Permit INCITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2021-00067
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 7!7l2021
Parcel: 1S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 3
Project Description: 560 sq ft Bakery remodel-work includes removal&replacement of(3)bakery ovens and(1)proof of box w/
related flooring,FRPP finishes on wall behind oven.Ceiling grid and tiles above ovens and concrete floor under
oven.
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 Permit Fee-Additions,Alterations, 05/10/2021 $1,105.95
Class of Work: ALT Type of Const: VB Demolition
Occupancy Grp: M Occupancy Load: 0 12%State Surcharge-Building 05/10/2021 $132.71
Dwelling Units: 0 Plan Review 03/23/2021 $718.87
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 05/10/2021 $257.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 05/10/2021 $442.38
Value: $100,000 Info Process/Archiving-Lg$2.00(over 05/10/2021 $10.00
11x17)
Tigard CET-Non-Residential-Admin 05/10/2021 $40.00
Floor Areas: Tigard CET-Non-Residential-AH 05/10/2021 $960.00
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,666.91
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: Permittee Signature: 094
all 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 RECEIVE' FOR OFFICE USE CityONLY-
of Tigard Received 4�' 3 Z )2/ Permit No.:
2021 y 2 4 PJC//JZGZI-Do0(fl7
i • 13125 SW Hall Blvd.,Tigard,OR 97223 MAR C' Date/B
Plan Revi
Phone: 503-718-2439 Fax: 503-598-1960 Date/By:j "� 13- Z i Related Permit:
TIGARD Inspection Line: 503-639-4175 CITY OF TIGARD Date Ready/By: aria- EllSee Page 2for
Internet: www.tigard-or.gov y,-3UlI_jiN(j rllvIvo!''.'. tined/Method:Lit
2.i / Supplemental Information
LL " - /_Lt/
TYPE OF WORK REQUIRED 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 D Other: equipment,materials,labor,overhead,and the profit for the
work indicated on this application.
CATEGORY OF CONSTRUCTION
D I-and 2-family dwelling ElCommercial/industrial Valuation: $
ElAccessory building El Multi-familyNumber of bedrooms:
❑Master builder ❑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/carportarea: square feet
Suite/bldg./apt.#: Project name:COSTCO TIGARD BAKERY OVEN UPGRADE Covered porch area: square feet
Cross street/directions to job site:sw PACIFIC HWY Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#:t s t 36cn02200 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.
-60 SQUARE FEET REMODEL OF EXISTINGK N _45,824 ONE STORY BUILUI G Valuation: $ 100,000
C PR OF WORK TNCLIIDES REMOVAL, AND R FLOC 1M"N OF I:n RAKERY OVENS AND —
(1) PROOF BOX WITH RELATED FLOORING FRPP FINISHES ON WALL BEIIIND OVEN Existing building area: 145,824 square feet
CEILING GRID AND TILES ABOVE OVENS AND CONCRETE FLOOR UNDER OVENS.
1 HERE ARE NO CHANGES TO EGRESS. New building area: square feet
1 El PROPERTY OWNER 0 TENANT Number of stories: 1
�I Name: CCSTCO WHOLESALE Type of construction: TYPE V-B
Address: 999 LAKE DRIVE Occupancy groups: MERCANTILE
(441 City/State/ZIP:ISSAQUAH, WA 98207 Existing:
�. Phone:( 425 ) 427-7164 Fax: ( 42.3 ) 313-65715 New:
'i ® APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*
t^_ (Please refer la fee schedule)
Business name:MG2 ARCHITECTURE CORPORATION
Structural plan review fee(or deposit):
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:
Phone:( 206 )962-6675 Fax: :( ) Amount received:
PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
E-mail: YANIE.HUNG@MG2.COM
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: TBD TY1"`' rAre CQ �ei, et) ' Submit two(2)sets of roof plan with connection details
21 1 and fire department access,along with the 2010 Oregon
Address. I-t 3
Z - q 4iA >eeer NE Sre F Solar Installation Specialty Code checklist.
City/State/ZIP: PA�JLL w'k, q&37 z Permit fee(includes plan review $180.00
and administrative fees):
Phone:(1�' q 6 62,3 Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 1 58 �� Total fee due upon application: 5201.60
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 by Tri-County Building Industry
- - - - Service Board.
I:1BuildingiPermits\BUP_COM_PennitApp.doc Rev.04/21/2014 440-4613T(11/02/COM/WEB)
City of Tigard
•
COMMUNITY DEVF.T OPMENT DEPARTMENT
C
T 1 G ,D Building Permit Review — Commercial - No Land Use
Building Permit #: BUP202j-000(0-7
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 bakery area
Existing Business Activity: Sales-oriented retail
Proposed Business Activity: Sales-oriented retail
❑r Verify site address/suite# exists and active in permit s wem.
❑o River Terrace Neighborhood: ❑ Yes L'J No
❑o Zoning: C-G
0 Permitted Use: U Yes U No U Spec Space
❑• Confirm no land use required.
❑o Business License:
Exists: El Yes ❑ No, applicant was provided a business license application
Notes:
Approved by Planning: _._ Date: 3/17/21
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: 084?9-202J
Site Plans: # 3
Building Plans: # 3
Building Permit#: (Th.-Filter buildin. permit# above. .
Workflow Routing: g Pl a-anning Permit Coordinator Era-
Workflow Sign-off: Sign-off for Planning(include notes from planning review)
Route Application Documents: ®'Building: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
/
By Permit Technician: Date: 03 2?-2Ou
1:1Build ing\Forms1BldgPe rmitRvw_COM_NoLandUse_111819.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 i'N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: ❑ Yes Z N/A
OK to Issue Permit
Approved by Permit Coordinator: Date: 3/2 12.01-1
I:\Bullding\Forms1Bldgl'ermitKvw_COM_NoLandUse_1 11819.docx
MG2 Corporation RECEIVED
1101 Second Ave, Ste 100 206 962 6500
Seattle, WA 98101 ,\;� ( Z02.1 MG2.com
.ic
CITY OF`o IC'ABG
TRANSMITTAL
BUILOI a�?OS:ON
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 Bakery Oven
Upgrade
Fax Project Number 98-1840-31 08
From Yanie Hung (MG2 Architecture Number Of Pages 16 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 - 5 pages total x
1 page Building permit application x
Notes
Please see attached building permit package for Costco Tigard Bakery Oven Upgrade.
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.