Permit (99) CITY OF TIGARD BUILDING PERMIT
"` d' COMMUNITY DEVELOPMENT Permit#: BUP2017-00270
"`` 7777
Date Issued: 10/05/2017
TIGARD 13125 SW Hall 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: TI for existing tenant:Demolishing existing Starbucks coffee kiosk and installing a new prefabricated Starbucks
coffee kiosk at new location within store.
Contractor: KENDALL CONSTRUCTION Owner: ROIC OREGON LLC
PO BOX 550 ATTN: SCHOEBEL, RICHARD
TROUTDALE, OR 97060 8905 TOWN CENTRE DR, STE 108
SAN DIEGO, CA 92122
PHONE: 503-665-5047 PHONE:
FAX: 503-661-3577
FEES
Specifics:
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: IIIB DC Provision Review,COM TI-Ping 10/05/2017 $361.00
Occupancy Grp: M Occupancy Load: Permit Fee-Additions,Alterations, 10/05/2017 $2,162.95
Demolition
Dwelling Units: 0 12%State Surcharge-Building 10/05/2017 $259.55
Stories: 1 Height: 0 ft Plan Review 10/05/2017 $1,405.92
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/05/2017 $865.18
Value: $275,000 Info Process/Archiving-Lg$2.00(over 10/05/2017 $16.00
11x17)
Metro Const. Excise Tax 10/05/2017 $330.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $5,400.60
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 503.232.1987 or 1.800.332.2344.
Issued By: permittee S =� r
, fir
all 503.639.4175 by 7:00 a.m.for the next available inspec io . .
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 _ FOR OFFICE USE ONLY
h i "'. ,e Received
City of Tigard '-'I Date/B : (� � Permit No.: .
rr
I. a� �
a 13125 SW Hall Blvd.,Tigard,OR 97223Plan Ry edtew- A.
■: Phone: 503.718.2439 Fax: 503.598.1960 OCT 2017 DateB Other Permit
a
TI C A R D Inspection Line: 503.639.4175 Date Rea. y: ® See Page 2 for
Internet: www.tigard-or.gov 1 yq a I p;, 1a ,p Notified/Method: l 7 F, Supplemental Information
."t�"I 1��
❑New construction ❑Demolitionµ 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
work indicated on this application.
pRt pw ' ? Valuation: $
❑ 1-and 2-family dwelling ®Commercial/industrial
Number of bedrooms:
ElAccessory building ❑Multi-family
CI Master builder CI Other:
Number of bathrooms:
mos. Total number of floors:
Job site address:15570 SW Pacific Hwy New dwelling area: square feet
City/State/ZIP:Tigard,OR 97224 Garage/carport area: square feet
Suite/bldg./apt.no.: Project name:Safeway Tenant Improvment Covered porch area: square feet
Cross street/directions to job site:SW Royalty Pkwy/15570 SW Pacific Hwy Deck area: square feet
Other structure area: square feet
R SFS o1 i 9
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.:2S110DCO2200 equipment,materials,labor,overhead,and the profit for the
tp I N o 4 = work indicated on this application.
Construct non load bearing partitions to create new customer service booth and Valuation: $275,000
E-commerce departments. Demolish existing Starbucks coffee kiosklnstall new Existing building area: 54140 square feet
Install new prefabricated Starbucks coffee kiosk at new location within store. New building area: 54140 square feet
i , � �� 4-'0,4
a Number of stories: 1
I �:_ , �� .._ ,. r � w. _ ;ate,... 66!_6 ,
Name:Safeway Type of construction: III B
Address: 16300 Evelyn Street Occupancy groups:
City/State/ZIP:Clackamas,OR 97015 Existing: M
Phone:(503)656-1461 Fax:( ) New: M
>t t CO ,C1 PE r �C i N TNS FE»
. . _ ... ,. m � refeaaw e Sehag1C ..,._ ., V.u
Business name:Lundin Cole Architects,PC
Structural plan review fee(or deposit):
Contact name:John Cole,Architect
FLS plan review fee(if applicable):
Address:1313 Belmont Street
Total fees due upon application:
City/State/ZIP:Portland,OR 97214
Amount received:
Phone:(503)241-3174 x 2 Fax::( ) ;.
E-mail:jcole@lundincole.com i OL YSTE EL
Commercial and residential prescriptive installation of
44-1'1'1;4'1.: 6 roof-topmounted PhotoVoltaic Solar Panel System.
Business name:Kendall Construction Inc. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address:5228 NE 158t''Avenue Solar Installation Specialty Code checklist.
City/State/ZIP:Troutdale,OR 97230 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(503)665-5047 Fax:(503)661-3577 State surcharge(12%of permit fee): $21.60
CCB lie.:29680 Total fee due upon application: $201.60
Authorized signator This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:John C.Cole Date:10/03/2017 * Fee methodology set by Tri-County Building Industry
Service Board.
