Permit (145) CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2018-00029
TE GA RD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/17/2018
Parcel: 1 S 136DB00201
Jurisdiction: Tigard
Site address: 11565 SW PACIFIC HWY
Project: FRED MEYER Subdivision: None Lot: None
Project Description: TI for existing tenant:Relocating pharmacy, relocating apparel,and increasing food and refrigerated cases.
Contractor: CURT FAUS CORP Owner: FRED MEYER STORES INC
5775 JEAN RD STE 105 STORE#375
LAKE OSWEGO, OF 97035 1014 VINE ST
PROPERTY TAX 7TH FLOOR
CINCINNATI, OH 45202
PHONE: 503-699-1103 PHONE:
FAX:
Specifics: FEES
Type Date Amount
of Use: COM
Permit Fee-Additions,Alterations, 04/17/2018 $4,539.95
Class of Work: ALT Type of Const: VB
Demolition
Occupancy Grp: M Occupancy Load: 451
Dwelling Units: 0 12%State Surcharge-Building 04/17/2018 $544.79
Plan Review 02/26/2018 $2,950.97
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 04/17/2018
Bedrooms: 0 Bathrooms: 0 $361.00
Info Process/Archiving-Lg$2.00(over 04/17/2018 $214.00
Value: $700,000
11x17)
Metro Const.Excise Tax 04/17/2018 $840.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $9,450.71
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: „An
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
COMMeitial1
11Y1E4FOR OFFICE USE ONLY
City of Tigard Received of X IT ,m_
1111 Date/By: Permit No.: Q/i Q•-yx)Gly
° 13125 SW Hall Blvd.,Tigard,OR 97223 (J 4/4: 0 j) lr`
C QQPlan Review
Phone: 503.718.2439 Fax: 503.598.1960 el6 v U Date/By: _.,4--.—.j an--`4 Other Permit:
T I GA R D Inspection Line: 503.639.4175 C Date Ready/By: Juris: ® See Page 2 for
Internet www.tigard-or.gov ��y r� Supplemental Information
)���lb �hfie ethod Supplemen a
r ,r ` Ca4i14.----' ''t:11,2 IO 4rr t r n t _ .f4s , - �
12 New construction ❑ . ', LonPermit fees*
are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the
, P" 0-
P s R" 1 i f�� at work indicated on this application.
❑ 1-and 2-family dwelling ®Commercial/industrial Valuation: $
❑Accessory building 0 Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
� ` ° Total number of floors:4,4vszt ugoat i - v '
Job site address:11565 SW Pacific Highway New dwelling area: square feet
City/State/ZIP:Tigard,Oregon,97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Fred Meyer 00375 Covered porch area: square feet
Cross street/directions
to job site:Highway 99 and 72°i Ave. Deck area: square feet
(100-1 C7 �-' /h/Hgh14
C> --f c. srd, 14-, S7--4,_ Other structure area:
square feet
�tar4 10it ry - frV4e41 ft is c i-i,i '-r . QU"tii*'DA,*-o1Lm '�c L4 E-1ECkiIST'
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.:1S136DB00201 Indicate the value(rounded to the nearest dollar)of all
�; �a " y equipment,materials,labor,overhead,and the profit for the
Y= .�;I 4 .'' �' *tucR 't"Iwt 1 0I- 6 r:; :h ` - work indicated on this application.
1 Interior remodel:relocate pharmacy,relocate and reduce apparel,increase food Valuation: $700,000.00
and refrigerated cases. Existing building area: 142,934 square feet
New building area: 0 square feet
�x
' i „� gsa CJ T] II .,; Number of stories: 1
Name:Fred Meyer Stores,Inc
Type of construction: VB
Address:3800 SE 22nd Avenue Occupancy groups:
' , City/State/ZIP:Portland,Oregon,97202
Existing: M,A2,A3, B, Fl,S2
I Phone:(503)797-3519 Fax ( )
New: unchanged
` 114.; " ®1 «.� g _ ° ':0 AcO1v
"x BIJII:.D °Pi� '�1i11 Itl� 0
'�Sy 4 I� .* 7„ 4
Business name:ArchiTrout Design&Architecture
' , r tPt efer°{i+:Y Iil lrrt '._,;
Contact name:Randy Trout Structural plan review fee(or deposit): $2,950.97 i ✓�
Address:12558 SW Autumnview Street FLS plan review fee(if applicable):
City/State/ZIP:Tigard,Oregon,97224 Total fees due upon application:
Phone:(503)329-7448 Fax::( ) Amount received:
E-mail:randy@architrout.com
' PFHOTQVOurAI�SOEAIh ANF> RYSTE -FI ES*
, y , ,,'). e W .. x _ i, r M, v Commercial and residential prescriptive installation of
'' *�, '' "` 1LI" 4W . z WA ' ,[W rt roof-top mounted Photo Voltaic Solar Panel System.
Business name:TBD (,_u g. e!_S C cle 13 Submit two(2)sets of roof plan with connection details
Address: jN � .c..-& /OS— and fire department access,along with the 2010 Oregon
Solar Installation Specialty Code checklist.
City/State/ZIP: g- - OS ic/E�----6 072.- 9 7,03-5' Permit fee(includes plan review
Phone: 7) 6 e 9 /t-6 3 Fax:( ) and administrative fees): $0.00
State surcharge(12%of permit fee): $00.00
CCB lie.: ` L6 9 775- —
Li
fee due upon application: $00.00
Authorized signature: „....,A5( This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:Randy Trout Date:2.26.2018 * Fee methodology set by Tri-County Building Industry
Service Board.
I:\Building\Permits\BOP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
1111111
City of Tigard
v COMMUNITY DEVELOPMENT DEPARTMENT
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: eitAi E(- ;, y
Site Address: 1 15( S , Ai R46-ri� .t-viivl Suite/Bldg#:
Project Name:
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: +_
Existing Business Activity: 12 'i i
Proposed Business Activity: ,- _ — (roc,hot n
Verify site address/suite#exists and active in permit system.
A River Terrace Neighborhood: ❑ Yes _)St No
Zoning: C--C
Permitted Use: . Yes ❑ No ❑ Spec Space
►%1 Confirm no land use required.
r
IBusiness License:
Exists: Yes ❑ No,applicant notified to obtain business license
Notes:
Approved by Planning: - u' �ie"L
2 - Date: 2-12k° lib
Revisions (after Building Submittal only) Reviewer
Revision 1: Date
❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: 2/26/13'
Site Plans: #
Building Plans: #
Building Permit#: nter building permit#above.
Workflow Routing: 'armingt Coordinator ®—B' g
Workflow Sign-off:
o or Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician:
111' Date: ,��f�,�1�.
I:\Building\Forms\B1dgPennitRvw COM_NoLandUse 060116.docx
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:
Wash Co Trans Dev Tax: ❑ Yes
SDC Fees Entered: /A
Tigard Trans SDC: ❑ Yes , N/A
Parks SDC: ❑ Yes( 41' ®'N/A
OK to Issue Permit
Approved by Permit Coordinator:
(Date: 3N11----
I:\Building\Forms\BldgPernutRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
11565 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00029
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor