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Permit CITY OF TIGARD rgcir 1 BUILDING PERMIT COMMUNITY DEVELOPMENT v/9 �0 Permit#: BUP2019-00265 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2019 Parcel: 1 S136DB00201 Jurisdiction: Tigard Site address: 11577 SW PACIFIC HWY Project: Bridgetown Optical Subdivision: None Lot: None Project Description: TI for new tenant:Adding non-load bearing walls and a new ADA restroom. 2/19/2020: REPRINT permit to change contractor. Contractor: ASA CONSTRUCTION LLC Owner: FRED MEYER STORES INC 12572 BOONES FERRY RD STORE#375 LAKE OSWEGO, OR 97035 1014 VINE ST PROPERTY TAX 7TH FLOOR CINCINNATI, OH 45202 PHONE: 503-913-3383 PHONE: FAX: Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VB Plan Review 12/15/2019 $366.70 Occupancy Grp: B Occupancy Load: 12 Misc Administration Fee 02/19/2020 $45.00 Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: • 0 Bathrooms: 0 value: $35,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $411.70 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 Notifi . '.n 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 calli • 50 232.1987• ::0.332.2344. ////� Issued By: t�/��� � Permittee Signature: �`1 G/ Call 503.639.4175 by 7:00 a.m.for the next available irate. This permit card shall be kept in a conspicuous place on the job site unti Motion 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 RECEIVED Received City of Tigard ?� 'etmit N • p DDate/Ete2 �9 _ �, r /p a�J/ /DG.'Z II 'l 13125 SW Hall Blvd.,Tigard,OR 97223 y Plan Review 2 . Phone: 503-718-2439 Fax: 503-598-1960EEB 1 9 2O2O DateB : Related Permit T 1 G A IL O Inspection Line: 503-639-4175 _ Date Ready/By: runs: RI See Page 2 for Internet: www.tigard-or.gov CITY OF I IGARD Notified/Method: Supplemental Information 1?I ill niHr li'.ij•^I(l i TYPE.OF WORK REQUIRED DATA:t-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 ❑X Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the CATEGORY FGORY OF CONSTRUCTION work indicated on this application. ❑ I-and 2-family dwelling ❑X Commercial,industrial Valuation: $ 0 Accessory building El Multi-familyNumber of bedrooms: ID Master builder El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 11577 SW Pacific Hwy. New dwelling area: square feet City/State/ZIP: Tigard,OR 97223 Garage/carport area: square feet Suite/bldg./apt.#: Project name: Bridgtown Optical Covered porch area: square feet Cross street/directions to job site: Tigard Fred Meyer Deck area: square feet Other structure area: square feet REQUIRED DA ' .(:OMMERCIAL-USE CHECKLIST Subdivision: Lot#: Permit fees*arc based on the value of the work performed. Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the _ , L DESCRIPTION OF WORK work indicated on this application. Add non load-bearing walls,new ADA restroom. Valuation: $ 35,000 C6'-cf6E CCA/j�74-e-L — -ram 4 -1 Existing building area: 1,346 square feet New building area: 1,346 square feet ❑ PROPERTY OWNER ® TENANT Number of stories: 1 Name: Bridgtown Optical Micheal Olma email:olma7930@pacificu.edu Type of construction: V-B Sprinkled Address: 1 1577 SW Pacific Hwy. Occupancy groups: City/State/ZIP: Tigard,OR 97223 Existing: B Phone:( ) Fax:( ) New: B ®-APPLICANT E CONTACT PERSON BUILDING PERMIT FF.F.S* Business name: Obsidian Design,LLC (Please refer to fee schedule Structural plan review fee(or deposit): Contact name: Chelsea Rodgers FLS plan review fee(if applicable): Address: 5921 SE Cedar St. City/State/ZIP: Milwaukie,OR 97222 Total fees due upon application: Phone:( 503)539-3657 Fax: :( ) Amount received: E-mail: obsidiandesignpdx@gmail.corn PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System. Business name: Justin Dawson-ASA Construction Corp. Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 408 Beavercreek Road STE 417 Solar Installation Specialty Code checklist. City/State/ZIP: Oregon City,OR 97045 Permit fee(includes plan review $180.00 and administrative fees): Phone:( 503)303-0508 Fax:( ) State surcharge(12%of permit fee): $21.60 CCB Lic.: 221391 Total fee due upon application: $201.60 Authorized signature: � This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Chelsea Ro s Date: 02/18/20 * Fee methodology set by Tri-County Building Industry Service Board. I:1Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) 74 CITY OF TIGARD BUILDING PERMIT ;' COMMUNITY DEVELOPMENT Permit#: BUP2019-00265 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 12/19/2019 TIGARD Parcel: 1S136DB00201 Jurisdiction: Tigard Site address: 11577 SW PACIFIC HWY Project: Bridgetown Optical Subdivision: None Lot: None Project Description: TI for new tenant:Adding non-load bearing walls and a new ADA restroom. Contractor: INTERWORKS LLC Owner: FRED MEYER STORES INC 114 NE 7TH ST STORE#375 PORTLAND, OR 97232 1014 VINE ST PROPERTY TAX 7TH FLOOR CINCINNATI, OH 45202 PHONE: 503-233-3500 PHONE: FAX: 503-233-1383 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: VBPlan Review 12/15/2019 $366.70 Occupancy Grp: B Occupancy Load: 12 Dwelling Units: 0 Stories: 0 Height: 0 ft Bedrooms: 0 Bathrooms: 0 Value: $35,000 Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $366.70 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 -nter. 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 50 X` 2. s:• or 1.800.332.2344. Issued By: � -e 'tee 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. r - Building Permit Application Commercial FOR OFFICE USE ONLY ` RECEIVE . Received City of TigardDatePent,itNo.: ---° 13125 SW Hall Blvd.,Tigard.OR 97223 Plan Res /7 CC '- ,fa0�1 Phone: Fax: sO.,x98-1960 SEP 17iG01R� Date/By 1evv • 31 / ( Related Permit. � `� Im,ection i ins s(7{6,9 4175 Reads Bs ` GARI) CiTY OF / E] See I , e 2 torn 6 Internet: t‘ttw tigard Or.gov BUILDING D��IS�O,. .,fied�vletho,' /, /5 ,Or Supplemental Information ( TYPE OF )YORK / REQUIRED DATA:I-AND 2-FAMILY DWF.LLING 1 ❑New construction ❑Demolition Permit fees*are based on the value of the work peformed. ' C — Indicate the value(rounded to the nearest dollar)of all 74Addition/alteratiunirepiacement ❑Other: equipment,materials,labor,overhead,and the profit for the C\i FGORY OF (ONS'FRUCTION work indicated on this application. ❑ I and 2-family dwelling Commercial/industrial Valuation: S -F1 ,Assessor' building ❑Multi-family Number of bedrooms: • builder Number of bathrooms: 3 �❑Master ❑Other: JOB SITE INFORMATION AND LOCA'T'ION Total number of floors: •+ •1-I.- /�7 7 5 T A1C�cc . ilk,'� • New dt,elii,, ea •'!. T(9 Ztro( , OR. 91 2-2-- 3 ' Garage/carport square.'.tc. Suh, hid Tint d: , Project name: Zrt til' 'A 'vrl-,c_rt( . Covered porch area: square tees r-Cross street/directionsto job site:C �-/ " Deck area: square feet I- 53 l P actt (-1,c-(-1,c- LrV 4 S� 1 2 a Other structure area: square feet Y REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subuicision. Lot#: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all fax map/parcel#: equipment,materials,labor,Overhead,and the profit for the DF:SCRII'TION OF WORK work indicated on this application. Valuation: S . ____Am trioti l ozd (p e -� CKaGI itie t,..+ __ = — b Existingbuildingarea: square feet �(' Q� e �rroov>t1 1' 1 New building area: / 3` �b square beet PROPERTY OWNER XTENANT Number of stories: 7 S I-`'t,'.13r, �wn ��,��.( M�ckc � l �1 w.a T.peof construction: v F3 - _-- ,x Address: I i 77 !J'w 'Pac-i Cie..` ('i W y Occupancy groups: City/State/'LIP ','.�� ` --._. --- - 1 1 aro 4, 0R, - _—ri_2_2,3 � Existing: pjgat ES rIPhone.( ) Fax:( ) New: . X:1€'PI APPLICANT 0 CONTACT PERSONBUILDING _� $til D1NG PEl2J1I'1 i Li 5" (/lc rice refer to lite eche du/e) ppyy -- — IJYJ S 1(�I AA, �1q`7 L.LC► '`� ( - - J ( Structural plan reNtctt tee(or deposit). C. (St-4. [ OCI tx 5' -- — r FLS plan review fee(it applicable): 1 CIN_ciAddress: `�2J__� _. cd r __._ �-.-______-_-- — —_-- Total fees duet. on application. , 6.-70 © i City/Statc/LIP Ms% W a.t c(c t i OZ q i 2?2 P pt G 3o3 539—3G 3 7 t Amount received: Phone:( Fax: :( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* -mail: TA, sic(lkVldesilti pd?4 e 5 VK4t11 • (-OV✓► I{ ,J Commercial and residential prescriptive installation of C' Nil ACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name:--c- k--t rl-ItiJ01r Submit two(2)sets of roof plan with connection details and tire department access,along with the 2010 Oregon ' Q 1 41.- � �__. -�_— j Solar"Fisica/anon fee(includes ye review list. City/State/ZIP:itt/St ate/LIP Permit fee mcludcs Ian review �ft,✓1-1 `�3 �ls000 Phone.503 123 3-3 goof Fax:( ) State surcharge(12°%of permit fee): $21.60 .Ctitr . 9 S 6,ss , ----_ Total fee due upon application: I $201.60 _uGuai� d Sign' This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. q�� 7t n Ptdin,( , �;.��(u��crMc �OrrC�'S 11 Date/ /7 J Fee methodoiogv set by T illi Service Board 1\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB) .« City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT litAccessibility: Barrier Removal Improvement Plan Commercial & Multi-Family - Additions or Alterations 10 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • ctic v,. . c L) car. ;c3a REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241. (1) Evers project for renovation,alteration or modification to affected buildings and related facilities shall be made to insure that the path of travel to the altered area and the resnoom, telephones and drinking fountains are readily accessible to individuals with disabilities unless such alterations are disproportionate to the overall alterations in terms of cost and scope. (2) Alterations made to the path of travel to an altered area may be deemed disproportionate to the overall alteration when the cost exceeds twenty-five percent(254-t0). VALUATION: Total of all renovation,alteration or modification being done, �j excluding painting and wallpapering: [11 S .3 �(;0 MULTIPLIER(25%barrier removal requirement): x x-25 TOTAL BUDGET FOR BARRIER REMOVAL: [21 S 7 5 b ELEMENTS: ill eh,;t, 11. ,-loch accessible elements to provide under this sret)i,a.p., :;t, .. HI .1"t to those elements that will provide the greatest access. Elements shall he provided *1-:• following order: (a) Parking S (b) An accessible entrance: S (c) \.n accessible route to the altered area: S (d) At least one accessible restroom for each sex or a single unisex e- r 757) resit(a)n1: / (e) Aceessible telephones: S (t) _Accessible drinking fountains:and, S (g) A\hen possible,additional accessible elements such as storage and alarms: S TOTAL(shall equal line [2] of Valuation Computation): S I:ABuilding\Permits\BUP_C(>1A1_Pcrmit.App.duc Rev.(13/95/2019 City of Tigard ' COMMUNITY DEVELOPMENT DEPARTMENT :1111 1111 T1cARo Building Permit Review — Commercial - No Land Use Building Permit #: I9GIP j Site Address: i 1 S 11 S f2U C k c Hvv'1 Suite/Bldg#: Project Name: (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review Proposal: _ cock_ ✓1 O n - ( a U cL to-e v\\ int CLL(S �11>P S 11'190 rNn Existing Business Activity: Proposed Business Activity: (�'fi .A.,,, 7 Verify site address/suite# exists and active in permit system. pRiver Terrace Neighborhood: ❑ Yes t No Zoning: Ci( �I Permitted Use: VI Yes ❑ No ❑ Spec Space Zi Confirm no land use required. tEi Business License: Exists: ❑ Yes ❑ No,applicant notified to obtain business license Notes: Approved by Planning: 1\1,, Date: q/ /7 / 9 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: / ' Site Plans: # A Building Plans: # Building Permit#: :: nter building permit#above. Workflow Routing: [ —P1a rIing Permit Coordinator Ceding Workflow Sign-off: [ Sign-off for Planning(include notes from planning review) Route Application Documents: 13-- tiding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: S Date: ` //tel/i ti I:\Building\Forms\B1dgPermitRvw_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: Re ' ' n Notice 3: Date Sent to Applicant: il SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes p/A Tigard Trans SDC: ❑ Yes Parks SDC: ❑ Yes C N/A OK to Issue Permit 2%� l Approved by Permit Coordinator: atelia/ I I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_070915.docx