Permit (61) CITY OF TIGARD BUILDING PERMIT
r - COMMUNITY DEVELOPMENT Permit#: BUP2017-00124
Date Issued: 08/28/2017
T[GAR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S101 BA00600
Jurisdiction: Tigard
Site address: 7700 SW DARTMOUTH ST 110
Project: Spec Space Subdivision: 1995-013 PARTITION PLAT Lot: 1
Project Description: Landlord work prior to TI:Demolition,new interior walls,restrooms,and new storefront door.
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: VBPermit Fee-Additions,Alterations, 08/21/2017 $2,313.95
Demolition
Occupancy Grp: Occupancy Load: 102 12%State Surcharge-Building 08/21/2017 $277.67
Dwelling Units: 0 Plan Review 05/17/2017 $1,504.07
Stories: 1 Height: 0 ft DC Provision Review,COM TI-Ping 08/21/2017 $357.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 08/21/2017 $925.58
Value: $300,000 Info Process/Archiving-Lg$2.00(over 08/21/2017 $30.00
11x17)
Metro Const.Excise Tax 08/21/2017 $360.00
Floor Areas:
Total Area: 2315
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,768.27
Required: Required Items and Reports(Conditions)
Fire Sprinkler: 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: �jr Permittee Signature: , � / ��
L f
l �' ,Ls g 11 /� U
;% Call 5 3.639.4175 by 7:00 a.m.for the next available inspec ion ate.
This permit card shall be kept in a conspicuous place on the job site until coThpletion of the project.
Approved plans are required on the job site at the time of each inspection.
�` blinding Permit Application
Commercial volt of l it`F 1sSI:troll
t
CI Of Tigard iieueiveu PermitNo.:
CityDatelB : /7 ' O 4 O!7 -Colall
13125 SW Hall Blvd.,Tigard,OR 972 1 �1� Plan Review }� /-�` 0 Permit:
Phone: 503.718.2439 Fax: 503.598.1960 L �, la Date/By: i�'�"'�� \J `;
Inspection Line: 503.639.4175 r:to Ready/By: roil, la See Page 2 for
Internet: www.tigard-or.gov 44e''ified/Method:; ,0 dei Supplemental Information
y,� ‘, +' ��Il <�.
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w t - ,„ \!'i. 1 lid -4e,"*., J y / .rrs ,trrV
REQ1 13A A 1 " i-lr YMr i
❑New construction 0 D Ilition , Permit fees*are based on the value of the work performed.
4. Indicate the value(rounded to the nearest dollar)of all
►.f Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
rh,i "iaTzticiiiii .,w p ,m',I,1,� 1 "��,n a^? work indicated on this application.
_ __- . .-; .L # Valuation: $
1-and 2-family dwelling ►:t Commercial/industrial
0 Accessory building 0 Multi-family Number of bedrooms:
0 Master builder 0 Other: Number of bathrooms:
r i s I-1,m `��u2' n i
A IMI .”71.77,. " ril 1 fi Total number of floors:
� = H° 7 .�._-. ...:�..;a,a .. w..li ai 7�, s7 .�... a,� .x V
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.:110 Project name:Landlord wotk for suite,/' .- Covered porch area: square feet
Cross street/directions to job site:SW 72'd Ave Deck area: square feet
Other structure area: square feet
is-k,i ?; 7r u!wi m� u t w q,t,14 gmur .i aa.a s
,; id R.• itis t;TR^.:� x
Subdivision: ( Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:2SIQLBA00101 indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
�,y�m� m r_ m i�� ryint a
•r'',"'^--.1„--.. ,_„z ,,Ale.,(i� 14 -,',. . ,,,,,, l Y ' - , .-.1...,i--7,-,,” h,i,t i r" ,lef-,%,41, work indicated on this application.
Work is limited to landlord scope and does not include full build-out. Valuation: $300,000.00
Scope includes demising of space,interior walls,restrooms,and added Existing building area: 12022 square feet
storefront door. New building area: 0 square feet
hr v S ,I<< �, � � ' Number of stories: I
Name:Walmart Stores,Inc.,Attn:Denise West Type of construction: VB
Address:2001 SE 10th St. Occupancy groups:
City/State/ZIP:Bentonville,AR 72716-0550 Existing: M,shell
Phone:(479)204-3354 Fax ( ) New: A-2,B M
1 r �x 1 U 5 ,w, '-a 17. —, i'p�'iii"w' 7'5'1.7'51''
a xs
}
� - 7 nrm ill ii i�E uii ;_....._ ;.
Business name:BCRA,Inc. ���„"� �� 4" mad a_ .
Structural plan review fee(or deposit): $1,504.00
Contact name:Kathryn Jerkovich
FLS plan review fee(if applicable):
Address:2106 Pacific Ave,Suite 300 .
