Permit CITY OF TIGARD BUILDING PERMIT
I COMMUNITY DEVELOPMENT Permit #: BUP2013 00129
Date Issued: 06/27/2013
TIGARD 13125 SW Hat Blvd , Tigard OR 97223 503 718.2439 Parcel: 2S110DCO2200
Jurisdiction: Tigard
Site address: 15570 SW PACIFIC HWY
Project: Safeway Subdivision: 1997 -016 PARTITION PLAT Lot: 2
Project Description: Pharmacy department alterations
•
Contractor: KENDALL CONSTRUCTION Owner: TRC MM LLC
PO BOX 550 5973 AVENIDA ENCINAS STE 300
TROUTDALE, OR 97060 CARLSBAD, CA 92008
PHONE: 503 - 665 -5047 PHONE.
FAX• 503 - 661 -3577
•
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB Permit Fee - Additions, Alterations, 06/27/2013 $509 05
Demolition
Occupancy Grp: M Occupancy Load: 12% State Surcharge - Building 06/27/2013 $61 09
Dwelling Units: 0 Plan Review 05/28/2013 $330.88
Stories: 0 Height: 0 ft Plan Review - Fire Life Safety 05/28/2013 $203.62
Bedrooms: 0 Bathrooms: 0 DC Provision Review, COM TI - Ping 06/27/2013 $67 00
Value: $30,000 DC Provision Review, COM TI - LRP 06/27/2013 $10 00
Info Process /Archiving - Sm $0.50 (up to 06/27/2013 $9.00
11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport 0
Covered Porch 0
Deck: 0
Garage: 0
Mezzanine. 0
Total $1,190.64
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 rf 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: /���� ^ '+ Permittee Signature: 4
Call 503.639.4175 by 7:00 a.m. for the next available inspec Ion 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.
II Permit Application
Commercial El
FOR OFFICE USE ONLY
�; Received 2-24 13 City of Tigar Date/By !b Permit No 6 pp 66 , a q
1, q 13125 SW Hall Blvd., Tigard, OR '7." Plan DateBRevie y ���
7 Phone: 503.718.2439 Fax: 503.598. Other Permit
l9¢Q � / � cl 2013
T t G A R ll Inspection Line: 503.639.4175 �JI Q I U Date Ready/By: / tuns ® See Page 2 for
Internet: www.tigard - gov ® Notified/Method tp o� 6 / Supplemental Information
CITY OF T_I���
TYPE 0 r., c J G tJW �S a0�� U1RED DATA:1- AND 2- FAMILY DWELLING
❑ New construction ❑ 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.
❑ I- and 2- family dwelling ® Commercial /industrial Valuation: $
El Accessory building ❑ Multi - family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 15570 SW Pacific Hwy New dwelling area: square feet
City /State /ZIP: Tigard, OR 97223 Garage /carport area: square feet
Suite/bldg. /apt. no.: Project name: Safeway #1478 Covered porch area: square feet
Cross street/directions to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Pharmacy department alteration to revise current layout Valuation: $$30,000.00
Center of store revision to layout Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Safeway, Inc Type of construction:
Address: P.O. Box 1564 Occupancy groups:
City /State /ZIP: Clackamas, OR 97015 Existing:
Phone: (503)5574140 Fax: (503)6576496 New:
® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
Business name: Kendall Construction, Inc. (Please refer ro fee schedule)
Structural plan review fee (or deposit):
Contact name: Jaime Craun
FLS plan review fee (if applicable):
Address: P.O. Box 550
City /State /ZIP: Troutdale, OR 97060 Total fees due upon application:
Phone: (503) 6655047 I Fax: : (503) 6613577 Amount received `] y7j • 50
E -mail: jaimecraun @kendallconstruction.com PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof -top mounted PhotoVoltaic Solar Panel Syste .
Business name: Same as applicant Submit two (2) sets . roof plan with corm • .etails
and fire department acc -.s, along w' • . e 2010 Oregon
Address: Solar Installation Special o. checklist.
City/State /ZIP: Permit fee (include . a -view $180.00
and a• • istrative fe- :
Phone: ( ) Fax: ( ) State surcharge 2% of permit fee): $21.60
CCB lie.: 29680 ( (aKi/ 3 Total fee sue upon application: $201.60
Authorized signature: I This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Jaime Craun I ;/ Date: 5.24.13 * Fee methodology set by Tri- County Building Industry
Service Board.
L\Buildmg\Permits\BUP -COM PermitApp.• 02/24/2011 440- 4613T(I1 /02 /COM/WEB)
• .-v • 11111 B uilding Division
° . Development Code Provision Review
T I G A fz D Commercial Projects - No Associated Land Use Case
Building Permit No: ?J LA. P a2oi --DD /2-5 ❑ Expedited Review
Project Name: o- , ' iv _ &
1 1 . 44 , eo�,o,��
Site Address: Sr S 7o .. 4 - 1 • •_ _ _ Suite /Bldg #:
Plans Routed:
Original Plan Submittal Date: ,6 1/ 3 Routed By: C
1St Revision Submittal Date: Routed By:
2nd Revision Submittal Date: Routed By:
To the Applicant:
➢ If the proposed use is not permitted within the zone, please contact the Building Division to cancel
the permit application. Building Permit Technicians (503) 718 -2439.
➢ If a land use is required and for all other questions, please contact the staff person listed above the
Planning Review section.
Staff: please check items along left only if approved.
Planning Review (contact Ch evy I eAtein at (503) 718- 0?4 or Cinery /c. @tigard- or.gov)
Proposal: , 1-k • or r e M v 4 Qi op -ei'i s4; n 5 pha.r•+ -, o•c1 ek r'C a- '1 .1
Sac-etJai cp- 0cert,t .
Zoning C — C
Permitted Use Yes VSI No ❑
Land Use Required: Yes ❑ No 0
Notes:
g Approved ❑ Not Approved ❑ DCPR Not Required — No DCPR Fees Due
Date Routed to Building: a 9/ L.3
1: \CURPLN\Masters\Development Code Provision RevievADCPR_COM NoLandUse.doc Rev. 01/16/13