Pa
ge 2 forTIGARDIntern t: www.tigard-or.gov f e, thod� /7 zNotifed/Me / Supplemental Inf
ormation
-fr.
M%kLt
TYPE OF WORD ` ' .;.,,,, 1 REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction 0 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.
dwelling
A.r,. Valuation: $
0 1-and 2-familyCommercial/industrial
1:1Accessory building ❑Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
JOB,sit INV01141A4ATIODi AND LOCATION Total number of floors:
Job site address:7700 SW Dartmouth St. New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.:190 Project name:Verizon Covered porch area: square feet
Cross street/directions to job site:SW 72"Ave Deck area: square feet
Other structure area: square feet
REQUII)I)*TA: IECtottptJSE CiIECLIST
Subdivision: 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
equipment,materials,labor,overhead,and the profit for the
CI1WSCRIPTION•OF WORK work indicated on this application.
iTenant improvement for a Verizon Wireless store. Valuation: $$81,125.00
!i Existing building area: 12022 square feet
IINew building area: 0 square feet
��III ❑ PROPERTY OWNER r • ® TENANT Number of stories: 1
Name:Cellular Sales(Jim Martin) Type of construction: VB
rAddress:14712 NE 91"St.,Suite 150 Occupancy groups:
City/State/ZIP:Redmond,WA 98052 Existing: M,sh 1
Phone:(843)312-3045 Fax:( )
New: -2,B,M
. APPLICANT >I< CONTACT PERSON BUILDING PEST FE1 S*
Business name:BCRA,Inc. trl > wfeesrhetuk)
Structural plan review fee(or deposit): $707.87
Contact name:Ming Sing Ting
FLS plan review fee(if applicable): 460.12
II Address:2106 Pacific Ave,Suite 300
Total fees due upon application: 1167.9
q! City/State/ZIP:Tacoma,WA 98402 ^
I Phone:(253)627-4367 Fax::( ) Amount received 7 7
E-mail:mting@bcradesign.com PHOTOVOLTAIC SOLAR,PAINIEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:TBD ( /,f `-114 Submit two(2)sets of roof plan with connection details
f and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.: irA _ 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:Ming Sing Tine Date:02/28/2017 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard
lig 1
p COMMUNITY DEVELOPMENT DEPARTMENT
T 1 c A R D Building Permit Review — Commercial - No Land U s e
Building Permit #: pip 17 —000 5 7
Site Address: 17 0 0 &W DU r'1-01 O J t'h S+ Suite/Bldg#: 1 CI 0
Project Name: .t—1.7-0 n
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: t L Gil/' V-eirt Yl VV. LC 1 S Tr)
Existing Business Activity: Mil-L/ ,k_, tri l
Proposed Business Activity: (.A)m 01,,f CA ca- re•fri d
/1 Verify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes f2f No
Zoning: C
Permitted Use: ❑ Yes ❑ No ❑ Spec Space
Confirm no land use required.
❑ Business License:
Exists: ❑ Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: nil l ,- Date: -3J 1 1 I
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
2162/17
Original Submittal Date:
Site Plans: # 3
Building Plans: # 3
Building Permit#: ErEnter building permit#above.
Workflow Routing: Planning ermit Coordinator .12--tuilding
Workflow Sign-off: er Sign-off for Planning(include notes from planning review)
Route Application Documents: ET—Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: .C2c0 Date: 6/9/7
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse 060 1 16.docx
4
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:
C Fees Entered: Wash Co Trans Dev Tax: ❑ Yes � �d/
A
Tigard Trans SDC: ❑ Yes Zia) /A
Parks SDC: ❑ Yes /A
OK to Issue Permit
Approved by Permit Coordinator:
/ -Date:
I:\Building\Forms\BldgPermitRvwCOM NoIandUse 070915.docx
! t5
m 210E Pacitic„vein,Suite 300
Tacoma,WA 98402n
T(253;627-4367 .y qy
4
MA 1 1 r-
i7
MxR -v k Zu
Date: March 3, 2017 s ' s; '' From:
rt:s •�
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 I Pages including this cover sheet
Project: Verizon Tenant Improvement
BCRA Job No. 17035
We are sending you:
x Attached: I Under separate cover via :
COPIES DATE NO. DESCRIPTION
1 03.03.17 4 Building Permit Application form /
1 03.03.17 2 u •- ' ' F4 i11-sj , d-1Lfd
tv,a
1 03.03.17 2 - _ - ,• ,yJ . 7 fes-
- Zt.),g �Vt,K.:-r-/4214
3 03.03.17 18 Permit Drawings Set - --(104-e4
Mtn`,i Etc-a/2d)
These are transmitted as checked below:
x For approval L-i Reviewed as submitted J 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 Verizon tenant improvement. The submittal fees was mailed
under separate envelope. Please let me know if you have questions or need additional information.
If enclosures are not as noted, please let me know.
SIGNED: Ming Sing Ting
BCRADESIGN.COM
\‘'S. ;� as
„,\,;
�
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7700 SW DARTMOUTH ST 190, TIGARD, OR, April 28, 2017 at 11 :25:17 AM
97223
Record Type: Record ID:
Commercial - Building BUP2017-00057
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - CofO
Comments:
Violation Summary:
Inspector Contractor