Permit CITY OF TIGARD BUILDING PERMIT
2 . COMMUNITY DEVELOPMENT Permit#: BUP2021-00246
Date Issued: 8/15/2022
T I c A 1 i) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 1 S136CD02200
Jurisdiction: Tigard
Site address: 7850 SW DARTMOUTH ST
Project: Costco Wholesale Subdivision: PALMER ACRES Lot: 3
Project Description: Interior remodel of the optical sales and hearing aid center.Work include but not limit to struc.,elec.,plumb.,and
fire protection.
Contractor: INTERSTATE CONSTRUCTION GROUP INC Owner: COSTCO WHOLESALE CORPORATION
2201 INTER AVE PROPERTY TAX DEPT 111
SUITE A 999 LAKE DR
PUYALLUP,WA 98372 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, 11/15/2021 $2,464.95
Occupancy Grp: M Occupancy Load: 0 Demolition
12%State Surcharge-Building 11/15/2021 $295.79
Dwelling Units: 0 Plan Review 11/15/2021 $1,602.22
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 11/15/2021 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 11/15/2021 $985.98
Value: $324,381 Info Process/Archiving-Lg$2.00(over 11/15/2021 $10.00
11x17)
Info Process/Archiving-Sm$0.50(up to 11/15/2021 $6.00
Floor Areas: 11x17)
Total Area: 0 Metro CET 11/15/2021 $389.26
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $6,188.20
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 1 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 tification Center. Those rules are set forth in OAR
952-001-0010 through OAR 52-001-0090. You m y ob in a co y of the rules or direct questions to OUNC by calli 3.232.1 0 332.2344.
Issued By: Permittee 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.
Building Permit Application — 1 i n l
Commercial
City of Tigard RECEIVE!'- No' P1dt:, Recei �� ZO -DateB A Permit VZd2 O24 o
III r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review
_ Phone: 503-718-2439 Fax: 503-598-1960 O C T 1 1 2021 Date/By: 1' -0�.6-.l Related Permit.
7.I G R L� Inspection Line: 503-639-4175 _ Date Ready/By: 7 Ed See Page 2 for
Internet: www.tigard-or.gov CITY OF TIGARD Noti d/Method: Supplemental Information
BUILDING DIVISION
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
0 New construction 0 Demolition '• it fees*are based on the value of the work perform .
Indi : e the value(rounded to the nearest dollar)of a
®Addition/alteration/replacement ❑Other: equipm-.t,materials,labor,overhead,and the pro for the
CATEGORY OF CONSTRUCTION work Indic. don this application.
❑ 1-and 2-family dwelling ►Y Commercial/industrial Valuation: $
Accesso bu Number of bedroo 's:
❑ ryildin g ❑Multi-family
❑Master builder 0 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/carpor area: sq : e feet
Suite/bldg./apt.#: Project name: C O S t CO Wholesale Covered .orch area: square -
Cross street/directions to job site: De area: square feet
SW Dartmouth St, Beaverton Tigard Hwy, 99W Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Tigard 97223 Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: 1 S 13 6 CD O 2 2 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.
Interior remodel of the optical sales and Valuation: $ 324 , 381
hearing aid center. SoW includes but not lim. Existing building area: 145, 824squarefeet
to Struct . , elec. , plumb. and fire prot . New building area: No Change square feet
® PROPERTY OWNER 0 TENANT Number of stories: 1
Name: COStCo Wholesale Type of construction: V-B Fully Sprink.
Address: 999 Lake Drive Occupancy groups:
City/State/ZIP: Issaquah, WA 98027 Existing: M (Mercantile)
Phone:(2 0 6) 9 6 2-6 6 51 Fax:( ) New: No Change
K( APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES*Total Bldg:
(Please refer to fee schedule) 2,461.21
Business name: MG2
Structural plan review fee(or deposit): 1 , 599 . 79
Contact name: Levi Schmitt —
FLS plan review fee(if applicable): N/A
Address: 1101 2nd S t, Ste 100
Total fees due upon application:
City/State/ZIP: Seattle, WA 98101
Phone:(2 0 6) 9 6 2-6 6 51 Fax::( ) Amount received:
E-mail: 1 evi . s chmi t t @mg2 . c om OTOVOLTAIC SOLAR PANEL SYSTEM FEES*
- Commer '• and residential prescriptive installati f
CONTRACTOR roof-top moun PhotoVoltaic Solar Panel tem.
