Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00068
T I(s A R D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 5/10/2021
Parcel: 1 S 136C D02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Wholesale Subdivision: PALMER ACRES Lot: 3
Project Description: 700 sq ft restroom remodel-work includes removal or replacement of all plumbing fixtures,finishes,accessories
with related plumbing,electrical and mechanical work.
Contractor: INTERSTATE CONSTRUCTION GROUP INC Owner: COSTCO WHOLESALE CORPORATION
437 29TH ST NE STE F PROPERTY TAX DEPT 111
PUYALLUP,WA 98372 999 LAKE DR
ISSAQUAH, WA 98027
PHONE: 253-435-0949 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 05/10/2021 $2,193.15
Occupancy Grp: M Occupancy Load: Demolition
12%State Surcharge-Building 05/10/2021 $263.18
Dwelling Units: 0 Plan Review 03/23/2021 $1,425.55
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/10/2021 $410.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/10/2021 $877.26
Value: $280,000 Info Process/Archiving-Lg$2.00(over 05/10/2021 $10.00
11x17)
Metro CET 05/10/2021 $336.00
Floor Areas: Tigard CET-Non-Residential-Admin 05/10/2021 $112.00
Total Area: 0 Tigard CET-Non-Residential-AN 05/10/2021 $2,688.00
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $8,315.14
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: Ho Vow De,We.�e Permittee Signature: OVl {{hh� can
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.f�r'
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 i
Commercial RECEIVED FOR OFFICE USE ONLY p
City of Tigard ReceivedDateiv 03 Z3 Z021 n Permit No.: �u O2C
" 13125 SW Hall Blvd.,Tigard,OR 97223 Id&(� 0 (, 2021 Plan Revie
' Phone: 503-718-2439 Fax: 503-598-1960 " ' ` Date/By: -� )(' a,) Related Permit:
TIGARD Inspection Line: 503-639-4175 Date Ready/By: /�- ur.s: ® See Page 2 for
�E�Y �Jr 6 i.,'*t1f'S tJ fitted/Method: l' Supplemental Information
o Internet: www.ti and-or. ov I PP
g g �;gll r�,nt�.�1`rt ��rl
TYPE OF WORK ,QUIRED DATA:1-AND 2-FAMILY DWELLING
E 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.
ElI-and 2-family dwelling ❑CommerciaUindustrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
❑ Master builder El Other:
Number of bathrooms: '
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 7850 SW DARTMOUTH New dwelling area: square feet
City/State/ZIP: TIGARD, OREGON 97223 Garage/carport area: square feet
Suite/bldg./apt.#: Project name:REETR TIGARD MEMBER
ESTOOM REFRESH Covered porch area: square feet
RR
Cross street/directions to job site:SW PACIFIC HWY Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
•
Subdivision: s,Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#:I5136c➢022 o o 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.
00 SQUARE FEET REMODEL OF EXISTING MEMBER RESTROOM IN A 145,824 SQUARE Valuation: $ 280,000
PAD' PTTTLNTNO cCnPF nF WORM TNC'T,mFC RRMOVAT, ANT] RFPLACFMFNT OF ALT.LUMBING FIXTURES, FINISHES, AND ACCESSORIES WITH RELATED PLUMBING, Existing building area: 145,824 square feet
T Fr'TATCAT. AND MFGHLNTr AT WOATC THFRF HRR NO r'NANOPS TQ FGRE_SS
New building area: square feet
�iJ PROPERTY OWNER El TENANT Number of stories: 1
Name: COSTCO WHOLESALE Type of construction: TYPE V-B
r
Address:
ICity/State 999 LAKE ➢RIVE Occupancy groups: MERCANTILE
/ZIP:I SSAQUAH, WA 98207 Existing:
Phone:( 1 Fax:( )
New:
44 ® APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES"
Business name:MG2 ARCHITECTURE CORPORATION (Please refer tnfee schedule)
Structural plan review fee(or deposit): /92S 5
Contact name: YANIE HUNG
FLS plan review fee(if applicable):
Address: 1101 SECOND AVE, STE 100
City/State/ZIP: SEATTLE, WA 98101 Total fees due upon application:
Amount received:
Phone:( 206 )962-6675 Fax: :( )
E-mail: YANIE.HUNG®MGz.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name:Zia)i4„%ver'i ,Nie_ Co 4 f ym...)a Submit two(2)sets of roof plan with connection details
' and fire department access,along with the 2010 Oregon
Address: LA-5-1 '7 ' ' G C . a 1 <A� Solar Installation Specialty Code checklist.
