Permit CITY OF TIGARD BUILDING PERMIT
1111
COMMUNITY DEVELOPMENT Permit#: BUP2018-00153
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 06/19/2018
T I t;; I<.t: g Parcel: 2S103DD01100
Jurisdiction: Tigard
Site address: 13939 SW PACIFIC HWY
Project: Walgreens Subdivision: None Lot: None
Project Description: Landlord work for interior alteration to convert stock space into shell for future clinic by outside tenant. Includes
removal of existing training room to provide expanded stock space.
Contractor: BNK CONSTRUCTION INC Owner: WALGREEN CO#5780
45 82ND DR, SUITE 53B PO BOX 901
GLADSTONE, OR 97027 DEERFIELD, IL 60015
PHONE: 503-557-0866 PHONE:
FAX: 503-557-1085
Specifics: FEES
Description Date Amount
Type of Use: COM Permit Fee-Additions,Alterations, 06/13/2018 $1,030.65
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: M Occupancy Load: 6 12%State Surcharge-Building 06/13/2018 $123.68
Dwelling Units: 0 Plan Review 05/17/2018 $669.92
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 06/13/2018 $226.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 06/13/2018 $412.26
Value: $90,000 Info Process/Archiving-Lg$2.00(over 06/13/2018 $18.00
11x17)
Info Process/Archiving-Sm$0.50(up to 06/13/2018 $100.00
Floor Areas: 11x17)
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,580.51
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: ytee - Permi a 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
Commercial -.91 �IV FOR OFFICE USE ONLY
City of TigardIII Date/ReceiBy:�d . '7 / r+ Permit No.04 r ✓ /5�
13125 SW Hall Blvd.,Tigard,OR 97223 1 6° `Z01U y w �� � �J�
= 1 Plan Revielvt t
Phone: 503.718.2439 Fax: 503.598.1960M�� {� Date By: v ����J ) Other Permit:
TIGARD Inspection Line: 503.639.4175 1G��11 Date Ready/By: loris 0 See Page 2 for
Internet: www.tigard-or.gov �('� •Q� 1 {Notifled/Method-0(t� �'� Supplemental Information
invisiti
TYPE OF REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees* are based on the value of the work performed.
Indicate the value(rotnded 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.
❑ I-and 2-family dwelling ®Commercial/industrial Valuation: $
ElAccessory building El Multi-family Number of bedrooms:
❑Master builder illOther: Number of bathrooms:
1_1959 JOB SITE+ INFORMATION AND LOCATION Total number of floors:
Job site address:1-393119SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Walgreens Providence HCC Covered porch area square feet
Cross street/directions to job site:Intersection of Pacific Hwy&Gaarde St 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.: Indicate the value(rotnded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Interior alteration to convert Stock space into shell for future clinic by Valuation: $90,000.00
others. Also removal of existing Training Room to provide expanded Stock space. Existing building area exist square feet
New building area: 526 square feet
lEg PROPERTY OWNER 0 TENANT Number of stories: 1
Name:Walgreen Co Type of construction: V-B
Address:106 Wilmot Rd,MS 1620 Occupancy groups:
City/State/ZIP:Deerfield,IL 60015 Existing: M
Phone:(847)315-4717 Fax:( )
New: M
El APPLICANT El CONTACT PERSON BUILDING PERMIT FEES*
Business name:RSP Architects,Ltd. (Please refer tofee schedule)
Structural plan review fee(or deposit):
Contact name:Kim Larsen,project representative
FLS plan review fee(if applicable):
Address:1220 Marshall St NE
City/State/ZIP:Minneapolis,MN 55413 Total fees due upon application:
Phone:(612)677-7392 Fax: :(612)677-7499 Amount received:
E-mail:kim.larsen@rsparch.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
C1> CT , roof-top mounted PhotoVoltaic Solar Panel System.
/ , Submit two(2)sets of roof plan with connection details
Business name:
'ft,
�h ,� urie) \ and fire department access,along with the 2010 Oregon
L, t2
Address: � Solar Installation Specialty Code checklist.
City/State/ZIP: zds.konl, o, q x.' �-y Permit fee(includes plan review $180.00
< and administrative fees :
Phone:6-4:$) 5--C-7 0566 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB lic.:00755'6' V Total fee due upon application: $201.60
Authorized signature: �i�f.���� This permit application expires if a permit is not obtained
��� within 180 days after it has been accepted as complete.
Print name:Kim Larsen Date:9-4 S • te3t *
,l * Fee methodology set by Tri-County Building Industry
S { Service Board.
I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(1 I/02/COM/WEB)
City of Tigard
111 COMMUNITY DEVELOPMENT DEPARTMENT
■
TICARD Building Permit Review — Commercial - No Land Use
Building Permit #: 6(#2,20/e- 6:704-
Site Address: / .�9 ,a/L) ,D.,,,,--, ,,, Jv____, Suite/Bldg#:
Project Name: 4.J / g
(Name qjommercial business occupying the space. If vacant,enter Spec Space.)
Planning Review / Q
Proposal: 7y, J dD1-nuic/ , GC/J%D.rnt a 90 r-,i
Existing Business Activity: k ,9n d' reLl l
Prop sed Business Activity: 1/ // /1
Verify site address/suite# exists and active in permit syste
1 11 :,fiver Terrace Neighborhood: CI Yes No
V oning:
Fr rmitted Use: CI No ID Spec Space
1nfirm no land use required.
VJ Business License:
Exists: Yes ❑ No,applicant notified to obtain business license
l. i
Notes: // in) &A.z1i/i^P i vg C"ri oi, 4• -C ^ / .: 1 1 _!
-, "4111111111.111.1111111.1
_ >
Approved by Planning: -- Date: ' ,3)6
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved El Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: . /l(v/ror".
Site Plans: # q
Building Plans: #
Building Permit#: 0.–Enter building permit#above.
Workflow Routing: Manning [-Permit Coordinator LBuilding
Workflow Sign-off: ,Sign-off for Planning(include notes from planning review)
Route Application Documents: J-Building: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: / fie_ Date: .S/l11- '
I:\Building\Fonns\B1dgPermitRvw_COM_NoLandUse_060116.docx
Permit Coordinator Review
❑ Conditions "Met"prior to issuance of building permit
0 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: 0 Yes a /A
Tigard Trans SDC: 0 Yes =-_ N/A
Parks SDC: 0 Yes :. N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: / / C5
I:\Building\Fonns\BldgPennitRvw_COM NoLandUse 070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13939 SW PACIFIC HWY, TIGARD, OR, 97223
Record Type: Record ID:
Commercial - Building BUP2018-00153
Inspection Type: Inspector:
275 Framing Jeff Grove
Result:
PART
Comments:
Ok with plumbing, mech and electrical approvals
Violation Summary:
Inspector Contractor