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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2006 -00062 1 -1411 DEVE DEVELOPMENT Tigard, -639 -4171 DATE ISSUED: 1/26/2006 PARCEL: 1S136CD-02200 SITE ADDRESS: 07850 SW DARTMOUTH ST ZONING: C -G SUBDIVISION: LOT: JURISDICTION: TIG Project Description: Produce cooler expansion. Walk -in cooler assembly. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 20,000.00 Owner: Contractor: COSTCO WHOLESALE CORPORATION KEY MECHANICAL CO OF WASHINGTN ATTN: EXCISE TAX DEPT 111 19430 68TH AVE S 999 LAKE DR KENT, WA 98032 ISSAQUAH, WA 98027 Phone: Contact #: FAX 503 - 236 -5848 PRI 503 231 - 8731 FEES Reg #: LIC 00093479 Description Date Amount REQUIRED ITEMS AND REPORTS [TAX] 8% State Surcharl 1/26/2006 $18.82 [BUILD] Permit Fee 1/26/2006 $235.30 Total $254.12 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 than 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 -0100. You may obtain a copy of these ru s or direct questions to OUNC by calling 503 - 246 - 99 or - 800 - 332 -2344. Issued By: 40 - � Permittee Signature: /A Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. 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. r ,‘ Building Permit x Diiii&C o l V E ® FOR OFFICE USE ONLY R eceived / Permit City of Tigard JAN p N 2 00 6 / - al - O i , 0 „_ . — : .. 1942 O 13125 SW Hall Blvd., Tigard, OR 97223 JA 2 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 ! j `�IJI Date/By Other Permit. Inspection Line: 503.639.4175 CITY OF TIGAR/Dp.. Date Ready/By El See Attached Checklist for Internet: www.ci.tigard.or us BUILDING DIVISION Notified/Method: Supplemental Information i 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 ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2 -family dwelling Commercial /industrial Valuation: $ (TO (csoC. ID Accessory building El Multi-family Number of bedrooms: El Master builder — El Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors. Job site address: 78543-` _o) 15d).�P741Dur-. New dwelling area: square feet City /State /ZIP: 7- - /6A � 9 la _7 Garage /carport area square feet Suite/bldg. /apt. no.: Project name: (-7 (t'S Covered porch area: square feet Cross street /directions to job site: /KAY( "/ Deck area: square feet l Other structure area: square feet REQUIRED DATA: COMMERCIAL - USE CHECKLIST Subdivision: 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 DESCRIPTION OF WORK « �/ work indicated on this application /gyp �(`)N ro) Valuation: $ ;7OO /} I ` all Ili 000 ( U € r 0 py� n °Pi � cca L i ly Existing building area: square feet New building area: square feet OPERTY OWNER I 0 TENANT Number of stories: Name: C c 6 Type of construction: Address: ,ter 6mE Occupancy groups: City /State /ZIP: Existing: Phone: ( ) Fax: ( ) New: ❑ APPLICANT ,,®CONTACT PERSON NOTICE Business name: 7 ' y 4ac/y /7tV (cog L C 6 o All contractors and subcontractors are required to be Contact name: / /L G fiv licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: /2 ti ) .'. 7 .,?- L ALIt /4 ( 1. jurisdiction in which work is being performed. If the City /State /ZIP: I c.u � (F" j ®� l ` applicant is exempt from licensing, the following reasons / [ / apply: - Phone.,3) ,c,3f, .6,7_1' / Fax: : ( 67.3‘ `5 '1 g E-mail: c ,,m0R iyA--" /iqKth f)(4(t < Q CONTRACTOR . Business name: ' 64(,cN4CI IIIS(4,6 -C BUILDING PERMIT FEES* Address: City /State /ZIP: Please refer to fee schedule. rl ,,,o--- � Fees due upon application t 9, 5 ` 3 Phone: ( ) r ` I Fax: ( ) jj Amount received 1 t‘• ' CCB lie.: V F � I Date received: li G is i Authorized signature: ` `7 This permit application expires if a permit is not obtained 411 7 within 180 days after it has been accepted as complete. Print name: pg Gm h ik ' ' Date: / RC - 6.( • Fee methodology set by Tri -County Building Industry Service Board. i.\ Budding \Permits\BUP -T1- PermitApp doe 12/03 440- 4613T(I 1 /02/COM/WEB) Building Division • l' Plan Submittal Requirement Matrix Commercial & Multi - Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plans (Includes new, additions and alterations.) Required at Submittal Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) Plumbing (site utilities) 2 Building 1* Fire Protection System 3 ** Mechanical 2 Plumbing (building fixtures) 2 Electrical 2 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) * For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. \ Building \Permits\BUP- TI- PermitApp doc 12/03 440-4613T(11/02/COM/WEB) CITY OF TIGARD BUILDING DIVISION PERMIT #: l3t1P20 6-000 2 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/26/2006 Phone: (503) 639- 4171 ll Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 5/2312005 TIME: 7:03AM PAGE: 94 SITE ADDRESS: 07050 SW DARTMOUTH ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: GOSTCO DESCRIPTION: Produce cooler expansioil. Walk-in cooler assembly. OWNER: co sTCO WHOLESALE CORPORATION, PHONE #: CONTRACTOR: KEY MECHANICAL CO OF WASHINGTN PHONE #: 503. 231 - 88131 Inspection Request Scheduled For: Date: 5/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 2.99 Final inspection 03037()•01 503-519-1222 N Corrections /Comments/ Instructions: &VW Al7 ar E,Aw r r V .. ASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FA, • CALL F. - INSPECTION ❑ ADDITIs NAL FE'S ASSESSED Inspector: =, M, Date: coy �410" hone #: (503) 71 8 - ` .,2 .aW