I:ABuilding\Permits\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB)
City of Tigard • BUILDING DIVISION
11111 ' Over-The-Counter (OTC) Building & Fire Protection System Permit
T 1 c;A 1:n Appointment Checklist
Permit Record#: ` . A �c�W7CJ 1
Contact Name: NA/ CO0 LE-
Phone #:50 3-07 W-317Y
Business Name: Lipi✓cN (2._01,6— 47 # - eTE Appt. Date/Time: 4/1/7 /0 ,o-o n"i
Site Address: ,&S7p sI.-4J /✓y--e, c_ Bldg/Suite #:
Project Name: s —W - New Tenant? ❑ Yes ,F27No
Project Description: /ZELp e4- 57 a efe S /ed o,S/C.,
Existing Use: /Z6770971.-- New Use: ,—E-7-0,L
MMD Required: 0 Yes 2No Related Record#:
APPLICA`T'ION SPECIFIC INFORMATION
GENERAL INFORMATION
Class of Work: c(7- Occupancy Group: l� Type of Construction: 6�
Type of Use: (7Occupancy Load: --- Oregon Specialty Code:
SPECIFICS
Number of Stories: ( Building Height Mixed Use:
Number of Dw Units: Number of Bathrooms: Number of Bedrooms:
BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES
Story Square Footage: Accessory Structure: Covered Porch:
Basement: Garage: Deck:
Total Square Footage: Carport: Mezzanine:
SETBACKS
Sideyard Setback—Left Sideyard Setback—Front
Sideyard Setback—Right Sideyard Setback—Back
CONSTRUCTION
Exterior Walls: Openings Protected: Firewall Separation:
N: S: N: S: Occupancy Separation:
E. W: E: W: Access.Parking Spaces:
REQUIRED ITEMS
Fire Sprinklers: Fire Alarms: Smoke Detectors:
Sprinkler Type: Alarm Type: Protected Corridors:
Standpipe Required: Pull Stations Required: Parapet
Hazard Group: Battery Calcs Provided:
Density: Cut Sheets Provided:
Design Area:
K Factor:
Total Project Valuation: $a7 i' FEES
OVE$
,dap DC Prov Rvw,COM TI—Ping
$ 2 Permit Fee—Add,Alt,Demo
DC Provision Review Fee for COM TI(effective 7/1/2017) $ '_,„ip. 2%State Surcharge
Project Valuation
$ A �
Viiin an Review,Structural
Up to$4,999 $0.00 $ , _ Plan Review,Fire Life Safety
$5,000-$74,999 $91.00 $ •`wInfo Proc/Arch,Lg(over 11x17$2.00)
$75,000-$149,999 $226.00 $ .� Info Proc/Arch,Sm(up to 11x17$0.50)
$150,000 and over $361.00 $ cam ,elp Metro Construction Excise Tax
$ School Construction Excise Tax
$ Hourly Rate Fee
$ Hourly Rate State Surcharge
$ Misc.Admin Fee
$ Other:
Building Staff: $ Other:
Date/Time: $ �, TOTAL FEES DUE
I:\Building\Forms\OTC_BUP_FPS_070117.docx
City of Tigard
" COMMUNITY DEVELOPMENT DEPARTMENT
■
TIGARD Building Permit Review — Commercial - No Land Use
Building Permit #: 860,9‘,0/7-00 A-70
Site Address: I 5 510 S VAI Po, c,,, C.. uite/Bldg#:
Project Name: S CA Pew V U kj
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: I Z
Existing Business Activity: CA yr ( CA
Proposed Business Activity: W m -ril c _.
XVerify site address/suite#exists and active in permit system.
River Terrace Neighborhood: ❑ Yes ❑ No
Jd Zoning: C el
Permitted Use: ❑ Yes E No ❑ Spec Space
XConfirm no land use required.
Business License:
Exists: ❑ Yes ❑ No, applicant notified to obtain business license
Notes:
Approved by Planning: 0', Date: l o/5 /).7
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: 41/21;7
Site Plans: #
Building Plans: #
Building Permit#: ter building permit#above.
Workflow Routing: L ti ning ❑ Permit Coordinator ❑ Building
Workflow Sign-off: ❑ Sign-off for Planning(include notes from planning review)
Route Application Documents: E Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
I:\Building\Fonns\B1dgPermitRvw_COM_NoLandUse 070915.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:
❑ SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
1:\Building\Fonns\BldgPennitRvw_COM NoLandUse_070915.docx
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
15570 SW PACIFIC HWY, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Building BUP2017-00270
Inspection Type: Inspector:
299 Final inspection Jeff Grove
Result:
Scheduled
Comments:
Electrical and plumbing still open but final ok
Violation Summary:
Inspector Contractor