Business name: �f ,, ,,` /� Submit two(2)sets roof plan with c ection details
"tom 1 �� �J1�01.
� C1�J and fire department acre alon th the 2010 Oregon
Address: 39t ) TA l df' 4 Solar Installation Special checklist.
Permit fee es plan rev
City/State/ZIP: up U �: (inc(administrative fees): $180.00
Phone:(36 cbC`.1.--
Fax:( ) )
2 i t j State charge(12%of permit fee): $21.60
CCB Lic.: I cS: ' `Z
Total fee due upon application: $20 .
Authorized signature: --V ..),.,..H.---kAAjtAi%.... ...
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Mos taf a Ahanch Date: '4 / * Fee methodology set by Tri-County Building Industry
/ � Service Board.
Authorized Agent for Costco Wholesale
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(I 1/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
p Accessibility: Barrier Removal Improvement Plan
g
Commercial & Multi-Family - Additions or Alterations
7 I GARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
No alterations to path of travel or egress
QUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and relate.
facilities shall be made to insure that the path of travel to the altered area and the res oom,
telephones and drinking fountains are readily accessible to individuals with disab' ;es unless
such alterations are disproportionate to the overall alterations in terms of cost .'d scope.
Alterations made to the path of travel to an altered area may be deemed . .proportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total • all renovation,alteration or modification being done,
excludin• .ainting and wallpapering: [1] $
MULTIPLIE' (25%bather removal requiremen : x .25
TOTAL BUDGET OR BARRIER REMO 'AL: [2] $
ELEMENTS: In choosing which accessible e . ent 'o provide under this section,priority shall be given
to those elements that will provid- . e greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entran : $
(c) An accessible r. to to the altered area: $
(d) At least o.- accessible restroom for each sex or a single uni -x
restroo• : $
(e) cessible telephones: $
Accessible drinking fountains:and,
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $
L\Building\Permits\BUP_COM_PernutApp.doc Rev.03/05/2019
City of Tigard
p
COMMUNITY DEVELOPMENT DEPARTMENT
T1cARD Building Permit Review — Commercial - No Land Use
Building Permit #: yVpZ 4p..I
Site Address: ] Q �(/`) �1,�- Iv �S-- Suite/Bldg#:
Project Name: S ri -(,()
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review ,�,,rr (� f ,,
Proposal: T�vl�e(r�b 1(' V'tmi( ,^,1 Off' d � 0� �Y`�� Q� w /1 17''(
d-e rutl sk1 -U Va f1 (U wl bt -r-'(rQ
Existing Business Activity: 60 '
Proposed Business Activity: _ V
Verify site address/suite# exists and active in permit system.
❑ River Terrace Neighborhood: ❑ Yes .Kf',No
O' Zoning:
Permitted Use: iI Yes ❑ No ❑ Spec Space
54 Confirm no land use required.
Fa Business License:
Exists: 7 Yes ❑ No,applicant was provided a business license application
Notes:
Approved by Planning: AteWL Date: ( 6, ( �/�j 2�f
Revisions (after Building Submittal only) Reviewer 66G Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: /,2////ZO2
Site Plans: # _3
Building Plans: # ,3
Building Permit#: R Enter building permit#above.
Workflow Routing: Er-Planning ❑ Permit Coordinator EBuilding
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: /01,1,20,-i
1:\Building\Forms\BldgPermitRvw_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 ❑ N/A
Tigard Trans SDC: ❑ Yes ❑ N/A
Parks SDC: ❑ Yes ❑ N/A
❑ OK to Issue Permit
Approved by Permit Coordinator: Date:
I:\Building\Fonns\BldgPennitRvw_COM_NoLandUse 111819.docx