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Permit IA _ ,, CITY OF TIGARD BUILDING PERMIT I COMMUNITY DEVELOPMENT Permit#: BUP2015-00150 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/27/2015 Parcel: 1S 136CD02200 Jurisdiction: Tigard Site address: 7850 SW DARTMOUTH ST Project: Costco Subdivision: PALMER ACRES Lot: 3 Project Description: Installation of(1)HULS fan above registers. Contractor: ERTELL ELECTRIC LLC Owner: COSTCO WHOLESALE CORPORATION PO BOX 279 PROPERTY TAX DEPT 111 FOREST GROVE, OR 97116 999 LAKE DR ISSAQUAH,WA 98027 PHONE: 503-841-4511 PHONE: FAX: 503-359-5652 Specifics: FEES Description Date Amount Type of Use: COM Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 05/27/2015 $164.96 Demolition Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 05/27/2015 $19.80 Dwelling Units: 0 Plan Review 05/27/2015 $107.22 Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 05/27/2015 $65.98 Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 05/27/2015 $7.50 Value: $6,000 11x17) Floor Areas: Total Area: 0 Accessory Struct: 0 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $365.46 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 503.232.1•:7• 1.800.332.2344. Issued By: �/� Permittee Signature: r ...1- i •■• 724."7,��C 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. BuildingPermit Application Commercial RECEIVED E1 IOIt ()1 I l( 1. 1 .1 (1\11 City of Tigard MAY 2 7 2015 Received ��DateB " AE.=.- Permit No' i45.--126/51) • 13125 SW Hall Blvd.,"Tigard,OR 97223 Plan Revie 2 Phone: 503.718.2439 Fax: 503.598. .E„E® Other Permit: T 1 GAR I� Inspection Line: 503.639.4175 °I T OF TIGARD Date ReadyBy: f Juris: 67 See Page 2 for Internet: www.tigard-or.gov BUILDING DIVISION Notified/Method: Supplemental Information 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 0 Commercial/industrial Valuation: $ ❑Accessory building El Multi-family Number of bedrooms: El Master builder El Other: Number of bathrooms: JOB SITE INFORMATJON`AIVD LOCATION Total number of floors: Job site address: 7850 S tAD ' 4o 1.‘‘ RA. New dwelling area: square feet City/State/ZIP: —17:50,4 o(Z,1 9-727-3 Garage/carport area: square feet Suite/bldg./apt.no.: Project name: CaskA NUi Ihs>..0 Covered porch area: square feet Cross street/directions to job site: SW get#4%.. 6... 0 Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST Subdivision: Lot no.: Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the ,DESCRIPTION OF WORK work indicated on this application. Valuation: $ pp I wS q C.t> PiU LS Atachte.. I f � s rN V Existing building area: square feet New building area: square feet igl PROPERTY OWNER ❑ TENANT Number of stories: Name: Ca ft6 A j itztesild Type of construction: Address: Occupancy groups: City/State/ZIP: Existing: Phone:( ) Fax:( ) New: APPLICANT ❑ CONTACT PERSON BUILDING PERMIT FEES* / (Please refer to fee schedule) C Business name: r4...Lt (41 ifsit tar._ Structural plan review fee(or deposit): Contact name: exAj Address: S G FLS plan review fee(if applicable):�D 1i 5t-.t 6- 12.0 City/State/ZIP: f-{:lls60co oe T 3 Total fees due upon application_ Amount received: Phone:(9*)571/4,-21 ZA Fax::(SD3 )591 , S`SZ E-mail: S ` PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* tc. CO IAA Commercial and residential prescriptive installation of CONTRACTOR roof-top mounted Photo Voltaic Solar Panel System. Business name: tri�.U(s trecAre. LLC� Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address: 6-2A 3 NE E1oM1 9 bU. a►rk.w s u-t fe. J 20 Solar Installation Specialty Code checklist. City/State/ZIP: Permit fee(includes plan review y ��rlsloe.re ©Qt 1 and administrative fees): $180.00 Phone:(Sp3 )Sgr co..211 ax:(gv3)CSC?—CG C2_ State surcharge(12%of permit fee): $21.60 CCB lie.: e 0 8 Total fee due upon application: $201.60 Authorized signature: e. This permit application expires if a permit is not obtained /.1 within 180 days after it has been accepted as complete. Print name: Q �„•- _, Date: 6/2,G f 1 S * Fee methodology set by Tri-County Building Industry ` F-""`^'°' Service Board. I:\Building\Permits\BUP-COM PermitApp.doc 02/24/2011 4404613T(I 1/02/COM/WEB) ;' • in Building Division Over-The-Counter (OTC) Building Permit "\ I' Check List Project Description: t te-Gf Po2d/✓r ©e/5-C) GENERAL INFORMA ION Class of Work*: i,�l -,„ a Occusanc Grou•: Mk' Type of Construction: We: Type of Use**: dirirr Occupancy Load: _ Oregon Specialty Code: 20 • SPECIFICS Number of Stories: 1 Building Height: Mixed Use: •Number of Dw Units: Number of Bathrooms: Number of Bedrooms: _ BUILDING SQ FT-SCHOOL CET OTHER SQUARE FOOTAGES Story Square Footage: Accessory Structure: Covered Porch: Basement: Garage: Deck: • Total Square Footage: Carport: Mezzanine: SETBACKS Sideyard Setback-Left Sideyard Setback-Front Sideyard Setback-Right _ Sideyard Setback-Back CONSTRUCTION - Exterior Walls: Openings Protected: Firewall Separation: N: S: N: S: Occupancy Separation: E: W: E: W: Access.Parking Spaces: REQUIRED ITEMS Fire Sprinklers: ✓ Fire Alarms: Smoke Detectors: Sprinkler Type: Alarm Type: Protected Corridors: Standpipe Required: Pull Stations Required: Parapet: I lazard Group: Battery Calcs Provided: Density: Cut Sheets Provided: Design Area: K Factor: Total Project Valuation: $ tX).Cr, FEES DUE $ DC Prov Rvw,COM TI-Ping $ DC Prov Rvw,COM TI-LRP DC Provision Review Fee for COM TI(effective 7/1/2014) $ ( 4,6 Permit Fee-Add,Alt,Demo Project Valuation Planning LRP $ I . 12%State Surcharge Up to$4,999 $0.00 $0.00 $ (0722_ Plan Review,Structural $5,000-$74,999 $75.00 $11.00 $ Coe) Plan Review,Fire Life Safety $75,000-$149,999 $187.00 $28.00 $ Info Proc/Arch,Lg(over 11x17$2.00) $150,000 and over $299.00 $44.00 $ '7;••5 Info Proc/Arch,Sm(up to 11x17$0.50) $ Metro Construction Excise Tax $ School Construction Excise Tax $ Hourly Rate Fee $ Hourly Rate State Surcharge $ Misc.Admin Fee $ Other: $ Other: Building Staff: $ Other: Date/Time: $ 'j(ci-5.4j TOTAL FEES DUE *TYPE O ial;CMS=coercial manufacrred structure. **CL S Q F WORK ACS- ce .9 ;ADD=addition;ADU=accessory dwelling unit;ALT=alteration;DEM=demo;NEW=new; for f- signs,awnings or canopies). I:\Building\Forms\OTC_BUP_070114.docx