Total fees due upon application: $1504.
City/State/ZIP:Tacoma,WA 98402
Phone:(253)314-0230 [Fax::( ) Amount received:
E-mail:kjerkovichQbcratlesigncom � 1P ry� ",
Commercial and residential prescriptive installation of
CT. .e _ roof-top mounted Photo Voltaic Solar Panel System.
Business name: a 1� )00 i?r 4 I�[ up coif"• Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: f 5 4) ( Z.q v kt,tJ "1A-L I _ SC Solar Installation Specially Code checklist.
City/State/ZIP: PA,b },t Permit fee(includes plan review $180.00
Q x..t9 lt.'s. and administrative fees):
Phone:(95, 24,-30 9b Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lis.: /02(5Total fee due upon application: $201.60
Authorized signature: ®i This permit application expires if a permit is not obtained
rt,�rsr_ within 180 days after it has been accepted as complete.
Print name:Kathryn Jerkovich Date:05/I1/17 * 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
III COMMUNITY DEVELOPMENT DEPARTMENT
II
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: et,/,',2(717_00/alit
Site Address: 7 70Ste: 4 r.f,,yoSf- Suite/Bldg#: /10
Project Name: 57,9,-!...c.... St'a
(Name of c8mmercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: -7;/ Ar .5 e „s7),7a_
Existing Business Activity: -CPC S-' QC-e
Pro osed Business Activity: 1i //
Verify site address/suite#exists and active in permit sys m.
.ver Terrace Neighborhood: Yes No
'r oning: C q 2�
ermitted Use: ❑ Yes No L� Spec Space
7nfirm no land use required.
o
Business License.
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: Date: ...c"--/19-//4....
iri
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: c-/ // 7
Site Plans: # Az
Building Plans: # 3
Building Permit#: CS nter building permit#above.
Workflow Routing: EL-Planig L l- -mit Coordinator J Buil4i g
Workflow Sign-off: LTJ'Sig-n-
-ri-off for Planning(include notes from planning review)
Route Application Documents: ceding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
limo
By Permit Technician: _ - Date:777
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_0601 1 6.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
❑ Approved,NOT Released: Date:
Notes:
Revisions (after Building Submittal only) eo?'1)7b"\- \(
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant: p/
Revision Notice 3: Date Sent to Applicant: kA ' 17
‘-'14w4,
DC Fees Entered: Wash Co Trans Dev Tax: li ❑ N/A ,�VA\(� �U �
Tigard Trans SDC: ��� Yes ❑ N/A s� f 0-,
Parks SDC: 'Yes ❑ N/A g, A7,
OK to Issue Permit U��
Approved by Permit Coordinator: Date: r Zk
I:\Building\Forms\BldgPermitRvw_COM NoLandUse_070915.docx
_ 1
Record View Detail Portlet Page 1 of 1
Record ID:BUP2017-00124
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Case# Opened Date Case Status Type
,BUP2017-00124
05/17/2017 ��` Ready to Issue Building/Com/Building/N/
Project Name
Spec Space
Description *
Landlord work prior to TI: Demolition, new interior walls,restrooms,and new storefront door.
check spelling
Total Invoiced Total Paid Balance Assigned to Department Current DepartmentAssigned to Staff Curren
;34,363.27 j[1,504.07 i132,859.20
--Select-- v1 --Select-- V
Short Notes
https://ay.accela.com/portlets/cap/capDetail.do?mode=view&isRedirect=false&module=Bui... 6/6/2017
2106 Pacific Avenue,Suite 300
W l l Tacoma,WA 98402
T(253)627-4367
Date: 05.15.17 From: KATHRYN JERKOVICH
To: CITY OF TIGARD X Transmittal (mail/cover)
13125 SW HALL BLVD Transmittal (hand delivery)
TIGARD, OR 97223
E-mail
X Phone: 503.718.2439
Fax:
Attn: BUILDING PERMIT CENTER 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 11.16.16 1 BUILDING PERMIT APPLICATION
3 11.16.16 2 ARCHITECTURAL AND STRUCTURAL PERMIT DRAWINGS
1 11.16.16 3 CHECK IN THE AMOUNT OF$1504.07
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 portion of the architectural scope of
work for the Suite 110, Outbuilding 1/Please let me know if you have questions or need additional
information.
Copy to:
If enclosures are not as noted, kindly notify us at once.
SIGNED: KATHRYN JERKOVICH
BCRADESIGN.COM
40t illeoPuso-
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
7700 SW DARTMOUTH ST 110, TIGARD, February 21 , 2018 at
OR, 97223 10:48:12 AM
Record Type: Record ID:
Commercial - Building BUP2017-00124
Inspection Type: Inspector:
299 Final inspection Chip Barnett
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor