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Permit ,! CITY OF TIGARD BUILDING PERMIT COMMUNITY DEVELOPMENT Permit #: BUP2011 -00081 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/29/2011 Parcel: 1S136CD02200 Jurisdiction: Tigard Site address: 7850 SW DARTMOUTH ST Project: Costco Subdivision: Lot: 0 Project Description: Install new produce cooler, retro existing produce cooler. Contractor: KEY MECHANICAL CO OF WASHINGTON Owner: COSTCO WHOLESALE CORPORATION 19430 68TH AVE SO PROPERTY TAX DEPT 111 KENT, WA 98032 999 LAKE DR ISSAQUAH, WA 98027 PHONE: 503 - 231 -0731 PHONE: FAX: 503 - 236 -5848 FEES Specifics: Description Date Amount Type of Use: COM Permit Fee - Additions, Alterations, 04/29/2011 $509.05 Class of Work: ALT Demolition Dwelling Units: 0 Plan Review 04/22/2011 $330.88 Stories: 0 Height: 0 ft 12% State Surcharge - Building 04/29/2011 $61.09 Bedrooms: 0 Bathrooms: 0 Plan Review - Fire Life Safety 04/29/2011 $203.62 Value: $30,000 Info Process /Archiving - Lg Sheet (over 04/29/2011 $14.00 11x17) Info Process /Archiving - Sm Sheet (up to 04/29/2011 $18.50 Floor Areas: 11x17) Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $1,137.14 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. ATTENT : • - • • law requires you to follow the rules adopted by the Oregon Utility Notificati• • - nter. Those rules are set forth in OAR 952-001-001' through OAR 9 = 001 -00• You may obtain a copy of the rules or direct questions to OUNC by calling 03.232.19: • 1.800.332.2344. Issued By (j / , Permittee Signature: A4 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 comp -tion of the • roject. Approved plans are required on the job site at the time of each inspects • . Building Permit Application Commercial r FOR OFFICE USE ONLY Ci ty of Tigard RE Received � / , , /� Permit No.: M ; Date /B d/ 40g/ 'I 13125 SW Flail Blvd., Tigard, OR 97223 - 2 II Phone: 503.718.2439 Fax: 503.598.1 2 2 2011 Plan Review Date /B : �`��j � Other Permit: Inspection Line: 503.639 Date Ready :y: Ju ris: ® See Page 2 for TIGARD Internet: www.tigard- or.gov CITY OF TIGARD No[ 7 /l� Supplemental Information a , /I ✓ill 1 11 ' ED 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 R ., Addition/alteration/replacement ® Other: TI equipment, materials, labor, overhead, and the profit for the °*'"" ? CAT i EGORY '"` OF ' "° '"" CONSTRUCTION ° work indicated on this application. ` ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ 1=1 Accessory building 1=I Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: t B 5 Q �, (� , `00;127 �p -A New dwelling area: square feet City/State /ZIP: ' QJ) V )2. t ot 2Z Garage/carport area: square feet Suite/bldg. /apt. no.: CO Stec) Project name: Ti GFizf C3: - r Y (IN 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: I Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the Kgr C DESCRIPTION ` +- 11 ''`- IMo(�� 1Z61/�i `Tf�/ilESCRIPTION OF WORK r � �•'r 12 G� s ��� work indicated on this application. Tn.)S- n -A-L-L N P20 b() c__ �R , 'Valuation: $ RC I A O t Xt ( IN <� (R!•3 n u e c t _Q - 1 '17 Existing building area: square feet � 1> I: N b A- (�� /1 i' e New building area: square feet PROPERTY OWNER 1( I l t= ❑ 0.8-Q1)(1460,,...---- Number of stories: Name: CO , - r Gc 3 a �-\ -r S uz- — Type of construction: Address: qctri L 2 k , V R Occupancy groups: City/State /ZIP: 1- S s 7 t, " , , Q S.� �1 v) Existing: Phone: ( ) " t Fax: ( ) P New: (";APPLICANT El CONTACT PERSON BUILDING PERMIT FEES* i Structural plan (Please (or deposit) schedule) Business name: Ka e i 4 k k O It / Contact name: 6-/-44,\A r i O s FLS plan review fee (if applicable): ✓T� � `�� Q � Address: Al ‘ ,,.. ) 5 N 1© L4t1 A- Total fees due upon applic on: City /State /ZIP: Pt�2Tt x ,1� ` O 7 , ci r7 cQ S 0 �y p Phone: ( " - 2 Fax: : ( - ` - '• _ 0 Amount rec rved: �' a o E -mail: PHOTOV'QGTAI `;SQLAR P L$ .w s .� Com - cial and residential prescriptive ins . .. • e" CONTRACTOR _ roof - top •unted PhotoVoltaic Solar Panel Sys • . Business name: 141i_ " v cc_LA . e • 7 S Submit two sets of roof plan with cone • on details l and fire departme . ccess, along wit e 2010 Oregon Address: Solar Installation Spe Code ecklist. City/State /ZIP: CELL. Permit fee (includes review $180.00 and ad trati . ees): Phone: (bcy3 r q _ v F 2 Fax: ( ) State surch. : 12% of permit fe : $21.60 ` -/ CCB lic.: 5q7 5 1 % .A/(r 2- 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: S ( 74 , 1 AT'(7s Date: A (2 J , 1 l * Fee methodology set by Tri- County Building Industry ( - 7 Service Board. I: \Building\Permits \BUP -COM PermitApp.doc 02/24/2011 440- 4613T(11/02/COM /WEB)