City/State/ZIP: �\\ L�� GA A'1'� Permit fee(includes plan review $180.00
8 and administrative fees): _
Phone:(2 -- N"'� oci i Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: \ �(p 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:YANIE HUNG Date: 3-8-2021 * Fee methodology set byTri-County Building Industry
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
C
T 1 G A R D Building Permit Review — Commercial - No Land Use
Building Permit #: Jr3 2(-1)00(
Site Address: 7850 SW Dartmouth St Suite/Bldg#:
Project Name: Costco
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: Interior remodel of existing restrooms
Existing Business Activity: Sales-oriented retail
Proposed Business Activity: Sales-oriented retail
QVerify site address/suite# exists and active in permit s stem.
ElRiver Terrace Neighborhood: El Yes l l No
ElZoning: C-G
❑ Permitted Use: H Yes U No U Spec Space
❑° Confirm no land use required.
0 Business License:
Exists: ❑✓ Yes El No,applicant was provided a business license application
Notes:
Approved by Planning: _1 C Q Date: 3/17/21
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: D3 1%ZOZ/
Site Plans: ## is
Building Plans: # 3
Building Permit#: EfTrTteuilding4zermit# above. �
Workflow Routing: 1lanning Permit Coordinator LJ building
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: IRBuilding: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
//
By Permit Technician: s - //,7,2 i Date: /23/ /
C1Building\Forms\BldgPermitRvw_COM_NoLandUse_1118 9.docx
• -rmit Coordinator Review
❑ Co .'tions "Met"prior to issuance of building permit
❑ Approve., OT Released: Date:
Notes:
Revisions (after Building Submt , only)
Revision Notice 1: Date Se to Applicant:
Revision Notice 2: Date Sent tot eplicant:
Revision Notice 3: Date Sent to App. .nt:
❑ SDC Fees Entered: Wash Co Trans Dev .x: ❑ Yes ❑ N/A
Tigard Trans SD'. Yes ❑ N/A
Parks SDC: ` : ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coor.' ator: Date:
1:\Building\Forms\B I dgPerrnitRvw_COM_NoLandUse_l 11819.docx
RFCEWED
MG2 Corporation t.1 n > fl "1 2021
1101 Second Ave. Ste 100 206 962 6500
Seattle.WA 98101 MG2.com
TRANSMITTAL
To City of Tigard Permit Center
13125 SW Hall Blvd
Tigard, OR 97223
Attn Permit Coordinator Date March 8, 2021
Phone 503-718-2439 Project Costco Tigard Restroom
Remodel
Fax Project Number 98-1840-31 08
From Yanie Hung (MG2 Architecture Number Of Pages 19 Incl. Cover Page
Corporation)
Cc Moon Choi
Send Via FedEx Standard Overnight - by 3:00pm
Re Building Permit Submittal
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3 sets Full drawing set - 6 pages total x
1 page Building permit application x
Notes
Please see attached building permit package for Costco Tigard Restroom Remodel
Please contact me if you have any questions (206)962-6675. Thank you!
Yanie Hung
Privileged and confidential information: the information in this document is intended only for the
use of the above named recipient. Any wrongful review, dissemination, distribution or copying of
this communication is strictly prohibited. If errors occur in transmission, or enclosures are not as
noted, please notify us at once.