Permit CITY OF TIGARD BUILDING PERMIT
11 COMMUNITY DEVELOPMENT Permit#: BUP2021-00159
TIGARD 13125 SW Hall Blvd..Tigard OR 97223 503.718.2439 Date Issued: 11/24/2021
Parcel: 1 S 136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Subdivision: PALMER ACRES Lot: 3
Project Description: Partial demolition of existing produce cooler and construct new walls to expand the cooler.
Contractor: REFRIGERATION UNLIMITED LLC Owner: COSTCO WHOLESALE CORPORATION
5102 20TH ST E 102 PROPERTY TAX DEPT 111
FIFE,WA 98424 999 LAKE DR
ISSAQUAH,WA 98027
PHONE: 253-474-3100 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VA Permit Fee-Additions,Alterations, 11/23/2021 $1,130.11
Occupancy Grp: U Occupancy Load: 0 Demolition
12%State Surcharge-Building 11/23/2021 $135.61
Dwelling Units: 0 Plan Review 07/07/2021 $734.57
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/23/2021 $274.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/23/2021 $452.04
Value: $104,000 Info Process/Archiving-Lg$2.00(over 11/23/2021 $10.00
11x17)
Metro CET 11/23/2021 $124.80
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $2,861.13
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet: 1 Special Inspection(see plans)
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: Howlvcu,De,Wege, Permittee Signature: Ott,Ap-p-Utzuticvt.
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.
Building Permit Application RECEIVED % - zs Li
Commercial JUN 23 2021 FOR OFFICE LSE ON1.1'
City Of Tigard Received
1 1 / ,s L' Pemtit Ni?,p Zci.! Cl.)I�
II " 13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD plan Review
C' Phone: 503-718-2439 Fax: 503-598-BUILDING DIVISION Date/By: J Q' j RelatedPennic
f IGARD Inspection Line: 503-639-4175 D to Ready/By: hods: H See Page 2 for
• Internet: www.tigard-or.gov Nonfied/Metho ` Supplemental Information
TYPE OF WORK REQUIRED DATA0-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
M Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling Valuation: $
®Commercial/industrial
❑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: 7850 SW Dartmouth St New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
'L11 Suite/bldg./apt.#: Project name: Costco Produce Expansion 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: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: S 36CD02200 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.
Partial demolition of existing Produce Cooler, construct new __
Valuation: $1 04,000
S walls to expand the cooler Existing building area:145,824 square feet
New building area: 145,824 square feet
NI PROPERTY OWNER ❑ TENANT Number of stories: I
Name: Costco Wholesale Type of construction:V-B
Address:999 Lake Drive Occupancy groups:
City/State/ZIP: Issaquah, WA 98027 Existing: B, F, M, S
Phone:( ) Fax:( )_..— — New: B, F, M, S
N APPLICANT Cgi CONTACT PERSON BUILDING PERMIT FEES*
Business name:Cushing Terrell (!'le�ecerejertojeescfredufe)
Structural plan review fee(or deposit): j ,' t f, -y
Contact name:Erik Chudy —` —
Address:
800 W Main St#800 FLS plan review fee(if applicable):
Total fees due upon application:
City/State/ZIP:Boise, ID 83702
Phone:(208) 577-5695 Fax::( ) Amount received:
E-mail J�C z Fr. �, y^l �� •c�,Iy—. PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES"
�.i_;_ l� c.,t t ylt t ± e
� jj Commercial and residential prescriptive installation of
CON I RACT(I1R' roof-top mounted PhotoVoltaic Solar Panel System.
Business name:T-.B R�� CIA.., '`,' l Submit two(2)sets of roof plan with connection details
^ 1 1 1't and fire department access,along with the 2010 Oregon
Address: 5\c2. `� ("� �. c \(_ Solar Installation Specialty Code checklist.
City/State/ZIP: r1 ce '�+� �" v- Permit fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lie.: 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: Erik Chudy °'�°"�' �� -`""""""°°"` Date06.1 6.2021 * Fee methodology set by Tri-County Building Industry
�' '�" °" "'°" Service Board.
I:\Building\Permits\BUP COM_PermitApp.doc Rev.04/21/2014 440-4613T(I1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every 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 restroom,
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(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) 'When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
N . . Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. ❑ map&tax lot# ❑ project name ❑ site address El suite number
❑ zoning ❑ applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations,plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit- based on valuation of project.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
` Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
T I v A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
Type of Submittal # of Plans
(Includes new, additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing(site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing(building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval,the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor,City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
City of Tigard
COMMUNITY DEVELOPMENT DEPARTMENT
■
T 1 t;ARD Building Permit Review — Commercial - No Land Use
Building Permit #: 3 1A(3 Zpj " 00 I S dJ
Site Address: 7850 SW Dartmouth St Suite/Bldg#:
Project Name: Costco Produce Expansion
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning.ke view
Proposal: TI
Existing Business Activity: retail
Proposed Business Activity: retail
• Verify site address/suite # exists and active in permit system.
® River Terrace Neighborhood: ❑ Yes 7 No
® Zoning: C-G
® Permitted Use: ® Yes ❑ No ❑ Spec Space
▪ Confirm no land use required.
® Business License:
Exists: Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: PliVA ANtellb Date: 6/24/2021
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Buildiuk Permit Submittal
Original Submittal Date: (t/ Z 7/7 /
Site Plans: # ,3
Building Plans: # 3
Building Permit#: Enter building permit# above.
Workflow Routing: EL—Planning ❑ Permit Coordinator `'Building
Workflow Sign-off: R ign-off for Planning(include notes from planning review)
Route Application Documents: wilding: original permit application, site plans,building plans, engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: ,d)541.4d9//h,-/A--4—` Date: 7/ Z/
I:\Building\Forms\BldgPermitRvw_COM_NoLandUse_111819.docx
• -• 't Coordinator t ey ew
❑ Conditio " et"prior to issuance of building permit
❑ Approved,NO - •ased:
Notes:
Revisions (after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Appli .
Revision Notice 3: Date Sent to > .. cant:
❑ SDC Fees Entered: W- o Trans Dev Tax: ❑ Yes ❑ N
igard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to •. iePermit
• . I roved by Permit Coordinator: Date:
I:\Building\Forms\BldgPermitRvw COM_NoLandUse_111819.docx